Wednesday, October 16, 2019
I will post it down 13 question to be answerd in 5 pages Essay
I will post it down 13 question to be answerd in 5 pages - Essay Example These views represent a mixed bag just as advocated for by Marshall and Smith. As such, values differ in range and manner depending on the user and the needs (Marron 94). 2. Likewise, how are wages and profits determined in your economic theory? By subsistence level like Malthus and are they mutually exclusive as they are for Ricardo? Or by social/historical determinants like Marx or by supply and demand in the market, like NC theorists? The market forces of demand and supply are what determine wages and profits in an economic theory. These forces determine the costs of operations within the industry, thereby setting costs such as the cost of living, the costs of operations in the company, as well as determine the level of efficiency and effectiveness in the company. As such, a company sets the wages according to market levels, since very low wages will dismiss good and experienced workers, whilst on the other hand, very high wages will drain the companyââ¬â¢s profits. The main goal under these conditions is to keep the level of costs at controllable measures in order to maintain high profits. 3. What is your theory of human behavior? i.e., do you see humans as profit-maximizing individualists, or as community-minded workers who get great satisfaction from their work (like Veblenââ¬â¢s idea of ââ¬Å"workmanshipâ⬠) or something else? Human beings are profit-maximizing individualists who work hard to make them rich and comfortable. This is because most people think about satisfying their own needs and desires first before they look out for the welfare of others and of the community. For instance, an individual will go to school study hard to get the best grades, and then seek employment in the biggest corporation within his or her neighborhood. However, the first thing he or she will do with their paycheck is to buy a new car, or
Tuesday, October 15, 2019
Marketing Managment Essay Example | Topics and Well Written Essays - 3250 words
Marketing Managment - Essay Example This paper approves that organizations buying behavior is dissimilar to the consumers. Organizations are affected by environmental, organizational, interpersonal and individual factors. These individuals have their own set of behaviors and tend to influence others through interpersonal contact. In the environmental factors side, economic conditions is considered, the state of technological change is monitored, political and social factors are kept in mind and competitive developments play a major role in the companyââ¬â¢s decision. At present, green marketing/ environment marketing has no strategies for the conventional process of segmenting, targeting and positioning. This is due to the fact that green marketing is a relatively new phenomenon with not set rules therefore the process is constantly updated, shifted, revised and new rules are created. One can use the traditional way marketing works with segmentation, targeting and position and merge newer reforms into this. This essay makes a conclusion that research conducted in the field of environment marketing, needs to be extensive and experimental. Organizations that declared their own selves to be socially responsible should understand the transitional phase green marketing in undergoing. Universities etc need to implement details about green marketing into their curriculum. Countries that are remote need to be made aware of their natural resource and taught the proper implementations of these. Above all green market is a profitable theory which needs to be realized by governments of other countries. Organizations such as The Body Shop have shown to their competitors that ozone-friendly products are in demand and appreciated by the public. However the publics of developing countries do not have this option and must be given so.
International Trade Simulation Essay Example for Free
International Trade Simulation Essay In jumping into international trade a country would ideally want to maximize profits and maximize the impact of opportunity costs associated with importing and exporting goods and services. The ideal situation for a country involved in international trade would be the exportation of specialized goods that can be efficiently produced and the importation of goods that are produced elsewhere that are produced under similar conditions. Doing so creates reasonably priced goods that are desirable to other countries. The contents of the paper will discuss the advantages and limitations of international trade as identified in the simulation and will indentify four key points from the reading assignments that were emphasized in the simulation. In addition there will be a discussion on the application of what was learned in the simulation to a familiar organization. Lastly there will be a summary of results from this assessment. Rodamia International Trade Advantages and LimitationsOne major advantage of international trade, as pointed out in the simulation, is that by importing certain goods that a country does not have an advantage over means that the country will be able to optimize the production of the products that they do have advantage over. In this type of situation a country exports an efficiently made, high quality product. For example in the first scenario Rodamia the best products for export were cheese and DVD players. Due certain choices along with availability of technology and resources those commodities were the best choices to produce