Monday, August 26, 2019
Social Enterprises Assignment Example | Topics and Well Written Essays - 250 words
Social Enterprises - Assignment Example The report notes some of the most distinguishing features of a social enterprise that differentiate them from types of business, nonprofits and government agencies. First, they directly address special needs through their products and services by alleviating human sufferings from the disadvantaged society. As reports notes, it is different from the socially responsible business that strives for a positive change through indirect means such as funding education, building roads, using environmental -friendly raw materials and providing volunteers to aid the society. Furthermore, they are solid vehicles for job creation, economic growth and development in a community. Second, social enterprise use earned revenue strategies such as charitable contributions and public sector subsidies to pursue their aims and visions. The report further points out that social enterprises comprises of both non-profits who use business models to pursue their missions and for-profit who primary purpose is social in nature. The report however, refutes that social enterprise addresses the needs of the society directly, unlike social entrepreneurs. Some of the basic business models that social enterprise employ in their pursuit of their vision include retail, service and manufacturing that aid people alleviate and overcome employment barriers. They provide human and social services; fee-based consulting services; community development and financing
Sunday, August 25, 2019
Wine marketing Essay Example | Topics and Well Written Essays - 3250 words
Wine marketing - Essay Example This report mainly focuses on the online trend of wine retail marketing which are growing with the emergent of new technologies and sophisticated techniques over the internet network. With more technological development day by day online e-commerce system can generate a great prospect for online wine retail business ventures. Online Wine Retail Business Online wine retail business is growing fast with technological inventions. There are various advantages for starting a retail business online. Due to the cost cut as there is no physical space for the shop or floor staffs or other rents in the business process the online retailer will be able to offer products at a very low cost than the competitors who are retailing from shops physically in different shops and supermarkets. In online retailing the customer have the choice sit back comfortably at home and place their order for wines without any hassle of travelling. With this growing demand from the customers the online wine retailing business venture can be very effective way for any company to grab the market share. Through online retailing the company can have a wider reach to the customers worldwide and can increase their sale but on the other hand there are certain drawbacks also for online wine retailing like customers are not able to get a tangible product in their hand which is not preferred by many customers and since there are no direct contact with the customer face to face itââ¬â¢s not possible for the company to convince them to generate the lead (Aerator for Wine, 2011). Products and Services Offered Online wine store can quickly transform the visitors of the website into customers if they find the products and services interesting enough and relevant to their needs. Online wine retailer will have to offer wines of different brands for every need of the customers. Different wines ranging from red wines, sparkling, valentine, white wine, champagne and various others should be available online wit h their detailed information. The company should update information of the website regularly so as to understand the stock available for the products and will also give the customer an image about the popularity of the website. The company can offer discount count coupons on different occasions for their loyal customers and can also start the service of membership card to avail various benefits from the company. The company should also send e-mail notification to the customers to make them aware about their offers and products. Market Analysis Market Segmentation Market segmentation is the strategy by which the company divides the market and target a specific group of customers for a particular product. Porterââ¬â¢s Generic model is a very useful tool for analyzing the market and selects the possible route for entering into the market. Figure 1: Porter's Generic Model (Source: Kreitner, 2008, p. 184) Cost Leadership Cost leadership strategy is used to penetrate the market in a co mpetitive environment by keeping the price low from others. Price sensitive customers are often attracted by this type of strategy. Differentiation Strategy Differentiating the product from the competitorsââ¬â¢ product is another strategy used by companies. Distinctive features of the specific product are highlighted to the customers. Focus Strategy This is the niche marketing technique
Saturday, August 24, 2019
HRM450-0704B-02 Organizational Change - Phase 2 Discussion Board Essay
