Case Presentation Pathophysiology Research Paper

Case Presentation Pathophysiology - Research Paper Example Coronary artery disease mostly occurs due to atheroma formation and its complications like thrombosis and rupture of atheroma. The arteries can also becomes diseased due to other conditions like polyarteritis, aortitis, connective tissue disorders, congenital anomalies like anamolous coronary artery origin, coronary artery malformation and fistula formation (Zevitz, 2006). Atheroma or atherosclerosis is the patchy focal deposition of plaques in the intima of the arttherosclerosis can affect any artery in the body and coronary arteries are at maximum risk for development of the disease (Maseri et al, 1992). Atherosclerosis begins to develop in the second or third decade of life. Thereafter it gradually progresses. Monocytes which circulate in the blood migrate into the intimal layer of the arteries. After reaching there, they take up low density lipoproteins after oxidization in the plasma. These are then known as lipid-laden foam cells (Zevitz, 2006). When these foam cells die, lipid s are released which develop fatty streaks on the intimal wall. This triggers migration and proliferation of the smooth muscles of the artery wall to form plaques. Over a period of time, collagen rich fibrous tissue surrounds the plague and forms mature fibrolipid plague. These plagues are dangerous because they can either rupture or create a fissure on the intima, allowing blood to enter the fissure. Entry of blood causes disruption of the arterial wall which leads to compromise of vessel lumen, thrombosis and also vasospasm, all of which contribute to decreased blood flow through the vessel. Rarely, the rupture of vessel can cause complete occlusion of the artery resulting in acute coronary artery syndrome (Zevitz, 2006). There are several risk factors which can cause ischemic heart disease, the most which is advanced age. This is because; as the age progresses, the size and the number of plaques increase. Other risk factors include male sex, family history of ischemic heart disea se, hypercholesterolemia, hyperlipidemia, smoking, obesity, hypertriglyceridemia, hyperfibrinogenemia, sedentary lifestyle, diabetes, hypertension, low levels of antioxidants, and poor eating habits (Zevitz, 2006). Ischemic heart disease can manifest as one or more of the following: angina, heart failure, myocardial infarction, arrhythmias and sudden death. Of these angina and myocardial infarction are common. Angina occurs due to imbalance between oxygen demand and blood supply to the heart muscle. The most common manifestation of angina is chest pain (Alaeddini and Shirani, 2006). Angina is caused due to chemical and mechanical stimulation of the sensory afferent nerve endings in the myocardium and coronary arteries. The main mediator of angina is adenosine (Alaeddini and Shirani, 2006). Whenever atherosclerotic plaque decreases the lumen by atleast 50 percent, angina manifests whenever there is increased oxygen demand. When more than 90 percent is blocked, angina manifests even i n rest (Alaeddini and Shirani, 2006). Investigations useful to diagnose angina are graded exercise stress test, stress echocardiography, myocardial perfusion scintigraphy tests, Coronary artery calcium scoring, electrocardiogram, stress electrocardiogram, ambulatory electrocardiogram, selective coronary angiography and intra-aortic balloon counter pulsation. Main treatments include nitroglycerine, betablockers, calcium channel blockers,