and subsequently export. Importing corn from Uthania was another good choice because corn is produced at a lower opportunity cost which passes that savings along to Rodamia. In addition importing corn allows Rodamia to put a large amount of its resources into producing cheese. Suntize has a comparative advantage in electronics so importing watches from them was a good decision as well. In trading with Suntize and Uthania this made Rodamia in line with opportunity costs of production in each country. The limitation is that comparative advantage does not stay the same because over time as technology develops and skill level adapts the advantage changes as well. Scenario 2 3Another advantage is that in order to stabilize international conditions countries can decide to or not to impose tariffs to equalize theà market. In the second scenario Suntize exported watches to Rodamia at a lower price than the watches Suntize was selling domestically. Placing a different price otherwise called dumping, causes the international market to become unstable. Rodamia decided to place a tariff so that the price imported can equate to the market value of the watches. The dumping margin was calculated at 25% which would raise a tariff of $40 per unit or 25% of the export price. The tariff also proves to help protect the domestic producers. This is so because the number of imports starts to decrease and domestic production numbers raise because of it. In Rodamia the tariffs caused imports from Suntize to drop to 2.00 million units and increased domestic production to 6.00 million units. One of the limitations is that imposing tariffs means that consumers will no longer be able to reap the benefits of a cheaper imported product. High tariffs can mean that consumers may have to pay for higher priced domestically made goods. In scenario three not imposing a tariff proved to be an advantage because not imposing a tariff on Uthania and Suntize caused them not to impose tariffs on the cheese that is imported from Rodamia. A tariff would also harm goods producers in Uthania and Suntize. The limitations are that in Rodamia the corn industry is in its beginnings and imposing a tariff would protect the domestic industry from cheaper produced corn. A tariff would foster the potential for Rodamia to be a large corn producer. Scenario 4Free trade improves domestic market competition. What this means for the consumer is better quality goods and for producers an expanded market in which to export their goods. Countries involved in free trade benefit from all the other countries involved as once a country determines their competitive advantage other countries can reap the benefits of having quality goods. Rodamia has decided to negotiate free trade agreements with both Uthania and Suntize. In doing so free trade negotiation lowers trade barriers which allow countries to explore other markets. This can provide consumers with a larger variety of products. In addition opening the country to other markets increase production leads to an increase competition and consumers benefit from this. The limitations are that free trade negotiations do not affect countries that are not a part of the FTA. Countries outside of the FTA will have high trade barriers. Four Key PointsFour key points that were emphasized in the readings and in the simulation were comparative advantage, consumer surplus, opportunity costs, and trade restrictions. Comparative advantage is when a country possesses the technology and resources to produce at good at a lower cost compared to another good and another countries production. Since Rodamia could produce cheese efficiently their comparative advantage would lay in cheese production. The comparative advantages in the simulation determined Rodamias exports and imports from the neighboring countries. Consumer surplus is when a country can produce goods at a lower price than another country. The country of Suntize may have had a consumer surplus with its production of electronics. The decision to choose Suntize to import watches was based upon the fact that Suntize had an advantage in producing electronic goods. Opportunity cost is the benefit foregone by producing a certain good (Colander, 2004). Opportunity costs were weighed heavily in Rodamia choosing goods to export. Rodamia was encouraged to export the commodity that had the lowest opportunity cost which turned out to be cheese. Giving away 2000 tons of corn cut cheese production in half where as if no corn was exported and imported instead, yields 8 million pounds of cheese. The last key point involves trade restrictions. Some types of trade restrictions include tariffs, quotas, embargos, and licenses. Tariffs were imposed upon Suntize for creating an unbalanced market. The tariff helped to equalize the imported price with the market value. Not imposing trade restrictions can also help not to harm foreign producers of goods and in return they may not decide to place tariffs on imports. Application of SimulationAs a frequent traveler to foreign Asian countries I now know why some countries produce the goods they produce. For example Jasmine rice is widely known as a Thai commodity but their number one export is computers and computer parts. This is so because Thailand has a comparative advantage in producing those goods and exporting them. Because of the lowered price of production Thailand will be able to export units at a reasonable price making those products desirable to countries that are in need of them. In addition I also see the major disadvantages of being a country that does not have any sort