...Patients Introduction Most patients admitted to the ICU are unable to move about and are at high risk for developing venous thromboembolism in the form of deep vein thrombosis (DVT) or pulmonary emboli (PE). This paper is about an ongoing effort in the writer’s facility’s ICU to prevent occurrences of venous thromboembolism. Compliance with proper use of mechanical thrombo-prophylaxis, staff education and compliance played a major role in the decrease of DVT at this facility. This facility’s quality initiative and DVT/PE eradication program was towards prevention of these vulnerable at risk patients. Venous thromboembolism (VTE), manifested as either DVT or PE, is the most common preventable cause of hospital death. (SOURCE)? This paper focuses on the role the ICU nurses are playing to help track and prevent at risk patients from developing DVT/PE. Adherence to prophylaxis guidelines supported with regular interactive education, preprinted order sets, reminders, and computer support systems were significant. Literature Review Although there is substantial evidence that primary preventive therapy effectively reduces the risk of VTE, under-treatment, it remains a problem (Cohen et al, cited in Duggan-Keen, 2010). For patients at risk for VTE in the acute hospital care setting, studies showed that approximately 40% of at risk surgical patients and approximately 60% of at risk medical patients did not receive appropriate VTE prophylaxis (Cohen et al, cited in Duggan-Keen, 2010). The...
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...Clin Orthop Relat Res (2010) 468:2430–2436 DOI 10.1007/s11999-009-1220-0 CLINICAL RESEARCH Natural Course of Asymptomatic Deep Venous Thrombosis in Hip Surgery without Pharmacologic Thromboprophylaxis in an Asian Population Kosuke Tsuda MD, Tomio Kawasaki MD, Nobuo Nakamura MD, Hideki Yoshikawa MD, Nobuhiko Sugano MD Received: 8 August 2009 / Accepted: 22 December 2009 / Published online: 8 January 2010 Ó The Association of Bone and Joint Surgeons1 2010 Abstract Background The clinical importance of asymptomatic deep venous thrombosis in elective hip surgery is not clearly known. Questions/purposes We determined the preoperative and postoperative incidences of asymptomatic deep venous thrombosis, identified preoperative factors associated with postoperative deep venous thrombosis or pulmonary embolism, and established its natural course in patients who underwent elective hip surgery without receiving pharmacologic thromboprophylaxis. This work was performed at Osaka University Hospital and Kyowakai Hospital. Each author certifies that he or she has no commercial associations (eg, consultancies, stock ownership, equity interest, patent/licensing arrangements, etc) that might pose a conflict of interest in connection with the submitted article. Each author certifies that his or her institution approved the human protocol for this investigation and that all investigations were conducted in conformity with ethical principles of research. K. Tsuda, H. Yoshikawa Department...
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...Education + Training A multilevel study of students’ motivations of studying accounting: implications for employers r Fo Journal: Manuscript ID: Manuscript Type: Education Training ET-Feb-2011-0011.R3 Research Paper Pe Keywords: education, industry er ew vi Re Page 1 of 26 A multilevel study of students’ motivations of studying accounting: implications for employers Abstract Purpose This study examines the influence of factors affecting students’ choice of accounting as a study major in Hong Kong. r Fo Design/methodology/approach Multinomial logistic regression and Hierarchical Generalized Linear Modeling (HGLM) are used to analyze the survey data for the level one and level two data, which is the first time such an approach has been used in the literature. Twenty semi- Pe structured interviews are conducted. Findings er Results reveal that parental influence has the highest explanatory power among all three groups of students (i.e. accounting major, accounting minor, and other majors). Re This finding reflects the inculcation in students of the Confucian cultural norms ingrained in Chinese societies. Intrinsic interest is the second most important vi influencing factor reported by students. Two factors, “intrinsic interest” (attitude towards the behavior) and “parental influence” (subjective norm) in the multinomial ew 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 ...
