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the other information is for analysis against planned information So in this case, rather than having a dashboard with two lines one for planned and one for actual information we have ranges of information for planned or expected levels of each of the indicators This will provide the business analysts additional information and enable them to compare the overall growth and progression of each of the indicators Which KPI business users are supposed to look at and understand immediately upon opening this dashboard should be clear; the overall structure of the lower-middle view is dramatically different from the others The waterfall chart type displays this information in a manner that is unique but also very direct and focused Business users can immediately see that there has been an increase in the overall progress of capturing new customers The company has increased the number of new customers from 25 in the first quarter to 40 in the fourth quarter of 2008 Now, additional information can be used to understand in more detail what 40 customers in Q4 means to us If we were to have added an indicator around the total current customers and then a comparison between where we were versus where we are, that would be helpful Also, the customer profitability would have added additional information of importance to this discussion But we are looking to get specific information immediately to the executives and management so the critical number is the actual additional customers added This immediately offers inherent information that we are moving to be more profitable since additional customers hopefully means that we will be seeing additional revenues from these new clients We can definitely see that in Q1 we only had a net 25 new customers and therefore during the year we are doing a better job of looking for and adding to the new customer list In any case, we can immediately see that the range that we would like to be in is the section of the range that is highlighted with color and is identified by the cylindrical shape This can be seen in more detail in the following illustration.

be taken in the acute stages to replace the uid lost in the urine, but not to the point of water intoxication These problems can be avoided by matching the amount of intravenous uids to the urinary volume and by evaluating serum and urine osmolalities every 8 to 12 h For patients with partial preservation of ADH function, chlorpropamide, clo brate, or carbamazepine can be used to stimulate release of the hormone Syndrome of Inappropriate Antidiuretic Hormone (SIADH) Secretion As mentioned, blood volume and osmolality are normally maintained within narrow limits by the secretion of ADH and the thirst mechanism A reduction in osmolality of even 1 percent stimulates osmoreceptors in the hypothalamus to decrease ADH and to suppress thirst and drinking; increased osmolality and reduced blood volume do the opposite Normally, blood osmolality is about 282 mmol/kg and is maintained within a very narrow range Release of ADH begins when it reaches 287 mmol/kg (osmotic threshold) At this point, plasma ADH levels are 2 pg/mL and increase rapidly as the osmolality rises The response of ADH secretion to hyperosmolality is not the same for all plasma solutes; in contrast to hypernatremia, for example, hyperosmolality induced by elevations in urea nitrogen or endogenous glucose produce minimal or no elevations in ADH Derangement of this delicately regulated mechanism, taking the form of dilutional hyponatremia and water retention without edema, is observed under a variety of clinical circumstances in which the plasma ADH is above normal or inappropriately normal despite plasma hypo-osmolality The term inappropriate secretion of antidiuretic hormone (SIADH) was applied to this syndrome by Schwartz and Bartter because of its similarity to that produced in animals by the chronic administration of ADH The same syndrome can arise from ectopic production of the hormone by tumor tissue In such cases, the thirst mechanism is not inhibited by decreased osmolality, and continued drinking further increases blood volume and reduces its solute concentration; ADH levels are found to be persistently elevated The physiologic hallmarks of this condition are a concentrated urine, usually with an osmolality above 300 mosm/L, and low serum osmolality and sodium concentrations Because of the dilutional effects, urea nitrogen and uric acid are reduced in the blood and serve as markers for excessive total body water Tissue edema is not seen because sodium excretion in the urine is maintained by suppression of the renin-angiotensin system and by an increase in atrial natriuretic peptide secretion (see below) SIADH is observed frequently with a variety of cerebral lesions (infarct, tumor, hemorrhage, meningitis, encephalitis) that do not involve the hypothalamus directly and with many types of local hypothalamic disease (trauma, surgery, vascular lesions) In most cases it tends to be a transient feature of the underlying illness The acute dysautonomia of Guillain-Barre syndrome is a common cause of SIADH, and hyponatremia is particularly likely to occur in such patients being ventilated mechanically The increased thoracic pressure induced by positive-pressure ventilation promotes SIADH in susceptible patients Acute porphyric episodes have the same effect Neoplasms, particularly oat-cell tumors and sometimes in ammatory lesions of the lung, may elaborate an ADH-like substance, and certain drugs such as carbamazepine, chlorpromazine, chlorothiazide, chlorpropamide, clo brate, nonsteroidal antiin ammatory agents, and vincristine also stimulate ADH release and may lead to hyponatremia In some cases, no cause or associated disease is apparent A fall in serum sodium to 125 meq/L usually has no apparent.

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