Human Resources Management in Supporting Corporate Strategy Dissertation

Human Resources Management in Supporting Corporate Strategy - Dissertation Example man and operational risk in an organization 14 2.13Talent management 15 2.13.1Talent management in Abu Dhabi government 15 2.14Employee engagement 15 2.14.1 Culture Difference 16 2.15Total quality management in HRM 16 2.15.1TQM practice in UAE 17 Chapter 3 Methodology 19 3.1 Research Philosophy 19 3.2 Research Approach 21 3.3 Research Design 23 3.4 Data Collection Methods 24 3.5 Data Analysis 24 3.6 Limitations 25 Chapter 4 Findings and Analysis 26 4.1 Evaluation of the human resources system 26 4.2 Primary research findings 27 4.2.1 Analysis of the ethical questionnaire 27 4.2.2 Analysis Interview Questions Answers 30 4.3 Discussions 34 Chapter 5Conclusion& Recommendations 35 Chapter 6 Personal Reflections 37 References 40 Appendices 45 Research Proposal A 45 Interview Questions B 51 Interview Questions & Answers C 52 Online survey questions& Results D 59 Ethics Form E 71 List of Figures Figure 1 The number of respondents from different departments of Abu Dhabi 28 Figure 2The distri bution of the length of service of the respondent 28 Figure 3The responses of the respondents in response to the agreement of the Abu Dhabi vision 2030 29 Figure 4Ratings provided by the respondents with their concern about their respective departments 30 Chapter 1 Introduction Research Question What is the methodology that being utilized in the current HRM system of Abu Dhabi government entities and institutions? Is this methodology adequate to support Abu Dhabi business strategy in terms of recruiting and developing employees and managers? If yes, rationale support is needed. If not, rationalize it with evidence(s) and suggest solutions to improve the current methodology. Aim: The aim of this research to improve human resources practices in Abu Dhabi government entities that will support... The attainment of the prosperity and the generation of wealth has been the apex criterion of the government of Abu Dhabi and the Federation of the United Arab Emirates has highly relied on the people which it thinks to be the true wealth. For the purpose of the achievement of its role, federation of Abu Dhabi will be highly focusing on the achievement of its own comprehensive and multifaceted vision. The vision was targeted at the creation of a confident and security and also towards the establishment of a sustainable and globally competitive economy. The high level management of Abu Dhabi has entitled all the governmental entities in the preparation of a policy paradigm which would be consisted of a large number of integrated initiatives already implemented and will be incorporated in the future for the purpose of achieving sustainable development. For materializing the vision, there must be effective functioning of coordinated work within the governmental entities and that of the A bu Dhabi government. The continuation and distribution of the understanding of the objectives of the Abu Dhabi government will generate the superstructure of future success dynamics. The competitive and globalised economy depended on the influx of human capital, the dimension of the social and human resource policy incorporates within it a systematic amalgamation of multifaceted goals and initiatives which needs to be highly understood both by the government and the private sector as they act.

Long-Term Stability of Clay Slopes Essay Example | Topics and Well Written Essays - 1500 words

Long-Term Stability of Clay Slopes - Essay Example In order to describe "the long term stability of clay slopes", this paper will look at factors that make slopes become unstable overtime; the measurement of the instability; impact of long-term stability; and the prevention of instability of clay slopes. To begin with, long term stability of clay slopes is influenced by several causes which as are embedded in two major factors. These main factors, according to Price (1984) and Ritter (1986, p 121) are shear stress and shear strength. Shear stress refers to the forces that cause movement of materials down slope while shear strength is the force that resists materials from moving down the slope. These forces oppose each other in the sense that, while shear stress wants movement of material to commence, shears strength refuses. This means that movement will only occur when shear stress exceeds shear strength. Otherwise, like Sparks (1964, p 56) puts it, in uniform material, shear stress and shear strength may remain comparatively uniform. It is worth noting that shear stress has several intricate components that make it provoke movement of material down slope. Ritter (1986, p 121) outlines material internal friction characteristics; material normal stress and material normal cohesion as factors that determine stability of shear stress. Any drop or increase in these factors may alter shear stress. Internal friction is further broken down into plane friction (produced when one grain of soil slides past another) and interlocking friction (which originates when particles are required to move upwards and over one another. Secondly, Ritter (1986, p.122) further states that effective normal stress has the capacity to hold the material together, thereby increasing internal resistance to shear. It acts perpendicular to a shear surface and is absorbed by the underlying slab at the point of contact between grains. It should also be noted that some of the shear surface is usually occupied by openings which are filled with air or water. And since pore pressure exists in these interstitial spaces, it tends to support part of the normal stress. Thirdly, Ritter (1986, p.123) further states that clay soils have cohesion, which comes as a result of ions and water by clay minerals, thereby creating a binding structure among particles. Unfortunately though, cohesion decreases with increased water acquisition in the soil material. Clay cohesive strength very much depends on attractive forces between the particles and the lubricating action of the interstitial liquid. The more the clay acquires water, the more the slope becomes unstable. However, it should be noted that the rate at which the slope gains more water and the water drains away determines the time the slope should become unstable. For example, fast gaining and slow draining of water on a particular slope will make the slope fail very fast. On the other hand, slow gaining and fast draining of water will make the slope remain stable for some time. Where clay soils remains in an undisturbed normal cohesive strength, long-term slope stability will be evident. Sparks (1964, p 57) agrees with the above statement and adds that cohesive strength increases with depth thereby exceeding shear stress, hence surface mantle (slope material) is the one to be more unstable. As more water is added , cohesion decreases and when all pores are filled, any further input of water results in complete