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...DVT is a condition in which a thrombus is developed that blocks the deep veins of the leg or pelvis causing inflammation. Assessment of postoperative DVT and its risk factors is very important in preventing and managing DVT and thromboembolism. (Knott, 2013) Postoperative patients should be assessed for DVT, if they have risk factors, which can lead to thromboembolism, typically to a pulmonary embolism (PE). Risk factors for developing DVT can be surgery related, patient related or both. Surgery related risk factors include infections, immobilization, dehydration and type of surgery whereas patient related risk factors include cancer, previous DVTs, advancing age, varicose veins and estrogen use. (Zurawska, et al., 2007) According to the NICE recommendations, if the client is presenting with signs and symptoms of DVT, an assessment of the general medical history and a physical examination should be done. Assess for signs and symptoms of DVT including edema or swelling of the calf, pain and tenderness along the line of deep veins in calf or thigh, distension of superficial veins, increase in skin temperature around the swelling, redden skin, hard thick palpable vein and a low grade fever. (Tidy, 2012) Look for signs and symptoms of PE including dyspnea, chest pain, cough and hemoptysis, tachypnea, tachycardia,...
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...Introduction This research deals on the common factors that affect the study of Benjamin B. Esguerra Memorial National High School in Taytay, Rizal in Grade 9 students during academic year 2015- 2016 in their Physical Education Subject. These factors are the problem of the grade 9 students in their performance. Grade 9 Students in their Physical Education Class. It has been so many factors like Skill, Knowledge, Physical Aspect, age, social status and etc. This research focuses on the factors that affect the student performance in PE of BBEMNHS Grade 9 students and their PE performance. These factors can help students on how to face these problems in their studies. This study also can help the parents and the teachers understand the problem of their students. In The Constitution of the Republic of the Philippines Article XIV (Education) Section 1: “The State shall protect and promote the right of all citizens to quality education at all levels, and shall take appropriate steps to make such education accessible to all.” The quality of education depends upon the provision of the education that is being provided by two main sources, the teacher and the curriculum. First, the quality of education is in the teacher’s hands because he is the interpreter, analyzer, sender and facilitator of knowledge. In addition, the Teacher do prepare the learners for future to have productive level of knowledge. The teaching is a set of skills, values, beliefs, and practice to make outcomes...
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...alysis of Bala ed “ o e a d as a pe fo TABLE OF CONTENTS a e easu e e t tool: a o e ie of its usage a d sustai a ility TOPICS PAGE i ii iii iv-v LETTER OF TRANSMITTAL DECLARATOIN ACKNOWLEDGEMENT ABSTRACT CHAPTER ONE INTRODUCTION 1.1 Background of the study 1.2 Objective of the study 1.3 Scope of the study 1.4 Methodology 1.5 Limitations of the study BALANCED SCORECARD 2.1 Overview of the Balanced Scorecard (BSC) 2.2 Objective 2.3 Design 2.4 Original design method 2.5 Improved design method 2.6 Popularity 2.7 Variants and alternatives CRITICAL ANALYSIS ON THE CONCEPT & USING OF BALANCED SCORECARD WHETHER IT IS THE UNIVERSAL SOLUTION FOR THE BUSINESS MANAGEMENT? 3.1 Crucial investigation of the concept and using of Balanced Scorecard 3.2 A comprehensive new approach for the measurement and management 3.3 Is the Balanced Scorecard a universal key to the business management? 3.4 Balanced Scorecard: a question of conjecture and application CHAPTER FOUR: THE SUSTAINABILITY OF THE BALANCED SCORECARD 4.1 The Balanced Scorecard: an instrument for sustainability management 4.2 Different possible approaches of integrating environmental and social aspects 4.3 The process of formulating a sustainability Balances Scorecard 4-7 5 5 5 6 7 8-15 9-11 12 12-13 13 14 14 14-15 16-25 CHAPTER TWO CHAPTER THREE 17-21 21-22 22-23 23-25 26-32 CHAPTER FOUR 27-28 28-30 31-32 1 A iti al a alysis of Bala ed “ o e a d as a pe fo a e easu e e t tool: a o...
