QUALITY OF LIFE AS A PREDICTOR OF POST OPERATIVE OUTCOME FOLLOWING REVASCULAR...Shantonu Kumar Ghosh
World Health Organization (WHO) defines quality of life as an individual’s perception of their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards and concerns.8
QOL encompasses the concept of health-related quality of life (HRQOL) and other domains such as environment, family and work. HRQOL is the extent to which one’s usual or expected physical, emotional and social well-being is affected by a medical condition or its treatment.9
For patients suffering from peripheral arterial disease (PAD), quality of life (QoL) has become as important as medical outcome end points, such as mortality and morbidity, to evaluate the effect of disease and treatment.10
Effectiveness of Nurse Led Heart Failure Management Program on Quality of Lif...ijtsrd
Background Heart failure HF is characterized by poor quality of life QOL with high hospitalization rates, and poor prognosis. Younger age groups are more affected in developing countries like India. HF can be very disabling, and QOL of patients can be severely affected Objectives 1. To assess the Quality of Life of Heart Failure patients in Experimental and Control Group. 2. To Compare the effectiveness of Nurse Led Heart Failure Management Program on Quality of life of heart failure patients in Experimental and Control Group. Method The study was conducted for 3 months from 1 Dec to 1 March 2019, in cardiology OPD, at KGMU, U.P, based on simple random sampling the groups were divided into control group and experimental group in which the control group received no intervention and Interventions of Nurse led Heart failure management program was given in experimental group with a Log book which they have to fill once a week for 3 months. Post test questionnaire for Quality of life and log book data will be collected from both the groups after 3 months. Results The result showed significant difference between Quality of life P 0.002 as measured by KCCQ, mean Quality of life was found to be significantly higher among the subjects of Experimental group 60.50±12.10 than control group 46.73±16.23 at post intervention. Conclusion Simple systemic educational intervention that was targeted towards patient to provide a tailored educational intervention through an holistic Perspective, focused on preserving or enhancing health and Self management goal achievement has improve quality of life of heart failure patients those who received NLP i.e, Experimental group, Their Quality Scores were High as Compared to Control group. Conclusion The study concluded that, structured information brochure is an effective way to improve the knowledge and reduce the anxiety among the patient planned for angioplasty. The study recommended that structured information brochure about the post procedural care about the angioplasty should be implemented to improve the knowledge and reduce the anxiety among the patient for providing a better care. Richi Lal | Rashmi P. John | Sharad Chandra "Effectiveness of Nurse-Led Heart Failure Management Program on Quality of Life of Heart Failure Patients in Cardiology OPD, at KGMU, U.P" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-6 | Issue-1 , December 2021, URL: https://www.ijtsrd.com/papers/ijtsrd48046.pdf Paper URL: https://www.ijtsrd.com/medicine/cardiology/48046/effectiveness-of-nurseled-heart-failure-management-program-on-quality-of-life-of-heart-failure-patients-in-cardiology-opd-at-kgmu-up/richi-lal
This pilot study assessed the effects of an Iyengar yoga program (IYP) on 25 patients with chronic lung diseases like pulmonary arterial hypertension and chronic obstructive pulmonary disease. Patients participated in a 12-week IYP involving biweekly 2-hour classes. Questionnaires assessing health-related quality of life, anxiety, depression, and functional mobility were completed at baseline and after 12 weeks. Statistically significant improvements were seen in anxiety and fatigue scores. Clinically important improvements were observed in mobility, pain, emotion, and overall health scores. Patients' journals also reported enhancements in breathing, energy, sleep, and overall well-being. The findings suggest yoga may provide benefits and warrant further exploration in a larger study.
Satish K. Gupta, Ramesh C. Sawhney, Lajpat Rai , V. D. Chavan, Sameer Dani, Ramesh C. Arora,
W. Selvamurthy, H. K. Chopra, Navin C. Nanda
Indian Heart Journal 2011; 63:461-469
J2016 - Tecson et al AJC Impact of EECP on Heart Failure RehospitalizationEmily Hu
1) The study assessed the impact of enhanced external counterpulsation (EECP) combined with heart failure education on reducing 90-day readmission rates in 99 patients with heart failure due to ischemic cardiomyopathy who began EECP within 90 days of hospital discharge.
2) Only 6 patients (6.1%) had unplanned readmissions within 90 days, which was significantly lower than the predicted rate of 34%. Functional status, walk distance, and symptoms also improved after EECP based on various clinical measures.
3) In conclusion, patients who received EECP and education within 90 days of discharge had significantly lower readmission rates than predicted, and also showed improvements in functional status, walk distance, and symptoms.
This study aimed to assess the knowledge of cardiac patients regarding complications and lifestyle modifications. A quantitative approach with a descriptive research design was used. 30 cardiac patients attending a hospital cardiology OPD in Nellore, India were sampled. Data was collected using a questionnaire and analyzed using descriptive and inferential statistics. The results found moderate knowledge among patients. There was a significant association between knowledge and food habits. The study concluded there is a need for interventions to improve patient knowledge on cardiac complications and lifestyle changes.
This document summarizes a study examining differences between individuals granted versus denied insurance coverage for chronic pain treatment after being recommended for an interdisciplinary pain management program. The study found no clinically meaningful differences between the groups on various pain-related measures, suggesting insurance denials were not based on patient need. This implies insurance funding decisions are made on non-clinical criteria rather than patient need. The document provides background on chronic pain, the effectiveness of interdisciplinary treatment, and barriers to treatment access when insurance coverage is denied.
QUALITY OF LIFE AS A PREDICTOR OF POST OPERATIVE OUTCOME FOLLOWING REVASCULAR...Shantonu Kumar Ghosh
World Health Organization (WHO) defines quality of life as an individual’s perception of their position in life in the context of the culture and value systems in which they live and in relation to their goals, expectations, standards and concerns.8
QOL encompasses the concept of health-related quality of life (HRQOL) and other domains such as environment, family and work. HRQOL is the extent to which one’s usual or expected physical, emotional and social well-being is affected by a medical condition or its treatment.9
For patients suffering from peripheral arterial disease (PAD), quality of life (QoL) has become as important as medical outcome end points, such as mortality and morbidity, to evaluate the effect of disease and treatment.10
Effectiveness of Nurse Led Heart Failure Management Program on Quality of Lif...ijtsrd
Background Heart failure HF is characterized by poor quality of life QOL with high hospitalization rates, and poor prognosis. Younger age groups are more affected in developing countries like India. HF can be very disabling, and QOL of patients can be severely affected Objectives 1. To assess the Quality of Life of Heart Failure patients in Experimental and Control Group. 2. To Compare the effectiveness of Nurse Led Heart Failure Management Program on Quality of life of heart failure patients in Experimental and Control Group. Method The study was conducted for 3 months from 1 Dec to 1 March 2019, in cardiology OPD, at KGMU, U.P, based on simple random sampling the groups were divided into control group and experimental group in which the control group received no intervention and Interventions of Nurse led Heart failure management program was given in experimental group with a Log book which they have to fill once a week for 3 months. Post test questionnaire for Quality of life and log book data will be collected from both the groups after 3 months. Results The result showed significant difference between Quality of life P 0.002 as measured by KCCQ, mean Quality of life was found to be significantly higher among the subjects of Experimental group 60.50±12.10 than control group 46.73±16.23 at post intervention. Conclusion Simple systemic educational intervention that was targeted towards patient to provide a tailored educational intervention through an holistic Perspective, focused on preserving or enhancing health and Self management goal achievement has improve quality of life of heart failure patients those who received NLP i.e, Experimental group, Their Quality Scores were High as Compared to Control group. Conclusion The study concluded that, structured information brochure is an effective way to improve the knowledge and reduce the anxiety among the patient planned for angioplasty. The study recommended that structured information brochure about the post procedural care about the angioplasty should be implemented to improve the knowledge and reduce the anxiety among the patient for providing a better care. Richi Lal | Rashmi P. John | Sharad Chandra "Effectiveness of Nurse-Led Heart Failure Management Program on Quality of Life of Heart Failure Patients in Cardiology OPD, at KGMU, U.P" Published in International Journal of Trend in Scientific Research and Development (ijtsrd), ISSN: 2456-6470, Volume-6 | Issue-1 , December 2021, URL: https://www.ijtsrd.com/papers/ijtsrd48046.pdf Paper URL: https://www.ijtsrd.com/medicine/cardiology/48046/effectiveness-of-nurseled-heart-failure-management-program-on-quality-of-life-of-heart-failure-patients-in-cardiology-opd-at-kgmu-up/richi-lal
This pilot study assessed the effects of an Iyengar yoga program (IYP) on 25 patients with chronic lung diseases like pulmonary arterial hypertension and chronic obstructive pulmonary disease. Patients participated in a 12-week IYP involving biweekly 2-hour classes. Questionnaires assessing health-related quality of life, anxiety, depression, and functional mobility were completed at baseline and after 12 weeks. Statistically significant improvements were seen in anxiety and fatigue scores. Clinically important improvements were observed in mobility, pain, emotion, and overall health scores. Patients' journals also reported enhancements in breathing, energy, sleep, and overall well-being. The findings suggest yoga may provide benefits and warrant further exploration in a larger study.