HRM450-0704B-02 Organizational Change - Phase 2 Discussion Board - Essay Example The impact of demographic diversities in a group means that more efforts are needed to be put in place so that each of the group members knows what his or her duty is and whether this person is communicated about the roles that are asked of him or her, both in the short term as well as the long run. (Sanna & Parks, 1999) Moreover, demographic changes mean that the leader has to focus more on a particular set of people or at times, the ones who are not very easy going along with the whole group. Hard work and commitment thus form the key in this whole equation of getting the best out of even the ordinary of people in the group. Leadership qualities are not inborn or inherent, they have to be developed with the passage of time and one needs to comprehend the fact that it requires strenuous exercise and a certain set of power that is needed by the man of courage, determination and dedication. Leadership qualities require that the leader gets the best out of the group members no matter how hard and trying the circumstances are. (Fink, 2002) The odds might be tough at times but it is the leaderââ¬â¢s tact and sheer discipline that can turn the tides in the favor of the group rather than the other side. However the role of a team leader cannot be denied its due place in the related context of things nonetheless. Similarly interpersonal skills like motivating the team members, following ethical guidelines, adhering to rules and procedures are just the right tonic for building a bridge between the various team members. Thus it is also pertinent that the top management inculcates the subject of working in team rather than being loner in different projects so that the end result is a clear manifestation of the people with their respective whole hearted efforts and dedication levels exceeding what was expected of them in the first place. Teams create a sense of bonding between the employees and the top management thus the latter needs to understand
Friday, August 23, 2019
Resume a article Essay Example | Topics and Well Written Essays - 250 words - 1
Resume a article - Essay Example 83) ââ¬Å"Good Enoughâ⬠products offer decent quality goods for a rapidly expanding group of value-seeking consumers with mid-level incomes. Any market producer that wishes to enter the Chinese market place must consider the evolving middle class demographic as the battle ground for the future of emerging markets not only in China but across the globe. According to the authors, the Chineses market is divided into three different segments: the premium segment, the low-end segment, and the exponentially expanding middle market or ââ¬Å"Good-Enoughâ⬠segment. The Chinese middle market has a thirst for gadgets and utility products such as LCD Televisions, DVD Players and MP3 players.(Gadiesh et.al. 2007, p. 83) The Chinese consumer is seeking product function without all the features that can be purchased for a rock bottom price. The key point for start-up companies in the Chinese market is an understanding that the Consumer in these markets is not driven by the products esthetics. Market producers do not need to deliver perfect products to engage the market; they need to deliver good products at a reasonable price. For international companies to establish, sustain or expand their presence in Chineses market, they must focus all efforts on their productsââ¬â¢ value. There are three approaches to entering the ââ¬Å"Good ââ¬âEnoughâ⬠market which are: attacking from above, burrowing up from below and mergers and acquisitions into the ââ¬Å"Good-Enoughâ⬠space.(Gadiesh et.al. 2007, p. 83) Burrowing-up is most often over-looked by multi-national corporations. The method is most commonly employed by local market producers who over the course of decades upscale their products from low-end regional products to ââ¬Å"Good-Enoughâ⬠national brands. Attacking from above is a not so inviting multinational tactic that can sometimes backfire and result in their premium product and market share being cannibalized by their marketing push into the ââ¬Å"Good Enoughââ¬
Thursday, August 22, 2019
The business world Essay Example for Free
The business world Essay The business world we live in today is a ââ¬Å"dog eat dogâ⬠world and there is no such thing as slowing down anytime soon. If you rest that means you may fail because there is always someone or a company thinking and creating new ideas or products all the time that may be better than your current ideas or products. That is why many companies have adopted an entrepreneurial culture to help survive and thrive in todayââ¬â¢s marketplace (Ryan May). There are four main reasons why entrepreneurial companies seek innovation in todayââ¬â¢s marketplace; Independent action, Innovation, Competitive aggressiveness, and Risk taking. Independent action is a key factor for an entrepreneurial culture because it allows and encourages employees to create new ideas and then implement the changes that are needed to go forward with those ideas. These new ideas could and may lead to new products which in turn could lead to new revenues for the company. Independent action also triggers an internal need for people who need and want to be personally recognized for their hard work which pushes them to work harder. Innovation is the opportunity to create something from nothing or to expand a current idea into a better idea. Innovation can only take place when a company and its workers allow for the opportunity to create new ideas or theories. This is important in the business world in order to keep up with the times. Competition is where the strong will survive and where people will be the best that they can be. A competitive environment feeds into a personââ¬â¢s desire to always want to be the best against the best. This will allow for many new ideas and theories to be shared and created. Competition is what keeps a business alive and fresh because when a company because complacent they tend to become vulnerable and weak and then are easily surpassed or taken over by a competitor (Ryan May). Lastly, risk taking, is the aspect that every entrepreneurial company will have to face in order to be successful for a long period of time. This aspect is the hardest to overcome because it will involve a burden to the company initially by either the labor to create the new idea or product or the finances that will have to be put up in order to make the new product or idea a reality. That is why companies are gearing to have an entrepreneurial culture because it allows every individual in the company to feel important and significant which also leads to more creative ideas and theories.
