Managerial accounting With regard to marketing and distribution, the business is customer-oriented: therefore MPO Fentres has chosen to keep control of the entire supply chain, right through from the order to delivery to (and sometimes installation for) the customer. For both new and replacement windows, MPO Fentres markets, designs, manufactures and installs its own products, thus ensuring complete control of the order and keeping to a minimum the number of contacts for the customer. The company distributes its products through two distribution channels: a central department in charge of "key accounts" and "communities", and a network of eight agencies deployed in northeastern France, all owned by the company. These agencies are the cornerstone of the distribution network. Each agency employs fifteen salespersons, as the control of about 15% of its market area, and operates in a sales territory of approximately 45,000 customers. The company's salespeople actively seek potential clients, especially at trade fairs and exhibitions. These events are of paramount importance: they afford opportunities to expand the client base and win new contracts. Up to 25% of the annual turnover of an agency can be attributed to contacts made during these events

31 How often does verapamil cause impotence and inhibit ejaculation?

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

33 What is cardiac asthma?

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...'.

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.

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

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

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?

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

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