Satish K. Gupta, Ramesh C. Sawhney, Lajpat Rai , V. D. Chavan, Sameer Dani, Ramesh C. Arora,
W. Selvamurthy, H. K. Chopra, Navin C. Nanda
Indian Heart Journal 2011; 63:461-469
J2016 - Tecson et al AJC Impact of EECP on Heart Failure RehospitalizationEmily Hu
1) The study assessed the impact of enhanced external counterpulsation (EECP) combined with heart failure education on reducing 90-day readmission rates in 99 patients with heart failure due to ischemic cardiomyopathy who began EECP within 90 days of hospital discharge.
2) Only 6 patients (6.1%) had unplanned readmissions within 90 days, which was significantly lower than the predicted rate of 34%. Functional status, walk distance, and symptoms also improved after EECP based on various clinical measures.
3) In conclusion, patients who received EECP and education within 90 days of discharge had significantly lower readmission rates than predicted, and also showed improvements in functional status, walk distance, and symptoms.
This study aimed to assess the knowledge of cardiac patients regarding complications and lifestyle modifications. A quantitative approach with a descriptive research design was used. 30 cardiac patients attending a hospital cardiology OPD in Nellore, India were sampled. Data was collected using a questionnaire and analyzed using descriptive and inferential statistics. The results found moderate knowledge among patients. There was a significant association between knowledge and food habits. The study concluded there is a need for interventions to improve patient knowledge on cardiac complications and lifestyle changes.
This document summarizes a study examining differences between individuals granted versus denied insurance coverage for chronic pain treatment after being recommended for an interdisciplinary pain management program. The study found no clinically meaningful differences between the groups on various pain-related measures, suggesting insurance denials were not based on patient need. This implies insurance funding decisions are made on non-clinical criteria rather than patient need. The document provides background on chronic pain, the effectiveness of interdisciplinary treatment, and barriers to treatment access when insurance coverage is denied.
Palliative care could help improve the quality of life for Parkinson’s diseas...Δρ. Γιώργος K. Κασάπης
A small study of individuals with Parkinson’s disease finds that adding palliative care to standard care may help raise their quality of life. Half the patients in a 210-person trial were assigned to visit physicians as usual, while the others also received palliative care — a team of a social worker, nurse, palliative medicine specialist, and chaplain visited the patient at home or via telemedicine to discuss symptoms and difficult emotions and offer support to caregivers. Patients in the combination care group had more improvement in their quality of life score (as measured by a survey that assesses physical and mental health).
These patients also scored higher on quality of life measures when their caregivers were surveyed in their stead.
Economic And Humanistic Outcomes Of Post Acs In Cardiac Rehabilitation Progra...guestaf1e4
The study evaluated a modified cardiac rehabilitation program (MCRP) compared to a conventional program in patients after acute coronary syndrome. Quality of life was measured using SF-36 at baseline and 12 months. MCRP showed improved physical and mental health scores compared to baseline and controls. MCRP was found to be highly cost-effective with minimal incremental cost ratios compared to usual care without rehabilitation. The study demonstrated that MCRP can improve patient outcomes and is a low-cost intervention that should be implemented more widely.
This document summarizes a study that evaluated the impact of a remotely delivered behavioral health intervention program on medical outcomes and costs for individuals with cardiovascular disease. The study found that participants who completed the 8-week behavioral health program had significantly fewer hospital admissions and total hospital days during the following 6 months compared to a control group. This resulted in lower overall healthcare costs despite the costs of the behavioral health program. The study demonstrates that addressing behavioral health issues through a remote behavioral health intervention can successfully improve medical outcomes and reduce healthcare expenditures for high-risk patients.
This document summarizes a study that evaluated the World Health Organization Disability Assessment Schedule 2.0 (WHODAS) as a tool for measuring postoperative disability. The study assessed WHODAS in 510 surgical patients across multiple timepoints. Results showed WHODAS demonstrated good criterion and convergent validity when compared to other measures of quality of recovery, physical functioning, quality of life and pain. WHODAS also showed excellent internal consistency and responsiveness over time. The study concludes WHODAS is a clinically valid, reliable and responsive tool for measuring postoperative disability in diverse surgical populations.
Reducing Stroke Readmissions in Acute Care Setting.docxdanas19
This document discusses factors that contribute to readmissions of stroke patients and interventions to reduce readmissions. It notes that readmissions account for 20.5% of hospital admissions and reviews reasons for readmissions like medication issues, lack of follow-up care, and unhealthy lifestyles. The document outlines programs like TRACS, COMPASS and MISTT that provide post-discharge support through nurse coaching, medication management support and lifestyle counseling to reduce readmissions.
This study assessed outcomes of physical therapy and surgery for 150 patients with neurogenic thoracic outlet syndrome (NTOS) using patient-reported measures. 40 patients (27%) had satisfactory improvement with a 6-week physical therapy trial, while 90 (60%) underwent surgery after physical therapy failed. Patients who underwent surgery had greater reductions in disability scores and better patient-rated outcomes compared to those who received only physical therapy. However, pre-treatment factors did not reliably predict who would benefit from each treatment. This study provides information on contemporary outcomes for physical therapy and surgery for NTOS.
Abstract—Prevalence of degenerative dementias and dementias associated with cerebrovascular disease is increasing with the time. Dementia is one of the most significant public health problems. Demographic data, medical history, general biochemical data and serum total homocysteine (tHcy) levels was used in this study to examine the differences between dementia and normal control groups. A cross-sectional study was conducted on 236 individuals who were above the age of 65 years. These participants went through the Mini-Mental State Examination (MMSE), Clinical Dementia Rating (CDR), demographic characteristics, biochemical data and tHcy level. Each of the above mentioned factors was assessed. There were significant differences in the history of hypertension, diabetes mellitus, marital status, alcohol consumption (AC), BMI value, and triglyceride (TG) and serum tHcy levels. The logistic regression analysis showed significant differences in marital status, AC and tHcy. So it can be concluded that elevated serum tHcy, no AC and no partner are associated with the risk of dementia in elders of Southern Taiwan. It needs further researches to identify and reduce the risk of dementia.
