...How Information System Transformed Package Delivery Business By: Tricia Jones Information technology has transformed tremendously over the years for UPS package business. The DIAD system enabled the drivers to make all of his or her deliveries without errors. For example, if the driver tries to deliver a package to the wrong customer he alerted that it is an incorrect delivery, which in turn eliminates driver error and helps to save the company money and makes the customer happy, by them getting their package on time. The DAID system has allowed for greater mobility and flexibility in the package delivery operations of UPS. It also allows UPS to track packages worldwide with its GPS and Bluetooth software. Information can be sent wirelessly which in fact would decrease the transit time, but increases reliability. UPS can also keep in touch with the driver at any time of the day via text message for whatever reasons. The UPS technology offer customers many option in keeping up with their package. From tracking their own package, freight planning, freight truck packaging optimization, in addition to basic shipment of packages. UPS has certainly achieve its objectives in many different aspect of the company. They have become more competitive, efficient and profitable. UPS has definitely evolved in the package delivery business by keeping up with technology and always trying to find new ways for its employees to safely and successfully deliver customers package on a day to...
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...Sampson Racing Case Organizational Leadership – Fall 2011 John Perron I really tried to think about the Framing of this scenario as I also went through the numbers. One unique perspective that I had is that as a young man I used to race motorcycles. While I understand the basic costs and the elements of racing that are presented here, I was surprised that there was never any concern for the driver’s safety in this scenario. It should be the number one concern when making a decision to race or not race. It was not even an element presented in the framing of this decision-making exercise. That being said, I included that in my analysis. I took the approach of listing the facts that the scenario presented and tried to look at the cost of racing versus not racing in the same way as I would look at any scenario where lives are also at stake as in going to the moon, or having brain surgery. Certainly at racings speeds, lives are at stake. How much is a driver’s life worth? There are no guarantees in this scenario for $1,000,000+….it only says Goodstone is considering it. Is a driver’s life worth more or less than $1,000,000? The current financial state of the team is $32,500 in the hole. There are 4 possible outcomes in this scenario: 1) Sampson Team decides to race and finishes in the Top 5 50% Chance. Result: There were no definite numbers, but let’s guess and say that the new annual sponsorship is worth $1,000,000+. 2) Sampson Team decides to race...
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...Consistent Daily Weighing Important of Cardiac Patients Student’s Name Institution Consistent Daily Weighing Important of Cardiac Patients In almost all parts of the world, cardiac-related problems are one of the most leading causes of death (Windale, 2010). The term cardiac problems often connote a deadly disease, silent killer and/or a type of illness related to diabetes, stroke and coronary heart disease. Studies conducted reveal that chronic heart failure and other forms of cardiac disorders account for high hospitalization and high mortality rate (Bushnell, 1992). According to Windale (2010), the three most prevalent types of cardiac problems, which are based from the World Health Organization statistics, are in the form of diabetes, heart failure and coronary artery diseases. People from various countries suffer from this threatening problem, and it often manifests in the form of angina or chest pains. Windale pointed out that such disorder is associated with cultural lifestyle of various nations (2010). Patients with cardiac problems often seem to have lowered functional and physical impairment, decreased quality of life (QoL), increased caregiver responsibilities, especially during hospitalizations (Remme & Swedberg, 2001). Increased hospitalizations for cardiac patients are one of the results of the problem. However, compliance to intervention strategies often poses a greater problem for the healthcare community. Such intervention...
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...Balloon catheter based circulatory measurement system Introduction In hospitals, doctors use many devices to help them cure their patients from various health problems. These are called Medical Devices. Medical devices help doctors do many things, ranging from diagnostics, therapy, to life support. Medical devices that are used to diagnose a patient are very important as they can help the doctor to understand and thus cure the patient’s problem. Medical devices that help with diagnostics can be as simple as a thermometer or can be as complex as an ultrasound scan. This report will be about a class III medical device, the pulmonary artery catheter. See Figure 1. Figure 1: A Swan-Ganz catheter Brief History The pulmonary artery catheter, also...
