Clinical characteristics and management of bipolar disorder in women across the life span

Though prevalent in both genders, specific consideration needs to be given when treating a woman suffering from bipolar disorder over her lifetime. Bipolar disorder is a serious and incapacitating illness affecting an estimated 5% of women. The first episode of illness in women is usually a depressive episode. Female gender has been associated with greater axis-one comorbidity, more depressive episodes, rapid cycling and mixed affective states. Special consideration is required for the treatment of bipolar disorder during reproductive events. More studies are required to better understand the course, outcome and gender-specific treatment strategies of this disorder.

Intranet development processes in large organizations : characteristics and management implications

This paper highlights characteristics pertaining to intranet development processes in large, complex organizations. Some key differences between traditional development processes and intranet developments are identified. An empirical case of corporate intranet development is used to illustrate these differences. In the light of this, a number of managerial considerations in terms of intranet design, implementation, costing and control are outlined.

An investigation of issues in the teaching and management of large classes

In a quest for a more efficient education system, many organizations have opted to increase class size. It is a common perception that large subjects are economical to run and small subjects are not. Many in the tertiary education system have had concerns with issues involved in the teaching of large classes, including teaching quality and whether there are effective learning outcomes for students. As with any complex issue, there are several approaches that could be utilized to assess whether the needs of stakeholders are being met. Stakeholders include the institution, the teaching staff, the community and the students. This study aims to assess whether universities are satisfying the needs of students as class size is increased. The study focuses on satisfaction with large classes and includes an assessment of the satisfaction of students' psychological needs. These constructs are measured in small, medium and large classes to identify the change in the level of satisfaction. The study used a multi-method approach consisting of a literature review, a qualitative phase involving in-depth interviews, focus groups, and a quantitative survey. The results show that while customer satisfaction is being met, the satisfaction of students' psychological needs are not being fully realised. It was also found that there were notable variations between individual students, the subjects being studied and degree streams of students taking the same subject. The implications of these findings and suggestions for further investigation are discussed in this paper.

Accountability structures and management relationships of internal audit : an Australian study

Purpose – The purpose of this study is to examine the accountability structures and the management relationships of internal audit. In particular, related issues such as the predominant internal audit objectives and the related functions, the extent to which internal audit addresses any financial reporting risks and the manner in which internal auditors in Australia perform their tasks, are identified. The study also looks at the extent of compliance with the Institute of Internal Auditors (IIA) Standards.
Design/methodology/approach – Based on a survey of the chief audit executives in Australia, the study identifies the reporting mechanisms, functions and relationships of internal audit, including the contributions made towards good corporate governance. There is, however, some misalignment between the aspirations of internal auditors and their relationships with management.
Findings – While internal audit objectives have been established with a focus on controls, risks and governance, the study has highlighted the fact that there is a lack of correlation between the tasks performed by internal auditors and the important internal audit objectives, with the exception of internal control and risks. The results also suggest that internal auditors have been providing an internal consulting and advisory role in matters concerning IT systems, strategic risks and financial issues. If internal auditors are to proactively contribute to good corporate governance, they need to define how, and in what way, this can be done. In regard to corporate governance processes, the results of the research indicate that issues surrounding internal control, risk assessment and management processes are regarded as the key factors for internal audit to contribute to good corporate governance.
Originality/value – This study complements and contributes to the existing literature in providing insights into the evolving role of the internal audit function in terms of accountabilities and relationships with management. It also provides a valuable insight into how the internal audit profession can build upon its inherent strengths and address any apparent areas of concern. This will assist both the profession and policy makers alike, in better understanding and improving the role of the internal audit process.

Suitability of chlorine bulk decay models for planning and management of water distribution systems

Effective disinfection planning and management in large, complex water distribution systems requires an accurate network water quality model. This model should be based on reaction kinetics, which describes disinfectant loss from bulk water over time, within experimental error. Models in the literature were reviewed for their ability to meet this requirement in real networks. Essential features were identified as accuracy, simplicity, computational efficiency, and ability to describe consistently the effects of initial chlorine dose, temperature variation, and successive rechlorinations. A reaction scheme of two organic constituents reacting with free chlorine was found to be necessary and sufficient to provide the required features. Recent release of the multispecies extension (MSX) to EPANET and MWH Soft's H2OMap Water MSX network software enables users to implement this and other multiple-reactant bulk decay models in real system simulations.