Big business is attractive, with huge profits for some. But there's something to be said about small business as well, with lower risk and the potential for creativity. Darren Robbins of Big D Custom Screen Printing in Austin, TX found success in his business by pursuing customers with orders both large and small. Although Big D started out catering only to large orders, the shop sat idle in between orders, and through effective scheduling and transparent pricing, was able to fill in dead times with smaller orders. Big D found a profit in a market segment that other local screen printers weren't clamoring to fill. Experts believe this was a smart strategy, allowing Big D to spread out risk in their business and offer customized products. But at least one person is critical of the offering, pointing out that the niche has little upside potential, and may hurt the company's efficiency.

31 What are the criteria for knowing the prognosis of cirrhosis (Child's criteria)?

32 What is the recommended treatment for cirrhosis of the liver?

33 Is there any role for liver dialysis in hepatic encephalopathy?

34 I have been asked to write essay on 'caring' for a client who has been an alcohol abuser for more than 10 years and is in the 'recovery' stage. I am aware there are many different factors, such as length of abuse, amount consumed, age, gender etc. . . . My question is: how long will it take the liver to 'recover' or to return to normal after stopping drinking? I am especially interested in blood tests, fatty deposits and gammaglutamyl transpeptidases (-GTs).

35 Can patients with liver cell failure suffer from myocardial infarction?

36 What is the definition of liver cell failure (decompensated liver disease)?

37 Flapping tremors: why do we get flapping tremors and no other types of tremor in liver failure? What is their mechanism and in which other conditions do they occur?

38 In a patient with liver cell failure, can there be resting and action tremors or parkinsonian features if it is confirmed that the patient does not have Wilson's disease?

39 Does the absence of any cirrhosis of the liver, together with normal liver enzymes, in a 9-year-old boy complaining of chorea of a 5-year duration, exclude Wilson's disease?

40 Can Wilson's disease be excluded in a patient complaining of movement disorder for over 2 years, when there is an absence of cirrhotic liver change?