Depression Involved in the Chemotherapy Induced Event-based Prospective Memor...IJEAB
The aim of this study was to investigate the relationships between depression and occurrence of chemotherapy induced prospective memory impairment in patients with breast cancer (BC).The 63 BC patients before and after chemotherapy were administered with the self-rating depression scale (SDS) and a battery of cognitive neuropsychological tests including event-based and time-based prospective memory (EBPM and TBPM, respectively) tasks. The changes in their prospective memory and cognitive neuropsychological characteristics before and after chemotherapy were compared. Compared with the scores before chemotherapy, the EBPM score exhibited a statistically significant difference after chemotherapy (t = 6.069, P < 0.01), while the TBPM score showed no significant difference (t = 1.087, P > 0.05). Further, compared with the patients without depression, the patients with depression exhibited a statistically significant difference in the EBPM score (t = -4.348, P < 0.01), while the TBPM scores did not show a statistically significant difference between the two groups (t = -1.260, P > 0.05). Post-chemotherapy, EBPM and overall cognitive functions in BC patients merged with depression were found to decline, while TBPM did not show a significant change, suggesting that the combination of chemotherapy and depression might be related with the occurrence of post-chemotherapy EBPM impairment.
This document summarizes psychiatric disorders that are more prevalent in HIV-infected patients compared to the general population. It discusses how psychiatric illness can both increase the risk of HIV infection and negatively impact outcomes for HIV patients. Common psychiatric issues in HIV patients include depression, anxiety, substance abuse, and mania. Screening tools and treatment options are also reviewed.
Elevated Tissue Doppler E/E' on Index Admission Can Help Identify Patients at...crimsonpublishersOJCHD
Readmissions for congestive Heart Failure (CHF) are a major healthcare problem that contributes significantly to the overall healthcare expenditure. About 24% of patients are readmitted to the hospital within 30 days of discharge. We investigated whether a non-invasive estimate of left atrial filling pressure, an elevated ratio of early trans mitral flow velocity to early diastolic mitral annular velocity (E/E'), during the index admission for CHF could independently predict 30 day readmission.
Running head CREATING A PLAN OF CARE .docxsusanschei
Running head: CREATING A PLAN OF CARE 1
CREATING A PLAN OF CARE 10
Creating a Plan of Care
South University
NSG4055 Illness & Disease Management across Life Span
Professor
Creating a Plan of Care
The chronic disease selected for the plan of care is cardiovascular disease. This disease continues to pose major challenges not only for patients and their family members but also to the nation’s health care system. The rationale for choosing cardiovascular disease is because of the high rates of mortality and the effects of the co-morbidities associated with the chronic illness. According to Santulli (2013), cardiovascular disease is the single leading cause of fatalities in the United States, accounting for approximately 600,000 deaths annually. In 2011, approximately 26.6 million Americans were living with the chronic disease. The health care costs associated with the disease account for more than $500 billion annually. There are also many disparities in prevalence of risk factors, mortality, access to treatment and treatment outcomes based on race/ethnicity, socioeconomic status, gender, age and geographic area. Hence, tackling the disease should be a major priority for the US government. The main objective of the Healthy People 2020 initiative for cardiovascular disease is “improving cardiovascular health through early detection, prevention and treatment of the risk factors for stroke and heart attack”. This report outlines a comprehensive plan of care that can help in addressing and mitigating cardiovascular disease.
Holistic Plan of Care
Creating a holistic plan of care will indeed be essential for ensuring that people with chronic conditions such as cardiovascular disease lead a healthy life. Cardiovascular disease has a significant impact on the patient and the health care system. Apart from the emotional distress, patients with this condition also face some financial burdens, social burdens and increased levels of discrimination (Earnshaw & Quinn, 2012). In the course of completing the project, I administered a questionnaire to a coworker by the initials C.K. during week 2 to find out how she deals with the condition.
The questionnaire looked into various aspects such as family history, related medical conditions, the risk factors of cardiovascular disease, lifestyle choices and the coping strategies or support received by the patient. Understanding all these aspects can help in developing a well-managed care plan (Larsen & Lubkin, 2013). The results of the questionnaire revealed that C.K. observes healthy lifestyle, has the right levels of support and adheres to the medication regimen. All these factors helped her to cope effectively with the condition. However, even though she attested to leading a healthy lifestyle, C.K. also revealed that her family faced s ...
Interventions to reduce unplanned hospital admission, a study from NHS Bristo...Emergency Live
This review represents one of the most comprehensive sources of evidence on interventions for unplanned hospital admissions. There was evidence that education/self-management, exercise/rehabilitation and telemedicine in selected patient populations, and specialist heart failure interventions can help reduce unplanned admissions. However, the evidence to date suggests that majority of the remaining interventions included in these reviews do not help reduce unplanned admissions in a wide range of patients.
Patient-Reported Outcomes: Does Stigma Affect the Quality of Life of Patients...semualkaira
The degree to which stigma affects the
health-related quality of life (HRQoL) of patients with chronic
hepatitis B (CHB)-related diseases is not known. We evaluated the
HRQoL of patients with CHB-related disease and identified stigma
associated with HRQoL
The study aimed to determine if group appointments called PHASE improved statin adherence and LDL outcomes, and if effects differed by ethnicity. Retrospectively, 60 patients were divided into those who did (PHASE, n=30) or did not (non-PHASE, n=30) attend PHASE. No significant differences were found between groups in LDL or adherence over 6 months. However, PHASE patients were more likely to have labs done and remain on statins long-term. Secondary analysis found some interethnic differences in adherence and LDL within groups over time.
Week 5 EBP ProjectAppraisal of EvidenceCLC EBP Research .docxcockekeshia
Week 5 EBP Project/Appraisal of Evidence
CLC: EBP Research Table
Citation
Include the APA reference note.
Abstract/Purpose
Craft a 100-150 word summary of the research.
Research/Study
Describe the design of the relevant research or study in the article.
Methods
Describe the methods used, including tools, systems, etc.
Setting/Subject
Identify the population and
the setting in which the study was conducted.
Findings/Results
Identify the relevant findings, including any specific data points that may be of interest to your EBP project.
Variables
Describe the independent and dependent variables in the research/study.
Implication for Practice
Articulate the value of the research to the EBP project your group has chosen.
Independent Variable
Dependent Variable
King-Shier, K.M., Mather, C., &LeBlanc, P. (2013). Understanding the influence of urban or rural living on cardiac patients’ decisions about diet and physical activity: Descriptive decision modeling. International Journal of Nursing Studies, 50(11), 1513-1523. doi: 10.1016/j.ijnurstu.2013.03.003
This research aims to answer to better understand the decision-making process of eating a heart healthy diet and extent of physical activity. Also, are these decisions influenced by whether the subject lives in a rural or urban setting. The research proposal was the cultural issues effected participants decision making as well as place of residence. This research used a previous qualitative research design in which 42 cardiac patients (21 urban, and 21 rural) were interviewed about their diet and physical activity. The researchers then designed a model for interviewing regarding the decision-making process. The combination model was then given and tested with 647 cardiac patients (327 urban and 320 rural) from Canada. The results were based on 93.5% accuracy for diet and 97.5 % accuracy with physical activity. Results indicated that decision-making was less about place of residence and more about perception of control over health including time, effort, or competing priorities, receipt of appropriate clear information, and appeal of the activity.
