Wednesday, October 9, 2019

Critically Assess the Proposition that Illegal Downloading is Essay

Critically Assess the Proposition that Illegal Downloading is Destroying the Music Industry - Essay Example Copyright is an important factor in the discussion of the impact of illegal downloads on the music industry. Without copyright, there would be no claim upon which to determine if sharing files is illegal. Marshall (2005, p. 39) writes that one of the first fundamental changes in the relationship of music to commodity occurred when the UK Copyright Act of 1814 when copyright began to be valid throughout the life of the author of a work. The rippling effect was to add the author as part of the value of the work. In the case of illegal downloads, it can be argued that value is being shifted once more into the public ownership of the works and away from the authors of the works. When music becomes more nameless as it is not acknowledge through monetary payment, it can be said that the music is taken from the authors and placed in the hands of masses. Navigating digital download technologies means redefining the nature of music ownership (May 2002, p. 119). It is not clear, however, wheth er or not this will create damage to the music industry to diminish its existence or if it will mean reconfiguring the process of music commodification. Current models are not working and future models have yet to be revealed. It is also relevant to the process to discuss the influence of YouTube on the digital download controversy. On the YouTube site people can search for almost any song they wish to listen to and get the audio content as well as some form of visual content. The files can be shared through other outlets such as Facebook. The issue of copyright has emerged for the site as much of the content has not been purchased and it is not being spread through legal terms (Hilderbrand 2007, p. 48). Often items are deleted over the copyright issue. Other artists allow the use of... This essay approves that scientific discovery leads to consequences that are often unpredictable when put into public use. The changes in social construction are affected by the instrumentalizing of new technologies. The capacity to record the voice and then to hear it outside of a live performance changed the face of human experience. The capacity to disseminate music in a widely diverse number of ways for content and listening has further changed the nature of music as it affects the human condition. the nature of music creation has turned to digitalization, thus placing into context a whole new format for creation and consuming music. Technology has influenced the construction and consumption of music. As music has changed, it should be expected that the consumption of music would change. This report makes a conclusion that the music industry is in jeopardy of being destroyed in its current incarnation, but this will mean that some other format will emerge. The importance of music in culture has been far too deeply established to be completely eradicated by the freedom to download content through file sharing. Where corporate influence has been strong in the development of taste and cultural music appreciations before the internet, listeners now have access to work that would never have been in the public before the wide distribution capacities of the internet. The fear that the music industry more likely has is not the losses incurred by a lack of recording sales, but that they are no longer in control of their consumers, taste and influence in the hands of anyone who can create music, upload a file, and share it with the world.

Monday, October 7, 2019

Personal Financial Problem Term Paper Example | Topics and Well Written Essays - 500 words

Personal Financial Problem - Term Paper Example It is very easy for people to save money on their discretionary costs and use it in their habits like coffee or cigarette. This is because one might see that they are only using few coins to buy coffee. However, if these few coins can be saved for a week or two, they can experience the significance of this saving. If we can make the calculations of the amount we can save if we dont take coffee per day, and project it for 1 year, 10 years and even 20 years to people, some might change their minds about not taking coffee. Especially, those from large families of around ten people, if you save $20 per day, it results to saving $146,000 after 20 years. One would see that this amount of money is too high and can begin to save. However, to save this amount, one can resort to purchasing alternative beverages that cost less by $2 or more like cappuccino. We can make people realize that saving after a period makes a huge saving in the end (Lorenzo, 2013). To make people stop taking coffee even if they say they enjoy it, we can make them realize the cost of taking coffee and compare it with the cost of taking another beverage after a period of time (Richard, 2013). Coffee, first of all, is an addictive beverage with caffeine component that is considered a drug. It, therefore, influences peoples behavior as it has an addictive feeling (Tiago, 2014). However, once one has already begun taking it, it becomes hard for them to stop (Rob, 2013). There are personal problems that such coffee or cigarette addiction bring to us. One will go to an extent of cutting on their budget for basic needs like food to go take coffee. It therefore leads to lack of proper budget planning and following (Scott, Cynthia, & George, 2008). People can also use budgets to help them plan their expenditure. They need to have their financial goals right and put their eyes on the goals to achieve

Sunday, October 6, 2019

Paper on Microbiological Issue Essay Example | Topics and Well Written Essays - 500 words

