Recognizing and Managing Asymptomatic Left Ventricular Dysfunction Research Paper

Recognizing and Managing Asymptomatic Left Ventricular Dysfunction after Myocardial Infarction - Research Paper Example I agree with this thesis particularly because the absence of symptoms or signs of LVSD in myocardial infarctions makes a timely diagnosis of the condition to be significantly crucial for the survival of the affected patients. Epidemiological data on the etiology of Asymptomatic left ventricular Dysfunction in Europe and America suggests that nearly 60% of patients develop the condition after suffering from myocardial infarction. According to Gheorghiade  and Bonow (1998), â€Å"myocardial infarctions survivors usually have an increased risk of LVSD.† Consequently proper and early disease management models should be established to ensure cases of the disease are detected and managed effectively. Similarly, a number of critical pathways can now be effectively used to improve detection and detection of asymptomatic LVSD. On the other hand, one-half of LVSD patients are asymptomatic. In this regard, the early detection and management of the condition in post-myocardial patients can significantly help nurses to reduce mortality in the asymptomatic cases. Some of the evidence-based practices and techniques employed in the early diagnosis of the disease include radionuclide imaging, echocardiography, and ventriculography (Goldberg  and Jessup, 2006). All these strategies are important in the intervention of the dysfunction and the improvement of the quality of life in the affected patients. A number of evidence-based practices can be employed in the assessment of LVSD in patients who have suffered from myocardial infarction. One of the effective multidisciplinary approaches is carrying out an assessment of the disease in myocardial infarction survivors (Timmins and Kaliszer, 2001). Additionally educating such patients on their conditions can help doctors and clinicians to detect and prevent some the risk factors that may increase progression to heart failure.

History - Enlightenment and Modernity Essay Example | Topics and Well Written Essays - 1250 words

History - Enlightenment and Modernity - Essay Example The author notes that in order to mobilize an insurrection against absolutist governments during the eighteenth century French revolution, it was necessary to enlighten minds ceaselessly, through a newspaper that would spread in all directions. The author imagined that French easily achieve the project of spreading great political principles if the intrepid friends, enlightened by liberty, could unite, communicate their ideas to each other, and compose their works some place where they could print them and distribute them throughout the world. Printing and publishing were thus not only the most important cultural mechanisms for spreading the enlightenment ideas; printing and publishing were the embodiment of enlightenment in action; the medium was the message – spreading light. The author further notes that throughout the eighteenth century, printing became the most prevalent means of communication. Gradually limitations from governments and church among other authorities fade d off, as more entities that are private begun operating businesses to cater for the rising demand of written materials. Commercialization of the printing business created new concerns about authorship and enhanced the process of enlightenment by far. In his book ‘enlightenment: Britain and the creation of the modern world’, Roy Potter explores the issue of enlightenment in respect to innovations and changes in scientific, social, political and pysio-theological discourse. According to his evaluation, enlightenment is the core thing in propagating these changes that bolster innovations to higher levels. Political and socio-economic well-being moves to newer fronts thanks to innovations motivated by enlightenment. Enlightenment thereby comes out as an avenue through which the society explores better livelihoods, equality and economic independence. Alan kors address the issue of enlightenment in the long-term, describing it as the third phase of modernization in Europe, t hrough giving a chronological account of events and moments defining enlightenment. Of great interest, is the way the author tackles issue of divergence and consensus in relation to enlightenment. The text analyses enlightenment in reference to religion, politics, science, social sciences, and imaginative literature. The emphasis here is on taunting for coexistence and harmony in diversity as a show of enlightenment. Adversary and hostility are among the negatives that enlightenment seeks to dispel from societies. Further, the author explores enlightenment in respect to public institutions and identities. Intellectual maturity of enlightenment coincided with the growth of activism and revolutions in Europe, a fact that promoted its legacy. Enlightenment comes out as a liberator for the communities that had for a long time remained in closed systems. In her text, Dorinda addresses enlightenment as a global phenomenon that preceded great social changes. Slavery and hustles for freedom are the new features of enlightenment that the author brings forth in this new edition. The fight for freedom and unceasing desire to end slavery globally take the centre stage, with the author drawing attention to how enlightening the masses induced a sense of entitlement to basic rights and freedoms. Norman Hampson argues that the dominant concern for enlightenment thinkers is amelioration, rather than root-and-branch reform, arguing that at best the