Wednesday, August 21, 2019
First Opium War Essay Example for Free
First Opium War Essay In 1899, right after the First Opium War, China was under the control of European powers and Japan, Qing Dynasty was so weak that hardly could defeat these powers. Each of these powers found out that China was a country which owned variety of resource. Therefore, all of them wanted to trade with China to earn more benefit and robbed various parts of coastal places, unfold Chinese territorial and Administrative integrity and would not interfere with the free use of the treaty ports within their spheres of inference in China. John Hay, the private secretary to Abraham Lincoln, the person who proposed the Open Door Policy. At that time, the United States was just finished the invasion of Philippine with Spanish and turned to China. They also had great interest in China and found out that China was the biggest market in the whole world. The Open Door Policy was declared base on this situation. Hay said,ââ¬Å"Earnestly desirous to remove any cause of irritation and to ensure at the same time to the commerce of all nations in Chinashall enjoy perfect equality of treatment for their commerce and navigation within such spheres.â⬠The purpose of writing the document was to reduce the power countries had gained from their spheres of influence. The United States had no spheres of influence in China because it had just recently taken interest in Asia. Therefore, John Hay sought to prevent other countries from having more power than the United States. Each power claimed exclusive privileges of investment, and other powers seek to monopolize the trade as well. As the Open Door Policy took into action, each power should have to follow the rule 1. Each great power should maintain free access to a treaty port or to any other vested interest within its sphere. 2. Only the Chinese government should collect taxes on trade. 3. No great power having a sphere should be granted exemptions from paying harbor dues or railroad charges. This policy which showed above has obviously changed both China and the United States. From the United States, they found the biggest market in the whole world which is China. Before America was unable to trade with China and didnââ¬â¢t have time to care about China. No later than they defeated Spain in Philippine. They turned their sight to China, a huge market for trade which had been untapped and allowed America to gain a financial foothold in China. This decision can give them earn the most benefit. United States became Chinaââ¬â¢s largest partner. Therefore, although the tax they need to pay was as the same as all the other powers, they occupied the most market of China, which means they were the largest earner between China and European power. By the way, it was the first time for the United States to expend their market to Asia. It has laid a good foundation for the commercial intercourse between America and China several decades later. On the other hand, this policy has changed China a lot, even much more than America. During that period China was nominally controlled by Qing Dynasty, but actually almost half land of China was invaded by foreign country and divided by France, German, British, Italy, Russia, Japan, and the United States, we call these eight countries as Eight-Power Alliance. Anyway, China was a country with half colonization and half feudalism. Each power was interested in the huge benefit in China. But they all had a fear with others. None of them dared to become the first. As the Open Door Policy proposed by America, the entire problem has been solved. Everyone got the same right to trade with China and had to pay the tax. It looks like everyone received what they want except China. However, just the opposite, China has occupied a huge change during this period. First, it has increased the trade of China and help to develop the economics of China. After the First Opium War, that was the weakest period of China. Drug has poisoned this huge country suffer from paining. Open Door Policy gave China a chance to develop them. Second, this policy gave China to advocate an impartial system of taxation set up a system of equal trading rights, which also helped to prevent European Power and Japan divided China into separate colonies, also intended to lower taxes and gave America an equal chance to trade with China. Third, the United States was the biggest partner effectively stopped countries from colonizing China; this helped to keep China a united, sovereign nation. In recent years, China has developed much faster than before. In 1978, the president Deng Xiaoping took office, China formally cooperated with America. It can be said as America helped to increase Chinaââ¬â¢s economic. The development of trade gives both China and America pretty much benefit. Finally, the Open Door Policy is the most important policy during the whole that period. Without that policy, maybe China would be divided into several parts. Open Door Policy give America more benefit, but actually the biggest earner is China.
