The National Cardiac Surgery Database Of The Overweight...

In recent decades, improved socioeconomic conditions have led to the expansion of the overweight population worldwide. Obesity is well known to be a risk factor for the development of diabetes mellitus, hypertension and coronary artery disease [1] and is also thought to increase the risk of perioperative morbidity and mortality with cardiac surgery, as evidenced by its inclusion into the Parsonnet system for the stratification of risk for perioperative death [2]. The analysis of the National Cardiac Surgery Database of the Society of Thoracic Surgeons, based on data from CABG, indicated that morbid obesity remains an independent predictor of increased operative mortality in patients undergoing CABG [3] Most studies assessing the effect of†¦show more content†¦Understanding the intraoperative transfusion requirements will streamline blood bank usage and facilitate patient-specific interventions. Preoperative parameters that predict usage are varied, with clinical assessment tools already in place for many operative indications, such as trauma patients requiring massive transfusions [8]. Cardiac surgery in particular routinely utilizes red blood cells, and research to evaluate those patients who will require blood, and how much they will need, is ongoing [9-11]. As with transfusions, a tool to evaluate patients preoperatively for their estimated blood loss postoperatively would facilitate the provision of better patient-specific care. The aim of this study is to investigate the effect of varying BMI on early clinical outcomes in patients undergoing CABG. We retrospectively evaluated the effects of BMI on bleeding, transfusion and in hospital outcomes among Chinese patients who underwent isolated, primary CABG [12-14]. We also collected the results from their clinically available coagulation test to investigate the variations in different BMI classifications. METHODS STUDY POPULATION The study was approved by the ethics committee of Fuwai Hospital. Patient records/information was made anonymous and de-identified prior to analysis. From January 1, 2013 to December 30, 2013, 1007 patients

Risk Management Process Is Risk - 1436 Words

Risk management is developed in order to reduce the likelihood of possible events that have negative effects for patients, staffs and the organization; to reduce the risk of death and injury or disease for patients, staffs, and others as result of services provided; to improve patient outcomes; to manage resources effectively; and to support legislative compliance and to ensure organizational viability and development. In order to achieve these goals, risk management teams should follow the four steps process of risk management. The first step is risk identifications. Risk identification involves the collection of information about current and past patient are occurrences and other events that represent potential losses to the organization. Such risks can be identified as antitrust, violations, breach of contract, casualty exposure, defamation, embezzlement, environmental damage, fraud and abuse, general liability, hazardous substance exposure, professional malpractice, securities vi olations, transportation liability, and worker’s compensation. The second step in risk management process is risk analysis. Risk analysis entails the evaluation of past experience and current exposure to eliminate or limit substantially the impact of risk on cash flow, community image, and employee and medical staff morale. The third step in risk management process is Risk Control/Treatment. Risk Control/Treatment is the organization’s response to significant areas, as well as its rejoinder toShow MoreRelatedRisks Of A Risk Management Process1208 Words   |  5 PagesEvery day businesses face the challenge of being exposed to potential risks. 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6 elements to a contract Essay Example For Students