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...ABSTRACT BACKGROUND: During the last two years, most of the Private Equity (PE) companies of Bangladesh have increased their investments significantly. Easy access to capital, as well as inexpensive leverage, has led to an increase in activity of PE buy-outs of market leaders with strong cash flow. The competition for objects that are for sale has amplified, which has resulted in price increases of the objects. The higher prices offered by the PE companies also affects the number of initial public offerings (IPO) on the Dhaka and Chittagong Stock Exchanges. One reason for the small number of current IPOs is that the objects simply have been valued higher by PE companies than they would do in an IPO. PURPOSE: The purpose with this thesis is, from a shareholder’s point of view, to analyze and describe the reasons of making an IPO instead of selling to a PE company. METHODOLOGY: Since the research is based on gathering and understanding information regarding specific persons’ choices and motives, a qualitative approach has been conducted. CONCLUSION: All the main motives of the IPO could have been achieved by selling to PE Company, except the motive of attaining share liquidity. One of the attractive reasons for share liquidity is that shareholders easily can choose between reducing ownership, increasing ownership or remain with existing shares. Another attractive reason is that financial institutions normally become shareholders, which in turn increases the credibility...
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...ECONOMICS AND MANAGEMENT Libornio S. Cabanilla, Dean Jose V. Camacho, Jr., Associate Dean Agnes T. Banzon, College Secretary Reynaldo L. Tan, Chair, Dept. of Agribusiness Management Cesar B. Quicoy, Chair, Dept. of Agricultural Economics Amelia L. Bello, Chair, Dept. of Economics The College of Economics and Management (CEM) was formally created in the 996th UP-BOR meeting, February 1987. However, the College traces its roots to the Institute of Agricultural Development and Administration (IADA)which was established in 1975, with three departments – Agricultural Economics (DAE), Economics (DE), and Management (DM), and was elevated to the College of Economics and Management from the merger of IADA with the Agricultural Credit and Cooperative Studies and the Agrarian Reform Institute in 1978. At present, CEM is composed of three departments – the Department of Agricultural Economics, the Department of Economics and the Department of Agribusiness Management. The college sees itself as a center of excellence in undergraduate and graduate instruction, research and extension in economics, agricultural and applied economics, and agribusiness management in Asia. It envisions to be an institution of higher learning that can serve as an active catalyst for economic and social transformation. Its two-fold mission is to produce graduates and future leaders with strong training in economics, agricultural and applied economics, and in agribusiness management for the challenges of economic growth...
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...groups and teams that exist in areas such as those seen in organizations. In 1966, Tucker proposed that group development progressed through four identifiable stages which were named forming, storming, norming and performing. The Tuckman model for the stages of group development is one of the most cited models in the business world. Over the years there were other studies that also agreed that groups go through stages and they had identified that there appeared to be an “ending” stage as well. In 1977 Tuckman with Jensen reviewed who the stages of group development had evolved over the years since his first proposal of the stages of group development and in response to other studies they added a final stage of group development which the called adjourning (Tuckman & Jensen, 1977). The adjourning stage will not be reviewed in this paper since there was no real adjourning stage with this group. Another model for group development is the punctuated equilibrium (PE) model which was proposed by Gersick in 1988 (Hall, 2007). In the PE model groups do not go through stages by go through states of stability or equilibrium. The PE model has three phases. Phase 1 is the group developing agendas and norms, followed by and upset of the equilibrium followed by a new period of equilibrium Phase 2 (Hall, 2007). The punctuated equilibrium is a 3 stage...
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...substantial component of any quantitative research study is the data that are collected. The conclusions drawn from the data collection ultimately lead the researcher(s) to either accept or reject their research hypothesis. As cited earlier, the hypothesis of this study is that HAI’s occur less frequently in favorable work environments than they do in poor work environments (Kelly et al., 2013). This portion of the article critique addresses the data, findings, and overall summary of the research study. Data Analysis According to the authors, evidence indicates that nurses are reputable sources of information concerning patient safety...
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...Jingbo, "Three essays on biofuel, environmental economics, and international trade" (2012). Graduate Theses and Dissertations. Paper 12304. This Dissertation is brought to you for free and open access by the Graduate College at Digital Repository @ Iowa State University. It has been accepted for inclusion in Graduate Theses and Dissertations by an authorized administrator of Digital Repository @ Iowa State University. For more information, please contact hinefuku@iastate.edu. Three essays on biofuel, environmental economics, and international trade by Jingbo Cui A dissertation submitted to the graduate faculty in partial fulfillment of the requirements for the degree of DOCTOR OF PHILOSOPHY Major: Economics Program of Study Committee: Harvey Lapan, Co-major Professor GianCarlo Moschini, Co-major Professor Sebastien Pouliot John Schroeter Rajesh Singh Iowa State University Ames, Iowa 2012 Copyright c Jingbo Cui, 2012. All rights reserved. ii DEDICATION This dissertation is dedicated to my wife Shu and to my daughter Iris, who supported me each step of the way. I would also like to thank my family for their unconditional love and support throughout the course of this work. iii TABLE OF CONTENTS LIST OF TABLES . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . vi LIST OF FIGURES . . . . . . . . . . . . ....
