Tuesday, February 18, 2020

Evolution of Stable Angina into Acute Myocardial Infarction Essay

Evolution of Stable Angina into Acute Myocardial Infarction - Essay Example It is a very variable symptom that varies when is described by different patients, and this makes it one of the most controversial symptoms in the medicine (Melvyn et al. 2010). Stabile angina pectoris is usually first recognized during a general practice (GP) doctor visit or is noticed by a nurse during a home visit or other occasion. GP doctors often must decide if the acute symptoms described by the patient are due to heart problems or some other less acute condition and have limited resources in GP ambulance to do complete more detailed diagnostic tests like a stress test, laboratory findings, angiography or other procedures that are less often found in GP office. Initial recognition of this symptom but also the future monitoring and treatment of these patients is important for the preventing progression of evolution of the coronary artery disease and progression of stable angina pectoris into unstable angina or myocardial infarction (Adam et al. 2007). In this essay, we will con duct a critical review of several studies in order to assess factors that influence the recognition and progression of stable angina pectoris into a more serious condition. Review of studies in relevance to stable angina pectoris in primary care As we mentioned above angina pectoris is a symptom defined by the patient in his own words. This condition can often cause changes like ST depression on EKG strip but very often angina pectoris can occur without any changes on the ECG strip (Hausmann et al. 1991). Because more accurate methods for confirmation of angina pectoris are often unavailable in pre-hospital or pre-clinical settings, anamnesis has an important function as a factor for initial recognition of this disease. But as we mentioned above angina pectoris is a subjective symptom and description of the patients often vary significantly. This condition was researched by Melvyn et al. 2010 who tried to recognize the variations of presentation of these symptoms. For this task, the y recruited patients from two general practice institutions and only included patients that had a diagnosis of angina pectoris or other ischemic cardiovascular (CV) condition or patients that were taking some form of nitrates. All of the participants were subjected to interview conducted by medical professionals and all of the participants were asked the same questions: did they have any chest, jaw or neck discomfort in the last year and how would they describe this discomfort. A total of 64 patients were interviewed. There are a set of widely accepted individual interpretations of angina pectoris that are called angina â€Å"canon†. These symptoms are (Somerville et al. 2008): - association of the symptoms with physical exercise. - positive reaction after administration of medication, - general duration of symptoms during a single attack.

Tuesday, February 4, 2020

Management and leadership Development Essay Example | Topics and Well Written Essays - 2250 words

Management and leadership Development - Essay Example 17). Current cultural diversity in global business entities have as well played very essential role in enhancing the experienced impediments in the application of conventional leadership and management theories in contemporary profit making organisations(Hernandez, 2008, p.121). By referring to modern increasing competition and changes in global and local market, global institutions has the role of coming up with efficient means of training and educating their leaders on the most effective means of complying with international management and leadership standards(Hersey and Blanchard, 1993, p.41). Hawksmoor Restaurants is one the other hand rated as one of the most successful multinational corporation in United Kingdom. Despite having huge number of sales and profitability, Hawksmoor Restaurants is among the commonly preferred restaurants company in United Kingdom (Hawksmoor Restaurants, 2012, p. 5). A part from having its headquarters and numerous branches in United Kingdom, Hawksmoo r Restaurants has instituted various outlets in other parts of the world (Gutierrez and Tania, 2007, p. 67). Compared to other proficient local and international restaurants, Hawksmoor Restaurants is among the finest United Kingdom companies in offering fair deals to its staffs. In spite of getting free meals, the company’s employees, are also given competitive wages depending on their performances and skills. The aim of treating its employees fairly is to motivate them as well as enhance their professionals, individual leaders, and management development (Hannum, Jennifer and Claire 2012, p. 79). Compared to its competitors, Hawksmoor Restaurants is also known for paying its employees fairly and in accordance to their skills and competence. Regardless of employing skilled and competent employees, the company is as well known for employing youthful managers (Martineau, 2007, p. 309). Effective employment of both modern and conventional leadership and management theories has a s well been very helpful in facilitating the success of Hawksmoor Restaurants in local and global market (Pulley and Wakefield, 2001, p. 439). To understand the importance and relevant of effective application of leadership and management theories in business entities, the subsequent essay will expound on how Hawksmoor Restaurants has been employing these theories in developing the efficiency of its managers and leaders (Hannum and Claire, 2012, p. 1719). The success of Hawksmoor Restaurants in local and international market can largely be linked to effective and consistent application of Great Man Leadership and Development Theory. Great Man Theory is based on the perception that, leaders are unique and special people in the society. As described in this theory, leaders are born with innate leadership traits. The use of the term man was intentional as it aims at describing the manner in which a leader is supposed to be firm and composed (Reed, 2005, p. 176). As explained in this th eory, although a leader is born with inmate skills and competence, training is very essential in facilitating the development of the identified leadership traits. By referring to the contents in Great Man Theory, Hawksmoor Restaurants have adopted mechanisms that are aimed at identifying and developing leadership traits among its leaders.