intricate business questions

IT-business alignment remains one of the top issues of IS managers. This article presents a case study in which four key elements of IT-business alignment integrated planning, effective communication, active relationship management, and institutionalized culture of alignment were enhanced by the enterprise-wide implementation of an established strategic management tool, the balanced scorecard.

Despite the absence of significant moral or ethical guidance, the thinking of the participating companies was for the most part businessoriented. The management and organization of CSR appeared to be professional and efficient. CSR was found to be optimal at the highest level of the organizations studied, and the commitment of the top management unquestionable. The present status of CSR seemed to exist more on the theoretical than the practical level. Implementation was seen as a major challenge for the future. The jungle of standards and measurement instruments is a serious problem. Communication was narrowly viewed and technical, and the prevailing paradigm was rather mechanistic.

Question 1

What is the Bernheim effect and the reverse Bernheim effect?

Question 2

Kindly explain why the left side of the heart is more prone to disease.

Question 3

1. Is it always necessary to examine the cardiovascular system of a

patient in the 45 incline of the head end? Other than convenience for

examining the jugular venous pressure (JVP), does this position have

any other advantage?

2. If the JVP is not visible when the patient is in the upright position, can

one presume it is not raised?

Question 4

The mitral area (of auscultation) normally corresponds with the apex

beat. When the heart is dilated and the apex beat is shifted laterally, will

the mitral area follow the apex beat to its new location or remain at the

place where the apex beat is normally situated?

Question 5

Please explain in detail how to measure the pulsus paradoxus using

a sphygmomanometer.

Question 6

What is the difference between dicrotic pulse and pulsus bisferiens?

Question 7

1. Why does the radial pulse become more prominent when the hand is

lifted overhead?

artery to elicit it: radial, brachial or carotid?

Question 8

What is the mechanism of Durozier's sign?

Question 9

What effects do ortic stenosis, aortic regurgitation and coarctation of the

aorta have on systolic and diastolic blood pressure, and why do they

produce these effects?

Question 10

In the section headed 'Pulsus bisferiens' (K&C 7e, p. 691) what do

'percussion wave' and 'tidal wave' mean? An illustration here would be

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