Expatriate Management Essay Example | Topics and Well Written Essays - 1000 words

Expatriate Management - Essay Example Strong human resources management practices come in handy especially in the international context whereby managers are engaged in foreign assignments. They need to be trained to ensure that they are effective in accomplishing the duties assigned to them. Nevertheless, training of expatriate managers is faced with various challenges. This paper presents a critique of challenges such as identifying the time to train, type and level of training, parties to be involved in training as well as the expatriates’ capabilities to relate with the foreign culture. There are also challenges related to the learning capabilities, interest and willingness of the expatriates to undertake the training. Determining the appropriate time to train presents a major challenge as trainers try to evaluate the training needs of expatriates. They can either be trained before leaving their home organization or immediately after travelling to the foreign country (Bird and Osland, 2005). Both strategies are significant in equipping the manager with the desired knowledge to cope with the new environment, but choosing one of them rather than undertaking the two may be effective in saving time and resources. Planners are faced with a dilemma of determining which strategy would be more appropriate. For example, training before the managers leave the organization instills them with a sense of purpose for their mission. They are capable of imagining the organization’s situation after they successfully complete their mission. Yan et al. (2002) observe that training expatriates before they leave their home country motivates them to work towards accomplishment of the organizational goals to impr ove the situation at hand. When they are trained in the foreign country, they are fascinated by the new environment; either due to its magnificence or otherwise lower standards. The new environment may influence learning and therefore the training might not accomplish the organizational objectives (Chew,

Womens History Essay Example | Topics and Well Written Essays - 750 words

Womens History - Essay Example Constitution was ratified by the 19th Amendment giving women the right to vote. Formation of one group in 1890, National American Women Suffrage Association (NAWSA), Stanton being the president and the vice-president being Anthony was an effective strategy and vital policy to gain suffrage. The nonviolent approach was the suffragist’s logical strategy since Quakers and pacifists like Alice Paul, Lucretia Mott, and Susan B. Anthony who was its prominent leaders encouraged peaceful resistance in order to be equal with men. Another strategy that was used by the Suffrage Movement to outwit opponents was the involvement of professionals who had proved to be enormously competent, politically important, widely respected and highly influential like Elizabeth Cady Stanton, Susan B. Anthony, Lucy Stone, Carrie Chapman Catt, Harriet Stanton Blatch, and Alice Paul. Vigorous campaigning was another major input which gave the movement victory in the long run after over 72 years of campaigni ng and pooling of resources to fund it. The campaigns were filled with commitment, intrigue, dedication, and frustration. Millions of dollars were pooled as hundreds gave such aid wherever and whenever they could together with constant interest. Hundreds of women gave possibilities of an entire lifetime. Enlisting of new members also proved to be above par policy and strategy in order to popularize the movement. The inclusion of men was another strategy as men had vital roles in casting votes that could only be cast by men. The 19th Amendment was approved by virtually all-male Senate and House and ratified by 36 all-male, virtually, legislatures.Though the movement fought for the women’s rights, it is regarded in some quarters as a cause that was inconsequential worth neither of respect nor attention.  

