6
Med Oral Patol Oral Cir Bucal. 2011 Aug 1;16 (5):e688-93. Occular alterations in anesthesia e688 Journal section: Oral Surgery Publication Types: Review Occular complications following dental local anesthesia Jose-Maria Aguado-Gil 1 , Cristina Barona-Dorado 2 , Juan-Carlos Lillo-Rodríguez 3 , David-Sebastian De la Fuente-González 4 , Jose-Maria Martínez-González 5 1 �entist. Master�s degree in �ental �ciences. �tudent in the Master�s �rogra� in Oral �urger � and �lantolog� at the �ni�er- �entist. Master�s degree in �ental �ciences. �tudent in the Master�s �rogra� in Oral �urger � and �lantolog� at the �ni�er- sit� Hos�ital of Madrid 2 Associate Professor of Oral �urger �. �chool of �entistr �. Co�lutense �ni�ersit � of Madrid 3 �entist. Assistant �irector of the Master�s �rogra� in Oral �urger � and �lantolog�. �ni�ersit � Hos�ital of Madrid 4 �entist. Collaborating Professor. �chool of �entistr �. Co�lutense �ni�ersit � of Madrid 5 Professor of Maxillofacial �urger �. �chool of �entistr �. Co�lutense �ni�ersit � of Madrid. Head of the �e�art �ent of Oral �urger � and �lantolog�. �ni�ersit � Hos�ital of Madrid Correspondence: School of Dentistry Pza Ramón y Cajal s/n Madrid, Spain [email protected] Recei�ed: 27/04/2010 Acce�ted: 21/05/2010 Abstract Objecti�e: To deter �ine the frequenc� of a��earance and the factors �ost co��onl� associated with ocular co�- �lications following dental local anesthesia, also establishing the location and t �e of anesthesia used. �tud�esign: An indexed search in the Pub�ed and Co��ludoc databases was carried out with the ke�words “oral anesthesia”, “ocular”, “o�hthal�ologic”, “da�age”, “co��lications”, “injection”. We established a li�itation that the literature had to ha�e been �ublished after the �ear 1970. A total of 19 articles were obtained, for �ing a total sa��le of 37 �atients. The �atient�s sex, age, ner �e anesthetized, t �e of anesthetic used, o�hthal�ological co��lication �resent, reco�er � ti�e, treat�ent and side effects were anal�zed. Results: There is a higher in�ol�e�ent of fe�ales (77%). The a�erage age was 34.2 �ears. There was no �reference for an anesthetic technique. �i�lo�ia was the �ost co��on co��lication (65%), which coincides with the data fro� other authors. Al�ost all of the co��lications were of a te�orar � nature, with an a�erage reco�er � ti�e of 68 �inutes. Conclusions: This is one of the few studies of its kind in dental literature, it thus being difficult to make precise conclusions. O�hthal�ological co��lications are seldo� a �roble�, di�lo�ia being the �ost co��on a�ong the�. The authors a��ear to indicate an intra�ascular injection of the anesthetic as the cause of the �roble�, and therefore, it should be a�oided in order to �re�ent accidents at the ocular le�el. Key words: Accidents, ophthalmology, dental anesthesia. Aguado-Gil JM, Barona-�orado C, Lillo-Rodríguez JC, �e la Fuente- González ��, Martínez-González JM. Occular co�lications following dental local anesthesia. Med Oral Patol Oral Cir Bucal. 2011 Aug 1;16 (5):e688-93. htt�://www.�edicinaoral.co�/�edoralfree01/�16i5/�edoral�16i5�688.�df Article Number: 17078 http://www.medicinaoral.com/ © Medicina Oral S. L. C.I.F. B 96689336 - pISSN 1698-4447 - eISSN: 1698-6946 eMail: [email protected] Indexed in: �cience Citation �ndex Ex�anded Journal Citation Re�orts �ndex Medicus, ME�L�NE, PubMed �co�us, E�base and E�care �ndice Médico Es�añol doi:10.4317/medoral.17078 http://dx.doi.org/doi:10.4317/medoral.17078

