The German and Japanese economies are strongly driven by financial institutions working in collaboration with major industrial groups (Rajan and Zingales 2000). They are very strongly inclined to taking management accounting seriously. Thus, the cost accounting systems followed in Germany are elaborate and complicated, and the German term for it is a tongue twistergrenzplankostenrechnungknown simply as GPK in other parts of the world (Clinton and Webber 2004). Significantly, German managers have taken the complexities of these systems in their stride and have not got tired out. The systems are entirely computerized in enterprise resource planning (ERP) systems such as PROGRESS, SAP, etc. This has taken the drudgery out of the system and enables them to handle complexity with ease. The Japanese system, with no trace of individualism as in Germany, has a paternalistic and educative attitude towards its managers and has management accounting methods which are strongly conditioned by their impact on behaviour rather than their absolute logic (Hiromoto 1988).

227 What is captocormia?

228 Should mannitol be prescribed to patients with primary intracerebral haemorrhage with signs of impending herniation and is it contraindicated in patients with heart failure or liver cell failure?

229 What is the clinical significance of a positive Babinski sign with no knee jerk?

230 Is a high serum level of triglycerides 200-400 mg a risk factor for ischaemic stroke?

231 What is 'Melkersson's syndrome'? How can it be a source of recurrent Bell's palsy as suggested in Neurology in Clinical Practice by Walter Bradley?

232 Are the pathological terms 'neurinoma' and 'schwannoma' interchangeable? Do these differ from neurofibroma as some neurology textbooks do not differentiate between these terms and seem to apply the terms neurinoma and neurofibroma interchangeably to spinal nerve tumours arising from neurilemmal sheaths?

233 Should a patient presenting three times with recurrent facial nerve palsy, generalized lymphadenopathy and skin nodules, suspected of having sarcoidosis, be maintained on steroids or given steroid courses only during attacks?

234 a. What is the clinical significance of raised cerebrospinal fluid (CSF) lactate dehydrogenase levels in focal brain lesions? b. Does this imply a primary central nervous system (CNS) lymphoma or lymphomatous deposits in the CNS?

235 a. Is it safe to give antiplatelet medication as a secondary prophylaxis in stroke patients with hepatic impairment? b. Should aspirin be used in this instance?

236 Should sciatic pain in the distribution of the sciatic nerve, with no back pain, be considered non-compressive mononeuropathy? If so, does this require the workup of mononeuropathy including searching for collagen disorder?

237 In what percentage of patients with viral meningitis and encephalitis does the CSF have an elevated number of inflammatory cells?