A three-staged, multi-methods approach was used to develop and analyze the descriptive decision making model that patients use in making decisions regarding their cardiac lifestyle. A cross-sectional survey was used to interview patients one year post-cardiac catherization. These interviews were performed via telephone. A three stage decision tree model was then used to analyze the information offered. The stages were as follows: 1. Factors that were influential in decision making. 2. If and where failure had occurred for patients. 3. Did patients consistently, sometimes, or not at all engage in physical activity and a heart healthy diet. Results were then analyzed using statistical analysis.
Information was gathered from a previous series of qualitative interviews conducted with 42 cardiac patients (21 rural, 21 urban). Based on the infor.
Depresi dan bunuh diri sebagai masalah kesehatan mental yang lazim untuk pasien hemodialisis. Tujuan: Para penulis meneliti faktor-faktor demografi dan psikologis yang terkait dengan depresi pada pasien hemodialisis dan dijelaskan hubungan antara depresi, kecemasan, kelelahan, kualitas kesehatan yang berhubungan hidup yang buruk, dan meningkatkan risiko bunuh diri.
Implementing psychosocial care into routine practice: making it easyCancer Institute NSW
1. This document discusses implementing a clinical pathway for screening and managing anxiety and depression in cancer patients. It outlines barriers to implementation and strategies to address them.
2. A key barrier is that screening alone does not improve outcomes; a clear clinical pathway and institutional support are needed. The pathway was developed through stakeholder consultation and specifies screening, assessment, referral, and treatment steps.
3. Barriers to implementing the pathway include lack of resources, responsibility issues, staff and patient reluctance. The proposed study will test intensive versus basic strategies to promote pathway uptake, including online training, automated screening/referral systems, and patient/staff educational resources. The goal is to improve psychosocial outcomes for cancer patients.
Problem 1
Problem 2 (two screen shots)
Problem 3 (two screen shots)
Problem 4 (three screen shots)
Problem 5 (one screen shot)
Problem 6 (six screenshots plus a data table)
.
Problem 20-1A Production cost flow and measurement; journal entrie.docxChantellPantoja184
Problem 20-1A Production cost flow and measurement; journal entries L.O. P1, P2, P3, P4
[The following information applies to the questions displayed below.]
Edison Company manufactures wool blankets and accounts for product costs using process costing. The following information is available regarding its May inventories.
Beginning
Inventory
Ending
Inventory
Raw materials inventory
$
60,000
$
41,000
Goods in process inventory
449,000
521,500
Finished goods inventory
610,000
342,001
The following additional information describes the company's production activities for May.
Raw materials purchases (on credit)
$
250,000
Factory payroll cost (paid in cash)
1,850,300
Other overhead cost (Other Accounts credited)
82,000
Materials used
Direct
$
200,500
Indirect
50,000
Labor used
Direct
$
1,060,300
Indirect
790,000
Overhead rate as a percent of direct labor
115
%
Sales (on credit)
$
3,000,000
The predetermined overhead rate was computed at the beginning of the year as 115% of direct labor cost.
\\\\\
rev: 11_02_2011
references
1.
value:
2.00 points
Problem 20-1A Part 1
Required:
1(a)
Compute the cost of products transferred from production to finished goods. (Omit the "$" sign in your response.)
Cost of products transferred
$
1(b)
Compute the cost of goods sold. (Omit the "$" sign in your response.)
Cost of goods sold
$
rev: 10_31_2011
check my workeBook Links (4)references
2.
value:
5.00 points
Problem 20-1A Part 2
2(a)
Prepare journal entry dated May 31 to record the raw materials purchases. (Omit the "$" sign in your response.)
Date
General Journal
Debit
Credit
May 31
2(b)
Prepare journal entry dated May 31 to record the direct materials usage. (Omit the "$" sign in your response.)
Date
General Journal
Debit
Credit
May 31
2(c)
Prepare journal entry dated May 31 to record the indirect materials usage. (Omit the "$" sign in your response.)
Date
General Journal
Debit
Credit
May 31
2(d)
Prepare journal entry dated May 31 to record the payroll costs. (Omit the "$" sign in your response.)
Date
General Journal
Debit
Credit
May 31
2(e)
Prepare journal entry dated May 31 to record the direct labor costs. (Omit the "$" sign in your response.)
Date
General Journal
Debit
Credit
May 31
2(f)
Prepare journal entry dated May 31 to record the indirect labor costs. (Omit the "$" sign in your response.)
Date
General Journal
Debit
Credit
May 31
2(g)
Prepare journal entry dated May 31 to record the other overhead costs. (Omit the "$" sign in your response.)
Date
General Journal
Debit
Credit
May 31
2(h)
Prepare journal entry dated May 31 to record the overhead applied. (Omit the "$" sign in your response.)
Date
General Journal
Debit
Credit
May 31
2(i)
Prepare journal entry dated May 31 to record the goods transferred from production to finished goods.(Omit the "$" sign in yo.
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This study assessed outcomes of physical therapy and surgery for 150 patients with neurogenic thoracic outlet syndrome (NTOS) using patient-reported measures. 40 patients (27%) had satisfactory improvement with a 6-week physical therapy trial, while 90 (60%) underwent surgery after physical therapy failed. Patients who underwent surgery had greater reductions in disability scores and better patient-rated outcomes compared to those who received only physical therapy. However, pre-treatment factors did not reliably predict who would benefit from each treatment. This study provides information on contemporary outcomes for physical therapy and surgery for NTOS.
Abstract—Prevalence of degenerative dementias and dementias associated with cerebrovascular disease is increasing with the time. Dementia is one of the most significant public health problems. Demographic data, medical history, general biochemical data and serum total homocysteine (tHcy) levels was used in this study to examine the differences between dementia and normal control groups. A cross-sectional study was conducted on 236 individuals who were above the age of 65 years. These participants went through the Mini-Mental State Examination (MMSE), Clinical Dementia Rating (CDR), demographic characteristics, biochemical data and tHcy level. Each of the above mentioned factors was assessed. There were significant differences in the history of hypertension, diabetes mellitus, marital status, alcohol consumption (AC), BMI value, and triglyceride (TG) and serum tHcy levels. The logistic regression analysis showed significant differences in marital status, AC and tHcy. So it can be concluded that elevated serum tHcy, no AC and no partner are associated with the risk of dementia in elders of Southern Taiwan. It needs further researches to identify and reduce the risk of dementia.
Depression Involved in the Chemotherapy Induced Event-based Prospective Memor...IJEAB
The aim of this study was to investigate the relationships between depression and occurrence of chemotherapy induced prospective memory impairment in patients with breast cancer (BC).The 63 BC patients before and after chemotherapy were administered with the self-rating depression scale (SDS) and a battery of cognitive neuropsychological tests including event-based and time-based prospective memory (EBPM and TBPM, respectively) tasks. The changes in their prospective memory and cognitive neuropsychological characteristics before and after chemotherapy were compared. Compared with the scores before chemotherapy, the EBPM score exhibited a statistically significant difference after chemotherapy (t = 6.069, P < 0.01), while the TBPM score showed no significant difference (t = 1.087, P > 0.05). Further, compared with the patients without depression, the patients with depression exhibited a statistically significant difference in the EBPM score (t = -4.348, P < 0.01), while the TBPM scores did not show a statistically significant difference between the two groups (t = -1.260, P > 0.05). Post-chemotherapy, EBPM and overall cognitive functions in BC patients merged with depression were found to decline, while TBPM did not show a significant change, suggesting that the combination of chemotherapy and depression might be related with the occurrence of post-chemotherapy EBPM impairment.