Issues in Homeland Security Essay Example | Topics and Well Written Essays - 250 words

Issues in Homeland Security - Essay Example Based on the official report of DHS and the research of David Inserra and Steven P. Bucci, border and aviation security, illegal immigration issue, coast-guard revival, ineffective program management and departmental failure, preventing violent domestic extremism, cyber security, and insufficient research and development are the major issues, which are ranked according to the highest priority issues in the homeland security (Webster, 2008, p. 6-15; Bucci & Inserra, 2013). The DHS was formed after the attacks of 9/11 with the main objective of the country’s border and aviation security (Webster, 2008, p. 3). The border and aviation security is crucial for the integrity of the country. Considering the ongoing threat of international and domestic terrorism, enhancement in border and aviation security is the topmost concern for the DHS. Illegal immigration is another issue that is affecting the social and economical stability in the US. Various researches have regularly highlighted the direct link between growing crime rates and increasing number of illegal immigrants in the country (Bucci & Inserra, 2013). Hence, it is second most concerning issues which need to be tackled by implementing policies for current immigration laws enforcement. The necessity of coastguard revival is another priority of the DHS. According to the reports, the rate of coastguard operations has increased due to the growing threats to the US marine security and the necessit y of protecting the state’s interests in adverse conditions, such as in the hurricanes and Arctic (Bucci & Inserra, 2013). Another significant issue in the DHS is its failure to effectively utilize allocated funds and flaws in management system. It is reported that often crucial homeland security funds are invested in low-valued or unnecessary projects such as, zombie apocalypse simulation in California, or underwater robotic devices in Columbus

