Jennifer, the owner and manager of a company with ten employees, has hired you to take over the HRM function so she can focus on other areas of her business. During your first two weeks, you find out that the company has been greatly affected by the up economy and is expected to experience overall revenue growth by 10 percent over the next three years, with some quarters seeing growth as high as 30 percent. However, five of the ten workers are expected to retire within three years. These workers have been with the organization since the beginning and provide a unique historical perspective of the company. The other five workers are of diverse ages. In addition to these changes, Jennifer believes they may be able to save costs by allowing employees to telecommute one to two days per week. She has some concerns about productivity if she allows employees to work from home. Despite these concerns, Jennifer has even considered closing down the physical office and making her company a virtual organization, but she wonders how such a major change will affect the ability to communicate and worker motivation. Jennifer shares with you her thoughts about the costs of health care on the organization. She has considered cutting benefits entirely and having her employees work for her on a contract basis, instead of being full-time employees. She isn't sure if this would be a good choice. Jennifer schedules a meeting with you to discuss some of her thoughts. To prepare for the meeting, you perform research so you can impress your new boss with recommendations on the challenges presented. 1. Point out which changes are occurring in the business that affect HRM. 2. What are some considerations the company and HR should be aware of when making changes related to this case study? 3. What would the initial steps be to start planning for these changes? 4. What would your role be in implementing these changes? What would Jennifer's role be?

Question 101 Has Tenormin any advantage over other beta-blockers in the control of hypertension?

Question 102 Is the use of sublingual captopril 25 mg/h, in combination with IV furosemide 40 mg/h to a maximum of 120 mg, safe to lower greatly elevated blood pressure?

Question 103 Is ACEI superior to calcium channel blockers in the treatment of hypertension, in terms of prognosis and of the prevention of complications?

Question 104 Are angiotensin-converting enzyme (ACE) inhibitors more effective than beta-blockers in reducing the risk of stroke in hypertensive patients? Question 105 Do non-steroidal anti-inflammatory drugs (NSAIDs) affect the antihypertensive effect of angiotensin-converting enzyme (ACE) inhibitors? If so, how?

Question 106 What antihypertensive is recommended for a patient with aortic stenosis (AS) and hypertension, as a mono- and combination therapy?

Question 107 Impotence is a common side-effect of antihypertensive drugs. How can I solve this problem in young hypertensive patients?

Question 108 In the treatment of hypertension, is it recommended to commence treatment with two drugs containing a thiazide (if elderly) or a betablocker (if young)?

Question 109 1. Following a stroke, both haemorrhagic and ischaemic, in previously hypertensive and normotensive patients, can you explain precise blood pressure control and the desired blood pressure levels? 2. In the case of a hypertensive emergency, with a blood pressure of 220/130 with acute myocardial infarction, what immediate measures should be taken?

Question 110 On lowering blood pressure, to what extent can heart failure secondary to chronic hypertensive heart disease be reversible?