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...wireless technology gives great advances to clinicians in treating and monitoring their patients. This type of technology definitely gives the potential for health care delivery to improve and it makes it convenient for the patients. As always, there is a cost issue, which would require that the hospital, doctor’s office, any health facility be wired for this type of technology, what is the reimbursement to the provider, and the privacy and security issues. According to “Health Care Unplugged: The Evolving Role of Wireless Technology” (2007), “There are two major categories of wireless applications for health care: 1) Applications that monitor physiologic functions (in cardiac and diabetics patients, for example) and send the information to physicians; and 2) applications that provide information and feedback directly to patients, thus encouraging them to pay attention and take a more active role in managing their health” (p. 8). All of these different applications encourage the patient to be more aware of their chronic conditions and increases the provider’s efficiency, effectiveness and response times. Some of the different monitoring systems are cardiac monitoring, wireless pacemakers and defibrillators, and glucose monitoring (Glucophage). “There is currently something called a Smart Shirt, which contains conductive fiber system that monitors heart rate, respiration, and body temperature. The system wirelessly sends data via Bluetooth to a base station to be collected...
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...Christopher Dorasami The World Health Organization predicts that deaths due to cardiovascular disease (CVD) will increase around the globe from 17 million in 2008 to 25 million in 2030, (WHO,2012). CVDs are defined as all diseases of the circulatory system, including those of congenital origin, (AHA, 2010). Due to their high prevalence, CVDs impose a high social and financial burden on individuals, families and healthcare systems around the world. Surgical procedures like coronary artery bypass graft (CABG), balloon angioplasty, and valve repair and replacement are integral to the treatment of CVD, (WHO, 2013). Although these surgical procedures often improve survival rates, decrease symptoms and increase an individual’s functional ability (ACC/AHA 2004), surgery is not curative and individuals with chronic CVD remain at increased risk for coronary events(Foody et al. 2003, Hawks et al 2006). In addition to acute -operative care, these individuals must develop the knowledge and skills for self-management (Capewell S, 2008 & Vachenauer R. 2008). It is therefore important to encourage or enlist these patients in a health promotion programme post-surgery. The main aspects I would focus on include a behavioural change and an educational programme. Patient education programme The first aspect to be discussed with these patients will be based on: The concepts of atherosclerosis and its risk factors The reason for this is to help the patient understand...
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...Home health care must be able to maintain the competiveness, maintain financial security and deliver quality patient care. These are some of the factors motivating our current change of implementing the Tele health Program. Monitoring the Implementation of the Tele health Program Monitoring the implementation of the telehealth program begins with the training and education of nurses and physical therapists so that they may acquire the skills required for hands on use of the new system. All current and newly employed clinicians will need to complete the learning modules on the use of the telehealth program system. Practice monitors will be made available and kept in the office classroom for those who wish to practice with the unit. Team managers will also be trained as an additional resource persons for those needing assistance when visiting patients in the field. The Telehealth Resource Center will educate and test in clinical competency of the telehealth monitoring system. Initially, a trainer will accompany each clinician in the field and observe the clinician’s skill in setting up the system within the patient’s home .The clinician will receive a certification in tele-monitoring upon completion of the...
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...The Future of Cardiovascular Diagnostics THE MARKET, TRENDS & FUTURE DIRECTIONS Extracted on: 20 Apr 2011 Reference Code: BI00021-008 Publication Date: 02 Mar 2010 Publisher: Datamonitor © Datamonitor This content is a licensed product, no part of this publication shall be reproduced, sold, modified or stored in a retrieval system or transmitted in any form by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior permission of Datamonitor. The information in this document has been extracted from published research by a registered user of the Datamonitor360 platform. Datamonitor shall not be responsible for any loss of original context and for any changes made to information following its extraction. All information was current at the time of extraction although the original content may have been subsequently updated. Please refer back to the website http://360.datamonitor.com/ to view the most recent content and the original source of the information. To the maximum extent permitted by applicable law we exclude all representations, warranties and conditions relating to the facts of all publications. At time of publication no guarantee of accuracy or suitability, whether express or implied, shall attach to this publication (including, without limitation, any warranties implied by law of satisfactory quality, fitness for purpose and/or the use of reasonable care and skill). Please note that the findings, conclusions and recommendations...