INSTRUMENTS AIN BR The Organisational NEETHLING Wellness … · 2017-06-29 · April 2005 Index Introduction 1 Introducing the Ten Critical Factors 2 ... doom and gloom • Positive

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Page 1: INSTRUMENTS AIN BR The Organisational NEETHLING Wellness … · 2017-06-29 · April 2005 Index Introduction 1 Introducing the Ten Critical Factors 2 ... doom and gloom • Positive

TThhee OOrrggaanniissaattiioonnaall

WWeellllnneessss IInnssttrruummeenntt NEETH

LIN

G B

RAIN

IN

STR

UM

EN

TS

Page 2: INSTRUMENTS AIN BR The Organisational NEETHLING Wellness … · 2017-06-29 · April 2005 Index Introduction 1 Introducing the Ten Critical Factors 2 ... doom and gloom • Positive

Copyright Dr Kobus Neethling and Solutionsfinding (Pty) Ltd.

No part of this book may be reproduced or transmitted in

any form or by any means, electronic or mechanical, or by

photocopying, recording or microfilming, or stored in any

retrieval system, without the written permission of the

publisher. Nor may it be otherwise circulated in any other

form of binding or cover, without a similar condition being

imposed thereon.

Any referral to the content here within may only be made

with proper recognition to the author thereof, Dr Kobus

Neethling.

Solutionsfinding (Pty) Ltd, a company duly formed and

registered in South Africa is part of the Kobus Neethling

group of companies. It focuses on the sales, distribution and

management of products and instruments developed by

the Kobus Neethling Group, through its own structures and

also establishes national and international agencies for the

continued third party distribution and management of

Kobus Neethling products and instruments.

NBI® is a registered Trademark of the

Kobus Neethling Group and

Solutionsfinding (Pty) Ltd.

April 2005

IInnddeexx

Introduction 1

Introducing the Ten Critical Factors 2

How does the process work? 4

Case Study: A&A Clothing 4

Clients 6

Comments 7

Contact Us 7

Page 3: INSTRUMENTS AIN BR The Organisational NEETHLING Wellness … · 2017-06-29 · April 2005 Index Introduction 1 Introducing the Ten Critical Factors 2 ... doom and gloom • Positive

N e e t h l i n g B r a i n I n s t r u m e n t s ( N B I ® )

IInnttrroodduuccttiioonn

In the past measuring the creative environment was a long and cumbersome process and one that was often neglected. We learnt from very

successful companies that monitoring the environment is critical in maintaining a business culture that anticipates problems before it happens and

rectifies mistakes immediately in order to sustain passion and energy in the organisation.

For a number of years Dr Kobus Neethling studied the most successful Fortune 500 companies in the world to identify methods and approaches to

create a positive work ethic. Ten critical factors, essential for achieving success in any creative environment, were identified. He used these factors

to develop a model that focuses on the negative and positive aspects of the creative environment. The results are immediate and they act as the

barometer indicating where the company is at the moment regarding these factors.

The Organisational Wellness Instrument (OWI) is part of the Neethling Brain Instruments (NBI®). It provides one with up-to-date and easy to

read measures of the current situation or “state of play” in an organisation – or any part of it. It is easy to use, easy to administer, quick

to complete and very responsive in reporting results. Unlike conventional organisational climate surveys, which are expensive, time-consuming

and rarely current, the OWI produces compre-hensive reports within minutes of one’s employees completing the questionnaire online.

The research results regarding the effect of these factors are unambiguous; if any of the factors start moving below the critical point; they begin to

affect parts of the organisation, or in severe cases, the entire organisation. We can measure the degree to which each of these factors can contribute

– or take away – from the “WELLNESS” of your organisation.

1Copyright© 2000: Dr Kobus Neethling and Solutionsfinding (Pty) Ltd.

