...Internationalization at Harley-Davidson Founded in 1903, Harley-Davidson (Harley) is a U.S. motorcycle manufacturer that offers thirty-five models through a network of nearly 1,500 dealers. Its annual revenues are about $6 billion, mainly from sales of the big bikes that made the firm famous. Harley earns three-quarters of its total sales in the United States, where it also manufactures almost all its bikes to ensure quality control. The firm makes four distinctive groups of models: ■ Standard. Practical bikes used for low-cost commuting. ■ Performance. Sleek, sport-style racing bikes built for speed and easy handling. ■ Custom. Stylized bikes customized to customer tastes. ■ Touring. Long-distance, large-capacity, comfort bikes that typically include cruise control, stereos, and luggage racks. In the United States Harley competes primarily in the custom and touring segments, which account for around 85 percent of “heavyweight” sales. Its numerous competitors are all headquartered outside the United States and include Honda, Suzuki, Yamaha, and Kawasaki in Japan, and BMW, Ducati, and Triumph in Europe. New competitors are emerging from China. Harley heavyweight bikes sell for $17,000 or more, which puts them beyond the reach of many buyers. The average age of a Harley buyer in the United States is nearly 50. One key to Harley’s success is the Harley Owners Group (HOG), a club of loyal Harley owners with over one million members, including 100,000 in Europe. HOG is...
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...Name Class Date [pic] Triangle Congruence by SSS and SAS 4-2 Reteaching You can prove that triangles are congruent using the two postulates below. Postulate 4-1: Side-Side-Side (SSS) Postulate If all three sides of a triangle are congruent to all three sides of another triangle, then those two triangles are congruent. If [pic], [pic], and [pic], then ∆JKL ( ∆XYZ. In a triangle, the angle formed by any two sides is called the included angle for those sides. Postulate 4-2: Side-Angle-Side (SAS) Postulate If two sides and the included angle of a triangle are congruent to two sides and the included angle of another triangle, then those two triangles are congruent. If [pic], [pic], and (P ( (D, then ∆PQR ( ∆DEF. (P is included by [pic] and [pic]. (D is included by [pic] and [pic]. Exercises 1. What other information do you need to prove ∆TRF ( ∆DFR by SAS? Explain. 2. What other information do you need to prove ∆ABC ( ∆DEF by SAS? Explain. 3. Developing Proof Copy and complete the flow proof. Given: [pic], [pic] Prentice Hall Geometry • Teaching Resources Copyright © by Pearson Education, Inc., or its affiliates. All Rights Reserved. 19 Prove: ∆JDA ( ∆ZMA Name Class Date [pic] Triangle Congruence by SSS and SAS 4-2 Reteaching (continued) Would you use SSS or SAS to prove the triangles congruent? If there is not enough information to prove the triangles congruent by SSS or SAS, write not enough information...
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...UNIT 1: Introduction to The Business Environment Section 1 Introduction The Global McDonalds Corporation McDonalds was founded on May 15th 1940 in San Bernardino, California, as a barbeque restaurant operated by Richard and Maurice McDonald and it is now the world’s largest chain of hamburger food restaurants. The headquarters are at Oak Brook, Illinois and the chairman is Andrew J McKenna and Don Thompson is the president and CEO. A total of 68 million customers are served daily in 119 countries across 35,000 outlets. McDonald's primarily sells hamburgers, cheeseburgers, and chicken, French fries, breakfast consumables, soft drinks, milkshakes and deserts. Due to research from customers, they have broadened their menu to include salads, fish, wraps, smoothies, fruit, and seasoned fries. |Revenue |[pic] US$ 28.1057 billion (2013) [2] | | |[pic] US$ 27.567 billion (2012) [2] | |Operating income |[pic] US$ 8.7643 billion (2013) [2] | | |[pic] US$ 8.6046 billion (2012) [2] | |Net income |[pic] US$ 5.5859 billion (2013) [2] | | |[pic] US$ 5.4648 billion (2012) [2] | |Total assets |[pic] US$ 36...
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...Complications and an Appropriate Approach to Preeclampsia with emphasis on HELLP Syndrome Preeclampsia is a disorder that only occurs in pregnancy. It is a syndrome that affects both mother and fetus where there is an increase in blood pressure after 20 weeks’ gestation accompanied by proteinuria in a previously normotensive woman. Statistically, only 5% to 8% of all pregnancies develop preeclampsia (Davidson, London & Ladewig, 2012, p. 460). In the 5-8 percent of women who develop preeclampsia, 4-12 percent of them could develop HELLP syndrome (Barnett & Kendrick 2010). HELLP syndrome is thought to be associated with preeclampsia even though it may occur in women with normal or minimally elevated blood pressure and no proteinuria. The HELLP acronym stands for the 3 hallmark traits of the syndrome which are Hemolysis, Elevated Liver enzymes and Low...