Tuesday, August 20, 2019
Case Study Abdominal Aortic Aneurysm Health And Social Care Essay
Case Study Abdominal Aortic Aneurysm Health And Social Care Essay A 72 year old male patient, smoker and family history of AAA, was referred by his GP to x-ray department. With clinical indication of fall at stairs 2 weeks ago and pain in lower back and right hip, to have an x-ray of lumbar spine and pelvis. After justifying the request card and check his details, they did AP and Lateral of his lumbar an AP examination of pelvis. And they send him back to have a result by his GP after 10 days. Radiologist reported on his x-rays and sends it back to the GP. There was an evaluation of the classification in the abdomen and suspected abdominal aortic aneurysm. So GP asked him to attend the surgery to discuss the x-ray result, and request an ultrasound of abdomen to have a better result and rough indication of the internal diameter and accurate assessment .Gp asked him to wait until he received appointment letter from hospital. After 4 weeks he had his appointment. Clinical indication was classification on lumbar x-ray, query abdominal aneurysm. Before he goes to do the screening he was fast for eight hours because food and liquid in the stomach and urine in the bladder can make it difficult to a get clear picture of the aorta for the ultrasound technician. He changed into a gown. Radiologist asked him to lie on his back and then he applied small amount of cold gel in his abdomen because the air between the skin and aorta will help to reduce by using the gel, by pressing the transducer against the skin over the abdomen. Radiologist monitored blood flow through the abdominal aorta to check for an aneurysm (Myo clinical staff 2010 and NHS website 2010). After procedure he discussed the result with patient. And reported the scan to his GP. The evaluation of ultrasound scan was an abdominal aortic aneurysm which was 4.5 cm. Heart was in normal size. No evidence of any significant mediastinal mass or lymph node enlargement. Kidneys were in normal sizes. The routine measurements and protocol are: Longitudinally, will examine the aorta from diaphragm to bifurcation, and will Document the length of the aneurysm and measure the anteroposterior (AP) diameter from outer wall to outer wall, and also will examine the iliac arteries to the iliac bifurcation and measure aneurysm from outer wall to outer wall. Transversically will Document the maximum diameter of the aorta at the diaphragm, superior mesenteric artery (SMA), and distally, and Measure AP and transverse diameters from outer wall to outer wall, also will Visualize the iliac arteries and measure aneurysms (Vikram and Deborah 2004). GP reoffered him to vascular surgeon, after 3 weeks he met the surgeon, He reviewed his medical history and discussed the x-ray and ultrasound result with him And rerecommend him watchful waiting, it means that the if aneurysm was smaller than 2 inches (5 centimetres) in diameter, it is not serious enough to require surgery. In this case, his doctor will check his condition every six months using additional ultrasound exams or other imaging tests until aneurysm reaches to 5.5cm (Medline Plus 2004). He also asked him to quit smoking, because Smokers are approximately 5times as likely as non-smokers to develop AAA (Hafez 2008). Six month after In Dec 2007 he received his second appointment for scan of his abdomen. He attends his appointment with same procedure. There was a small amount of increase in his aneurysm. Therefore report was send to Gp. Evaluation was 4.7cm aortic aneurysm. In April 2008 he had another scan with aneurysm with 5.2cm aneurysm. He could not stop smoking, but his GP strongly advised him to stop smoking. In March 2009, it was 5.6cm aneurysm and if the abdominal aortic aneurysm expands by more than 0.6 to 0.8cm per year, repair is usually recommended (Robert et al 2008). http://www.e-radiography.net/radrep/Vascular/Vascular_AAA_US_55mm/Vascular_AAA_US_55_long.jpg Radiological Report : US Abdominal Aorta : The maximum A.P. internal diameter of the abdominal aorta is 5.6 cms. Mural thrombus reduces the internal diameter to 2.0cms (x-ray 2000).