Page 4: INSTRUMENTS AIN BR The Organisational NEETHLING Wellness … · 2017-06-29 · April 2005 Index Introduction 1 Introducing the Ten Critical Factors 2 ... doom and gloom • Positive

1

2 Copyright© 2000: Dr Kobus Neethling and Solutionsfinding (Pty) Ltd.

N e e t h l i n g B r a i n I n s t r u m e n t s ( N B I ® )

IInnttrroodduucciinngg tthhee TTeenn CCrriittiiccaall FFaaccttoorrss

Listed below are the Ten Success Factors the OWI measures within the company:

1. Trust 2. Learning

3. Gratification 4. Language

5. Ownership

Above the line

• Employees can be open

about what they

think/feel

• No fear of consequences

when they differ

• Genuine support is

experienced

• The company's sincerity is

not questioned

Below the line

• Employees are afraid to

express their opinions

• Employees doubt the

sincerity of management

• They keep their ideas

and opinions to

themselves 2

Above the line

• Employees experience

ongoing personal growth

• They feel they can initiate

their own training

• Differences in learning

styles are respected

Below the line

• Inadequate on-going

personal growth

• Training and

development is

haphazard and sporadic

• Training is not available

to everyone in the

company

3

Above the line

• The place of work is a fun

place

• Employees are relaxed

• Humour is an integral part

of the culture

Below the line

• Fun/laughter is not

acceptable

• Work is a serious matter

• Socialising is not

encouraged 4

Above the line

• Positive language is the

norm

• The language is that of

encouragement and

support

• Negative language is

emphatically discouraged

Below the line

• Negative language is the

norm

• The language is that of

doom and gloom

• Positive language is not

encouraged nor

supported

5

Above the line

• Every employee feels it is

his/her company

• Employees form an

integral part of goals and

strategy

• Each employee assumes

responsibility for own job

performance

Below the line

• The dominant mentality is

one of US and THEM

• Employees feel they have

no say in the management

of the company

• This is just A company and

not MY company

Page 5: INSTRUMENTS AIN BR The Organisational NEETHLING Wellness … · 2017-06-29 · April 2005 Index Introduction 1 Introducing the Ten Critical Factors 2 ... doom and gloom • Positive

N e e t h l i n g B r a i n I n s t r u m e n t s ( N B I ® )

3Copyright© 2000: Dr Kobus Neethling and Solutionsfinding (Pty) Ltd.

6. Energy 7. Change

8. Interaction 9. Creativity and Innovation

10. Communication

The questionnaire typically takes 10-15 minutes to complete

7

Above the line

• Change is seen as an

opportunity and not a

threat

• Change are not viewed

with suspicion, but as the

norm for sustained

progress

• Employees are prepared

to adapt their thinking so

as to accommodate new

ideas

Below the line

• Change is opposed

• Employees feel there is

no need for change

• Employees feel

threatened by change

8

Above the line

• Employees show genuine

interest in one another

• Ideas and initiatives are

supported and

encouraged

• They do not fear one

another or management

Below the line

• To criticise and condemn

others has become the

norm

• Very little support and

understanding among

staff

• Fault-finding, animosity

and destructive criticism

are the order of the day

9

Above the line

• Challenging outdated

rules and regulations are

encouraged

• To ask, investigate and

enquire are integral

components of the

company culture

• There is a receptiveness

to new ideas and to

discovering new ways of

doing things

Below the line

• Questioning old-

fashioned rules is not

permitted

• New ideas are

discouraged

• Employees are not

allowed to make

mistakes

10

Above the line

• Communication is open

and stimulating among all

• No obstacles to vertical

and horizontal

communication

• Employees listen to one

another and are sensitive

to situations

Below the line

• Employees do not listen

to one another

• Communication is

characterised by anger,

animosity and

disapproval

• Negative communication

has become the norm

6

Above the line

• The atmosphere is

dynamic and energetic

• Employees are

passionate about their

jobs

• They are essentially

motivated to work and

produce

Below the line

• Employees are lethargic

• They have little interest in

the future

• There is apathy and a

lack of involvement

Page 6: INSTRUMENTS AIN BR The Organisational NEETHLING Wellness … · 2017-06-29 · April 2005 Index Introduction 1 Introducing the Ten Critical Factors 2 ... doom and gloom • Positive

4 Copyright© 2000: Dr Kobus Neethling and Solutionsfinding (Pty) Ltd.

N e e t h l i n g B r a i n I n s t r u m e n t s ( N B I ® )

HHooww ddooeess iitt wwoorrkk??