of comparative advantage. This wouldà make it difficult to trade with other countries that will look for products that can be produced efficiently and less costly. Summary of Results Scenario 1:Exports: Cheese and DVDsImports: Corn/UthaniaWatches/SuntizeScenario 2:Level of Tariff (%/unit): 40Imports from Suntize (million units): 2.00Domestic Product (million units): 6.00Scenario 3:Tariff level: 0%Imports from Uthania Alfazia ($ in million): 37.29Exports from Uthania ($ in million): 32.48Exports to Alfazia ($ in millions): 8.86Rodamias Balance of Trade ($ in millions): 4.04Scenario 4Weather to Negotiate FTAs: YesCountry to Negotiate FTAs with: Alfazia and Uthania Conclusion In summary international trade does not come without issues of creating optimal exports and importing the most cost efficient goods. International trade seems to expand the variety of goods that consumers want and for a country and its producer it seeks out new consumers and markets. The contents of this paper has discussed the advantages and limitations of international trade as identified in the simulation and indentified four key points from the reading assignments that were emphasized in the simulation. In addition there was a discussion on the application of what was learned in the simulation to a familiar organization. Lastly there was a summary of results from this assessment. References: Colander, D.C. (2004). Economics (5th ed.). Burr Ridge, IL: Irwin/McGraw-HillUniversity of Phoenix. (2007). Applying International Trade Concepts. Retrieved on October18, 2007 from, University of Phoenix, rEesource, Simulation,ECO360- Economics for Business I Web site.
Monday, October 14, 2019
Physical hazard
Physical hazard Can physical hazard really cause harm to consumer? Food hazard: A Food hazard can be defined as presence of undesirable matter in food which can cause negative effect on consuming it. There are three types of hazard in food industry: Physical, Chemical and Biological. Physical hazard is any foreign matter in food stuff which can cause injury or illness to a person consuming the product. These could be anything like bits of bone, piece of metal, packaging material, insects, etc. A physical hazard can enter into the food at any stage of the food production. The sources for these contaminants are raw materials, poorly maintained facilities and equipments, untrained employees, poor production procedure. To eliminate these hazards it is important to implement HACCP along with the Pre-requisite programmes such as good manufacturing practice, good hygiene, etc. It is considered to be quality issue and not as safety. A person consuming a food with physical hazard could be subjected to various risks. It can cause lacerations to mouth or throat. damage to teeth or gums. damage to stomach or intestine. How do they enter into foods? Physical hazards can enter into any stage of the production. Below are the listed out few examples. Metal: sources could be from machineries, hair, bits from knife, broken needles, and parts from vessels. Glass: sources can be broke bulbs, window panes, glass containers. Plastic: sources can be from packaging material, chopping boards, storage containers, gloves etc. Soil and stone: main sources can be from the field crops and also from the floors and ceiling of the factory. Classification of physical hazards: These are classified on their level of risks to the consumer. The Canadian Food Inspection Agency (CFIA) has categorized physical hazards into three: Category I Category II Category III The category I expresses high risk, category II with a moderate risk and category III with the low risk of any cases due to physical hazard. The low risk zone expresses that there are good control measures in place but minor infractions occur. The moderate risk zone results in average control measures established and inconsistencies occur. The high risk results in due to little or no control and has major infractions occur. Every food has its own levels of risk and every food stuffs have to be monitored and made sure that appropriate control measures are in place to eliminate the hazard to an acceptable limit. According to the Food and Drug Administration (FDA): Objects which are hard or sharp of size 7-25mm in length represent potential physical hazard in food. Natural hard or sharp components like shells can cause injury to consumers if they do not know that they are a natural food component. Natural hard and soft objects which are usually removed in foods but are 100% effective such as presence of bone in fish fillets. Elimination of Physical hazards: There are systems and methods to eliminate physical hazard to an acceptable limit. HACCP and pre requisite programme is very important and effective. But to focus on the point of entry of hazards would be more effective, which are raw materials, storage and specifications. Inspection of raw material and food ingredient for any contaminants Eg: stones in rice. Storage Good storage practice and evaluation of potential risks in storage area Eg: Bulbs, insects, wooden pallets, etc. Could be prevented using bulb cover, prevention of insects. Specifications and control for all ingredients and components including raw materials and packaging materials. The specifications must comply with the rules. Eg: A limit of detection should be established to avoid false detection. Installing effective detection device and eliminating physical hazards. Eg: Metal detectors, filters etc). Periodic checking and upgrade of equipments in facilities to avoid source of physical hazards such as nuts and bolts from worn