This document summarizes psychiatric disorders that are more prevalent in HIV-infected patients compared to the general population. It discusses how psychiatric illness can both increase the risk of HIV infection and negatively impact outcomes for HIV patients. Common psychiatric issues in HIV patients include depression, anxiety, substance abuse, and mania. Screening tools and treatment options are also reviewed.
Elevated Tissue Doppler E/E' on Index Admission Can Help Identify Patients at...crimsonpublishersOJCHD
Readmissions for congestive Heart Failure (CHF) are a major healthcare problem that contributes significantly to the overall healthcare expenditure. About 24% of patients are readmitted to the hospital within 30 days of discharge. We investigated whether a non-invasive estimate of left atrial filling pressure, an elevated ratio of early trans mitral flow velocity to early diastolic mitral annular velocity (E/E'), during the index admission for CHF could independently predict 30 day readmission.
Running head CREATING A PLAN OF CARE .docxsusanschei
Running head: CREATING A PLAN OF CARE 1
CREATING A PLAN OF CARE 10
Creating a Plan of Care
South University
NSG4055 Illness & Disease Management across Life Span
Professor
Creating a Plan of Care
The chronic disease selected for the plan of care is cardiovascular disease. This disease continues to pose major challenges not only for patients and their family members but also to the nation’s health care system. The rationale for choosing cardiovascular disease is because of the high rates of mortality and the effects of the co-morbidities associated with the chronic illness. According to Santulli (2013), cardiovascular disease is the single leading cause of fatalities in the United States, accounting for approximately 600,000 deaths annually. In 2011, approximately 26.6 million Americans were living with the chronic disease. The health care costs associated with the disease account for more than $500 billion annually. There are also many disparities in prevalence of risk factors, mortality, access to treatment and treatment outcomes based on race/ethnicity, socioeconomic status, gender, age and geographic area. Hence, tackling the disease should be a major priority for the US government. The main objective of the Healthy People 2020 initiative for cardiovascular disease is “improving cardiovascular health through early detection, prevention and treatment of the risk factors for stroke and heart attack”. This report outlines a comprehensive plan of care that can help in addressing and mitigating cardiovascular disease.
Holistic Plan of Care
Creating a holistic plan of care will indeed be essential for ensuring that people with chronic conditions such as cardiovascular disease lead a healthy life. Cardiovascular disease has a significant impact on the patient and the health care system. Apart from the emotional distress, patients with this condition also face some financial burdens, social burdens and increased levels of discrimination (Earnshaw & Quinn, 2012). In the course of completing the project, I administered a questionnaire to a coworker by the initials C.K. during week 2 to find out how she deals with the condition.
The questionnaire looked into various aspects such as family history, related medical conditions, the risk factors of cardiovascular disease, lifestyle choices and the coping strategies or support received by the patient. Understanding all these aspects can help in developing a well-managed care plan (Larsen & Lubkin, 2013). The results of the questionnaire revealed that C.K. observes healthy lifestyle, has the right levels of support and adheres to the medication regimen. All these factors helped her to cope effectively with the condition. However, even though she attested to leading a healthy lifestyle, C.K. also revealed that her family faced s ...
Interventions to reduce unplanned hospital admission, a study from NHS Bristo...Emergency Live
This review represents one of the most comprehensive sources of evidence on interventions for unplanned hospital admissions. There was evidence that education/self-management, exercise/rehabilitation and telemedicine in selected patient populations, and specialist heart failure interventions can help reduce unplanned admissions. However, the evidence to date suggests that majority of the remaining interventions included in these reviews do not help reduce unplanned admissions in a wide range of patients.
Patient-Reported Outcomes: Does Stigma Affect the Quality of Life of Patients...semualkaira
The degree to which stigma affects the
health-related quality of life (HRQoL) of patients with chronic
hepatitis B (CHB)-related diseases is not known. We evaluated the
HRQoL of patients with CHB-related disease and identified stigma
associated with HRQoL
The study aimed to determine if group appointments called PHASE improved statin adherence and LDL outcomes, and if effects differed by ethnicity. Retrospectively, 60 patients were divided into those who did (PHASE, n=30) or did not (non-PHASE, n=30) attend PHASE. No significant differences were found between groups in LDL or adherence over 6 months. However, PHASE patients were more likely to have labs done and remain on statins long-term. Secondary analysis found some interethnic differences in adherence and LDL within groups over time.
Week 5 EBP ProjectAppraisal of EvidenceCLC EBP Research .docxcockekeshia
Week 5 EBP Project/Appraisal of Evidence
CLC: EBP Research Table
Citation
Include the APA reference note.
Abstract/Purpose
Craft a 100-150 word summary of the research.
Research/Study
Describe the design of the relevant research or study in the article.
Methods
Describe the methods used, including tools, systems, etc.
Setting/Subject
Identify the population and
the setting in which the study was conducted.
Findings/Results
Identify the relevant findings, including any specific data points that may be of interest to your EBP project.
Variables
Describe the independent and dependent variables in the research/study.
Implication for Practice
Articulate the value of the research to the EBP project your group has chosen.
Independent Variable
Dependent Variable
King-Shier, K.M., Mather, C., &LeBlanc, P. (2013). Understanding the influence of urban or rural living on cardiac patients’ decisions about diet and physical activity: Descriptive decision modeling. International Journal of Nursing Studies, 50(11), 1513-1523. doi: 10.1016/j.ijnurstu.2013.03.003
This research aims to answer to better understand the decision-making process of eating a heart healthy diet and extent of physical activity. Also, are these decisions influenced by whether the subject lives in a rural or urban setting. The research proposal was the cultural issues effected participants decision making as well as place of residence. This research used a previous qualitative research design in which 42 cardiac patients (21 urban, and 21 rural) were interviewed about their diet and physical activity. The researchers then designed a model for interviewing regarding the decision-making process. The combination model was then given and tested with 647 cardiac patients (327 urban and 320 rural) from Canada. The results were based on 93.5% accuracy for diet and 97.5 % accuracy with physical activity. Results indicated that decision-making was less about place of residence and more about perception of control over health including time, effort, or competing priorities, receipt of appropriate clear information, and appeal of the activity.
A three-staged, multi-methods approach was used to develop and analyze the descriptive decision making model that patients use in making decisions regarding their cardiac lifestyle. A cross-sectional survey was used to interview patients one year post-cardiac catherization. These interviews were performed via telephone. A three stage decision tree model was then used to analyze the information offered. The stages were as follows: 1. Factors that were influential in decision making. 2. If and where failure had occurred for patients. 3. Did patients consistently, sometimes, or not at all engage in physical activity and a heart healthy diet. Results were then analyzed using statistical analysis.
Information was gathered from a previous series of qualitative interviews conducted with 42 cardiac patients (21 rural, 21 urban). Based on the infor.
Depresi dan bunuh diri sebagai masalah kesehatan mental yang lazim untuk pasien hemodialisis. Tujuan: Para penulis meneliti faktor-faktor demografi dan psikologis yang terkait dengan depresi pada pasien hemodialisis dan dijelaskan hubungan antara depresi, kecemasan, kelelahan, kualitas kesehatan yang berhubungan hidup yang buruk, dan meningkatkan risiko bunuh diri.