As the client, you choose the number of people to include in the survey process. You can choose the entire

company or simply select a smaller sample. We can assist you with sample selection to ensure you obtain

meaningful results from the survey.

We work with you to set up the participant database so that we can provide you with a comprehensive

selection of reports in whichever way you choose. Reports can be put together for the entire company, or

divided by department, division, location or level. Any permutation or combination is possible - but we must

setup the database first to allow this to happen.

Staff complete the questionnaire either on paper or online at a time prescribed by you. The results are available

immediately after the profiles have been completed.

As a result of ongoing research and a focus on product development, we can now add your own company

specific questions to the end of the questionnaire - up to two factors of four questions each.

This means that we can work with you to tailor the OWI to plot results directly relevant to your particular

concerns.

Once the survey has been completed and the results drawn, one can:

• Identify the critical wellness factors

• Spot the below the line thinking and behaviour (degrees of dying!)

• Spot the above the line thinking and behaviour (degrees of growing!)

• Discover specific causes of problems

• Create a flowing organisation versus a stopping organisation

• Regain organisational wellness

• Put wellness strategies into place

• Monitor the sustainable passion and energy of the organisation

• Measure changes by company, department, level, division or location

CCaassee SSttuuddyy

Case study

The company used in the case study is known as A & A Clothing, a sports clothing company which focuses on

continually introducing new types of designs as well as utilizing the latest technology for its ranges. After many

years in business, the company started detecting the effects of stagnation. They could not pin point the

problem, but there was definitely something lacking within the company. The management team had certain

preconceived ideas, but needed a tool that could provide substantial evidence so that the core problem

could be identified.

They started out by letting each employee fill out the questionnaire. The first graph drawn was that of the

company's wellness as a whole.

Page 7: INSTRUMENTS AIN BR The Organisational NEETHLING Wellness … · 2017-06-29 · April 2005 Index Introduction 1 Introducing the Ten Critical Factors 2 ... doom and gloom • Positive

N e e t h l i n g B r a i n I n s t r u m e n t s ( N B I ® )

5Copyright© 2000: Dr Kobus Neethling and Solutionsfinding (Pty) Ltd.

On the surface it would appear as if

A & A Clothing were operating fine,

although, according to the wellness

profile, 'Ownership' as well as 'Interaction'

was very low. The next step was to dig

deeper and draw reports for the different

departments.

After observing the results, the following

graph was discovered. The results for the

Sales Department indicated major

negativity.

Proceeding from here, they convened a

meeting with the Sales Department. The

meeting was conducted in an informal,

non-threatening and open-ended way in

order to assess what the reason for the

high negativity was. At this point in time, a

single individual was identified as the flow-

stopper. After further probing, however, it

became clear that he was being

manipulated and abused by one of the

managers.

The wellness profile clearly indicated the

problem, and steps could now be

implemented to rectify it. Six months later

the OWI was administered again and

there was a remarkable improvement in

all areas.

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Page 8: INSTRUMENTS AIN BR The Organisational NEETHLING Wellness … · 2017-06-29 · April 2005 Index Introduction 1 Introducing the Ten Critical Factors 2 ... doom and gloom • Positive

6 Copyright© 2000: Dr Kobus Neethling and Solutionsfinding (Pty) Ltd.

N e e t h l i n g B r a i n I n s t r u m e n t s ( N B I ® )

The OWI has proven to be an invaluable

instrument in detecting and rectifying an

unhealthy environment and therefore in

sustaining growth and productivity.

CClliieennttss

• Levi Strauss

• Eggbert Eggs

• Anglo American

• MG Rover

• Amplats

• Sanlam

• Sasol

• O’Keefe & Swartz

• Merisol

• South African Air force

• Tshwane University of Technology

• Foskor

• Nedbank

• SET Colleges

• Department of Water Affairs – South Africa

• Etc.

