Although medical and surgical management techniques have been described, these fistulas are difficult to manage because of their high rates of recurrence and complications.
Heads unable to manage because of unions defending the indefensible.
Black and white is something I've been able to manage because of darkroom work and developing.
'Logistically that is very difficult for parents to manage because of the time pressures on normal family life,' he said.
The trial, covering three wars and multiple atrocities, is becoming even harder to manage because of Mr. Milosevic's health problems.
Bruce Greenwald, a professor of finance at Columbia Business School who has studied the media industry, said that the music business had always been difficult to manage because of the amount of money paid to develop and market artists.
The bank, which grew out of a string of acquisitions by Sanford I. Weill, had become emblematic of financial institutions that are too large to manage because of labyrinthine bureaucracy and underperforming divisions.
Sixty-five jobs were eliminated, including 37 teachers, which resulted in larger class sizes — in middle schools, it is 30 instead of 18 — but district officials say they can be more efficiently managed because of the technology.
"We will see this Senate as a very unhealthy body that managed, because of extraordinary circumstances, to exert itself to the limits of its endurance and do three really big things, and then collapsed," Packer says.
Hospitalized patients with persistent pain are among the most challenging populations to effectively manage because of coexistence with acute pain.