Implementing psychosocial care into routine practice: making it easyCancer Institute NSW
1. This document discusses implementing a clinical pathway for screening and managing anxiety and depression in cancer patients. It outlines barriers to implementation and strategies to address them.
2. A key barrier is that screening alone does not improve outcomes; a clear clinical pathway and institutional support are needed. The pathway was developed through stakeholder consultation and specifies screening, assessment, referral, and treatment steps.
3. Barriers to implementing the pathway include lack of resources, responsibility issues, staff and patient reluctance. The proposed study will test intensive versus basic strategies to promote pathway uptake, including online training, automated screening/referral systems, and patient/staff educational resources. The goal is to improve psychosocial outcomes for cancer patients.
Similar to 124 wileyonlinelibrary.comjournalajr Aust. J. Rural Heal (20)
Problem 1
Problem 2 (two screen shots)
Problem 3 (two screen shots)
Problem 4 (three screen shots)
Problem 5 (one screen shot)
Problem 6 (six screenshots plus a data table)
.
Problem 20-1A Production cost flow and measurement; journal entrie.docxChantellPantoja184
Problem 20-1A Production cost flow and measurement; journal entries L.O. P1, P2, P3, P4
[The following information applies to the questions displayed below.]
Edison Company manufactures wool blankets and accounts for product costs using process costing. The following information is available regarding its May inventories.
Beginning
Inventory
Ending
Inventory
Raw materials inventory
$
60,000
$
41,000
Goods in process inventory
449,000
521,500
Finished goods inventory
610,000
342,001
The following additional information describes the company's production activities for May.
Raw materials purchases (on credit)
$
250,000
Factory payroll cost (paid in cash)
1,850,300
Other overhead cost (Other Accounts credited)
82,000
Materials used
Direct
$
200,500
Indirect
50,000
Labor used
Direct
$
1,060,300
Indirect
790,000
Overhead rate as a percent of direct labor
115
%
Sales (on credit)
$
3,000,000
The predetermined overhead rate was computed at the beginning of the year as 115% of direct labor cost.
\\\\\
rev: 11_02_2011
references
1.
value:
2.00 points
Problem 20-1A Part 1
Required:
1(a)
Compute the cost of products transferred from production to finished goods. (Omit the "$" sign in your response.)
Cost of products transferred
$
1(b)
Compute the cost of goods sold. (Omit the "$" sign in your response.)
Cost of goods sold
$
rev: 10_31_2011
check my workeBook Links (4)references
2.
value:
5.00 points
Problem 20-1A Part 2
2(a)
Prepare journal entry dated May 31 to record the raw materials purchases. (Omit the "$" sign in your response.)
Date
General Journal
Debit
Credit
May 31
2(b)
Prepare journal entry dated May 31 to record the direct materials usage. (Omit the "$" sign in your response.)
Date
General Journal
Debit
Credit
May 31
2(c)
Prepare journal entry dated May 31 to record the indirect materials usage. (Omit the "$" sign in your response.)
Date
General Journal
Debit
Credit
May 31
2(d)
Prepare journal entry dated May 31 to record the payroll costs. (Omit the "$" sign in your response.)
Date
General Journal
Debit
Credit
May 31
2(e)
Prepare journal entry dated May 31 to record the direct labor costs. (Omit the "$" sign in your response.)
Date
General Journal
Debit
Credit
May 31
2(f)
Prepare journal entry dated May 31 to record the indirect labor costs. (Omit the "$" sign in your response.)
Date
General Journal
Debit
Credit
May 31
2(g)
Prepare journal entry dated May 31 to record the other overhead costs. (Omit the "$" sign in your response.)
Date
General Journal
Debit
Credit
May 31
2(h)
Prepare journal entry dated May 31 to record the overhead applied. (Omit the "$" sign in your response.)
Date
General Journal
Debit
Credit
May 31
2(i)
Prepare journal entry dated May 31 to record the goods transferred from production to finished goods.(Omit the "$" sign in yo.
Problem 2 Obtain Io.Let x be the current through j2, ..docxChantellPantoja184
Problem 2: Obtain Io.
Let x be the current through j2, .
Let .
.
.
.
………..1.
…………2.
.
.
…………3.
……………….4.
Solving these 4 equations we can get .
.
Problem 1:Find currents I1, I2, and I3
Problem 2: Obtain Io
Problem 3:Obtain io
.
Problem 1On April 1, 20X4, Rojas purchased land by giving $100,000.docxChantellPantoja184
Problem 1On April 1, 20X4, Rojas purchased land by giving $100,000 in cash and executing a $400,000 note payable to the former owner. The note bears interest at 10% per annum, with interest being payable annually on March 31 of each year. Rojas is also required to make a $100,000 payment toward the note's principal on every March 31.(a)Prepare the appropriate journal entry to record the land purchase on April 1, 20X4.(b)Prepare the appropriate journal entry to record the year-end interest accrual on December 31, 20X4.(c)Prepare the appropriate journal entry to record the payment of interest and principal on March 31, 20X5.(d)Prepare the appropriate journal entry to record the year-end interest accrual on December 31, 20X5.(e)Prepare the appropriate journal entry to record the payment of interest and principal on March 31, 20X6.
&R&"Myriad Web Pro,Bold"&20B-13.01
B-13.01
Worksheet 1(a), (b), (c), (d), (e)GENERAL JOURNALDateAccountsDebitCredit04-01-X412-31-X403-31-X512-31-X503-31-X6
&L&"Myriad Web Pro,Bold"&12Name:
Date: Section: &R&"Myriad Web Pro,Bold"&20B-13.01
B-13.01
Problem 2Ace Brick company issued $100,000 of 5-year bonds. The bonds were issued at par on January 1, 20X1, and bear interest at a rate of 8% per annum, payable semiannually.(a)Prepare the journal entry to record the bond issue on January, 20X1.(b)Prepare the journal entry that Ace would record on each interest date.(c)Prepare the journal entry that Ace would record at maturity of the bonds.
&R&"Myriad Web Pro,Bold"&20B-13.06
B-13.06
Worksheet 2(a)(b)(c)GENERAL JOURNAL DateAccountsDebitCreditIssueInterestMaturity
&L&"Myriad Web Pro,Bold"&12Name:
Date: Section: &R&"Myriad Web Pro,Bold"&20B-13.06
B-13.06
Problem 3Erik Food Supply Company issued $100,000 of face amount of 4-year bonds on January 1, 20X1. The bonds were issued at 98, and bear interest at a stated rate of 8% per annum, payable semiannually. The discount is amortized by the straight-line method.(a)Prepare the journal entry to record the initial issuance on January, 20X1.(b)Prepare the journal entry that Erik would record on each interest date.(c)Prepare the journal entry that Erik would record at maturity of the bonds.
&R&"Myriad Web Pro,Bold"&20B-13.08
B-13.08
Worksheet 3(a)(b)(c)GENERAL JOURNAL DateAccountsDebitCreditIssueInterestMaturity
&L&"Myriad Web Pro,Bold"&12Name:
Date: Section: &R&"Myriad Web Pro,Bold"&20B-13.08
B-13.08
Problem 4Horton Micro Chip Company issued $100,000 of face amount of 6-year bonds on January 1, 20X1. The bonds were issed at 103, and bear interest at a stated rate of 8% per annum, payable semiannually. The premium is amortized by the straight-line method.(a)Prepare the journal entry to record the initial issue on January, 20X1.(b)Prepare the journal entry that Horton would record on each interest date.(c)Prepare the journal entry that Horton would record at maturity of the bonds.
&R&"Myriad We.