Paper on Microbiological Issue - Essay Example If any product is found unsafe for consumption, it has to be identified before it causes any damage. The exporters of that particular product must be identified and an appropriate action must be taken in order to ensure the safety of the consumers. This whole task becomes very difficult as there is a lack of communication between the authorities testing the food and he exporters of such food materials. "By proactively sharing information on contaminant and disease outbreak incidents, authorities may allow other countries to detect and respond to issues quicker and more effectively. The International Food Safety Authorities Network (INFOSAN) and Food Safety Emergency Network is a recent initiative of the World Health Organization that will facilitate information exchange and may enhance the control of international food safety incidents. "(Background, 13 March 2009). Most of these authorities are conservative and allow no scope for breach of their laws, it is extremely important in or der to ensure the satisfaction and good health of the consumers. When this topic is being discussed simultaneously in many countries, it becomes a boon in more ways than one. The regulatory authorities can establish standard norms when it comes to food safety and every country involved in this can chip in with their contribution.

Saturday, October 5, 2019

Case Study based on key reading.Strategic Management Essay

Case Study based on key reading.Strategic Management - Essay Example Application of the model in CRH Plc will enable the company identify the external forces that affects the external activities of the company. This enables the formulation of improvement strategies that enhances performance in the changing marketing environment. The model generalises the strategies required in gaining competitive advantage in the industry for easy application (Onsman, 2004). However, application of the model may be misleading because it assumes a classic perfect market although it is clear that the construction and building industry is faced with numerous challenges. The SWOT analysis is crucial because it summarises the both the internal and external environment of a company i.e. strengths and weaknesses coupled with the opportunities and threats. The knowledge of both the internal and external environment will enable the company adopt measures appropriate for addressing both the internal and external challenges. However, analysis of the strategic management status o f the company by use of the SWOT framework requires considerable time and energy when being applied in large corporations. The PESTEL framework assists in the identification of the macroeconomic factors that affects the whole industry, certain markets or the company. This is because many factors in the macroeconomic environment have significant impact on the overall managerial behaviour. According to the Global Industry Analysts (2011), the tool is crucial in understanding the factors that can influence the industry growth and decline. PESTEL analysis can also guide the company on the direction that they should take in avoiding failure or losses. However, undertaking the PESTEL is tedious and may be ineffective to large organisations. The framework is also limiting because it only focuses on the external environment of the company. Critical Analysis Porter’s Five Forces Analysis Rivalry among the Existing Firms The company has numerous competitors in the industry, especially the well established multinational companies such as Lafarge S.A. and Holcim Ltd. In 1990, the market was dominated by large companies that capitalised on the strength in their local markets to expand internationally. According to Davenport (2002), the competing companies increased their supply rate when the market for construction industry was booming locally; leading to increased competition for the local markets. This made CRH to venture into acquisition of smaller companies in both local and international hemispheres such as 26% shares of a North-eastern Chinese plant and a 50% stake of an Indian company in order to increase dominance both local and international markets (Batchelor, 2001). Bargaining Power of Customers The construction industry is extremely fragmented with the production rate varying depending on the location as well as other factors such as values and cultures. The application of the building regulations regarding the location of the

Friday, October 4, 2019

Learning to Look Essay Example | Topics and Well Written Essays - 500 words

Learning to Look - Essay Example This feature makes it be more attractive to youth who participates in various activities such as games. Secondly, the products come in various colors in order to satisfy the interests of diverse range of customers. Different customers prefer products that have been branded using specific colors. In order to satisfy all market segments, Pepsi Company has branded the products using ribbons of different colors. Third, the products have been packed using different masses. This is to cater for different age groups ranging from small children to adults. Fourth, the bottle surface is rough rather than smooth an aspect that would make it not to slip from the hands of the users. Lastly, the products have been presented in different forms. These include unflavored and flavored water. This makes the customer to select his/her choice of the product (MacRury 2009). Three principles of art are well represented in this advert. First, art principle that is represented is repetition. The name Aquafina has been repeated in all related products. This makes the products to be distinct. Secondly, an aspect of variety is seen through the advert. The company has advertised variety of the products in order to attract different parts of the customers. In addition, this is aimed at increasing the market size. Lastly, the principle of unity is also well presented. All products are presented in one magazine an aspect that creates a unifying factor towards the products. This plays a very great role in segmenting the market. The product being advertised is refreshment. It has been advertised in youth magazine as a result, the major target of the advert is the teenagers. The text accompanying the product is simple to understand an aspect that makes the readers understand the use of the product. The clear image characterizes the product as of high quality and healthy for human consumption. This would

