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write my assignment 21054

Hi, need to submit a 2000 words essay on the topic Chronic Obstructive Pulmonary disease (COPD) as set out below.

Cor pulmonale, defined as hypertrophy, dilation, or dysfunction of the right ventricle due to pulmonary hypertension resulting form disorders of the respiratory system, also commonly occurs in patients with COPD (Missov ED, De Marco T 2000). There are evidences to support LTOT could significantly reduce mortality in patients with COPD and Cor pulmonale (Weitzenblum, E et al 1995, Croxton, TL 2006, Missov ED, De Marco T 2000, Zielinski, J 1998 ).

Two randomized, controlled clinical trials have demonstrated the beneficial effects of LTOT in case of COPD and sever resting hypoxemia. They include the Nocturnal Oxygen therapy trial and the trials carried out by the Medical Research Council (Weitzenblum, E et al 1995, Barnett, M 2007, Croxton, TL 2006, Ruse, C 2008, Missov ED, De Marco T 2000). Both the trials indicated that oxygen therapy administered for at least 15 hours daily for patients with severe hypoxic COPD increased survival and in addition reduced polycythaemia and the progression of pulmonary hypertension (Barnett, M 2007). The main focus of LTOT is to improve the quality of life of the patients and thereby to increase their survival (Barnett, M 2007, Marti, S et al, 2006, Croxton, TL 2006).

The criteria for the initiation of LTOT in the UK have been established based on the results of the 2 trials mentioned above (Barnett, M 2007, Zielinski, J 1998). The criteria as per the National clinical guidelines include patients with an arterial oxygen tension (PaO2) consistently at or below 7.3 kPa (55 mm Hg or less) when clinically stable. This threshold value of 55 mmHg indicates presence of severe hypoxemia which may have deleterious effects on pulmonary circulation, brain function etc (Atis, S et al 2001). Patients, who have a PaO2 consistently between 7.3 and 8.0 or 7.5 and 7.8 when clinically stable and if pulmonary hypertension (PAP &gt.

 

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write my assignment 22131

Hi, I am looking for someone to write an article on organisational behavior Paper must be at least 2500 words. Please, no plagiarized work! Also, the company will find it easier to delegate duties easily and in a more organized manner. This however can have a few issues. The shareholders/ investors can have problems deciding whether or not to invest in the company as there are several products thus consolidation of the information at a higher level can be an issue. This structure of the organization has more number of benefits than drawbacks. The figure below gives a clearer view of the structure (Open Learning Foundation, 1996).

b) Geographical / Territory Structure: This is a grouping based on the location where the service is most effective. Most companies that deal with repair and maintenance generally used this model of organizational structure. This is mostly to ensure that the issues faced by the customers are resolved at the earliest (Buchanan and Huczynski, 2004, p479).

This is very beneficial as already mentioned for organizations that deal with repairs and maintenance services. Ideally, organizations like AAA (Car repairs), will fall into this category. This is because the main importance is given to the rapid delivery of service. However, the drawback, as the structure is focused on geographical locations, hence it requires more investments and the cost of operations also increases. The overall overheads of the company also proved to be higher than those in other structures (Dale, 2001).

a) Product Structure: The best example of this type of organization is Amazon.com. This is because amazon.com deals with numerous products, if the structure is subdivided as per the products then the operations become much easier and more effective. However, if the business is designed based on other structures, then the company will have issues based on effectiveness. This is simply because the company deals with several different products that require proper planning and separate operations overall.

 

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write my assignment 20089

Hola,

I’m doing my spanish homework, and I’m pretty confused on the concepts. Specifically, the future and the present perfect tense. Can someone please explain how it works in the following sentences? I’ve tried going over this with my professor and it really hasn’t helped me. I’d really appreciate the help!!

IV. En el futuro

Completa el párrafo con la forma correcta del futuro de los verbos entre paréntesis.

Carlos, hoy ha sido un día maravilloso. Me han llamado de la empresa multinacional de la que te hablé y mañana (tener)_______ una entrevista con el director. Me voy a poner tan nerviosa que no _____ (sabes?)  (saber) qué decir. La secretaria que me ha llamado, me ha dicho que también ________(venir) los presidentes de la compañía a entrevistarme.  __________(Haber) muchísima tensión, pero yo  ______ (hacer) lo posible para que todo salga bien. 

Yo   ______ (ponerse) el vestido verde, que siempre me da buena suerte, y le ______ (decir) a mi madre que me preste su chaqueta blanca. ¿Tú crees que (poder) _______ llevarme en tu carro a la entrevista? No quiero llegar tarde.

VIII. Mentiras

La directora de una empresa habla con su secretario. Completa el diálogo con las formas del pretérito perfecto de los verbos entre paréntesis. 

 DIRECTORA ¿Dónde  _____  (estar) tú toda la mañana y qué  _______(hacer) con mi computadora portátil?

SECRETARIO Ay, (yo) ______ (tener) la peor mañana de mi vida… Resulta que ayer fui a cinco bancos con su computadora portátil y creo que la olvidé en alguna parte.

DIRECTORA Me estás mintiendo, en realidad la ______ (romper), ¿no?

SECRETARIO No, no la _____  (romper); la _____ (perder). Por eso esta mañana ______ (volver) a todos los bancos y le ______  (preguntar) a todo el mundo si la ____  (ver).

DIRECTORA ¿Y?

SECRETARIO Todos los gerentes me  ______(decir) que vuelva mañana.

thank you so much for your help!

 

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write my assignment 14769

TITLE

Activity Presentation 1

Introduction

The student will prepare an activity to be presented to the class.

This assignment fulfills

  • Module Outcome 2: You will have discussed the importance of planning, and some of the common planning approaches and guidelines.
  • Course Outcome 7: You will have planned and implemented a variety of games for outdoor and indoor play.
  • General Education Competency 1: You will have communicated effectively using the conventions of American Standard English in professional and academic environments.

The Assignment The activity will include a lesson plan and materials for the activity. You will need materials for each of the other students to follow along in your presentation.

Grading CriteriaThe main points that the assignment must cover are:

Example of Lesson Plan:

Name of Activity: (i.e. Geometric Shapes)

Objective(s): (i.e. Students will create geometric shapes using toothpicks and gumballs)

Materials: (Toothpicks and gumballs)

Procedure(s): (Teacher will give each student 12 toothpicks and gumballs, instructing them to create a square, a pentagon, and a cube. After students create those specific shapes, students may experiment and create their own shapes.)

Evaluation: (Teacher Observation and Ask Questions)

 

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