Problem 17-1 Dividends and Taxes [LO2]Dark Day, Inc., has declar.docxChantellPantoja184
Problem 17-1 Dividends and Taxes [LO2]
Dark Day, Inc., has declared a $5.60 per share dividend. Suppose capital gains are not taxed, but dividends are taxed at 15 percent. New IRS regulations require that taxes be withheld at the time the dividend is paid. Dark Day sells for $94.10 per share, and the stock is about to go ex-dividend.
What do you think the ex-dividend price will be? (Round your answer to 2 decimal places. (e.g., 32.16))
Ex-dividend price
$
Problem 17-2 Stock Dividends [LO3]
The owners’ equity accounts for Alexander International are shown here:
Common stock ($0.60 par value)
$
45,000
Capital surplus
340,000
Retained earnings
748,120
Total owners’ equity
$
1,133,120
a-1
If Alexander stock currently sells for $30 per share and a 10 percent stock dividend is declared, how many new shares will be distributed?
New shares issued
a-2
Show how the equity accounts would change.
Common stock
$
Capital surplus
Retained earnings
Total owners’ equity
$
b-1
If instead Alexander declared a 20 percent stock dividend, how many new shares will be distributed?
New shares issued
b-2
Show how the equity accounts would change. (Negative amount should be indicated by a minus sign.)
Common stock
$
Capital surplus
Retained earnings
Total owners’ equity
$
Problem 17-3 Stock Splits [LO3]
The owners' equity accounts for Alexander International are shown here.
Common stock ($0.50 par value)
$
35,000
Capital surplus
320,000
Retained earnings
708,120
Total owners’ equity
$
1,063,120
a-1
If Alexander declares a five-for-one stock split, how many shares are outstanding now?
New shares outstanding
a-2
What is the new par value per share? (Round your answer to 3 decimal places. (e.g., 32.161))
New par value
$ per share
b-1
If Alexander declares a one-for-seven reverse stock split, how many shares are outstanding now?
New shares outstanding
b-2
What is the new par value per share? (Round your answer to 2 decimal places. (e.g., 32.16))
New par value
$ per share
Problem 17-4 Stock Splits and Stock Dividends [LO3]
Red Rocks Corporation (RRC) currently has 485,000 shares of stock outstanding that sell for $40 per share. Assuming no market imperfections or tax effects exist, what will the share price be after:
a.
RRC has a four-for-three stock split? (Round your answer to 2 decimal places. (e.g., 32.16))
New share price
$
b.
RRC has a 15 percent stock dividend? (Round your answer to 2 decimal places. (e.g., 32.16))
New share price
$
c.
RRC has a 54.5 percent stock dividend? (Round your answer to 2 decimal places. (e.g., 32.16))
New share price
$
d.
RRC has a two-for-seven reverse stock split? (Round your answer to 2 decimal places. (e.g., 32.16))
New share price
$
Determine the new number of shares outstanding in parts (a) through (d).
a.
New shares outstanding
b.
New shares o.
Problem 1Problem 1 - Constant-Growth Common StockWhat is the value.docxChantellPantoja184
Problem 1Problem 1 - Constant-Growth Common StockWhat is the value of a common stock if the firm's earnings and dividends are growing annually at 10%, the current dividend is $1.32,and investors require a 15% return on investment?What is the stock's rate of return if the market price of the stock is $35?
Problem 2Problem 2 - Preferred Stock Price and ReturnA firm has preferred stock outstanding with a $1,000 par value and a $40 annual dividend with no maturity. If the required rate of return is 9%, what is the price of the preferred stock?The market price of a firm's preferred stock is $24 and pays an annual dividend of $2.50. If the stock's par value is $1,000 and it has no maturity, what is the return on the preferred stock?
Problem 3Problem 3 - Bond Valuation and YieldA bond has a par value of $1,000, pays $50 semiannually and has a maturity of 10 years.If the bond earns 12% per year, what is the price of the bond?RateNperPMTFVTypePVWhat is the yield to maturity for the bond?NperPMTPVFVTypeRateWhat would be the bond's price if the rate earned declined to 8% per year?RateNperPMTFVTypePVIf the maturity period is reduced to 5 years and the required rate of return is 8%, what would be the price of the bond?RateNperPMTFVTypePVWhat is the yield to maturity for the bond when the maturity is 5 years and the required rate of return is 8%?NperPMTPVFVTypeRateWhat generalizations about bond prices, interest rates and maturity periods can be made based on the calculations made above?
Problem 4Problem 4 - Callable BondsThe following bonds have a par value of $1,000 and the required rate of return is 10%.Bond XY: 5¼ percent coupon, with interest paid annually for 20 yearsBond AB: 14 percent coupon, with interest paid annually for 20 yearsWhat is each bond's current market price?Bond XYBond ABRateNperPMTFVTypePVIf current interest rates are 9%, which bond would you expect to be called? Explain.
Exercise 10-5
During the month of March, Olinger Company’s employees earned wages of $69,500. Withholdings related to these wages were $5,317 for Social Security (FICA), $8,145 for federal income tax, $3,366 for state income tax, and $434 for union dues. The company incurred no cost related to these earnings for federal unemployment tax but incurred $760 for state unemployment tax.
Prepare the necessary March 31 journal entry to record salaries and wages expense and salaries and wages payable. Assume that wages earned during March will be paid during April. (Credit account titles are automatically indented when amount is entered. Do not indent manually.)
Date
Account Titles and Explanation
Debit
Credit
Mar. 31
SHOW LIST OF ACCOUNTS
LINK TO TEXT
Prepare the entry to record the company’s payroll tax expense. (Credit account titles are automatically indented when amount is entered. Do not indent manually.)
Date
Account Titles and Explanation
Debit
Credit
Mar. 31
===========================================
E.
Problem 1Prescott, Inc., manufactures bookcases and uses an activi.docxChantellPantoja184
Problem 1Prescott, Inc., manufactures bookcases and uses an activity-based costing system. Prescott's activity areas and related data follows:ActivityBudgeted Cost
of ActivityAllocation BaseCost Allocation
RateMaterials handling$230,000Number of parts$0.50Assembly3,200,000Direct labor hours16.00Finishing180,000Number of finished
units4.50Prescott produced two styles of bookcases in October: the standard bookcase and an unfinished bookcase, which has fewer parts and requires no finishing. The totals for quantities, direct
materials costs, and other data follow:ProductTotal Units
ProducedTotal Direct
Materials CostsTotal Direct
Labor CostsTotal Number
of PartsTotal Assembling
Direct Labor HoursStandard bookcase3,000$36,000$45,0009,0004,500Unfinished bookcase3,50035,00035,0007,0003,500Requirements:1. Compute the manufacturing product cost per unit of each type of bookcase.2. Suppose that pre-manufacturing activities, such as product design, were assigned to the standard bookcases at $7 each, and to the unfinished bookcases at $2 each. Similar analyses
were conducted of post-manufacturing activities such as distribution, marketing, and customer service. The post-manufacturing costs were $22 per standard bookcase and $14 per
unfinished bookcase. Compute the full product costs per unit.3. Which product costs are reported in the external financial statements? Which costs are used for management decision making? Explain the difference.4. What price should Prescott's managers set for unfinished bookcases to earn $15 per bookcase?