Mis In Your Pocket Information Technology Essay

Mis In Your Pocket Information Technology Essay The important business objectives are: Operational excellence, new products and services, Customer and supplier intimacy, improved decision making, Competitive advantage Survival. The functions of every firm revolve around all these mentioned objectives. Accordingly the applications for the achievement of these objectives should be selected. Ans1. In this case the advanced features of Smartphone (including the common ones like browser, telephone, camera, music/video player) are discussed. These applications include the use of Smartphone as a Global Positioning Device, a secure system to connect to the database of a particular organization, using tools and applications to interpret the certain medical, theorems, and other results. The other applications include its use as a networking device to remain connected with friends and employees. It is also used as an efficient and fast e-mail sending / receiving device. A large number of tools and software are also available for solving different types of problems. These applications nowadays can support almost every business activity, particularly those which demands a strict timely delivery of services and products. This accounts for developing an efficient supply chain management process, if the business demands so. Also the diversified business functions like collecting data at some place while delivering the same at other place are largely helped by these applications and those where each update/modification is to be reflected in the main database of an organization as it is further used by members of that organization. The employees and clients may be present in different offices which are located in different cities (even different countries), but with the use of such applications on these devices will never force the employees to feel any differences. These applications improve the operational efficiency as the time factor involved is reduced significantly. The work which earlier required extensive manual efforts can easily be done instantaneously by the use of these applications. This also provides more accurate and reliable outputs (compared to the manual results) which are to be used at different levels of Management Information System. This in turn helps the manager to take quick and perfect decisions which directly or indirectly will improve the operational efficiency. Thus all these applications will help the organization to achieve its goals, together with making choices. Q2. Identify the problems that business in this case study solved by using mobile digital devices. Concept: The problem solving is a continuous four step process: Problem identification, Solution Design, Solution Evaluation and Choice, Implementation. Every competitive firm must follow these steps to deal with its problems. Ans2. The use of these mobile digital devices have solved the problems, like providing a powerful and secured mean of sending e-mails and messages among the employees and the clients. The efficient communication is vital for any business activity. Problems like having a secured system which can give access to corporate internal system were also solved by use of various tools and techniques on these devices. For instance Doylestown Hospitals had problem of accessing the medical records of the patients from the different locations of the world, this was easily solved by the use of iPhone. Now the doctors can also have information on medications, lab results, therapy results, nurses notes, patient diets etc. on their iPhone screen. This directly helped the doctors to properly interpret the lab results and diagnose accurately even when they are away from the patient. Also the advanced voice communication system helped the doctors to consult with other specialists for a better diagnosis. The less secured system of authenticating the access to different data was also upgraded which now helped the doctors to store all the data on the hospitals own server. The supply chain consultant and transportation service provider D.W. Morgan improved its delivery services by the use of the services like Global Positioning System (GPS), digital signatures for the very efficient and the timely delivery of raw materials and other components. They were also able to know the exact location of the delivery trucks anytime. This was further helped by the use of Google map. Earlier it used to be very cumbersome task as it involved a great deal of manual efforts and phone calls. Aedas sport designers had the problem in collecting photos at different locations and the sending these pictures to their clients and other concerned employees. The use of iPhones helped them to create a large database of visual assets with minimal effort. They can now take the photo and can immediately send with use of these digital devices. Q3.What kinds of businesses are most likely to benefit from equipping their employees with mobile digital devices such as iPhones and BlackBerrys? Concept: Systems that spans the enterprises are: Supply Chain Management Systems, Customer Relationship Management Systems, Knowledge Management Systems, Intranets and Extranets E-Business, E-Commerce, and E-Government. The use of the digital mobile devices will benefit those businesses where they can impact the above mentioned systems at one level or other. Ans3. A number of business groups can be helped by the use of mobile digital services. Particularly those, which require dealing with a handsome amount of data and information and then using various tools and techniques to properly interpret the data, are likely to benefit with the use of these technologically advanced devices. Also the businesses which require a secure and efficient communication among the employees and clients are also likely to benefit by the use of iPhones, BlackBerrys and other similar devices. These digital phones provide a secure communication channel line which will verify the authentication of the organizations employees and clients accordingly. Even some dedicated services, tools and techniques can also be developed (if required) for the different organizations. The supply and chain management business firms are also likely to benefit with the use of these devices as time plays a major role in the profits and success of the organization. This business of de livery goods/ products will now be managed in an efficient delivery and tracking methodology. This can easily be supported by the use of certain applications (software) on these Smartphones. For example the use of Global Positioning System and Google maps can help an organization to develop an efficient system. The business firms which are located globally or have their services which require a great amount of travelling will also be benefitted with the use of these devices. This will provide the employees to communicate easily as they need not to have a laptop carrying with them for video chats and conferencing. Even if they are away from the office, they can easily be communicated without affecting the business activities. They can also analyze the collected data, graphs; charts etc. on their phones and then interpret the same. Then they can easily communicate their opinions / findings back to the concerned authorities without hampering any profit making opportunity. Thus the busi ness involving sophisticated problem solving tools and techniques can also be benefited where every employee can apply all these tools easily on his own digital mobile device. Q4. D.W. Morgans CEO has stated, The iPhone is not a game changer, its an industry changer. It changes the way you can interact with your customers (and) with your suppliers. Discuss the implications of this statement. Concept: To achieve the competitive advantage the industry will judge the impact of new changes being brought on the following areas: Primary activities, Support activities, and Benchmarking and Best practices. The authorities will evaluate the performance as a whole on the basis of one or more of these above mentioned parameters. Here also, the CEO of D.W. Morgan will review the performance based on this concept and then decide whether the change was successful or not. Ans4. It implies that the use of iPhones (for D.W. Morgan) not only improved a particular sector of the organization but rather helped the organization to succeed as a whole since the complete process from collection of raw material to delivery of products was unmatched. D.W. Morgans CEO stated that the use of iPhone in the business completely transformed their old techniques and methods with the sophisticated but simple to use which changed their working methodology in a positive way. His statement implies that the use of iPhone not only benefitted a particular domain or sector of the organization but completely revolutionized it as a whole. The certain task for which its rival took 20 minutes to 12 hours can be completed by the Morgan within no time. Thus it provided an opportunity for them also to enhance or change their techniques as well. This increase in the competition will improve the quality and the technology used which will definitely produce quality services and product s. Thus the whole industry is revolutionized for a better tomorrow. As for D.W. Morgan, having operations in more than 85 countries, the use of iPhones helped a great deal to improve their just-in-time strategy with a better time management (up-to-the-minute information) of delivery trucks. Earlier the process of tracking the delivery trucks and then guiding them to the next location required a great deal of manual efforts and time but now all this was just the matter of few seconds. Also the information collection and updating process was digitalized with a date-stamp and time-stamp. This whole process kept the suppliers and the clients updated with the required information and helped D.W. Morgan to expand and make profits at a much faster pace.

