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Since 1992, CHNG entered into a contract with the State Finance Department that it would increase the remitted profit 10% every year. The State would

Since 1992, CHNG entered into a contract with the State Finance Department that it would increase the remitted profit 10% every year. The State would compensate CHNG the shortage of profit if not enough, and CHNG could keep part of any extra profit if the actual profit was greater than the contracted profit. CHNG also tied employee compensation to its performance evaluation system. Under this system, CHNG began to focus on profit and divided the authority and responsibility between different units. However, this focus on profit caused harmful battles among units for projects, loans, and scales. Meanwhile, there turned out to be huge differences in the subsidiary companies' increases in assets, debts, or profits. This sparked CHNG's top management to consider how to thoroughly evaluate the efficiency of its management and units instead of only focusing on its short-term profit. As a result, the concept of a Contract-Based Managerial Responsibility System was introduced in 1994. Relative figures reflecting efficiency such as Return on Equity and Increase in Equity were added. In addition, Repayment of Core Enterprise Loans and Profits Remitted were added to the system since they were relevant to the overall profit of CHNG. Later, the top management found the following problems: First, the uniform standards or criteria were not adequate due to the different levels of profitability between different industries. Second, the contracting system did not consider the control and supervision over the process

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92 How do you determine whether a patient is in a 'hypertensive condition'? And what is wide pulse pressure?

93 I have a question about hypertension. Every textbook that I've come across places the greatest emphasis on the systolic blood pressure; it seems that diastolic pressure is often a figure that 'just happens to be there'. My question is: What is the clinical importance of a diastolic pressure? And what problems might arise if a patient has a too high/low diastolic blood pressure?

94 What causes hypertension in children?

95 Is haemochromatosis a cause of hypertension?

96 What are the most recent advancements in management of hypertensive crisis? Is there any new approach or method under trial?

97 Why does hypertension not cause headache, and why does only the accelerated hypertension cause headaches. You say in 'coarctation of aorta' that there is headache and epistaxis from hypertension.

98 Why is a headache one of the signs and symptoms of hypertension?

99 In a hypertensive hypercholesterolaemic patient, is it contraindicated to use a bisoprolol-hydrochlorothiazide combination to control the patient's hypertension if it is not controlled on bisoprolol alone?

100 Should a hypertensive patient with recurrent ischaemic strokes, a total cholesterol of 200 mg/dL (5.2 mmol/L), low-density lipoprotein (LDL) cholesterol of 120 mg/dL (3.12 mmol/L) and high-density lipoprotein (HDL) cholesterol of 35 mg/dL (1 mmol/L), have a statin therapy?

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