Another important retirement issue is one of lost knowledge. What happens when retirees leave the office, taking years of experience and know-how right along with them? Businesses lose all of that knowledge, but according to American Express, it doesn't have to be that way. Through a pilot program, AMEX created a workforce transformation group that would allow retiring participants to gradually give up some of their day to day responsibilities. In return, the employees would spend some of this time mentoring and teaching classes to successors. This resulted in a phased retirement, allowing employees to leave gradually and enjoy more time while still enjoying a portion of their previous salary, and regular benefits. This also meant that some employees stayed a year or more past traditional retirement age. AMEX believes this program is a success, allowing senior employees to enjoy their last years of work in a reduced capacity, as well as educating the existing workforce for future success. Consultant David DeLong agrees, citing this program as an example of how job handoffs should really work.

51 How sensitive is the increase in serum lipase levels in the case of acute pancreatitis?

52 What is the association between chronic pancreatitis and peripheral vascular disease (PVD)?

53 Please, can you explain to us the mechanism of pancreatitis in hypertriglyceridaemias?

54 Is there any role for chemotherapy in carcinoma of the pancreas?

55 1. How should portal hypertension be managed in patients with bronchial asthma, where beta-blockers are contraindicated? 2. How should diuretics for these patients with hypertension be added?

56 Is cirrhosis a prerequisite for the development of hepatocellular carcinoma (HCC) in hepatitis B (HBV)?

57 Should therapy with interferons in the treatment of hepatitis C (HCV) and hepatitis B (HBV) commence when the polymerase chain reaction (PCR) is positive, irrespective of serum glutamyl pyruvate transaminase (SGPT) levels?

58 What is the degree of sensitivity of the CA19-9 as a marker of cancer in the head of the pancreas?

59 What are the benefits and drawbacks of silymarin in the treatment of liver cell failure? (This treatment is widely used in my country.)

60 If using zinc in the treatment of Wilson's disease, should the salt used to treat the disease be zinc acetate, or is any zinc-containing salt such as zinc sulphate sufficient?