à Vascular surgeon discussed with patient that he need a surgery as soon as possible, also explained the existence of two possible methods of repair and to outline the major risks and benefits of each. The traditional (open) surgical approach involves direct exposure of the aneurysm followed by replacing the aneurismal part of the aorta with a synthetic graft. Endovascular aneurysm repair (EVAR) is a more modern and less invasive technique which is becoming widely used (Hafez 2008). Patient preffered to have EVAR operation, but everybody is not suitable for EVAR, because of the shape of their aneurysm. So he was asked to have a CT angiogram to check if he is suitable for EVAR, otherwise he should have open surgery (NICE 2006). Surgeon request CT angiogram for him with clinical indication of EVAR 5.6cm in ultrasound scan. The week after he had a CT angiogram aorta. The technologist asked him if he has allergy to any contrast media, then positioned him on the CT examination table, lying flat on his back. He inserted an intravenous (IV) line into a small vein in his arm. A small dose of contrast material injected through the IV to determine how long it takes to reach the area under study. Week after the surgeon received the report from Radiologist. Evaluation of CT scan was a 6.2cm infrarenal AAA with a satisfactory neck and good potential common iliac landing zones suitable for EVAR ( Bhattacharya ). He asked to attend a pre-operative assessment clinic to meet his surgeon and other members of clinical team. They took his medical history and carried out a physical examination. The surgical team carried out a number of tests to make sure that he is healthy enough to have an anaesthetic and surgery. The tests were included: Arterial Blood Gas (ABG) levels, to monitor oxygenation, ventilation, and acid base status. Complete blood count to monitor Red blood cell, White blood cell(WBC), and platelet counts altered haemoglobin levels and hematocrit reflect any blood loss and the oxygen carrying ability of the blood. An elevated WBC count reflects an inflammatory response. Serum electrolyte panel-monitors fluid ,electrolyte, and acid base status Serum creatinine and blood urea nitrogen (BUN) levels, to monitor renal function. Blood coagulation studies to monitor clotting. Urinalysis to monitor renal status including secretion and concentration Blood crossmatching necessary for blood replacement Electrocardiography (ECG) may reveal cardiac changes associated with ischemia Chest X-ray may reveal abnormalities of the chest, heart and lungs (Holloway 2004). his RWS was 4.6 M/mcL, WBC: 6 K/mm^, haemoglobin levels: 11 g/dL, Hematocrit 44%, Blood urea nitrogen 13 mg/dL, Bilirubin, direct 0.2 mg/dL, Bilirubin, total 0.2 mg, Creatinine 0.8 mg/dL,( GAILà HOOD 2007). The surgical team gave him advice about what he can do to prepare for surgery, and they also asked him about his home circumstances so that his discharge from hospital can be planned. If he still smoker, he strongly advised to stop smoking as soon as surgery is required. Research has found that people who stop smoking for at least two months before having surgery are four times less likely to experience complications following surgery compared with those who smoke. He already stopped smoking. Surgeon discussed him what will happen before, during and after his procedure, and any pain he might have. On admission day which was the week after, he was seen by one of the junior doctors who was obtained a detailed medical history and did a full physical examination. Blood tests were repeated and any pending investigations (for example heart scan) performed. One of the more senior doctors took through the consent form which you was required to sign before they can proceed with surgery. He was fasting from midnight before the procedure. Nursing care was focused on restoring and maintaining hemodynamic stability. Administer supplemental oxygen, monitor the patients cardiovascular status, insert two large-bore I.V. devices, and fluid resuscitate with 0.9% sodium chloride or lactated Ringers solution if hes hypotensive (Raymond 2006). He was taken to the theatre complex in his bed, In the anaesthetic room. the anaesthetist gave him an epidural and involves a needle puncture into his back. He also had a tube in his bladder, so that they could monitor the function of his kidneys; a tube in his hand, so that they could monitor his blood pressure. Then he transferred to the recovery area in the theatre complex, where he was taken care of by one of the recovery