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...Current Health Promotion Pamphlet Paper Current Health Promotion Paper Pamphlet Hemolysis, elevated liver enzymes, and low platelet count (HELLP) syndrome is a dangerous complication of pregnancy. It is a severe form of preeclampsia and is most common in the third trimester of pregnancy. The cause of the disease is unknown, but the cure is the delivery of the infant and removal of the placenta. This illness can be challenging to diagnose and often presents in atypical fashion involving multiple organ systems. Due to lack of public awareness of this disease and atypical presentation and risk factors, it is important to provide health promotion information for the public on the potential complications. The Preeclampsia Foundation is a non-profit that provides health promotion pamphlets to health care providers on preeclampsia in its many forms. This information is provided free of charge for distribution to the provider’s at-risk patient population. According to Gonzalo (2011), health promotion is human behavior focused on the attempt of achieving personal wellness. The health promotion model developed by Nola Pender is an example of how personal experiences influenced by nursing actions can motivate a patient in avoiding health complications. The nurse assists the patient in becoming their own advocate in preventing disease or illness. This is accomplished by giving the patient access to vital health information that may affect their personal health. Gonzalo...
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...Educational Preparation Educational Preparation Nursing is a genuine work of the heart. Once a person decides on becoming a nurse, it is so apparent that each individual can be whatever type of nurse they choose to be. There are so many different avenues one can take on their journey to becoming a nurse and the type of education one receives is a much talked about and is an ongoing discussion. Many questions often arise as to whether being prepared at the Associates Degree level is sufficient or if being prepared at the Baccalaureate Level is more beneficial. Being educated on a person’s goals within nursing is the best way to decide on the path to their educational preparation. According to Nursing History, Theories, and Conceptual Models “The goal for seeking additional formal education, a BSN, is to strengthen the platform from which nurses make better decisions, plans, and evaluations of patient outcomes. In order to do that, enhanced knowledge is required.” (Hood & Leddy, 2006, para. 1) Baccalaureate prepared nurses are trained and prepared to practice in all health care settings which not only include inpatient care but also outpatient care, public health, mental health and critical care areas. Because health care is moving into a direction of more preventative services, it is important to be BSN prepared so that the nurse is able to make quick decisions and provide well rounded and exceptional care to each patient they are in contact with. According to...
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...California Maternal Quality Care Collaborative calls preeclampsia hypertension in pregnant women and eclampsia hypertension with seizures in pregnant women. The criteria for preeclampsia are the following: blood pressure greater than or equal to 140/90 on two occasions at least four hours apart after 20 weeks gestation in a woman with previously normal blood pressure, proteinuria greater than or equal to 300mg per 24-hour urine collection, protein/creatinine ratio greater than or equal to 0.3, thrombocytopenia with a platelet count less than 100,000 microliters, renal insufficiency, impaired liver function, pulmonary edema, and cerebral or visual symptoms. California Maternal Quality Care Collaborative (CMQCC) discussed the acronym HELLP,...
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...Pregnancy Induced Hypertension, Preeclampsia, & Eclampsia Tessa K. Larsen Mercy College of Health Sciences Abstract Pregnancy induced hypertension or Gestational hypertension, is a condition of high blood pressure unique to human pregnancy. Hypertension during pregnancy affects about 5-10% of all pregnant women worldwide (Baker, 2004, P. 16). Hypertension can prevent the placenta from getting enough blood. If the placenta does not receive enough blood, the baby gets insufficient amounts of oxygen and nutrients. This can result in low birth weight and other severe complications (Simkin, Walley, Keppler, 2008, P. 75). Pregnancy induced hypertension (PIH) can lead to a serious condition called preeclampsia or also known as toxemia (Baker, 2004, P.11). Women at most risk can be characterized by extremes of maternal age which are under the age of eighteen and over the age of thirty five, first-time mother’s, obesity, have a family history of this condition, or are carrying multiples (“Risk Factors”, 1995, P. 645). Preeclampsia happens between 20 weeks of gestation and 6 weeks postpartum (Baker, 2004, p.60). In the worst circumstances preeclampsia if left untreated can lead to eclampsia, a fatal condition (Simkin et al, 2008, P. 77). Most women still can deliver a healthy baby if preeclampsia is detected early and treated with regular prenatal care. If pregnancy induced hypertension and preeclampsia is severe, much more serious affects can occur. Such as a seizure or...