6 elements to a contract Essay A contract is a binding agreement made between two competent parties that can be written verbal or implied. The purpose of a contract is to create an agreement that can be supported by the law (Wests Encyclopedia). As we enter the new millenium, and with the increase in the number of businesses (including e-commerce), we need to know more and more about contract law. Knowledge of contract law can also protect consumers and businesses from misunderstandings. The six elements of a contract are: binding agreement, competent parties, form required by law, legal in purpose, consideration, and genuine assent. A binding agreement is a contract, verbal or written, between parties that is bound by law. When two competent parties make an agreement, it is considered binding. A binding agreement must have an offer and an acceptance. An example of a binding agreement would be if Kelly told Jamie that she would buy her car for $6,000 and they both agreed to it. This agreement is legal in purpose, supported by consideration, is in the form required by law and is made by two competent parties who gave genuine assent. To make an agreement a legal contract, both parties have to be competent. All adults are assumed to be competent. Its important for people who are making contracts to be of sound mind. This means that the people involved cannot be under the influence of any substances or be mentally ill. Convicts and enemy aliens are also considered to lack capacity. Capacity means the ability to understand ones actions and the effects of those actions. It is legal for minors to enter into contracts, but they cannot be bound by law because younger people have limited experience and are more vulnerable than adults (Mietus 163). The purpose of competency is so people dont take advantage of those who are not competent when entering into contracts. When an adult makes a contract with a minor, the minor is the only one who can disaffirm the contract. The adult is bound by law (Mietus 163). An example of a contract that cannot legally be bound would be if John wanted to buy Ryans car for $2000 and Ryan refused. Later that day, John took Ryan out to a bar and offered him several drinks. John offered to buy Ryans car again and Ryan agreed because he was under the influence of alcohol. Due to Ryans lack of competency, this contract is void. Consideration is the promise or action that one person (the promisor) gives in exchange for the promise or action of the promisee (Mietus 198). A promise of giving without receiving is not a legal contract and would be called lack of consideration. An example of lack of consideration would be if grandpa said he would pay for your college tuition if you get straight As in high school and then decides not to do it. That promise would not be legally binding because he is not getting anything in return. Both parties must get something in return for the contact to be legal. An example of consideration is if two competent parties traded a pen for a watch. Each party is giving and receiving something of value, which is called consideration.One of the exceptions to consideration is promissory estoppel. An example of this would be if your dad said he would buy you a brand new car if you paid your way through law school. Because you suffered an economic loss to hold up your end of the bargain, the other party could be legally bound by promissory estoppel. Another exception to consideration are charitable contributions. For example, if I told Red Cross that I was going to donate $500 per year, then I could be legally bound to do so. .u3f2b06bc679e8c88c17a344ea3cc362f , .u3f2b06bc679e8c88c17a344ea3cc362f .postImageUrl , .u3f2b06bc679e8c88c17a344ea3cc362f .centered-text-area { min-height: 80px; position: relative; } .u3f2b06bc679e8c88c17a344ea3cc362f , .u3f2b06bc679e8c88c17a344ea3cc362f:hover , .u3f2b06bc679e8c88c17a344ea3cc362f:visited , .u3f2b06bc679e8c88c17a344ea3cc362f:active { border:0!important; } .u3f2b06bc679e8c88c17a344ea3cc362f .clearfix:after { content: ""; display: table; clear: both; } .u3f2b06bc679e8c88c17a344ea3cc362f { display: block; transition: background-color 250ms; webkit-transition: background-color 250ms; width: 100%; opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #95A5A6; } .u3f2b06bc679e8c88c17a344ea3cc362f:active , .u3f2b06bc679e8c88c17a344ea3cc362f:hover { opacity: 1; transition: opacity 250ms; webkit-transition: opacity 250ms; background-color: #2C3E50; } .u3f2b06bc679e8c88c17a344ea3cc362f .centered-text-area { width: 100%; position: relative ; } .u3f2b06bc679e8c88c17a344ea3cc362f .ctaText { border-bottom: 0 solid #fff; color: #2980B9; font-size: 16px; font-weight: bold; margin: 0; padding: 0; text-decoration: underline; } .u3f2b06bc679e8c88c17a344ea3cc362f .postTitle { color: #FFFFFF; font-size: 16px; font-weight: 600; margin: 0; padding: 0; width: 100%; } .u3f2b06bc679e8c88c17a344ea3cc362f .ctaButton { background-color: #7F8C8D!important; color: #2980B9; border: none; border-radius: 3px; box-shadow: none; font-size: 14px; font-weight: bold; line-height: 26px; moz-border-radius: 3px; text-align: center; text-decoration: none; text-shadow: none; width: 80px; min-height: 80px; background: url(https://artscolumbia.org/wp-content/plugins/intelly-related-posts/assets/images/simple-arrow.png)no-repeat; position: absolute; right: 0; top: 0; } .u3f2b06bc679e8c88c17a344ea3cc362f:hover .ctaButton { background-color: #34495E!important; } .u3f2b06bc679e8c88c17a344ea3cc362f .centered-text { display: table; height: 80px; padding-left : 18px; top: 0; } .u3f2b06bc679e8c88c17a344ea3cc362f .u3f2b06bc679e8c88c17a344ea3cc362f-content { display: table-cell; margin: 0; padding: 0; padding-right: 108px; position: relative; vertical-align: middle; width: 100%; } .u3f2b06bc679e8c88c17a344ea3cc362f:after { content: ""; display: block; clear: both; } READ: Socrates: Psychic Harmony Is The Greatest Good EssayGenuine assent exists when consent is not clouded by fraud, duress, undo influence or mistake (Mietus 212). For example, if Billy pulled out a gun and got Ed to agree to sell his bike for $5, Ed is under duress and is not giving genuine assent to sell the bike. Genuine assent must be communicated clearly in some way (written, verbal or strongly implied). An example of not giving genuine assent would be