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...Utilization of Continuous Electroencephalography in the Intensive Care Unit TCP1 – Task 2 – Research Paper Patients are admitted to the intensive care unit (ICU) of a hospital for a myriad of disease and injury conditions. Critically ill patients often present with a specific serious health issue that needs to be addressed, however, can often evolve to include secondary problems. Secondary cardiac issues develop from a long list of unrelated heart conditions, and as such, all ICU patients today are placed on bedside electrocardiogram (EKG) monitoring. Years of research, advancements in technology, and international implementation of the service has led to bedside EKG being the standard of care for all ICU patients, regardless of the primary diagnosis. The heart is not the only organ that can often have secondary issues. For decades physicians have tracked and noted secondary neurologic changes in their critically ill patients, but lacked research-based evidence on what caused the neurologic change onset, and how best to monitor and watch for those changes. Over the past two decades, a lot of research has been conducted looking into this specific issue. Research now suggests that the use of continuous electroencephalography (cEEG) for patient populations in the ICU is an effective, affordable, valuable, and prognostic diagnostic tool to evaluate cerebral function, detection of epileptic activity, and to monitor neurologic changes. Electroencephalography (EEG) is...
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...nursing care one must have an in-depth understanding of primary body systems and their pathology. This paper will educate the prudent nurses who read it with detailed information about the specific cardiac pathology of atrial fibrillation. Written with a basic understanding of human heart function/structure as a prerequisite, this paper will first discuss key terms one must be familiar with before providing researched information explaining the pathophysiology of atrial fibrillation (AF). Next, it will discuss the etiology, clinical manifestations, common laboratory diagnostics, and interventions. Lastly, this paper continues by providing readers with nursing diagnoses and patient teachings associated with AF. Key Terms As a nurse one must become a scientist of sorts and must be familiar with technical nursing terminology. Atrial fibrillation, or AF, is a cardiac dysrhythmia in which “multiple rapid impulses from many atrial foci depolarize the atria in a totally disorganized manner at a rate of 350 to 600 times per minute” [ (Ignatavicius & Workman, 2010) ]. A dysrhythmia is a disorder of the heartbeat involving a disturbance in cardiac rhythm and an irregular heartbeat; whereas an arrhythmia is basically a fast or irregular heartbeat caused by a disorder in the heart's electrical system. Tachydysrhythmia is an abnormal heart rhythm with a rate greater than 100 beats per minute. Cardiac output refers to the volume of blood ejected from the heart in each minute...
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...Additionally, he or she should assess the ability of the patient to perform daily tasks and report these to the healthcare professionals. The caregiver should provide assistance when required and should evaluate the body of the patient for swelling or bleeding. On the other hand, the healthcare professionals are responsible for monitoring laboratory results, stool, and provision of fresh plasma when necessary. The collaboration of the caregiver and the hospital will assist in the efficient care of the woman. Risk for Impairment in Skin Turgor The caregiver should inspect the skin regularly to check the turgor, vascularity, and color. There should also be an evaluation for edema, and hydration of the skin and mucous membranes. Additionally, there should be an application of soothing skin care products daily. The patient should also sleep on an orthopedic mattress, and frequently change positions. These activities will also reduce adverse outcomes on the skin. Evaluation of Patient Outcomes The evaluation will involve analysis of the above-mentioned criteria after the interventions...