Thursday, October 3, 2019

Drug Addiction Essay Example for Free

Drug Addiction Essay Drug addiction is a dependence on an illegal drug or medication. Many people confuse it with drug dependency, which is when a person needs a drug to function normally. The difference between drug addiction and drug dependence is drug dependence is when a person needs a drug to function normally, like some blood pressure medications can cause a physical dependence, but the person is not addicted to the drug. A person can have a physical dependence, but not be addicted. Many scientist believe that drug addiction is a brain disease, and this disease causes compulsive drug-seeking and use, despite the consequences that person may suffer. Taking a drug causes surges in your brain of dopamine. Dopamine is a neurotransmitter, which is a chemical substance that is released at the end of a nerve fiber by the arrival of a nerve impulse and transfers that impulse to another nerve fiber or some other structure. A â€Å"messenger of the brain. † Dopamine is in the mood-changing category of neurotransmitters. When dopamine surges in your brain, it causes immense pleasure. Your brain remembers this and wants more, and you are addicted. Dopamine is the reason some people over eat and are obese, and people are addicted to alcohol and drugs. Biological history of addiction, abuse or other scaring experiences in early childhood, mental disorders (such as depression) and early use of a drug are the reason some people get addicted, while others don’t. Many people start using drugs out of curiosity, to have a good time, their friends do it, to improve athletic performance or to ease stress, anxiety or depression. Signs of drug addiction are when a person is neglecting their responsibilities, depression, drowsiness, poor memory. Teen drug addictions symptoms may be problems at school, physical health issues, neglected appearance, changes in behavior and / or spending money. All different types of drugs have different symptoms. Marijuana symptoms are red eyes, decreased coordination, poor memory, increased appetite, difficulty concentrating and slowed reaction time. Barbiturates and benzodiazepine symptoms include dizziness, slurred speech, confusion and slowed breathing and increased blood ressured. Cocaine and other stimulant use symptoms are decreased appetite, rapid speech, irritability, weight loss, restlessness, and increased heart rate, blood pressure and temperature. â€Å"Club Drug† signs are exaggerated happiness or well-being, reduced inhabitations, heightened or changed sense of sight, sound and taste and drowsiness or loss of consciousness. Hallucinogens, which I think are the scariest, can cause hallucinations, tremors, permanent mental changes in perception and flash-backs to the hallucinations, even years and years later. Marijuana is the most popular drug that people are addicted to. The use of marijuana has more than tripled among 18-20 year olds since 1984. And the addiction age for marijuana is getting younger. Of Americans ages 12 and older an estimated 41% have smoked marijuana at least once. Around 16% people in the U. S smoke marijuana on a daily basis. Many people believe that â€Å"weed† isn’t addictive or harmful, but the truth it is addictive and harmful. There is an estimated 16 million drug users in America. Of the 5. million marijuana smokers in America, more that 62% are addicted. Of teenagers in treatment, 60% have primary marijuana diagnosis. Emergency Room visits caused by marijuana since 1994 has risen 176%, and now surpass visits caused by heroin. And marijuana is also harmful because it is a proven fact that marijuana and violence are linked. People who smoke marijuana weekly are four times more likely to engage in violent activity. Marijuana is a gateway drug. Of d rug abusers, 99% start by smoking marijuana. People who smoke marijuana are eight times more likely to have used cocaine, 15 times more likely to have used heroin and 5 times more likely to develop a need for treatment. Cigarettes also pose a huge problem. The estimated world’s population is 6. 5 billion, and of that, more than 1. 3 billion people (about 1/5 the world’s population) smoke tobacco cigarettes regularly. Tobacco contains a very addictive and dangerous drug called nicotine. Nicotine in through the lungs into the bloodstream, then into the brain, making the smoker feel relaxed yet alert. Nicotine is the reason 7 out of 10 smokers want to quit, but can’t, because they are addicted to the nicotine. Scientists believe by 2050, 400-500 million more people will smoke cigarettes. That’s a scary thought, considering that right now 1,200 people die each year from tobacco-related illnesses. For women who are addicted to a drug, it increases risk for anemia, blood, heart and skin infections and hepatitis. It also increases the risk of STDs. It is dangerous for a pregnant woman to use drugs because most drugs cross the placenta, and cause direct toxic/poisons effects and the child can be born with a drug addiction. The use of marijuana during pregnancy is linked to behavioral problems in the child. The use of cocaine during pregnancy can bring on premature delivery, or stillborn. Many people believe that overcoming drug addiction is just a matter of will power, but the truth is drug addictions alters the brain in ways that create powerful cravings and compulsion to use that drug. Drug addiction is a scary thing, and many people believe that once you are addicted, you can never recover because it is a brain disease. Yes, it’s a brain disease, but you can recover.