Perfectionism and Athlete Burnout in Elite Sports: The Mediating Role o

Over the past few decades, American society has become more and more obsessed on performance outcomes and winning; being declared the best has become most important (Crain, 2004). Winning is often viewed as an all or nothing virtue, whereby greatness is a descriptive term reserved only for those whose names appear at the top of the list (Hanchon, 2011). This evolving mindset communicates to our youth that despite his or her efforts, only the final results matter. For many individuals the ideas of achievement, excellence, and self-worth have become highly dependent upon the perceived outcomes of the competitions or events in which they engage (Hanchon, 2011). Outperforming one’s competitors serves as the defining characteristic of success or excellence, which in turn, appears to serve as a key determinant in the individual’s self-assessment of life satisfaction (Harackiewicz, Barron, & Elliot, 1998). Sport performance is mediated by positive and negative variables; the pressure to perform for a result leads to the negative variable of higher expectations on the athlete. Stress and the pressure to perform are both contributing factors to higher anxiety levels, overtraining, and burnout in athletes (Weinberg & Gould, 2007). In some cases, â€Å"higher expectations also appear to increase the amount of stress an athlete may experience, and higher levels of stress are generally related to higher levels of state anxiety and burnout† (Jones & Hanton, 1996; Raedeke & Smith, 2001). Burnout Fear of failures, frustration, high expectations, anxiety, and other pressures to perform are all stresses identified as being related to burnout (Dale & Weinberg, 1990). Burnout has been addressed in the Old Testament (Exodus 18:17-18), in which ... ...ation and affect on elite athlete burnout susceptibility. Journal of Sport and Exercise Psychology, 28, 32-48. Lonsdale, C., Hodge, K., Rose, E. (2009). Athlete burnout in elite sport: A self-determination perspective. Journal of Sports Sciences, 27, 785-795. Raedeke, T. D. (1997). Is athlete burnout more than stress? A commitment perspective. Journal of Sport and Exercise Psychology, 19, 396-417. Raedeke, T. D., & Smith, A. L. (2001). Development and preliminary validation of an athlete burnout measure. Journal of Sport & Exercise Psychology, 23, 281-306. Vallerand, R. J. (2008). On the psychology of passion: in search of what makes people’s lives most worth living. Canadian Psychology, 49, 1-13. Weinberg, R. S., & Gould, D, (2007). Foundation of sport and exercise psychology (4th ed.). Chapter21: Burnout and Overtraining (pp. 489-509). Champaign, IL: Human

International Game Technology IGT Essay

International Game Technology (IGT) Introduction            The short term and long-term debt for International Game Technology as at 31st March 2014 stand at $ 1,426,400 and $ 1,760,500 respectively. The total liabilities for the company sum up to 3,186,900. This information is generated from the company quarterly report. The market value of equity of IGT is $ 3.98B and the outstanding share is $ 24M.            The debt ratio helps a company compare its total debt to total liability and equity. This ratio is used by the company to have the general notion as to the value of leverage being applied by a company. A lower value implies that the business is less reliable on borrowed funds. The less the ratio or leverage the business is applying, the stronger is the equity position of the company (Tamari, 1978). On the other hand, the bigger the ratio the higher the risk the business considered to have invested on. Debt to equity ratio is less the same as debt ratio. This is another gearing ratio that compares the business liabilities to its outstanding shareholders’ equity (Tamari, 1978). The same case with debt ratio, a lower value implies that the business is applying less borrowed fund and the better is its equity stand.            Therefore, in both case I consider these ratios too large for the IGT Company. It implies that the company is highly exposed to risk such as creditors’ lack of confidence with the company and increase in interest rates. IGT Company should consider paying off its debt. It can raise capital for paying debt by issuing more stock.            Among the three companies, IGT Company has the highest debt to equity ratio. The company may have opted for this approach in order to benefit from deductible interest tax and build the credit for the business. This approach will also ensure maintaining completely ownership of the company. The challenges with issuing large amount of stock means those shares outstanding of the company become more diluted and the current investors earn smaller ownership fraction with every extra share issued (Wiehle, 2005).            On the other hand, Multimedia Games Holdings has the lowest debt to equity ratio. It might have opted for this option in order to enables it investors raise capital without facing debt. This will allow the company owners to concentrate on making their outputs more profitable instead of paying back to lenders. Multimedia Games Holdings may have also opted for this approach to allow the company owners and investors to create a long-term association throughout the lifetime of the business. According to Wiehle (2005), the cash flow for the company will be utilized on investments instead of paying interest and outstanding debts. Moreover, this compare can be termed as a small company if you compare it with the other two companies; hence, it might have opted for this method for the fear that it will face liquidity issues and fail to pay its outstanding debts (Wiehle, 2005). References Tamari, M. (1978). Financial ratios: analysis and prediction. London: P. Elek. Wiehle, U. (2005). 100 IFRS financial ratios (1. ed.). Wiesbaden: Cometis AG. Source document