nurses pending transfer to the High Dependency Unit or the Vascular Ward. All the above mentioned tubes stayed in till the next morning, when all the tubes are removed and was encouraged to start walking and moving around. They gave him aspirin and cholesterol-lowering medication. He strongly advised to stay on these for life to reduce the risk of developing heart problems or having a stroke as he grow older. During his hospital stay, he was getting a mini-injection of heparin (Fragmin). This will thin his blood and prevent him from getting clots whilst he is in hospital (Inglott 2007). So surgeon start elective surgery to repair an aorta. He made small cut in his groin and passed up a catather inside an artery in his leg until it reached the area of the aneurysm. A compressed stent graft was fed to the site of the aneurysm. The procedure was guided using intensifier x-ray machine and radiographer took images step by step. The stent graft is made of a tube supported by a metal mesh. The stent graft was placed across the aneurysm. The stent kept the aorta open and aneurysm was protected from further pressure. The stent graft is slowly released from the delivery system into the aorta. As the stent graft is released, it was expanded to its proper size so that it snugly fits into aorta both above and below the aneurysm The guide wire is then removed from the Body. The stent graft remained inside the aorta permanently. Imaging procedures was Performed to check whether the stent graft is properly placed. the cut was closed with stitches and a dressing was placed over the stitches. (Bupas Health Information Team 2010). After the procedure, his breathing tube removed and he was taken to the intensive care unit for recovery. He received fluids and nutrition through his IV. The catheter in his bladder was remained in place for several days. The hospital stay was 5 days. During this time he was encouraged to get up and out of bed. Complete recovery was 3 months. In order to detect any complication he had need to follow-up carefully, particularly in the early stages. CT angiography was performed at day 2 after placement. No evidence of endoleak was detected during arterial phase scanning or after a 2-min delay. The patient was discharged without complication.Follow-up CT angiography was performed at 1 month and five month. Then every year after that, to make sure there are not any problems. Discussion: Aorta is the main blood vessel in body. This carries blood from heart to the rest of the body. The part of the aorta in the abdomen is called the abdominal aorta. It supplies blood to the stomach, pelvis and legs. An aneurysm is a weak area in a blood vessel. If a blood vessel weakens, it starts to bloat like a balloon and becomes unusually big. If an aneurysm forms on the abdominal aorta and grows too big, the aorta might tear or rupture (Upchurch and Schaub April 1, 2006, Heather 2008). The most common of these aneurysms known as abdominal aortic aneurysms AAA, is below the origin of the arteries to the kidneys. A more anatomically correct description would be infrarenal aortic aneurysms. In men, the maximum normal aortic diameter at this level should not exceed 2.5 cm. An aorta that is 3 cm or more in diameter at this level qualifies as being aneurismal. The prevalence of AAA varies according to ethnicity, age and gender. Men are six times more likely to be affected by this condition. At the age of 65 years, 3% of men will have an AAA. The popularity then increases with age to reach nearly 8% at the age of 80. AAAs represents nearly 98% of aneurysms of the whole aorta (Hafez 2008). The rate of growth and the risk of rupture increase exponentially with the diameter of the aneurysm, with a watershed level for serious risk at about 5.5cm. Therefore until the patient is gravely ill from other causes, any aneurysm wider than 5.5 cm should be operated upon electively (Raymond 2006 and Dillon et al 2010).Abdominal aortic aneurysm is usually asymptomatic .smoking and high blood pressure, are most important risk factors (patient booklet 2009 and Hafez 2008) About 80% of patients who present with a ruptured abdominal aortic aneurysm have no previous diagnosis. When rupture occurs, mortality is very high (Scot et al 2008 and Philip et al 2009).February On physical examination, AAAs with 3 to 3.9 cm range are palpable 