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Cutlip, Center, and Broom's Four-Step PR Process is a widely used framework for structuring public relations campaigns:
- Step 1 — Defining PR Problems: Situational/SWOT analysis. Answers: “What's happening now?”
- Step 2 — Planning and Programming: Strategy development. Answers: “What should we do and say, and why?”
- Step 3 — Taking Action and Communicating: Implementation. Answers: “How and when do we do and say it?”
- Step 4 — Evaluating the Program: Final assessment. Answers: “How did we do?”
Tools used in this process include focus groups, surveys, interviews, press releases, brochures, web sites, media packs, video news releases, news conferences, and in-house publications. The four-step framework reflects the scientific approach to PR — treating communication as a planned, measurable process rather than ad hoc publicity.
Educational administration is described as primarily a social enterprise because it deals with human beings, their interactions, organizational culture, and collective goals. It involves coordination among teachers, students, parents, and the community — all social dimensions.
Correct Answer: C — Social.
CRRT circuit clotting is the most common complication of CRRT in ICU, especially in patients with:
- Hypercoagulable states
- Inadequate anticoagulation
- Low blood flow rates
- High hematocrit
- High filter/transmembrane pressure alarms
- Reduced or absent effluent output
- Dark color of blood in circuit
- Frequent circuit 'down' time
- Regional citrate anticoagulation (RCA): First-line anticoagulation in CRRT (KDIGO 2012)
- Systemic heparin infusion (if no bleeding risk)
- Maintain blood flow rate \(\geq 150-200 \text{ mL/min}\)
- Predilution mode (dilutes blood before filter)
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