code 211120

Argues that a deeper understanding of the current strategic marketing decisionmaking processes in small businesses is necessary to raise the acceptance rates of interventions to improve the quality of strategic marketing decisions and consequently firm performance. Despite extensive interventionist efforts focussed primarily upon application of theory derived from large organisation studies, the small business sector continues to be plagued by high failure rates and poor performance levels. In this study, a comprehensive literature review and a series of six indepth interviews are used to develop a theoretical research framework for the strategic marketing decisionmaking process in small business. Second, 46 strategic marketing decisions drawn from 32 small businesses are examined within the context of the research framework and, finally, a model of strategic marketing decisionmaking process in small business is proposed. The core of the model is a series of three loosely defined steps or tasks ("information gathering/research", "financial analyses and assessments" and ""internal matters"), which are conducted nonsequentially but preceded by "decision initiation" and followed by "final commitment". Furthermore, the key "methods" used in carrying out these steps or tasks are identified and classified into learned competencies, inherent competencies, internal networks and external networks.

Question 1

How would you treat optic neuritis?

Question 2

After two episodes of optic neuritis, one affecting each eye and 2 months

apart, confirmed to be demyelinating in nature by visual evoked

potentials, could a diagnosis of multiple sclerosis be reached in the

absence of periventricular lesions on the MRI?

Question 3

While assessing the pupillary reflexes, the consensual light reflex is really

difficult to see in the other eye. Are there any tips for that?

Question 4

Is it clinically significant to examine the consensual light reflex? If there

is a lesion of the IIIrd cranial nerve of the unilluminated eye to impair the

consensual response, this will be clear by the other symptoms and signs

of the IIIrd cranial nerve palsy on that eye. If there is a lesion of the optic

nerve of the unilluminated eye, the patient will not have a direct light

reflex of that eye when examining its own direct reflex. I am not sure

how the IIIrd cranial nerve can lose only its parasympathetic fibres. It is

difficult to see the unilluminated pupil when light is not directly shining

on it.

Question 5

Should every patient with trigeminal neuralgia be given an MRI of the

brain?

Question 6

Is carbamazepine more effective than phenytoin in the treatment of

trigeminal neuralgia? Would this patient need a higher dose of

carbamazepine, and what is the upper limit?

Question 7

Is gabapentin effective in the treatment of trigeminal neuralgia?

Question 8

What medication is best used for the treatment of carbamazepineresistant trigeminal neuralgia?

Question 9

What are the common causes of recurrent lower motor facial nerve

palsy?

Question 10

In a case of facial nerve palsy, what is the value of preserved taste

sensation? Does its preservation exclude upper motor affection and/or

nuclear lesion or is it localized between the facial canal and the

cerebellopontine angle?