Health Risks of Coronary Heart Disease: Literature Review

Health Risks of Coronary Heart Disease: Literature Review Coronary Heart Disease (CHD) is the main cause of death and disability in the United Kingdom (UK) and the sole most frequent cause of early death. In spite of a drop in CHD mortality in recent years, there are approximately 120,000 deaths per year in the UK making the quotient amongst the uppermost compared to the rest of the world (British Heart Foundation (BHF), 2003). Additionally, more than 1.5 million people in the UK are living with angina and 500,000 have heart failure (Department of Health (DH), 2004) commonly, although not wholly, caused by CHD. The World Health Organization (WHO) has forecast that by 2020, CHD will be the principle cause of death and morbidity throughout the world (Tunstall-Pedoe, 1999). However, not only does CHD affect the increasing rates of early deatjh, it can also cause individuals to experience â€Å"long-term chronic health problems†. There are numerous different kinds of cardiac illnesses that include: â€Å"congenital abnormalities, heart rhythm disturbances, valvular disease, acute coronary syndromes and heart failure† (Jones, 2003). It is important to note that the latter two conditions are more likely to affect older people and are the most prevalent among those with CHD (Rawlings-Anderson and Johnson, 2003). This essay will critically analyse the literature pertaining to the one of the most relevant health risks of CHD, that of chronic heart failure. The literature to be reviewed will analyse the issues that affect self-care in heart failure. To enable this review a comprehensive search of relevant databases such as CINAHL and the British Nursing Index was undertaken. Similarly, a thorough search of relevant nursing journals such as Nursing Standard, Nursing Times, British Journal of Cardiac Nursing, and British Journal of Nursing was also carried out. Also a general internet search using the keywords CHD, BHF, long-term chronic health problems, acute coronary syndromes, chronic heart failure, prevalence and associated factors was also employed. The rationale for choosing heart failure is that every year 63 000 new cases are reported in the UK and it is increasing in prevalence and incidence affecting more than 900 000 people per annum (Petersen et al, 2002). Heart failure presents a major predicament with regard to its effect on the individual sufferers, their significant others and also on healthcare measures and supply. People with heart failure by and large suffer from recurrent episodes of acute exacerbation of their symptoms. As a consequence, admission to hospital is great and accounts for approximately 5 percent of all admissions to general medical or elderly care hospital beds within the UK. Readmission rates are as high as 50 percent in the six months following the original stay in hospital (Nicholson, 2007). It is posited that experience of illness and grim clinical outcomes are fundamentally as a result of uncontrolled symptoms through non-adherence to suggested medication and lifestyle modifications (DH, 2000a). There are various current Governmental guidelines that expound the virtues of self-care of long-term conditions. However, The Department of Health’s (DOH, 2006) Supporting people with long-term conditions to self-care: A guide to developing local strategies and practices guide proposes that self-care is any actions or behaviours that help individuals to cope with the effects that their long-term condition has on their activities of daily living. These actions or behavioural changes hope to empower sufferers to deal with the emotional aspects, adhere to treatment routines and maintain the important aspects of life such as work and socialising. A thorough research of the literature surrounding self-care for long-term conditions such as heart failure has shown that several factors are in existence that influence self-care in heart failure. These include: socio-economics, condition-related, treatment related and patient related factors (Sabate, 2003, Leventhal et al, 2005). Socio-economic standing, degree of education, monetary restrictions and social support have all been emphasised as effecting self-care in patients with heart failure. Low socio-economic status and lack of education have been established to be significant factors relating to non-adherence and inadequate self-care (Gary, 2006; Van der Wal et al, 2006). Wu et al (2007) found that those on minimal incomes were regarded as high risk for non-adherence to medication. While a superior level of education was also found to be a major predictor of adherence in research papers by Evangelista and Dracup (2000) and Rockwell and Riegel (2001). Financial restraints connected to the price of medication have been acknowledged as a hindrance to adherence (Evangelista et al, 2003; Horowitz et al 2004; Wu et al, 2008). However, these reports have been performed in the United States (US) and in the main correlate to lack of medical insurance under a Medicaid scheme. It is therefore suggested that additional research is required to ascertain whether the price of medication notably impacts on adherence in the National Health Service (NHS). A number of studies have observed that social support is an important issue in influencing self-care (Ni et al, 1999; Artininan