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Page 9: INSTRUMENTS AIN BR The Organisational NEETHLING Wellness … · 2017-06-29 · April 2005 Index Introduction 1 Introducing the Ten Critical Factors 2 ... doom and gloom • Positive

N e e t h l i n g B r a i n I n s t r u m e n t s ( N B I ® )

7Copyright© 2000: Dr Kobus Neethling and Solutionsfinding (Pty) Ltd.

CCoonnttaacctt UUss

Please contact the consultant who

provided you with this brochure.

CCoommmmeennttss

• “The Organisational Instrument is the best tool we have ever

used. It has assisted us in identifying the core problems within our

company - and sort them out.”

(General Manager - Levi Strauss, Melbourne, Australia)

• “Kobus Neethling and his team have changed the way business

is done - we will never go back to 20th century tactics.”

(Marjo Louw - General Manager, Merisol, UK)

• “Very user -friendly internet access and front-end. The overall

administration process from start to finish was very concise and

efficient. The system administration functionality providing the

ability to go online, check completion status and view the team

results was very good. We anticipate that we will want to

conduct this assessment probably on a six month basis going

forward. Thanks again for your support and look forward to

working with you in the near future.”

(Merisol - Huston, Texas)

• “This tool has greatly assisted us in our transformation process.”

(Technikon Pretoria - University of Tswane)

Solutionsfinding (Pty) Ltd

[email protected]

www.solutionsfinding.com

Page 10: INSTRUMENTS AIN BR The Organisational NEETHLING Wellness … · 2017-06-29 · April 2005 Index Introduction 1 Introducing the Ten Critical Factors 2 ... doom and gloom • Positive

8 Copyright© 2000: Dr Kobus Neethling and Solutionsfinding (Pty) Ltd.

N e e t h l i n g B r a i n I n s t r u m e n t s ( N B I ® )

NNootteess......

Page 11: INSTRUMENTS AIN BR The Organisational NEETHLING Wellness … · 2017-06-29 · April 2005 Index Introduction 1 Introducing the Ten Critical Factors 2 ... doom and gloom • Positive
Page 12: INSTRUMENTS AIN BR The Organisational NEETHLING Wellness … · 2017-06-29 · April 2005 Index Introduction 1 Introducing the Ten Critical Factors 2 ... doom and gloom • Positive

Dr Kobus Neethling is an

award-winning, internationally renowned speaker in

the field of creativity. He was included in the

500 Leaders of Influence by the Amer ican Biographical

Institute and holds six degrees, including two Masters

Degrees, a Doctorate and a Post Doctorate on the

Identification and Development of Creative Behaviour.

Dr Neethling has received 10 International Who's Who

Awards including Personality of the Year (2000). He also

received the first International Creative Genius Award

(2004) from the International Genius Academy (USA)

as well as the International Plato Award for his

breakthrough contributions as a Creativity Researcher

and Teacher (2006 -Oxford, England). Alongside these,

he developed the largest battery of Whole Brain

Instruments in the world (used in 25 countries) including

the acclaimed 8-Dimension Brain Model and was voted

by Femina magazine as one of the six best presenters in

South Africa (2005).

He has written more than 80 books and 9 TV series

including a number of international best-sellers. His

three new international best-sellers are: 'Creativity

Uncovered'; 'Very Smart Parents' and version two of 'Am

I clever or am I stupid' which has sold more than 200

000 copies. As the creator of the Neethling Brain

Instruments (NBI®), he received worldwide recognition

for the contribution of these instruments towards the

unique insight in the self, creativity and change.

Anglo Platinum (Anglo American Platinum Mine:

Swartkop)

“We started production on this mine 50 years ago.

During the past three years we were able to equal the

production of the previous 47 years. This

miracle was due to two factors: new technology and

the introduction of the Kobus Neethling Creativity

Programmes.”

Dr Mary Frasier: President of the American Society for

Creative Teaching

“Kobus Neethling has demonstrated the most

thorough scholarship in creativity that I have been able

to witness in my years of teaching”

Solutionsfinding (Pty) Ltd

[email protected]

www.solutionsfinding.com

About the Author