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...Subjective data Identification: K.G. is a pregnant 23 year-old Caucasian female. Chief complaint: Ms. G. enters the clinic today for a routine obstetric exam. History of present illness: Ms. G. is 34 weeks pregnant and is a G1 P0. Last menstrual period was 10/23/13. Past Medical History: The patient has a history of gestational thrombocytopenia. Past Surgical History: Ms. G. had a benign cyst removed from her anterior neck in 2013. Family History: Ms. G. states that her mother and father both alive and her father has a history of asthma. Ms. G. states that her mother has rheumatoid arthritis. Ms. G. is an only child. Social History: Ms. G. is single. Ms. G. does not smoke or drink alcohol. Ms. G. does not use or has never used illicit drugs. Ms. G. works full-time in the banking industry. Ms. G. does not participate in any form of exercise on a regular basis. Current medications: Ms. G. states that she does take prescription medications. The patient takes prenatal vitamins. Allergies: Ms. G. states she has no medication allergies. Review of Systems General: Ms. G. has gained 30 Lbs. with this pregnancy. Ms. G denies any fever or chills. Ms. G. does have normal pregnancy fatigue. Skin: The patient denies any rashes or lesions. The patient denies any changes in moles or skin growths. Head, eyes, ears, nose and throat: The patient denies any sore throat, cough, congestion. The patient does not wear contact lenses or glasses. The patient denies any...
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...proteinuria that happen after twenty weeks of gestation and can last up to twelve weeks after delivery before blood pressure return to normal. Although hypertension and proteinuria are the diagnostic criteria for preeclampsia, PIH can cause decreased perfusion in almost all the organs of the mother’s body, as well as many other complications to mother and fetus. In addition, PIH is the most common cause for a premature birth and underdeveloped fetus (Grossman & Porth, 2013). Signs and Symptoms PIH is characterized by classic sign of proteinuria and hypertension. If proteinuria is already present, then a sudden increase in the level is also indicative of PIH. The patient can also display characteristics of HELLP syndrome that can be a warning sign of preeclampsia. HELLP is an acronym that stands for hemolysis, elevated liver enzymes, and a low platelet count. There are diagnostic criteria that categorizes hypertension in pregnancy. Chronic hypertension in pregnancy is where the mother has a blood pressure above 140/90mm/Hg before the fetus reaches twenty weeks gestation. The patient also is asymptomatic and does not present with proteinuria. Gestational hypertension has the almost the same criteria as chronic except that the elevated blood pressures occur after twenty weeks gestation, have at least to occurrences, and then return to normal twelve weeks after birth (Grossman & Porth, 2013). Preeclampsia transpires with the presence of protein in the urine along with physical...
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...Postpartum Hemorrhage Learning Objectives: * Performs a basic physical assessment of the postpartum patient (APPLYING) * Identifies the signs and symptoms of postpartum hemorrhage (REMEMBERING) * Determines the most likely cause of hemorrhage (ANALYZING) * Performs appropriate nursing management interventions for the patient experiencing postpartum hemorrhage (APPLYING) * Evaluates effectiveness of interventions and revises plan of care as indicated according to patient’s condition and assessment (EVALUATING) * Prioritizes the implementation and approach to the nursing care of a patient with post partum hemorrhage when working with other health care team members (ANALYZING) Prep Questions 1. What is the normal location of the fundus two hours post-vaginal delivery? * Immediately after delivery, the uterus is about the size of a large grapefruit and can be palpated midway between the symphysis pubis and umbilicus and in the midline of the abdomen. Within 12 hours the fundus rises to about the level of the umbilicus 2. What assessments are vital for the nurse to perform on the postpartum patient? * Vital signs, skin color, location and firmness of fundus, amount and color of lochia, perineum (edema, episiotomy, lacerations, hematoma), presence degree and location of pain, IV infusion assessments, urinary output, status of abdominal incision and dressing, level of feeling and ability to move if regional anesthesia was used 3. What...
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...This is intended as a guide and not all inclusive. The material for OB Exam 1 will be over Chapters 9,10, 11, 12, 19, 20 in your textbook. Chapter 9 1. Intimate Partner Violence- the actual or threatened physical or sexual violence or psychological/emotional abuse. It includes threats of physical or sexual violence when the threat is used to CONTROL a person’s actions a. Incidence pg. 215 b. Definitions c. Characteristics pg. 216 d. Types of Abuse/Violence pg. 217- emotional, physical, financial and sexual e. The Cycle of Violence- box 9.1 pg. 217; pg. 216-217 paragraph i. Phase 1- Tension building ii. Phase 2- Acute battering iii. Phase 3- Honeymoon f. Myths and Facts About Intimate Partner Violence- pg. 217-218; Table 9.1 pg. 218 g. Victims/Abuser Profiles pg. 217-218 h. How Intimate Partner Violence affects Pregnant Women pg.218-219 i. Nursing Care and Management (p. 220-225) j. Sexual Violence and Abuse pg. 225 iv. Terms- pt. 225 - sexual abuse, incest, rape, female genital mutilation, human trafficking v. Myths and Facts about Rape Table- ph. 227 Table 9.2 vi. Nursing Management and Teaching needed Chapter 10 2. Fetal Development k. Stages-pg. 238- preembryonic (fertilization through the second week) , embryonic (end of the second week through the eighth week), and fetal (end of eighth week until birth) l. Vocabulary ...