et al, 2002; Scotto, 2005; Schnell et al, 2006; Wu et al, 2008). Ortega-Gutierrez et al (2006) found a significant contrary relationship between perceived level of social support and level of self-care. Similarly, Chung et al (2006a) examined the bearing of marital status on medication adherence and found that married patients had considerably enhanced adherence to medication than those living by themselves. Patients with a partner took more doses, were aware of the importance of taking medications on time and were more knowledgeable about names and doses. By contrast however, Evangelista et al (2001) found no association between social support and adherence to medication and lifestyle behaviours, although the authors suggest this may be due to the high levels of social support reported in this sample. The method of social support has been illustrated in numerous qualitative studies. Stromberg et al (1999) explained the important role spouses performed in medication management such as giving their partners their tablets at prescribed times. Wu et al (2007) found that a supportive family helped with medication adherence by collecting medications from the pharmacy and filling dosage boxes. These authors deduced that those devoid of the effective commitment of relatives in self-care, some patients would have trouble sticking to their drug routine. The high intensity of social support was also shown to be a feature of patients considered to be knowledgeable in self-care (Riegel et al, 2007a). A number of factors relating to specific aspects of the condition have been described in the literature. These include the nature and severity of symptoms, functional ability, prior experience, the presence of comorbidities and cognitive functioning. Severity of symptoms and functional ability are important indicators of behaviour. Symptom severity was an independent predictor of self-care in a study by Rockwell and Riegel (2001). Wu et al (2007) found that patients with poor functional ability as measured by the New York Heart Association functional classification (NYHA) had poorer self-care. However, prior experience of hospitalisation may also affect self-care with patients having prior hospitalization episodes more likely to carry out self-care effectively. It is suggested that this may be due to a high level of motivation to stay well and avoid hospitalization. Level of experience or time since diagnosis may also be important factors in determining self-care ability (Carlson et al, 2001). Although the precise mechanism is unclear, it may be related to an enhanced ability to recognise changing symptoms and the use of tried and tested strategies in response to symptoms. The presence of comorbidities, especially if symptoms are similar to those of heart failure, makes the recognition and subsequent management of symptoms difficult. Chriss et al (2004) found the number of comorbidities to be a significant predictor of self-care, those with few comorbidities having enhanced self-care. Self-management requires patients to make decisions and take actions in response to recognition of symptoms. However, cognitive deficits in heart failure have been well documented (Ekman, 1998 and Bennett, 2003). It is estimated that between 30 percent and 50 percent of heart failure patients have cognitive impairment (Leventhal et al, 2005). Wolfe et al (2005) found specific cognitive deficits of memory, attention and executive functioning, which were not related to illness severity. These deficits may impair the perception and interpretation of early symptoms and reasoning ability required for self-management. This is supported by Dickson et al (2007b) who found a correlation between impaired cognition and individuals inconsistently demonstrating effective self-care behaviour. Paroxysmal nocturnal dyspnoea, common in heart failure, also deprives the body of sleep and has consequences for cognitive functioning and decision-making (Trupp and Corwin, 2008). Perhaps as a result, sleepi ness during the day has also been linked to poor self-care (Riegel et al, 2007b). Adherence to medication and lifestyle guidance has been linked to treatment-related factors such as the effects of medication or treatments, the intricacy of regimes and numerous changes in treatment. Riegel and Carlson (2002) and Van Der Wal et al (2006) found that adherence to a low sodium diet was hindered by the foul-tasting low salt food and problems when eating out in a restaurant. Limiting fluid intake was also controlled by thirst. Bennett et al (2005) found that the taking of diuretics disrupted sleep and this was a significant factor in non-adherence. Concerns about medication side effects are also of major concern to patients (Stromberg et al, 1999; Riegel and Carlson, 2002). The complexity of the treatment regime as indicated by a high number of administration times, for example, has been shown to decrease medication adherence (Riegel and Carlson, 2002; George et al, 2007; Van der Wal et al, 2007). It is suggested that individual patient characteristics have a major part in self-care behaviour. Age and gender may have some bearing on behaviour although there is relatively limited evidence. The presence of depression also had a negative impact on self-care ability. Chung et al (2006b) examined gender differences in adherence to a low salt diet