out equipments. Employment training on shipping, storing and handling of food materials will also help reducing physical hazards. How can physical hazards be detected and eliminated? There are different types of methods to detect physical hazards. Metal detectors will help in detecting metals in food stuffs. They can set up to products from the production line if metal is detected. It is also essential to check the detectors frequently to be accurate. X- Ray machines can also be used on food production lines to detect hazards such as stones, plastics, bones and metals, etc. Visual inspection could also help in a few cases of physical hazards. Chicken manufacturing factory: Let us consider process of raw breast chicken factory and the physical hazards involved. The process starts by getting the raw chicken from the primary producer. This is exercised by relying on supplier quality assurance (SQA) and this guarantee the supplier is meeting the specification of the buyer and the product is safe from hazards till the time of delivering it to the buyer. The chicken is cut; the skin is removed and cleaned. At this stage, physical hazards involved are pieces from the chopping board, chipped bits of knife, bones, feathers, etc. The hazards caused by these can be prevented by having good maintenance of the equipments along with proper training for the staffs. SSOPs (Sanitation Standard operating procedures) can help very much in cleaning of the machineries and equipments. This holds all records for cleaning routines in a daily basis and is signed off by a staff stating that the machine is free from any debris from the previous routine and is working up to its l evel. This is made mandatory in Meat and poultry operations from 1997 because of the products lower threshold of getting spoilt. The chicken is then packed and stored below 4C. Packing itself has high probability for physical hazards to be introduced, for example the packaging material, the labels used etc. Packing material can be a hazard and hence visual inspection can be done to ensure the packing. A detailed example for SSOP is given below to sanitize automated labelling machine. This is done on a daily basis and weekly once for cleaning the inside parts. Removal of all debris and physical matter. Wiped by a clean cloth dipped in soap water. A thin spray of QUATS (Ammonium compound) solution is applied and made to dry. Visual inspection is done to ensure that the machine is clean. If anything is broken it is always compulsory to call maintenance team to fix it. Once a physical hazard has been detected, an effective program should be exercised immediately to eliminate these threats or bring it to an acceptable level. HACCP will help to bring down the risk to an acceptable level or clear out every physical hazard from the system. Auditing process would bring out the area of weakness in the production cycle. Make sure that the CCPs (Critical control point) are covered by the respective critical limits. All the process is to be written into a record for future use in case of emergencies. A regular auditing will help the production within safe limits and not leading to any disaster. More assistance can be obtained from consulting services, trained HACCP professionals, on-site training for workers etc. Therefore to prevent any risk of food incidents to consumers and from economic downfall, it is obvious to identify and understand the prone hazards. Make sure effective control measures are in place that would reduce or remove any hazards entry sit uation. A well developed HACCP plan will help solve most of the possible hazard situation and a well controlled quality control system will be of a good support. Taking up these steps would ensure that a food produced in a factory is safe from any possible physical hazards. Reference: 1) http://foodsafety.unl.edu/haccp/start/Identifying%20Hazards%20Physical%20Hazards%20July%202003.pdf 2) http://www.gov.mb.ca/agriculture/foodsafety/processor/pdf/cfs02s74.pdf 3) http://foodsafety.unl.edu/haccp/start/physical.html 4) http://www.foodsafety.com/haccp.html#five 5) http://cnx.org/content/m33333/latest/ 6) http://www.jphpk.gov.my/Agronomi/KAV/5HACCP1.pdf 7) http://foodsafety.unl.edu/haccp/prerequisites/sop.html
Sunday, October 13, 2019
Holden in The Catcher in The Rye Essay -- essays research papers
The author has put in plenty of themes, messages, ideas, issues, and motifs. The character, Holden Caulfield is alienated from society, is experiencing the painfulness of growing up, thinks that the adult world is full of phoniness, and is sick of hearing about the American Dream from his teachers. JD Salinger has created a book that has raised plenty of questions and controversy towards the readers. The Catcher in the Rye shows how a teenage mind works. JD Salinger has used a stream of consciousness writing style where the character (Holden Caulfield) talks in first person as he presents his thoughts and feelings to the readers. The setting has taken place in the early fifties and the book uses a lot of profane words. The New York vernacular helps to explain the plot and help define the character. The Catcher in the Rye clearly states that Holden is an individual trapped within a heartless world. He is victimized on the other side of the world but he tries to get in the world which he feels that he does not belong in. Holden wears a red hunting hat as a symbol to show that he is a rebel against the law. By criticizing others, that is the way Holden hides away from his fears. ââ¬Å"Pencey was full of crooks. A few guys came from wealthy families, but it was full of crooks anyway. The more expensive a school is, the more crooks it has - I'm not kidding.