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...the resuscitation room. You are the receiving nurse. Observations on admission include: Respiratory rate: 18 breaths per minute Oxygen saturations: 95% Blood pressure: 150/90 mmHg Pulse: 94 beats per minute Temperature: 37ºC. On admission to hospital an electrocardiograph (ECG) has been undertaken. Peter has been diagnosed with an anterior ST segment elevation myocardial infarction (anterior STEMI). Blood samples have also been drawn for urea and electrolytes (U&E), full blood picture (FBP) and highly sensitive troponin T. 1 Discuss Peter’s immediate problems and explain these using your knowledge of pathophysiology. A On admission to Accident and Emergency (A&E), Peter will be assessed using the Manchester Triage system (Cooke and Jinks 1999) incorporating the ABCDE approach as per the Resuscitation Council (UK) (2011). The ABCDE assessment and management tool can be applied to all deteriorating or critically ill patients. It is recognized that approximately 30 per cent of people developing a myocardial infarction die before reaching hospital...
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...hypothermia in the perioperative period has been associated with several adverse effects, including impaired drug metabolism, prolonged recovery from anesthesia, elevation of plasma catecholamine concentration, cardiac morbidity, coagulopathy, impaired wound healing, wound infections, and postoperative shivering, systemic and pulmonary vasoconstriction, increased arterial blood pressure, sympathetic nervous system activation, variations in serum potassium levels, impaired neutrophils and macrophages and decreased partial...
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...Atrial Fibrillation Pathophysiology March 20, 2016 Introduction Atrial Fibrillation, commonly known as A-Fib or AF, is the most common type of persistent cardiac arrhythmia. AF effects only 2% of the population under the age of 65, but 9% of those over the age of 65 (Centers for Disease Control and Prevention [CDC], 2015). Many other cardiac diseases are seen with AF, either as a cause, or as a result of the atrial fibrillation. Left untreated, AF can result in tachycardia that causes ventricular dysfunction and/or heart failure, along with a significantly increased risk of thromboembolic stroke. I recently conducted an interview with my father who has had AF for nearly 20 years and I compared my findings in the literature against his experiences with the disease. Pathophysiology Atrial Fibrillation is a supraventricular tachyarrthymia. In the heart, ventricular rate is controlled by the conduction and refractory properties of the AV node and the progression of wave fronts entering the AV node. Calcium channels are accountable for the major depolarizing current in AV nodal cells. Beta-adrenergic receptor stimulation boosts AV nodal conduction, whereas vagal stimulation impedes AV nodal conduction. Sympathetic activation and vagal withdrawal, as with illness or exertion, speeds up the ventricular rate. After each atrial excitation wave that depolarizes AV nodal tissue, those cells become refractory for a time, preventing subsequent impulses from propagating...
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...I. Introduction - Shock (Chapter 11) A. Review of anatomy and physiology B. Pathophysiology Initiation | * Decreased tissue oxygenation * Decreased intravascular volume * Decreased Myocardial contractility (cardiogenic ) * Obstruction of blood flow (obstructive) * Decreased vascular tone (distributive) * Septic (mediator release) * Neurogenic (suppression of SNS) | No observable clinical indications Decreased CO may be noted with hemodynamic monitoring | Compensatory | * Neural compensation by SNS * Increased HR and Contractiliy * Vasoconstriction * Redistribution of blood flow from nonessential to essential organs * Bronchodilation * Endocrine Compensation (RAAS, ADH, glucocorticoid release) * Renal reabsorption of sodium, chloride, and water * Vasoconstriction * Glycogenolysis | * Increased HR (EXCEPT NEUROGENIC) * Narrowed pulse pressure * Rapid, deep respirations causing respiratory alkalosis * Thirst * Cool,moist skin * Oliguria * Diminished bowel sounds * Restlessness progressing to confsion * Hyperglycemia * Increased specific gravity and decreased creatinine clearance. | Progressive | * Progressive tissue hypoperfusion * Anaerobic metabolism wih lactic acidosis * Failure of sodium potassium pump * Cellular edema | * Dysrhythmias * Decreased BP with narrowed pulse pressure * Tachypnea * Cold, clammy skin * Anuria * Absent bowel sounds * Lethargy progressing...
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