Accounting can help in a wide range of activitiesin micro-level management, providing signals in the marketplace for those who have to choose a place for their funds, and in public policy decision-making. There is an inadequate understanding of the potential of accounting in many parts of the world, including the United States of America where massive investments in maintaining accounting systems have co-existed with a poor use of the information available in these systems (Krumviede 2005). This chapter is an attempt to improve matters. In this chapter we shall also discuss how both financial and cost accounting are increasingly being used in managerial decisions, and the need for managers and accountants to work together in a relationship of mutual trust. Because of the extent of trust bestowed on accountants for managerial decisions, they need to strive to improve their competence, techniques, and professional ethical standards.

131 If a female patient with multiple sclerosis wants to become pregnant, what are the risks, family planning advice and treatment, etc? What is the best advice to give to her?

132 Is there a role for methotrexate and azathioprine in the treatment of remitting-relapsing multiple sclerosis?

133 Do steroids have a role in preventing or ameliorating the relapses in relapsing-remitting multiple sclerosis?

134 Has cyclophosphamide a role in decreasing the rate and number of relapses in relapsing-remitting multiple sclerosis?

135 Is there evidence of the efficacy of cyclic pulse cyclophosphamide therapy in the treatment of relapsing-remitting multiple sclerosis?

136 Glatiramer acetate and interferon-beta are recommended by some people for the treatment of multiple sclerosis. Which drug should I use for a patient with a 2-year history of relapsing-remitting MS.

137 1. Most neurological books available to me say that high-dose IV dexamethasone can be used in acute relapses of multiple sclerosis (MS). What is the recommended dosage and regimen for this drug? 2. I understand that depot preparations of betamethasone (Depofos) can also be used in acute relapses of MS, as well as treatment for idiopathic Bell's palsy. If so, can you tell me the recommended dosage and regimen for this drug?

138 What are the most common causes of chronic meningitis and what investigations must be done?

139 What is Hib meningitis?

140 How often is tuberculosis a cause of chronic meningitis in comparison to other causes?