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one evening and, under the wrap of secrecy, outlined the idea of a new chairman and a new regime Gill, an outspoken individual, wasted little time in offering his opinion that if we did not succeed, the destiny of the Merc was in clear danger Although I did not ask Gill to do anything to advance our cause, I left our meeting satis ed he fully supported our undertaking Our Saturday kitchen cabinet meeting lasted all day We agreed on four key actions: First and foremost, we wanted to correct the procedure that in our view represented the greatest peril to the CME The McNulty modus operandi was to bring to the board for approval proposals that were inadequately vetted Often they were actions based on ideas that the board was seeing for the rst time, sometimes, in our opinion, half baked, without adequate deliberation.

What s more, he truly liked the Weydert guys and felt a connection.

FIGURE 2.5.14 Dependence of coupling capacitances for four bilevel interconnections on substrate thickness.

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In the case of acute viral infections, the clinical picture may be of acute meningitis, acute meningo-encephalitis or acute encephalitis A mild degree of acute meningo-encephalitis probably occurs in many acute viral infections, certainly in the common exanthematous infections of childhood, especially mumps In adults with the clinical picture of acute viral meningo-encephalitis, the particular virus may not be identi ed, though ECHO and coxsackie viruses are those most frequently responsible Meningo-encephalitis occurs at the time of seroconversion in HIV infection Herpes simplex encephalitis, caused by herpesvirus type 1, is the most potentially lethal acute viral infection of the CNS It can occur at any age, and produces a largely encephalitic clinical picture with or without features of raised intracranial pressure Brain swelling, especially in the temporal regions, is common, and re ects a highly damaging and necrotic process occurring in the brain tissue.

Such a procedure presented a clear and present danger To correct this aw and reinstate some critical checks and balances that had been shattered, we proposed to create a Board Steering Committee, which I would chair, that would act as a ltering mechanism for examination and discussion of major actions before advancing them to the board for approval The committee would be appointed with seasoned market veterans from the board and management Board Steering became operative immediately upon Terry Duffy s election, during Jim McNulty s tenure5 Every committee chairman has his own style As I visualized it, the purpose and function of Board Steering would be to elicit debate and discussion between all participants, allowing ideas to be freely discussed and examined I was particularly concerned that members of staff and management be encouraged to voice their opinion without intimidation by its chairman or members of the board.

Death, or survival with a signi cant neurological de cit (intellectual, physical and/or epileptic), are common sequels to this infection Fortunately, the outcome is signi cantly improved if the antiviral agent, aciclovir, is given early in the course of the disease Identi cation of herpes simplex antigen in the cerebrospinal uid using the polymerase chain reaction is helpful in early diagnosis, but there is no certain way of knowing early enough in the course of the illness which cases of acute encephalitis are due to herpes simplex virus and which are due to other viruses For this reason, any patient with acute encephalitis should receive aciclovir immediately, especially where the infection is fulminant and producing brain swelling on CT scan Japanese encephalitis is a similar illness caused by a mosquito-borne avivirus, endemic in India and Asia There is no speci c treatment but the infection can be prevented by vaccination.

A related virus causes West Nile viral encephalitis in North America..

It worked famously well For one thing, it provided senior management an opportunity to present ideas, proposals, and reports for discussion in a format that was more informal and much less structured than such presentations necessarily become during board or Executive Committee meetings, where a vote of approval was being requested and required It became a testing ground, allowing new ideas to be eshed out, amended, and examined against questions and comments from in uential board members For another, the committee served as a learning experience for board members, giving them a rsthand look at management s direction for the exchange It also provided the board an opportunity to present their own ideas and innovations in a forum that invited discussion An outstanding example for the value of an independent lter such as Board Steering occurred the following year in a most explosive fashion.

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