29% of the time, compared with those with an AAA more than 5 cm. which can be palpated 76% of the time (Gilbert et al 2008). The symptoms associated with AAAs are: blurred abdominal or back pain, abdominal pulsatile and abdominal mass may be present in obese patients, Palpation of aneurysm may be difficult Early satiety, nausea or vomiting may occur due to duodenal compression. Ruptured or leaking aneurysms may present with severe back, abdominal, or flank pain that may radiate to the groin Hypertension or tachycardia Syncope Abdominal mass on exam Signs of retroperitoneal hematoma (Scott et al 2004 and Rosalyn 2006 and Louise and Anderson 2001). Compared with open surgery, EVAR has lower operative mortality, lower morbidity, and shorter length of hospital stay and greater likelihood of discharge to home than open surgery (Schermerhorn 2009) CT is the next step to help determine which treatment should be used (endovascular or open surgery) .Serial CT scans can be used to visualise the proximal neck (the transition between the normal and aneurysmal aorta), the extension to the iliac arteries, and the patency of the visceral arteries. They can also measure the thickness of the mural thrombus. With three-dimensional imaging, helical CT and CT angiography can provide additional anatomical details, especially useful if endovascular procedure is considered.( Akalihasan et al 2011and Macari et al 2001) Informed consent for any AAA repair must include accurate information about the reason for recommending surgery (i.e. the risk of aneurysm rupture without surgery), the reason for recommending either open or endovascular surgery and about the likely outcomes. Warn about the site and size of the surgical scar, about wound infection and incisional hernia formation, about deep venous thrombosis and particularly about sexual dysfunction which, it appears, may be equally common after open and endovascular repair (Brian 2008). If the patient is hypertensive, administer beta-blockers and nitroprusside as ordered. Manage pain with morphine sulfate or hydromorphone to keep him comfortable and to combat pain-induced increases in BP, heart rate, and oxygen demand (GAILà HOOD 2007). Gilbert R. Upchurch, Jr, MD; Christopher Longo, MD; John E. Rectenwald, MD,March 2008 Volume 63. Number 3 Geriatrics) Upchurch, Jr. G.R. (M.D.) and Schaub, T.A. (M.D.) (April 1, 2006) Abdominal Aortic Aneurysm American Family Physician online. Available from: http://www.aafp.org/afp/20060401/1198.html [Accessed 16/2/2011] Heather, B. P. ( 2008 ) Abdominal aortic aneurysms, screening and the law AvMA Medical Legal Journal,Volume 14 Number 2 online. Available from: Myo clinical staff,June 23, 2010,à © 1998-2010 Abdominal ultrasound Mayo Foundation for Medical Education and Research (MFMER).online, available at: http://www.mayoclinic.com/health/abdominal-ultrasoundWhat you can expect/,MY00076/DSECTION=what-you-can-expect[accessed 23/1/2011] http://www.ruh.nhs.uk/patients/services/vascular/documents/Endovascular_Aneurysm_Repair_Patient_Information.pdf, accessed 21st DEC 2010 Ultrasound secrets,à By Vikram Dogra, Deborah J. Rubens,2004 ,Philadelphia,Pensilvania Abdominal aortic aneurysm. MedlinePlus Medical Encyclopedia. Available at: http://www.nlm.nih.gov/medlineplus/ency/article/000162.htm. Accessed September 12, 2004 Abdominal aortic aneurysm disease: health risks,management and screening Hany Hafez Clinical Risk 2008; 14: 208-210 DOI: 10.1258/cr.2008.080076 what is ct angiography aorta of abdominal aortic aneurysm Stoeltings anesthesia and co-existing disease Robert K. Stoelting, Roberta L. Hines, Katherine E. Marschall 2008 676 pages Abdominal aortic aneurysm disease: health risks,,management and screening,Hany Hafez Clinical Risk 2008; 14: 208-210 DOI: 10.1258/cr.2008.080076 (http://www.healthcarerepublic.com/news/766641/ Abdominal aortic aneurysm is the cause of more than 6,000 deaths per year. By Mr Vish Bhattacharya) h ttp://www.radiologyinfo.org/en/info.cfm?pg=angioct (http://www.healthcarerepublic.com/news/766641/ Abdominal aortic aneurysm is the cause of more than 6,000 deaths per year. By Mr Vish Bhattacharya) Medical-surgical care planning,à By Nancy Meyer Holloway, 2004, Lippincott William Wilkins http://www.nhs.uk/Conditions/repairofabdominalaneurysm/Pages/Preparation.aspx http://www.stent-graft.com/id11.html,à Dr Ferdinand Inglott, consultant