Titanic Movie Poster Essay Research Paper The free essay sample

Titanic Movie Poster Essay, Research Paper The screen box for Titanic reveals two different significances to the audience. The first is an expressed significance, of which is clearly presented through the assorted images on the screen. The 2nd significance, the inexplicit significance, is nuance suggested amongst the images and requires some idea to hold on. Through the usage of implicit and expressed significance, the film box creates involvement and machination. The screen is composed of images that tell the audience right off what they can anticipate from the film. Initially catching the audience s eyes is Leonardo DiCaprio and Kate Winslet pictured at the top of the box. DiCaprio s arm is around Kate Winstlet, proposing that the film is about these two being lovers. The character of Kate Winslet is have oning diamond earrings, which shows that character is from a rich or good off background. The histrions names appear above them in a little, difficult to read fount, likely because the histrions are celebrated plenty that they are recognizable to the public by merely their faces. We will write a custom essay sample on Titanic Movie Poster Essay Research Paper The or any similar topic specifically for you Do Not WasteYour Time HIRE WRITER Only 13.90 / page Next, the big image of the bow of a big ship tells the audience the scene of the film is placed on a ship. The ship is evidently the celebrated Titanic as suggested by the bold rubric across it. The manager # 8217 ; s name, James Cameron is above the rubric, possibly to pull involvement from the manager s fans. Under the rubric states the movie has won eleven academy awards including best image. The intent of saying this fact is to inform the audience how critically acclaimed the film is, and possibly making more involvement than compared to non holding the claim on the box at all. By analyzing the screen a little more closely, several impli cit significances can be made out. The first is how the histrions are confronting. Kate Winslet s back is towards DiCaprio. This suggests that even though they are in love something might be keeping her dorsum from to the full encompassing him. Their eyes are lowered, giving the feeling that they are deep in idea as if they are seeking to calculate things out. The ship seems to typify their love ; which is huge, strong and continually hammering forth. The manner the word Titanic is presented besides signifies their love. The words look like they are of steel ; which is strong and solid, like the love for each other. If looked closely, one can see that the characters are shown utilizing really soft and bleached colors giving a wispy feel and the ship is really crisp with the colorss bold. The inexplicit significance behind the contrast is to mean how the ship is the key to to the full understanding the narrative of these two lovers. Possibly a secret between so is locked within the sh ip. In making this inquiry, the audience is intrigued into sing this film to happen out what significance the ship has with the two characters. The film box uses expressed messages to catch the audiences oculus. Right off it reveals that this is a narrative of two immature lovers likely on a ship. In province the manager # 8217 ; s name, James Cameron, and the academy awards with the intended intent of converting that this is a worthwhile film to watch. If the possible spectator is still non wholly convinced in leasing or purchasing, so this is when the inexplicit significances come in to play. By showing elusive messages and raising wonder, the inexplicit messages are used to give the audience that small push over the fencing in make up ones minding to see the film or non.