Sunday, February 23, 2020

An audit of anaemia in haemodialysis patients Essay

An audit of anaemia in haemodialysis patients - Essay Example According to the NICE guidelines, published by the Royal College of Physicians, "Conventionally anaemia is defined as a haemoglobin concentration lower than[normal as defined by WHO]. This cut-off figure ranges from 11 grams per decilitre (g/dl) for pregnant women and for children between 6 months and 5 years of age, to 12 g/dl for non-pregnant women, and to 13 g/dl for men."1 "In 2002, Hsu et. al. analyzed data from the Third National Health and Nutritional Examination Survey (NHANES III) (n=15,837) and found low iron indices to be frequently present at all levels of reduced creatinine clearance (CrCl)."2 Additionally, "[m]ore than 50% of CKD patients with an[a]emia were iron deficient, as indicated by serum ferritin 13 g/dl, but that there was no evidence either way for intermediate levels (11.5-13 g/dl) in comparison with higher or lower levels."5 One may wonder if particular medications can cause someone to become anaemic. "Some patients react to drugs because of inherited susceptibility, such as patients with glucose-6-phosphate dehydrogenase (G-6-PD) deficiency. G-6-PD is an important enzyme that buffers the mature red cell against oxidative stress. In individuals who are deficient in

Friday, February 7, 2020

Components of a business plan Essay Example | Topics and Well Written Essays - 3000 words

Components of a business plan - Essay Example As a result, companies can find easier alternatives to satisfy the customer needs. Consumers are motivated by this extra service that the company provides to them increasing their trust with the manufacturer. Over the past few decades, there has been an increased desire for organizations to have personal interactions with customers. Major organizations find ways to reach out to the client in delivery form. American Delivery Department provides them with the opportunity to fulfill their objectives. ADD, will deliver those company products which cannot make it up to their clients. This market gap has initiated the formation of the ADD Company. Due to many customers that are served by the similar institutions, they cannot reach them in person and will have to hire other firms such as ADD on their behalf. Furthermore, companies nowadays are in the need to find customer response concerning their products so that they can evaluate where to improve their production, a desire that ADD will offer as an extra sales services to the respective organizations. Due to the serious nature of the industry to proffer such services, ADD organization has a market opportunity that will ensure productivity. The population is increasing by the day those results in increased customers to many companies. Due to problems of reaching all the customers, ADD will be hired by most organizations to oversee the service delivery. Our costs are relatively small that will attract major customers for our services. American Delivery Department, therefore, has already market that will increase its sales leading to high revenues. Though, competition is stiff in the industry, the organization majorly targets average and small organizations that market leaders are not concerned about. The company will be assured henceforth to make an impact on the market and become a force to other rival