â⬠In his mind, the adult worldââ¬â¢s is full of phoniness. He imagines that childhood is life while adulthood is death. When Phoebe (his younger sister) asks Holden what he wants to be when he grows up, Holden thinks about it and says ââ¬Å"I keep picturing all these little kids playing some game in this big field of rye and all. Thousands of little kids, and nobody's around - nobody big, I m... ...an instead of his 16 year old self. The ducks are symbolic since they show Holden that some things are only temporary and that they do not always stay the same. The ducks vanish every winter but return once winter is over. It shows how the world and things are temporary and how they donââ¬â¢t stay the same forever. The pond is another symbol as it shows that it is ââ¬Å"partly frozen and partly not frozen.â⬠It is in two states just like Holden who is stuck between childhood and adulthood. ââ¬Å"I live in New York, and I was thinking about the lagoon in Central Park, down near Central Park South. I was wondering if it would be frozen over when I got home, and if it was, where did the ducks go? I was wondering where the ducks went when the lagoon got all icy and frozen over. I wondered if some guy came in a truck and took them away to a zoo or something. Or if they just flew away.â⬠Holden in The Catcher in The Rye Essay -- essays research papers The author has put in plenty of themes, messages, ideas, issues, and motifs. The character, Holden Caulfield is alienated from society, is experiencing the painfulness of growing up, thinks that the adult world is full of phoniness, and is sick of hearing about the American Dream from his teachers. JD Salinger has created a book that has raised plenty of questions and controversy towards the readers. The Catcher in the Rye shows how a teenage mind works. JD Salinger has used a stream of consciousness writing style where the character (Holden Caulfield) talks in first person as he presents his thoughts and feelings to the readers. The setting has taken place in the early fifties and the book uses a lot of profane words. The New York vernacular helps to explain the plot and help define the character. The Catcher in the Rye clearly states that Holden is an individual trapped within a heartless world. He is victimized on the other side of the world but he tries to get in the world which he feels that he does not belong in. Holden wears a red hunting hat as a symbol to show that he is a rebel against the law. By criticizing others, that is the way Holden hides away from his fears. ââ¬Å"Pencey was full of crooks. A few guys came from wealthy families, but it was full of crooks anyway. The more expensive a school is, the more crooks it has - I'm not kidding.â⬠In his mind, the adult worldââ¬â¢s is full of phoniness. He imagines that childhood is life while adulthood is death. When Phoebe (his younger sister) asks Holden what he wants to be when he grows up, Holden thinks about it and says ââ¬Å"I keep picturing all these little kids playing some game in this big field of rye and all. Thousands of little kids, and nobody's around - nobody big, I m... ...an instead of his 16 year old self. The ducks are symbolic since they show Holden that some things are only temporary and that they do not always stay the same. The ducks vanish every winter but return once winter is over. It shows how the world and things are temporary and how they donââ¬â¢t stay the same forever. The pond is another symbol as it shows that it is ââ¬Å"partly frozen and partly not frozen.â⬠It is in two states just like Holden who is stuck between childhood and adulthood. ââ¬Å"I live in New York, and I was thinking about the lagoon in Central Park, down near Central Park South. I was wondering if it would be frozen over when I got home, and if it was, where did the ducks go? I was wondering where the ducks went when the lagoon got all icy and frozen over. I wondered if some guy came in a truck and took them away to a zoo or something. Or if they just flew away.ââ¬
Friday, October 11, 2019
Rutherford B. Hayes Essays -- essays research papers
Rutherford B. Hayes (19th president) Ã Ã Ã Ã Ã Rutherford Bichard Hayes was not a well know president. He was not president that had the opportunity to lead us through a war. He was not a president that would draw much attention to the public eye. He was however one of the presidents that had a great triumph over a major U.S. problem, economics and civil rights following a war. The United States was just coming out of the Civil War and was in need of a new president. They were in need of one that could lead them into a booming economic system, start the process of paying off the national debt, and show them the benefits of a nation-wide unification of the North and the South. Ã Ã Ã Ã Ã On October 4th 1822, Sophie Bichard Hayes gave birth to Rutherford Bichard Hayes. His father Rutherford Hayes passed away two months prior to Rutherford Jr. being born. Along with his 4 other siblings, Rutherford was raised in Ohio by his mother for most of his life. Rutherford went to school in Norwalk, Ohio and Middletown, Connecticut. In 1842 he graduated from Kenyon College, in Gambier, Ohio, valedictorian of his class. After a year of study in a Columbus law office, he entered Harvard Law School and received his degree in 1845. Hayes began his practice in a small town called Lower Sandusky. Not finding many opportunities here, he left for Cincinnati in 1849 where he became a successful lawyer. Ã Ã Ã Ã Ã In 1952, Hayes married L...