Fertile Crescent Essay Example | Topics and Well Written Essays - 1500 words

Fertile Crescent - Essay Example The physical location of Garden of Eden is traditionally associated with the Fertile Crescent. Due to its fertility people settled around the area and as people settle, they were forced to engage in different activities to make their life comfortable. The Fertile Crescent is considered as the birthplace of urbanization, trade, science, writing, agriculture and organized religion. It was first populated c.10,000BCE when the domestication of animal and agriculture began in the region. By 9,000 BCE, the cultivation of cereals and wild grains was widespread, and irrigation of crops was fully developed by 5,000BCE. The farming of wool-bearing sheep was practiced widely around 4,500BCE. Cities began to rise Eridu being the first according to Sumerians in 5,400 BCE, and then Uruk and the others followed. These cities started to increase around 4,500 BCE and cultivation of wheat and grain was practiced in addition to the further domestication of animals. Image of the variety of dog known as the Saluki regularly appeared on vases and other ceramics as well as wall paintings by the year 3,500 BCE. Due to the fertility of the soil, people were encouraged for further cultivation of barley.Some of the first beer in the world was brewed in the great cities of the Tigris and Euphrates Rivers. Ancient evidence of beer brewing comes from the Sumerian Godin Tepe settlement in modern-day Iran. From 3,400BC, the priests were in charge of the distribution of food and the careful monitoring of surplus for trade.

Quaid-E-Azam Essay Example for Free

Quaid-E-Azam Essay Quaid-i-Azam Mohammad Ali Statesman was hatched inKarachion the 25th Dec, 1876. His antecedent, Jinnah Poonjah, was a big distributer ofKarachi. Though a very sumptuous businessperson, Mr. Poonjah desirable to devote virtuous pedagogy to his son and book him absent from acting. Mr. Mohammad AH Solon received his proto instruction inKarachiandBombay. He passed his Mesmerize Scrutiny in 1891. In his schooltime days he was very painstaking in his studies. He observed the rules of correction. He was also really punctual m attending. All these nibbed to his incoming greatness. For his complete qualities, he was really often cherished by his teachers and fellow-students. His fathers person, Mr. Federick Croft, revealed signs of a enthusiastic man in him. He advised his hypostasis to transfer him toEnglandfor higher studies. Accordingly Mr. Statesman socialist forEnglandin 1892. There he was admitted into theLincolnsInnand obtained the laurels of Bar-at-Law. Mr Statesman stayed in England for tetrad period. He premeditated the ways of the Humanities people. He was rattling more impressed to maturate that all of them, colourful or bad, admired their motherland. There he came low the influence of a loyal Asian, Dababhoy Nooroj. After having successfully through his teaching, Mr. Jinnah returned to Indiain 1896. At that second his fathers concern was not gushing fountainhead. So to get money for the kinfolk, he started practise inKarachi. But he could not do cured. He left Karachi and went to Bombay to try his hazard there. Here, too, his practice was unsharpened for leash geezerhood. At worst, he conventional the couple as Ordinal Administration Magistrate of Bombay. But he was overconfident that he would do excavation as a lawyer. So he gave up the copulate after any experience minute he was established as a distinguished attorney. His laurels spread far and stretching. In 1905, Mr. Solon came in snuggled communication with Gopal Krishna Gokhale. Mr. Gokhale was then the president of the Amerindic Soul Congress. Shortly he became its most copernican person. He was titled the Ambassador of Hindu-M .turn Unity. But he was disenchanted in 1930. For he then realised that the only objective of the Congress was to give Religion judge inIndia. He, thus, distributed himself from the Congress. He devoted himself in organising the Muslims. The Muslims were then at their lowest ebb-politically, socially and economically. His,, leadership, kindled a new-imagination among the frustrated Muslims. He created semipolitical cognisance among the Muslims of India. It was due to his management and leaders the Muslims regained their confidence. Each and every Moslem responded to his clarion exact. And they, with one line demanded a asunder Declaration was adoptive. The try for Pakistan is a tale of a uninterrupted essay against a boniface of obstacles and it was his con trol and activity which provided for us a bulwork of posture at these tall nowadays. The creation of Pakistan was due to the untiring receive and zeal of Quaid-i-Azam. He won Pakistan by his irrefutable arguments. He is titled the Ascendant of the Nation. For similar a theological, he acquired a land for us. Tho in destroyed health, he had to get the prime Governor-Generalship of Pakistan. He died in attach on the 11th Sept, 1948.