in patients with heart failure. They found that adherence was higher in women. Women were also further capable of making nutritional decisions. This is in contrast to Gary (2006) who researched the self-care routine of women with heart failure and established that a only a small number of women in this sample abided by the suggested low salt diet, exercised or weighed themselves daily. The only behaviour that was practiced without fail was taking medication. Hardly any women recognised symptoms of heart failure or checked and monitored their symptoms on a regular basis. Chriss et al (2004) found that males and increasing age were separate, significant predictors of self-care. However, the relationship between age and self-care behaviour continues to be ambiguous. Evangelista et al (2003) found that elderly patients with heart failure had better adherence to medication, diet and exercise guidance than younger patients. Notably, depression influences the capacity to perform self-care behaviours successfully. There appears to be a preponderance of people who have heart failure who are also depressed. Approximately, 11 percent of out-patients and over 50 percent of hospitalised patients with heart failure are depressed (Leventhal et al, 2005). Depression has been revealed to be an important aspect predicting self-care (Dickson et al, 2006; Lesman-Leegte et al, 2006; Riegel et al, 2007b). DiMatteo et al (2000) declares that non-adherence is three times higher in depressed patients compared with those who are not depressed. The coexistence of depression i n patients with heart failure makes them vulnerable to inadequate self-care. CHD is a major cause of death and disability in the UK and is also the main cause of premature death. CHD also causes its sufferers to have long-term chronic comorbidities. One of those comorbitities is heart failure. Heart failure is increasing in prevalence and incidence every year in the UK. It not only affects the patient but also their family. Similarly, the incidences of heart failure have a massive impact on health care provision and resources. This is a consequence of the frequent acute exacerbations of the patient’s symptoms. Self-care of long-term conditions such as heart failure appear to be the Government’s current preoccupation and guidelines exist that offer strategies to those with long-term conditions that may help sufferers cope with the impact that their illness has on their everyday lives. However, evidence exists that show that there are certain factors that act as barriers and influence self-care in heart failure. These factors include lack of educa tion, financial constraints and social support. Cognitive ability, modification of life-styles, relationships, gender, age and mental illness have all been found to have an impact on the self-care of heart failure particularly with regards to medication adherence. There appears to be a dearth of research undertaken in the UK on the issues influencing self-care in heart failure. Therefore, it is recommended that further research is undertaken in the UK, as the health care and welfare provision is vastly different from that in the US. This may result in very dissimilar research outcomes. 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TA, Riegel BJ (2006a) Presence of a spouse improves adherence to medication in patients with heart failure, Journal of Cardiac Failure, 12, 6, S1-S100 Chung ML, Moser DK, Lennie TA, Worrall-Carter L, Bentley B, Trupp R, Armentano DS (2006b) Gender differences in adherence to the sodium-restricted diet in patients with heart failure, Journal of Cardiac Failure, 12, 8, 628-34 Department of Health (2006) Supporting people with long-term conditions to self-care: A guide to developing local strategies and practices, London, The Stationery Office Dickson VV, Deatrick JA, Goldberg LR, Riegel B (2006) A mixed methods study exploring the factors that facilitate and impede heart failure self-care, Journal of Cardiac Failure, 12, 6, S124-5 Dickson VV, Tkacs N, Riegel B (2007b) Cognitive influences on self-care decision making in persons with heart failure, American Heart Journal, 154, 424-31 DiMatteo MR, Lepper HS, Croghan TW (2000) Depression is a risk factor for non-compliance with medical 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heart failure: remaining issues and questions, European Journal of Cardiovascular Nursing, 4, 298-307 Ni H, Nauman D, Burgess D, Wise K, Crispell K, Hershberger RE (1999) Factors influencing knowledge of and adherence to self-care among patients with heart failure, Archives of Internal Medicine, 159, 1613-9 Ortega-Gutierrez A, Comin-Colit J, Quinones S (2006) Influence of perceived psychosocial support on self-care behaviour of patients with heart failure managed in nurse-led heart failure clinics, Progress in Cardiovascular Nursing, Spring: 160 Nicholson C (2007) Heart failure: A clinical nursing handbook, Chichester, John Wiley and Sons Petersen S, Rayner M, Wolstenholme J (2002) Coronary heart disease statistics: heart failure supplement, London, British Heart Foundation Riegel B, Carlson B (2002) Facilitators and barriers to heart failure self-care, Patient Education and Counselling, 46, 287-95 Riegel B, Dickson VV, Goldberg LR, Deatrik J (2007a) Factors associated with the 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