Stroke Epidemiology In Southwestern Iran Health And Social Care Essay
Introduction:Harmonizing to the World Health Organization definition, shot is the rapid patterned advance of marks and symptoms caused by bound or widespread break of encephalon map which has vascular beginning and takes more than 24 hours ( 1, 2 ) . Stroke can be by and large divided into two classs: Ischemic and hemorrhagic ( 1 ) . The disease is the 2nd prima cause of decease in the universe and considered as the 3rd in the United States and other industrialised states ( 3-8 ) . 55 million deceases occur each twelvemonth in the universe where 10 % of them are due to stroke ( 9 ) . In the United States about 780,000 shots occur each twelvemonth ( one every 40 seconds ) while 87 % is ischaemic and 13 % is haemorrhagic type. Annual mortality of the disease in this state is 150,000 people ( one out of every 4-3 proceedingss ) so it is estimated that one out of every 16 Americans die due to stroke ( 9 ) . In aÃâ â⬠¹aÃâ â⬠¹the Middle East and North Africa deceases happening within 28 yearss of the morbid varies from 10 % in Kuwait to 31/5 % in Iran ( 4 ) . This disease, which two-thirds of all instances of it occurs in developing states, although preventable but is increasing ( 12, 13 ) . Prognosiss suggest that by 2030 deceases from shot will duplicate in the Middle East and North Africa ( 4 ) . Increasing age is such major hazard factor for the disease that after age 55, the hazard of shot doubles every 10 old ages ( 7 ) . High blood force per unit area as the most common preventable causes of the disease is an other hazard factor ( 11 ) . Other hazard factors include: diabetes, smoke, fleshiness, deficiency of exercising, eating a diet high in cholesterin and salt, intoxicant, atrial fibrillation, and household history of OCP usage ( 7, 11, 14, 15 ) . In add-on gender is deciding factor in this disease ; In general shot is more likely to happen in work forces However, du e to the longer life anticipation of adult females on one manus and the high incidence of shot in older ages in the other manus, the figure of instances in adult females is more than in work forces ( 16 ) . Another note is that shot as the most of import factor for physical disablement in the universe, is one of the chief factors need long-run infirmary attention which led to a important addition in the cost of intervention ( 7, 8 ) . In general, the direct and indirect costs ( including old ages of lost benefits ) related to the disease in the United States is about 5.65 billion yearly ( 17 ) . Consequences from few surveies in Iran shows incidence of shot about 43 instances per 100,000 people that 67 % is ischaemic and 23 % is haemorrhagic type ( 18, 19 ) . The most common hazard factor which has been achieved is high blood force per unit area with prevalence about 54 % ( 18, 19 ) . Incidence of shot was somewhat higher in adult females in all age classs ( 51-53 % ) However, in the age group 45-15 old ages occurs more in work forces ; while the mean age of incidence is in the 7th decennary of life. Death within 28 yearss of shot in a survey was 19.2 % , and in another 1 was 31.5 % ( 18 ) . Another survey refers to the unknown state of affairs of this disease in the Middle East and mismatch with informations in Western states ( 1 ) that one time once more makes clear the demand for more surveies in this respect. The lone survey conducted in Shiraz investigates early encephalon bleeding due to high blood force per unit area in patients referred to Shiraz University of Medical Sciences infirmaries during 2002-2004 ( 20 ) . Sing the preventable nature of the disease, it is necessary to make more surveies to find hazard factors and implicit in causes in a peculiar population in order to Sketch and be after for the bar of it ( 18 ) . Sing that no epidemiological survey have been conducted to clear up assorted facets of shot in Shiraz since earlier, this