Vascular and Endovascular Surgeon at the Manchester Royal Infirmary,2007 Bupas Health Information Team, July 2010. Endovascular aneurysm repair (EVAR),online at: http://www.bupa.co.uk/healthinformation/directory/e/endovascular-repair, [accessed 16/2/2011]. (General surgical operations Page 432 Raymond Maurice Kirk 2006 723 pages Preview) Hany Hafez,2008, Abdominal aortic aneurysm disease: health risks, management and screening, Clinical Risk, Volume 14 Number 6 General surgical operations Raymond Maurice Kirk 2006 Page 432,Churchill Livingstone Elsevier Endovascular treatment for ruptured abdominal aortic aneurysm,Dillon M, Cardwell C, Blair PH, Ellis P, Kee F, Harkin DW,The Cochrane Collaboration, currently published in The Cochrane Database of Systematic Reviews 2010 Issue 12, Copyright à © 2010 The Cochrane Collaboration. Published by John Wiley and Sons, Ltd.. PATIENT INFORMATION BOOKLET ,Endovascular Stent Grafts:A treatment for Abdominal Aortic Aneurysms,2009 Medtronic, Inc. All Rights Reserved. Printed in USA. UC200805202aEN 4/09 à ©2009 American Medical Association. All rights reserved. (Reprinted) JAMA, November 11, 2009-Vol 302, No. 18 Abdominal aortic aneurysm disease: health risks,management and screening Hany Hafez Clinical Risk 2008; 14: 208-210 DOI: 10.1258/cr.2008.080076 Scott Davarn, MD Rob Reardon, MD Scott Joing, MD Academic Emergency MedicineVolume 14, Issue 4, Article first published online: 28 JUN 2008 http://onlinelibrary.wiley.com/doi/10.1197/j.aem.2007.01.001/pdf Philip E. Baker Kumar V. Ramnarine,2009, Development and Application of an Experimental Abdominal Aortic Aneurysm Model, Ultrasound 2009;17(1):30-34 _ British Medical Ultrasound Society 2009 University Hospitals of Leicester NHS Trust, Department of Medical Physics, Leicester Royal Infirmary, Leicester LE1 5WW, UKULTRASOUND N February 2009 N Volume 17 N Number 1 URASOUND N February 2009 N Volume 17 N Number 1 ).- Abdominal aortic aneurysm Gilbert R. Upchurch, Jr, MD; Christopher Longo, MD; John E. Rectenwald, MD, March 2008 Volume 63. Number 3 Geriatrics Screening programmes ,Abdominal Aortic Aneurysm ,à © NHS Abdominal Aortic Aneurysm Screening Programme 2010 Produced by COI for the NHS ,401590/C 1p December 2010, http://aaa.screening.nhs.uk/ Baker L;à Anderson E, 2010 May; Abdominal aortic aneurysm: simple screening could save lives, Primary care nurse practitioner, Generations Family Health Center, Norwich, CT, American Journal for Nurse Practitioners (AM J NURSE PRACT), 2010 May; 14(5): 29-34 (27 ref), journal article pictorial, tables/charts. In a Page Surgeryà By Scott Kahan, John J. Raves,2004,Lippincott Williams Wilkins,Philadelphia Rosalyn Gendreau , 2006, Is it a kidney stone or abdominal aortic aneurysm? : 22-4 (journal article pictorial) Louise A. Anderson, MS, RN,2001, Abdominal Aortic Aneurysm,,THE JOURNAL OF CARDIOVASCULAR NURSING/,Article 1 5/21/01 11:11 PM Page 1, J Cardiovasc Nurs 2001;15(4):1-14,à © 2001 Aspen Publishers, Inc Marc Schermerhorn, MD, Discussantà ©2009 American Medical Association. All rights reserved. (Reprinted) JAMA, November 11, 2009-Vol 302, No. 18 online available at http://jama.ama-assn.org/content/302/18/2015.full.pdf+html, [accessed 14/2/2011]. Royal United Hospital Bath, NHS, Endovascular Aneurysm Repair Patient Information, http://www.ruh.nhs.uk/patients/services/vascular/documents/Endovascular_Aneurysm_Repair_Patient_Information.pdf, accessed 21st DEC 2010 NICE 2006 Abdominal aortic aneurysm ,N Sakalihasan, R Limet, O D Defawe,2011 at http://www.surgical-tutor.org.uk/default-home.htm?specialities/general/aaa.htm~right Michael Macari, MD, Gary M. Israel, MD,Phillip Berman, BA, Maria Lisi, BA, Anuj J. Tolia, BA, Mark Adelman, MD, Alec J. Megibow, MD, MPH, August 2001 Infrarenal Abdominal Aortic, Aneurysms at Multi-Detector, Row CT Angiography: Intravascular Enhancement without a Timing Acquisition1,520 z Radiology Macari et al, Volume 220 z Number 2 Abdominal aortic aneurysms, screening and the law ,Brian P Heather, AvMA Medical Legal Journal, 2008 Volume 14 Number 2 at http://cr.rsmjournals.com/content/vol14/issue2/ http://www.nursingcenter.com/prodev/ce_article.asp?tid=693846 (How to protect a patient with aortic aneurysm GAILà HOODà IRWIN RN, CEN, BSNà Nursing2007 ,February 2007à ,Volume 37à Number 2,Pagesà 36Ã
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