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...The 1920s were a decade characterized by great change. Even though it was the decade after world war 1, it was almost 10 years of improvement for many Americans. Industries were still thriving in America and they were actually richer and more powerful than before World War I. So what event made the 1930’s so different? The Great Depression quickly turned those carefree years into ones of turmoil and despair. The decade after the first world war ever saw tremendous change. Progressivism was a leading factor of World War 1 and in the 1920’s the evidence can be seen. Industries were making their products at an increasing rate. Products that were not popular before World War I were now used by millions of Americans. Cars were only used by about 9 million Americans and by the end of the roaring 20’s that number had reached over thirty million. Also many new inventions were created making life for Americans much easier. Radios, vacuum cleaners, irons, washing machines, and refrigerators were the new electronics that everyone had to have. Refrigerators allowed for better production and transportation of food products. This allowed you to keep food cold and fresh making exporting food a valuable part of the economy. These new inventions were making home life easier for men and women. Not only were American families buying these new items but they also started purchasing stock in companies at an increased rate. Buying stocks was available before the war but was not really done. Soon...
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...Pre-Clinical Assignment- OB Labor and Delivery Medication List Drug Name Typical dose amount Route (for adult OB client) Most common side effects Expected patient response of the female PREGNANT client Magnesium Sulfate Pg 808 diarrhea Pitocin Pg 968 Induction of labor: 0.5-2 milliunits/min; increase by 1-2 milliunits/min q 15-60 mins until pattern established, then decrease dose Postpartum Hemorrhage: 10 units infused at 20-40 milliunits/min. IV or IM (postpartum) (maternal) coma, seizures, (fetal) intracranial hemorrhage, (fetal) asphyxia, increase uterine motility, painful contractions Indications: Induction of labor at term. Facilitation of threatened abortion. Postpartum control of bleeding after expulsion of the placenta. Outcomes: Onset of effective contractions. Increase in uterine tone. Reduction of postpartum bleeding. Cytotec Pg 870 Termination of pregnancy: 400 mcg single dose 2 days after mifepristone if abortion has not occurred. Intravaginally: 25 mcg (1/4 of 100 mcg tablet); may repeat q 3-4 hr, if needed PO or intravaginally abdominal pain, diarrhea, miscarriage Outcomes: Prevention of gastric ulcers in patients receiving chronic NSAID therapy. Termination of pregnancy. Cervical ripening and induction of labor. Brethine C5 2.5-10 mcg/min infusion; increase by 5 mcg/min q 10 min until contractions stop (not to exceed 30 mcg/min), decrease infusion rate to lowest effective amount and maintain for 4-8 hr IV nervousness, restlessness, tremor...
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...Deakin University, Faculty of Health HNM704 Clinical Challenges in Maternity Care. Due Date: 4 October 2013 Assignment 1 Wendy Taylor 212242143 1 Wendy Taylor 212242143 Pre-eclampsia is a condition in pregnancy that causes placental dysfunction and can effect multiple maternal organs, it is characterized by new onset hypertension (systolic blood pressure >140 mm Hg or diastolic blood pressure >90 mm Hg) and proteinuria (excretion of >300 mg daily) usually after 20 weeks of gestation with no history of hypertension (Wagner 2004, 3 Centre collaboration, & Stevenson & Billington 2007). Symptoms can include hypertension, proteinuria, headache, visual disturbance, epigastric pain, hyperemesis, oedema of hands and feet (Briley 2003, NICE 2008). Pre-eclampsia can affect the pregnant woman through pregnancy birth and postpartum. However the focus of this essay will discuss the possible impact on maternal and fetal health and wellbeing as well as the management of the woman and her condition during the intrapartum phase. The role of the midwife in provision of care in this case will also be explored. The woman in this case was a primigravida at 37+6 weeks gestation. On assessment at antenatal clinic it was found that her blood pressure [BP] had acutely risen to 190/110 and she had significant proteinuria, she was admitted to the labour ward for management. During labour her blood pressure fluctuated from 145/90 to 190/110, she had a severe headache, visual disturbance and was very...
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