3 mm Hg and 123.6 mm Hg, respectively; P=0.061)" (Muntner et al
-Mexican border but is more active in some areas of the border. These include the Mexican states of Baja California, Chihuahua, Coahuila, Durango, Guerrero, Jalisco, Morelos, Michoacan, Nayarit, Nuevo Leon, Oaxaca, San Luis Potosi, Sinaloa, Sonora, Tamaulipas, Veracruz, Zacatecas (Aguilar, 2007)
Over the last year, a drug feud that has killed more than 1,350 people in sprawling Ciudad Juarez has spread to tiny Palomas, 70 miles west, where more than 40 people have been gunned down, a dozen within a baseball toss of the border. More -- no one knows how many -- have been kidnapped, and the Palomas police chief fled across the border last year and has asked for political asylum (Kraft 2009)
4 million spectators watching. An average of approximately four million viewers have tuned in for each episode, and the series has been entered in the Guinness Book of World Records as the longest running television series in North America related to science fiction (Sumner, 2011)
A bi-monthly comic book was created to coincide with the events that took place on the series, while two series of young adult novels that produced at least 18 fictional novels. As a testament to the influence of the television show, many of these works of fiction were written by various writers for the television series (Bennet, Gottesfield, 2002)
Other merchandising efforts have included companion books (that coincided with particular seasons of the series) as well as role playing games. Outside of Smallville's deservedly attained cult-like status -- which has included promotional efforts with major global phone carriers such as Sprint and Verizon, as well as international automotive manufacturer Toyota as well as spin-off series such as Aquaman -- Smallville is an excellent example of quality television (Ives, 2003)
One can compare the result of the slaughter of educated Cambodians to other, more successful revolutions, such as the French Revolution. While that revolution also in the end turned on its own with the execution of individuals who had at one time been beloved heroes of the revolution, the French spared many of their intellectuals, provided a class that could (and did) reconstruct the nation after the violence had abated and the peace had to be maintained (Kiernan, 2004, p
Among these detained Cambodians was a young Khmer Rouge lieutenant named Hun Sen, who had fled the country after realizing he too was the target of the purge. (The fall of the Khmer Rouge) The Khmer Rouge, in their pursuit of ideological purity and following a xenophobic policy that targeted whole groups of cadres who belonged to certain ethnic and religious groups, conducted internal purges that would slaughter thousands of their own
CPK moderates were concentrated in the Eastern Zone, where regional differences remained evident as late as 1977. (Khmer Rouge) The purges had another, highly detrimental effect on the Khmer Rouge's stay in power
In fact, these are such well-known and obvious points that I feel no need to detail them in this paper. (Rinaldo, 1997)
In settings where nurse turnover exceeds 12%, the following clinical, organizational, and financial challenges have been noted: Lower patient care scores on national benchmark data Lower utilization management rates than national benchmark data Higher bed per day cost than national benchmark data Quality patient care as evidenced by patient care quality measures surveys, are correlated to successful clinical outcomes and strong revenue growth from clinical operations (Kaldenberg, Gobeli, 1995). Additionally, quality patient care is further correlated to the employment of a professional and highly competent nursing staff and with a focus to evidenced-based care (Clarke, Savitz, Pingree, 2010) The facilitator to the problem, according to Runy (2008), is nurses that are pulled from their bedside duties to attend to tasks that are outside of their scope of optimization
While there has been a lack of consensus on the determinants of morale, it is clear that the outcome of poor morale not only add considerable cost to the organization but also impact negatively on patient care." (Day, 2006) A study of nurse turnover in New Zealand reveals that a degree of turnover does affect patient satisfaction surveys, financial outcomes, and utilization rates/outcomes
Reducing Blood Culture Contamination Rates in the ED Quality Improvement & Patient Safety Issue Project Problem Statement & Literature Support At Ford Hospital, the current staff turnover rate is 25% after one year on the unit. In settings where nurse turnover exceeds 12%, the following clinical, organizational, and financial challenges have been noted: Lower patient care scores on national benchmark data Lower utilization management rates than national benchmark data Higher bed per day cost than national benchmark data Quality patient care as evidenced by patient care quality measures surveys, are correlated to successful clinical outcomes and strong revenue growth from clinical operations (Kaldenberg, Gobeli, 1995)
Lessons from Magnet program hospitals and hospitals implementing front-line staff driven performance improvement programs such as Transforming Care at the Bedside illustrate how nurses and staff, supported by leadership, can be actively involved in improving both the quality and the efficiency of hospital care." (Needleman, Hassmiller, 2009) The reference is to illustrate how critical nurses are to the overall effectiveness of a performance improvement program
That will reduce staff turnover, increase patient satisfaction and improve clinical outcomes." (Runy, 2008) Quality Improvement (QI) programs are adept at maximizing worker ability into high performance operational standards, which yield a higher profit per worker hour
The narrowing of the blood vessels is the other factor that may affect blood flow rate as well as the normal functioning of the heart. Reduction of blood cells radii always occurs as a result of contraction of the muscular wall of the vessels, particularly the large arteries and small arterioles (Campbell, Dawes, Fishman, & Hyman, 1967)
In normal functioning of the heart, there are critical factors that influence blood resistance. These factors include blood vessel's radius, blood viscosity and vessel length (Cinar, Demir, Pac, & Cinar, 1999)
The widening of blood vessels which bring changes in their radii thus takes a lot of blood into the heart thus making the heart to work harder. This may lead to heart fatigue due to the pumping of increasing blood volumes by the heart (Huang-Wen, Tzu-Ching, & Chihng-Tsung, 2010)
Low blood pressure is usually attributed to structural widening of small arteries and arterioles, although an increase in the number or density of capillaries may also contribute to the low pressure. Low blood pressure can lead to the development of hardened arteries, stroke or heart attack, shock, as well as failure of the kidneys (Kelly, 2005)
Effect of Blood Pressure on Blood Flow Rate Blood pressure is influenced by blood volume as well as radii of blood vessels among other factors. High blood pressure usually results in elevated levels of blood flow rate and is usually attributed to structural narrowing of small arteries and arterioles, although a reduction in the number or density of capillaries may also contribute (Zhong, Burns, Song, Ping-Chui, & Petrig, 2011)