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...curve for aluminum in Figure 1-3 shows that 4 million pounds of aluminum would be demanded annually at the price of $1.50 per pound (point A), 6 million pounds would be demanded at the price of $1.00 per pound (point E), and 8 million pounds would be demanded at the price of $0.50 per pound (point B). Note that more aluminum would be demanded annually at lower prices; that is, the demand curve for aluminum slopes downward to the right. This is true for practically all commodities and is referred to as the law of demand. Demand curves are drawn on the assumption that buyers' tastes, buyers' incomes, the number of consumers in the market, and the price of related commodities (substitutes and complements) are unchanged. Changes in any of these factors will cause a demand curve to shift. For example, if consumers' tastes for aluminum products or consumers' incomes increase, the entire demand curve for aluminum shifts to the right, indicating that buyers will purchase more aluminum at each price annually. More will be said on market demand...
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...FACTORS AFFECTING THE ACADEMIC PERFORMANCE OF FIRST YEAR STUDENTS IN PURPOSIVE COMMUNICATION OF QUEZON CITY POLYTECHNIC UNIVERSITY S.Y. 2015-2016 Chapter 1 The Problem and its Background Introduction Purposive Communication is built upon the firm foundation of logic and orderly reasoning. Purposive Communication learning progresses smoothly, step by step, from the simplest processes to the most complicated and advanced applications, each step along the way resting upon those topics which have been taken before. It is axiomatic that the understanding of the present and future lessons depends greatly on the kind of understanding of the present lesson. Within this context, Purposive Communication learning is basically like a language; if it is not learned properly from the beginning, it may become too difficult and abstract later to grasp and understand. In the study of Purposive Communication, the first topic of the study can be exceedingly important in the development of the student under an instructor. As such, concepts should be taught by the instructor and learned properly by the student with the aid of detailed explanations. This should include every available and relevant learning aid to condition the minds of the students into understanding the lesson well. Towards later part of the discussions examples are given applying the same concepts the theories to enable the students to relate their understanding of the lesson to the given examples as encountered...
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...Hertz Ipo Case Analysis Executive Summary Hertz group had initiated an IPO in July 2006 when Carlyle group, together with Clayton, Dubilier &Rice, and Merril Lynch Global Private equity , three prominent firms had filed to take the firm public. However this action has come just seven months after the three had combined to purchase Hertz from Ford Motor Company for Approx. $15 million. Berg, MD of Vandelay Capital Management debated whether to invest in this IPO.The LBO sponsors had borrowed an additional $1 billion on top of the buyout financing to pay themselves a special dividend in June 2006 , being the biggest reason why the IPO generated widespread criticism along with the speed with which the IPO was conducted . In the face of this criticism, the demand for the Hertz IPO weakened, and the offer price was reduced from the initial file price range of $16-$18 to just $15. Berg must assess whether at $15 per share, Hertz offers an attractive investment for this fund. After detailed analysis on the sponsors' returns on their investment and the attractiveness of the $15 offer price to public shareholders, along with the circumstances surrounding the IPO, it was concluded and advised not to invest. Reasons behind the IPO One of the obvious reasons behind the IPO was Hertz’s strong brand equity that gave it strong pricing power since it was ranked as the top worldwide general use car rental brand and one of the largest rental companies in the U.S and Canadian markets...
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...various research studies done abroad and in Indian context have been detailed in the literature review chapter. Enumerated below are the key variables identified as per available literature along with the relationship with dividend payout ratio of the firm. PROFITABILITY The key determinant of dividend payments is the current earnings which represents the capacity of a firm to pay dividends. Profitability has a positive relationship with dividends. Research studies have used PAT, ROE and RONW as proxies for profitability of the...
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