Earth Science and Society Essay

The other four major contributors to the development of modern astronomy after Copernicus are Galileo, Tycho Brahe, Johannes Kepler, and Isaac Newton. Galileo Galilei supported Copernicus’ ideas and was the one who devised the early telescope that was able to enlarge objects up to 20 times. With the use of this telescope, he was able to prove the heliocentric theory proposed by Copernicus. Tycho Brahe is a Danish astronomer who focused on developing astronomical instruments as well as measuring and fixing the position of stars accurately before the telescope was invented. Johannes Kepler focused on determining the movement of the planets and his laws paved way to the concept of orbits as planetary paths. Isaac Newton’s laws of motion and gravitation further established how planets were able to revolve around the sun and how they moved in an orbit through the pull of gravity. It took a long time to overthrow the geocentric theory because it was backed up by the church and the existing rulers at that time. Those who deviated from the beliefs of the majority were persecuted and thrown to prisons. Only a brave few stood against these people in order to prove them wrong and discover the truth. It only tells us that society doesn’t accept the truth with open arms most of the time, as it is hard to break the preconceived knowledge about things. Discoveries such as the heliocentric theory took a very long time to be accepted by the people, especially because it replaced a more divine theory that the Earth was the center of everything in the universe. Geography is split broadly into two sub-disciplines which are human geography and physical geography. Physical geography is focused primarily on the built environment and how space is created, viewed, as well has managed and handled by man, considering the influences that humans have on the space they created and occupied. Physical geography on the other hand, deals with the natural environment and how other factors like climate, vegetation and life, soil, water and landforms are created and interact with each other. Geography can be best defined as the study of the earth and its features, including everything contained in it, like the ones inhabiting the earth and the different phenomena occurring in it. Geography’s strengths mainly rely on its different branches, as it seeks to cover most concerns regarding the earth. On the other hand, its weaknesses was that it is not able to fully explain a certain field often, which is why there is a need to study other subfields of geography in order to cover for that weakness. The weather is a set of all the phenomena of a given atmosphere considering a certain period of time. This more on a short term basis, usually for hours or days say for example today it rained, while yesterday, it was just fairly cloudy. This is in comparison to that of climate, which is the average atmospheric conditions over longer periods of time, usually months, accounting for the seasons that we experience all throughout the year. The greenhouse effect is the process wherein there is the emission of infrared radiation by the atmosphere which then warms the earth’s surface. On the other hand, global warming is the increase in the average measured temperature of the air near the surface of the earth, because of the heat trapped by various gases in the atmosphere, as caused by pollutants like burning of fuels, smoke, and more. The two concepts are not the same, but the relationship between the two is that because of the greenhouse gases (too much of it) the heat trapped in the atmosphere increases, thus causing global warming. The effect on the environment is drastic, as polar icecaps melt, thus increasing the water levels in different parts of the world. It also changes the patterns of the environment, like the seasons, and the climates at different places. It greatly affects our lives because we might be experiencing a possible cause of species extinction, not only for the animals, but also for us human beings. Pressure gradient force is the acceleration of air due to an impending pressure difference or a force per unit of mass. This usually accelerates air from a high pressure area or region towards a low pressure region thus creating wind. The coriolis effect is the apparent deflection of moving objects when it is viewed from a certain frame of reference. The effect causes air in the atmosphere and water in the ocean to flow to the right of the direction north of the equator, thus causing the rotation of large cyclones. Frictional force is the force resisting the relative motion of two surfaces which are in contact, or a certain fluid in contact with a surface (such as air on an airplane or water flowing in a pipe. California’s Mediterranean climate is characterized by hot, dry summers and cool, wet winters. On the other hand, South Carolina’s humid subtropical climate is characterized by hot humid summers and chilly to mild winters. The United States have varying climates from the eastern part because of the bodies of water surrounding it. It can be explained by the El Nino, wherein large circulations of air across the Pacific Ocean breaks down, and warmer than normal waters appears in the eastern Pacific, while colder than normal waters appears in the western Pacific Ocean.