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Our first key objective to explore is how to get a cross-enterprise view of our audits As you know, GRC is a primary driver, as is looking for ways to optimize the IT infrastructure If you think about what is required to create a consolidated view, you can map it easily to other systems For example, organizations typically want to aggregate and analyze key financial data Organizations also need to aggregate and analyze human resources (HR) information (for example, to be able to answer the question, How many employees do we have ) Other operational systems such as sales databases and facility databases (databases that maintain all the building and capital assets) also require that the information be gathered, and analyzed using sophisticated reporting and analysis tools This is accomplished today through the multibillion-dollar technology field called Business Intelligence (BI).

Just as the cerebral cortex ( 14) literally forms a thin bark over the surface of the cerebrum, the adrenal cortex is an endocrine gland forming a thin bark (cortex or cortico-) over the surface of the adrenal body This body is a curved, stocking cap-shaped structure that lies toward (ad-) the top of each kidney (renal) The adrenal cortex or thin outer bark of the adrenal body secretes the hormone cortisol (KOR-tih-sol) Cortisol raises the blood glucose level whenever it is low, and it also acts to relieve the symptoms of tissue in ammation A third trophic hormone is called growth hormone (GH) Growth hormone, as its name states, circulates to most of the body cells and stimulates their growth by promoting such processes as protein synthesis and cell division But the speci c target gland of its trophic in uence are the beta (BAYtuh) cells of the pancreas.

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The subciliary portion of the wound should not be under tension and can be closed using 7-0 chromic gut, silk, or nylon sutures in a running fashion from medially to laterally. The lateral wound extent is closed in an interrupted fashion to maximally align the closure and distribute tension. Sutures are removed in 5 days, although in laser-assisted incisions, the sutures should remain for 7 to 10 days. Patients are instructed to maintain ice compresses as often as possible for the rst 48 hours, to apply antibiotic ointment to the sutures three to four times per day, to keep their head elevated during the day and even at night by sleeping on extra pillows, and to avoid heavy bending, lifting, exercise, or other activities that may require a Valsalva maneuver for at least 1 week. Airplane travel should be discouraged to avoid potential exposure to decreased atmospheric pressure, which may allow bleeding to occur. Satisfactory postoperative analgesia may usually be achieved with acetaminophen, although some patients may require narcotics. Nonsteroidal antiin ammatory agents (including ketolorac [Toradol, Roche Pharmaceuticals, Nutley, NJ]) must be avoided to prevent orbital hemorrhage. Sutures are removed 6 to 10 days after surgery (Figure 5.13).

The beta cells are well known because they secrete the hormone, insulin (IN-suh-lin) Insulin is absolutely critical for human survival, because it helps to transport glucose out of the bloodstream, thereby feeding the tissue cells A fourth trophic hormone is follicle-stimulating hormone (FSH) You may bring back to mind ( 13) the little bags or hair follicles within the skin There is another type of little bag or follicle within the ovaries (OHvar-ees) or eggs (ova) of females The ovarian (oh-VAIR-ee-an) follicles are tiny bags or sacs within the ovaries Under the stimulating e ect of FSH, they increase their secretion of the two hormones, estrogen (ES-troh-jen) and progesterone (proh-JES-ter-own) Estrogen stimulates the development of so-called secondary sex characteristics in the female, such as a higher voice and softer skin Progesterone prepares the female body for a possible pregnancy.

BI is in fact such a huge value to organizations that the success or failure of an organization is largely dependent on how much insight it can glean from its business operations Being able to identify suboptimal expenses and operations and then act to rectify them quickly can be the difference between a growing and profitable organization and one that does not grow or profit In a gross oversimplification, you could say that doing BI involves two key elements: First, you need to get all the data, and second, you need to analyze it The multibillion-dollar industry exists because both elements are quite complex and require sophisticated technology to accomplish them correctly and efficiently.

neuropathy, eg, chronic demyelinative motor neuropathy with multifocal conduction block Other useful laboratory procedures are (1) biochemical tests to identify metabolic, nutritional, or toxic states; (2) CSF examination (increase in protein and in cells that indicate radicular or meningeal involvement); (3) nerve and muscle biopsy; (4) measurement of immunoglobulins and antineural antibodies that relate to immune-mediated neuropathies; (5) genetic testing for several of the inherited neuropathies; and (6) nerve biopsy Once having established that the patient has a disease of the peripheral nerves and having ascertained its clinical and electrophysiologic pattern and time course, one is usually able to determine its nature This is accomplished most readily by allocating the case in question to one of the categories in Table 46-2, wherein the peripheral nerve diseases are classi ed syndromically according to their mode of evolution and clinical presentation.

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