survey was conducted in Shiraz Namazee learning Hospital as a referral centre for shot patients in Fars state and southwesterly Iran to obtain general information about the position of the disease in this part.Material and Method:We conducted this hospital-based survey between August 2010 and January 2011 in Shiraz Namazee learning infirmary. This infirmary is one of the chief referral centres for neurological diseases in southwesterly Iran and affiliated with the Shiraz University of Medical Sciences, Shiraz, Iran. As this survey was a cross-sectional one, all patients admitted in exigency and neurology ward with diagnosing of shot based on their clinical manifestations and imaging ( MRI or CT scan ) during this period were included. Patients with transeunt ischaemic onslaught and those who released by themselves during hospital coarse were excluded. Three medica l pupils with supervising and part of one neurology occupant completed the informations assemblage sheet by reading patient paperss during and after study period. It contains the most of import informations about these patients including age, sex, type of shot, drug history, hazard factors, degree of consciousness, neurologic marks, continuance of hospitalization, result and prescribed medicines after discharge. We analyzed our informations with SPSS version 16 and considered P-Value less than 0.05 important.Consequences:305 CVA patients were investigated that 269 ( 88.2 % ) had ischaemic and 36 ( 11.8 % ) had hemorrhagic shot. 64 ( 21 % ) had recurrent stroke while others experienced their first of all time shot. 133 ( 43.6 % ) adult male and 172 ( 56.4 % ) adult female between 27- 97 old ages old ( mean:68.33à ±12.99 ) were classified to six age groups that most of them were between 61-80 old ages old, although informations analysis did n't uncover important difference between mortality rates ( Table 1 ) . Average age of ischaemic shot was 68.6à ±13.1 and hemorrhagic was 66.2à ±12.1. 15.1 % of all patients expired during their hospital coarse while 11.4 % of ischaemic and 40.6 % of haemorrhagic shots lead to decease ( OR:5.34, 95 % C.I. :2.35-12.11 ) . Most common hazard factors among all patients were high blood pressure and ischaemic bosom disease ( figure 1 ) . Hyperlipidemia, ischaemic bosom disease and diabetes had important different prevalence between age groups in a manner that their most prevalence were between 41-50, above 60 and between 41-60 old ages old, severally ( figure 2 ) . In another categorization we categorized the patients into two groups: under and above 45 old ages old. 5 % were under 45 and 95 % were above 45 old ages old. CVA type and mortality rate was non significantly different between these two groups. Most common neurologic marks of patients were right side failing, left side failing and dysarthria ( figure 3 ) . In facet of degree of consciousness, 6.3 % were comatose, 7.2 % Stuporous, 22 % confused and 64.5 % were witting that 78.6 % , 31.3 % , 16.3 % and 5.6 % of them expired during their hospital coarse severally ( figure 4 ) . Mean systolic blood force per unit area in dismissed patients was 148.2mmHg and in expired patients was 144.7mmHg. Besides mean diastolic blood force per unit area in dismissed and expired patients was 84.5mmHg and 86.6mmHg severally. Mean systolic blood force per unit area in ischaemic shots was 145mmHg and in haemorrhagic shots was 160mmHg ( P=0.006 ) . Besides mean diastolic blood force per unit area in ischaemic shots and haemorrhagic 1s was 83mmHg and 90mmHg severally ( P=0.013 ) . Most common drugs used among patients was antihypertensive drugs ( 43.3 % ) and acetylsalicylic acid ( 26.9 % ) . Statins ( 32.7 % ) and acetylsalicylic acid ( 31.6 % ) were most common drugs prescribed for ischaemic patients who were discharged. Median yearss of hospitalization for both types of shot and both discharged and expired patients was 2.
Subscribe to:
Posts (Atom)