INPUT ARTICLE: Article: If your ruptured cyst is complex, that means it's more severe and should be treated medically. Depending on the severity of the pain, your doctor might prescribe a pain medication for you. This can include an oral analgesic. Your doctor may suggest oral acetaminophen or morphine sulfate, or another similar medication. If your symptoms are severe enough, your doctor may admit you to the hospital. In the hospital, you may be administered pain medication for the abdominal pain via an IV. If your bleeding is severe, the doctor may give you fluids or blood through an IV. Small complex cysts can be removed from a laparoscopy. In a laparoscopy, the surgeon will make a small cut on your belly where a microscope is inserted. He then will remove the cyst through cuts in your skin. The cuts will be stitched up afterwards. Your doctor will give you instructions on how to care for the stitches. This procedure involves less pain and a quicker recovery time. Usually, women can go home that same day or the next. For more severe complex cysts, your doctor may suggest a laparotomy. A laparotomy is used if the cyst is large or potentially cancerous. A larger cut is made to the belly during this procedure, and the entire cyst or the ovary may be removed. This procedure may require a few days in the hospital. The cut is then either stitched or stapled together. Your doctor will provide care instructions for your stitches or staples. After the surgery, your doctor may order imaging tests to check that the bleeding in the ruptured cyst has stopped. The doctor sends the cyst or ovary to a lab to check for cancer. If the cyst is cancerous, your doctor will call you in to discuss a cancer treatment plan. If you have had recurring ruptured cysts, your doctor may devise a treatment that helps reduce the recurrence of future cysts. This may be suggested after a severe ruptured cyst or after multiple ruptured cysts. This treatment commonly involves oral contraceptives to suppress ovulation. If you have multiple cysts, your doctor may advise close monitoring of your other cysts. This means you will need to be aware of symptoms of a ruptured cyst.

SUMMARY: Take a prescription medication. Get IV treatments at the hospital. Get a laparoscopy. Undergo a laparotomy. Suppress ovulation to prevent recurring cysts. Watch cysts that have not ruptured.

INPUT ARTICLE: Article: Whether you are starting a business from the ground up or are managing an existing business, you need to examine your staffing needs. You need to think about the tasks that get done and decide how much one person can do. This analysis may show you that you need more people than you have, or it may tell you that you need to reassign staff that you already have. Focus on the tasks rather than individual people and personalities. For example, suppose you are managing a store that employs sales clerks. You could analyze your sales records and find when your busy periods occur. Then hire an additional clerk for the busiest times of the day. If you observe an employee who seems to have too much free time, you should consider increasing that employee's duties. If you don't have additional work for that employee, you may need to cut back the hours or eliminate the position completely. Develop written job descriptions for each role in your business. The job description should include an outline of the tasks to be performed, the expected working hours, the person supervising the role, and a general statement of goals for the position. Advertise, interview, and hire staff members who will best serve each position. For more help on hiring, you may want to read this helpful article. As part of your hiring process, if you are starting a new business, you must attend to certain federal and state regulations. You need to get a federal employer identification number (FEIN), register with your state's labor office, and obtain worker's compensation insurance. Having employees requires you to pay your employees, on time and correctly. You need a reliable payroll system that accounts for employee hours and pay rates. You must withhold the proper amounts for federal, state and local taxes, and deposit those as required with the taxing authorities. Establish a consistent system for payment, whether weekly or bi-weekly. For help with federal tax requirements, the IRS has put out two publications, the Employer's Tax Guide, Publication 15, and the Employer's Supplemental Tax Guide, Publication 15a. You can find both publications at the IRS publications page, at www.irs.gov/forms-pubs. An employee handbook is a written collection of all the rules and expectations for your staff. It should also set out what the staff can expect from the company. It will explain the employees' rights as well as the legal obligations for both employees and the employer. You should include the following topics in a well-designed employee handbook: Anti-discrimination policies. Compensation and payroll schedules. Work schedules. Expected standards of conduct. Safety and security. Acceptable computer/technology use policy. Media relations. Leave policies and other employee benefits. A good manager will communicate regularly with staff. You need to know what they are observing in the business, how they feel about their jobs, and whether any problems are brewing. It also helps for the staff to hear from you and know, in advance, if any changes are coming or anything else that will affect their work. Regular communication can resolve many problems before they even start. Depending on the size of the business and your position as a manager, you may communicate through any or all of the following: Regularly scheduled staff meetings. Written newsletter or other bulletins. Regular informal email communications. A company bulletin board (either a real physical bulletin board or an online virtual site). A shared calendar of events.

SUMMARY:
Determine your necessary staff size. Hire new staff as needed. Take care of payroll. Develop and use an employee handbook. Maintain open two-way communication.