when either systolic or diastolic dysfunction of the pumping action of the heart results in reduced cardiac output. The heart’s inability to pump the blood forward is classified as systolic dysfunction. Causes include myocardial infarction (MI)‚ cardiomyopathies‚ severe systemic or pulmonary hypertension‚ blunt cardiac injury‚ bradydysrhythmias‚ and myocardial depression from metabolic problems. Jane House was brought to ER after a motor vehicle accident. She is only 20 years of age and has no prior
Premium Blood Myocardial infarction Cardiology
How NESTLE adopt Macro Environment strategies in Pakistan Within the rapidly changing global picture the company must monitor six major macro environment forces: Demographic‚ Economic‚ Social-cultural‚ Natural‚ Technological and Political-Legal. 1. Demographic Environment: * Demographic Environment includes population‚ region‚ age‚ gender‚ education level‚ etc Nestle Pakistan has adopted many marketing strategies according to the demographic environment. It has created awareness of their
Premium Economics Environment Natural environment
Chapter 3 – Medical Record History of Present Illness Patient- 33 year old female was brought into ER with severe burning abdominal pain‚ nausea‚ and diarrhea. Patient has regurgitated once‚ light red in color. Patient stated that she has had pain several days‚ which she has been able to control with OTC-Ranitidine 75mg. This evening pain was worse and nothing was able to ease it. Patient is heavy smoker- 2 packs a day and an occasional drinker- 1-4 drinks a month. Possible pregnancy-2 months
Premium Medicine Patient Hospital
The Fermentation and Distillation of Alcohol By Bhanupriya Chettiar 301 Group Members: Bhanupriya Chettiar‚ Rachel Min‚ Zoe Chandler‚ Bianca Main Aim The aim of the practical is to prepare ethanol by fermentation and to isolate it by fractional distillation. Introduction This practical’s aim is to prepare ethanol using two steps; fermentation and then fractional distillation. Many alcoholic drinks for example‚ brandy and whisky‚ are prepared using this method but to a larger scale. The first
Premium Water Oxygen Ethanol
Golden Retriever CKC classification: Under the Canadian Kennel Club‚ a Golden Retriever is classified as a sporting dog. Origin: The Golden Retriever was discovered in the 19th century by Lord Tweedmouth‚ also known as Sir Dudley Majoribanks‚ who was a Scotsman. He bred a Tweed Water Spaniel and a wavy‚ flat coat Retriever‚ that produced offspring which he would then breed with an Irish Setter and a sandy-coloured Bloodhound. At this point‚ Lord Tweedmouth had created the Golden Retriever‚ which
Premium Dog breed Labrador Retriever Selective breeding
Creating Shared Value is a principle for doing business founded on the conviction that shareholder interests and the interests of society must be aligned in order to achieve long-term business success. Creating Shared Value which is integrally linked to our core business strategies and operations means going beyond sustainability‚ to create value for shareholders and society. which distinguish Nestlé from other companies: [pic] Figure 1 Source: Nestlé (2008)Management Report 2008 Available
Premium Strategic management Risk management Risk
was taken‚ offering temporary relief of cough. Three hours prior to consult‚ the patient complained of severe dyspnea associated with cyanosis‚ hence sought medical advice. Patient had no medical history of Cancer‚ Asthma‚ Hypertensive Heart Disease‚ CHF‚ CAD‚ or DVT. Patient had no known allergies. Surgical or trauma history was unremarkable. Personal history revealed that he lived alone but received 4 hours of paid caregiver assistance for his ADL/IADLs daily‚ history of 60 pack-year smoking and still
Premium Asthma Chronic obstructive pulmonary disease
Clinical History Comprehensive: Nursing Home‚ dementia‚ diarrhea DOB: 3-17-13 March 14‚ 1995 ANNUAL H&P DICTATION – Completed/Dictated 3-9-95 CODE STATUS: DNR/DNI This resident is an 81-year-old gentleman who is pleasant and cooperative but not a good historian due to his dementia. Chief complaint: Resident has been having diarrhea according to his records for the past week‚ since the 24th of February. He has been having two to three large loose brown stools per day primarily
Premium Myocardial infarction Hypertension Blood pressure
of blood around the body‚ they are referred to as having heart failure. The heart muscle has been damaged or overworked and is therefore unable to pump as effectively as before. Coronary heart disease is the most common cause of heart failure‚ cardiomyopathy and hypertension are also implicated (Peterson et al‚ 2002). Heart failure can present acutely or chronically. Chronic heart failure tends to worsen over time and symptoms‚ such as breathlessness and swollen ankles‚ will develop over weeks or
Premium Hypertension Myocardial infarction Heart failure
THE ROLE OF EXERCISE IN THE MANAGEMENT OF CARDIOVASCULAR DISEASE Cardiovascular disease (CVD) is the term used to describe the diseases affecting the heart‚ arteries and blood vessels. Coronary heart disease (CHD) is a leading public health problem in the UK with costs exceeding £30 billion per year. Mortality rates from the disease continue to fall‚ mainly due to a combination of public awareness of the risk factors and understanding of the need to lead a healthier life. However
Premium Myocardial infarction Hypertension Blood