Another way to contain costs is by offering training. While this may seem counterintuitive, as training does cost money up front, it can actually save money in the long run. Consider how expensive a sexual harassment lawsuit or wrongful termination lawsuit might be. For example, a Sonic Drive-In was investigated by the Equal Opportunity Employment Commission (EEOC) on behalf of seventy women who worked there, and it was found that a manager at one of the stores subjected the victims to inappropriate touching and comments. This lawsuit cost the organization $2 million. 7 Some simple training up front (costing less than the lawsuit) likely would have prevented this from happening. Training employees and management on how to work within the law, thereby reducing legal exposure, is a great way for HR to cut costs for the organization as a whole. In "Training and Development (Page 224)", we will further discuss how to organize, set up, and measure the success of a training program. The hiring process and the cost of turnover in an organization can be very expensive. Turnover refers to the number of employees who leave a company in a particular period of time. By creating a recruiting and selection process with cost containment in mind, HR can contribute directly to cost-containment strategies company wide. In fact, the cost of hiring an employee or replacing an old one (turnover) can be as high as $9,777 for a position that pays $60,000. 8 By hiring smart the first time, HR managers can contain costs for their organization. This will be discussed in "Recruitment (Page 78)"and "Selection (Page 112)". Reducing turnover includes employee motivational strategies. This will be addressed in "Retention and Motivation (Page 189)". In a survey reported on by the Sales and Marketing Management newsletter, 9 85 percent of managers say that ineffective communication is the cause of lost revenue. E-mail, instant messaging, text messages, and meetings are all examples of communication in business. An understanding of communication styles, personality styles, and channels of communication can help us be more effective in our communications, resulting in cost containment. In HRM, we can help ensure our people have the tools to communicate better, and contain costs and save dollars in doing so. 

Question 31 How often does verapamil cause impotence and inhibit ejaculation?

Question 32 Why does a patient with congestive cardiac failure have excessive sweating?

Question 33 What is cardiac asthma?

Question 34 In a book, under the title 'Heart failure' I have seen the following phrase: 'Cardiac failure occurs when, despite normal venous pressures, the heart is unable to maintain sufficient cardiac output...'. Is it correct to say 'normal venous pressures'? All protective and compensatory mechanisms raise the venous pressure to maintain a sufficient cardiac output - according to Frank-Starling law - and this is the case in heart failure, so I think it was meant to say: '...despite high venous pressures...'.

Question 35 I wanted to ask whether a third heart sound is present, or should be present, in all cases of heart failure, whatever the underlying cause.

Question 36 Why can left heart failure lead to right heart failure but not vice versa? What is the physiology involved in this transition?

Question 37 Could you explain the fetal gene program, activated in heart failure?

Question 38 How safe is it to stop administration of carvedilol to a patient with heart failure? Can the drug be tapered off? What are the effects/dangers of stopping carvedilol suddenly? What, if any, are the reasons for discontinuing carvedilol in patients with heart failure?

Question 39 What are the advantages and disadvantages of furosemide in the treatment of cardiac failure?

Question 40 In heart failure, can furosemide be given once daily?