Problem 2Corbertt Pharmaceuticals manufactures an over-the-counter allergy medication. The company sells both large commercial containers of 1,000 capsules to health-care facilities
and travel packs of 20 capsules to shops in airports, train stations, and hotels. The following information has been developed to determine if an activity-based costing system
would be beneficial:ActivityEstimated Indirect Activity
CostsAllocation BaseEstimated Quantity of
Allocation BaseMaterials handling$95,000Kilos19,000 kilosPackaging219,000Machine hours5,475 hoursQuality assurance124,500Samples2,075 samplesTotal indirect costs$438,500Other production information includes the following:Commercial ContainersTravel PacksUnits produced3,500 containers57,000 packsWeight in kilos14,0005,700Machine hours2,625570Number of samples700855Requirements:1. Compute the cost allocation rate for each activity.2. Use the activity-based cost allocation rates to compute the activity costs per unit of the commercial containers and the travel packs. (Hint: First compute the total activity
cost allocated to each product line, and then compute the cost per unit.)3. Corbertt's original single-allocation-base costing system allocated indirect costs to produce at $157 per machine hour. Compute the total indirect costs allocated to the
commercial containers and to the travel packs under the original system. Then compute the indirect cost per unit for ea.
Problem 1Preston Recliners manufactures leather recliners and uses.docxChantellPantoja184
Problem 1Preston Recliners manufactures leather recliners and uses flexible budgeting and a standard cost system. Preston allocates overhead based on yards of direct materials. The company's performance report includes the following selected data:Static Budget
(1,000 recliners)Actual Results
(980 recliners)Sales (1,000 recliners X $495)$495,000 (980 recliners X $475)$465,500Variable manufacturing costs: Direct materials (6,000 yds @ $8.80/yard)52,800 (6,150 yds @ $8.60/yard)52,890 Direct labor (10,000 hrs @ $9.20/hour)92,000 (9,600 hrs @ $9.30/hour)89,280Variable overhead (6,000 yds @ $5.00/yard)30,000 (6,510 yds @ $6.40/yard)39,360Fixed manufacturing costs: Fixed overhead60,00062,000Total cost of goods sold$234,800$243,530Gross profit$260,200$221,970Requirements:1. Prepare a flexible budget based on the actual number of recliners sold.2. Compute the price variance and the efficiency variance for direct materials and for direct labor. For manufacturing overhead, compute the variable overhead spending, variable overhead efficiency, fixed overhead spending, and fixed overhead volume variances.3. Have Preston's managers done a good job or a poor job controlling materials, labor, and overhead costs? Why?4. Describe how Preston's managers can benefit from the standard costing system.
Problem 2AllTalk Technologies manufactures capacitors for cellular base stations and other communications applications. The company's January 2012 flexible budget income statement shows output levels of 6,500, 8,000, and 10,000 units. The static budget was based on expected sales of 8,000 units.ALLTALK TECHNOLOGIES
Flexible Budget Income Statement
Month Ended January 31, 2012Per UnitBy Units (Capacitors)6,5008,00010,000Sales revenue$24$156,000$192,000$240,000Variable expenses$1065,00080,000100,000Contribution margin$91,000$112,000$140,000Fixed expenses53,00053,00053,000Operating income$38,000$59,000$87,000The company sold 10,000 units during January, and its actual operating income was as follows:ALLTALK TECHNOLOGIES
Income Statement
Month Ended January 31, 2012Sales revenue$246,000Variable expenses104,500Contribution margin$141,500Fixed expenses54,000Operating income$87,500Requirements:1. Prepare an income statement performance report for January.2. What was the effect on AllTalk's operating income of selling 2,000 units more than the static budget level of sales?3. What is AllTalk's static budget variance? Explain why the income statement performance report provides more useful information to AllTalk's managers than the simple static budget variance. What insights can AllTalk's managers draw from this performance report?
Problem 3Java manufacturers coffee mugs that it sells to other companies for customizing with their own logos. Java prepares flexible budgets and uses a standard cost system to control manufacturing costs. The standard unit.
Problem 1Pro Forma Income Statement and Balance SheetBelow is the .docxChantellPantoja184
Problem 1Pro Forma Income Statement and Balance SheetBelow is the income statement and balance sheet for Blue Bill Corporation for 2013. Based on the historical statements and theadditional information provided, construct the firm's pro forma income statement and balance sheet for 2014.Blue Bill CorporationIncome StatementFor the year ended 2013Projected201220132014Revenue$60,000$63,000Cost of goods sold42,00044,100Gross margin18,00018,900SG&A expense6,0006,300Depreciation expense1,8002,000Earnings Before Interest and Taxes (EBIT)10,20010,600Interest expense1,5001,800Taxable income8,7008,800Income Tax Expense3,0453,080Net income5,6555,720Dividends750800To retained earnings$4,905$4,920Additional income statement information:Sales will increase by 5% in 2014 from 2013 levels.COGS and SG&A will be the average percent of sales for the last 2 years.Depreciation expense will increase to $2,200.Interest expense will be $1,900.The tax rate is 35%.Dividend payout will increase to $850.Blue Bill CorporationBalance SheetDecember 31, 2013Projected20132014Current assetsCash$8,000Accounts receivable3,150Inventory9,450Total current assets20,600Property, plant, and equipment (PP&E)28,500Accumulated depreciation16,400Net PP&E12,100Total assets$32,700Current liabilitesAccounts payable$3,780Bank loan (10%)3,200Other current liabilities1,250Total current liabilities8,230Long-term debt (12%)4,800Common stock1,250Retained earnings18,420Total liabilities and equity$32,700Additional balance sheet information:The minimum cash balance is 12% of sales.Working capital accounts (accounts receivable, accounts payable, and inventory) will be the same percent of sales in 2014 as they were in 2013.$8,350 of new PP&E will be purchased in 2014.Other current liabilities will be 3% of sales in 2014.There will be no changes in the common stock or long-term debt accounts.The plug figure (the last number entered that makes the balance sheet balance) is bank loan.
1
Rough Draft
Rough Draft
Rasmussen College
Metro Dental Care is a dental office that provides affordable, convenient, and high quality of care to patients. As a patient at Metro, I personally believe that Metro Dental Care is one of the best dental clinics around, and that’s why I have chosen this company. Metro Dental Care measures their results by recording patient satisfaction.
Managing financial reports, and the quality of service they provide to their customers. Furthermore, the dentists and staff at Metro Dental Care know how important your smile is. Their mission statement states “We pride ourselves in making your smile look great so you not only look good, but feel confident with your smile.”
Metro Dental Care offers convenience for their patients with more than 40 offices throughout the Minneapolis and St. Paul metro area offering flexible hours including early morning, evening and Saturday appointments. Whether you work or live Metro Dental Care has a location near you. Metro Dental .
Problem 2-1PROBLEM 2-1Solution Legend= Value given in problemGiven.docxChantellPantoja184
This document provides a solution to Problem 2-1. It begins by listing the values given in the problem statement. The document then likely shows the step-by-step work and calculations to arrive at the solution for Problem 2-1, ending with the final answer.
PROBLEM 14-6AProblem 14-6A Norwoods Borrowings1. Total amount of .docxChantellPantoja184
PROBLEM 14-6AProblem 14-6A: Norwoods Borrowings1. Total amount of each installment payment.Present value of an ordinary annuity$200,000Interest per period(i)0.08Number of periods(n)5Total amount of each installment payment($50,091.29)Therefore the total amount of each installment payment is $ 50,091.292.Norwoods Amortization TablePeriod Ending DateBeginning balance Interest expenseNotes PayableCash paymentEnding Balance10/31/15$200,000.00$16,000.00$34,091.29$50,091.29$165,908.7110/31/16$165,909.00$13,272.72$36,818.57$50,091.29$129,090.4310/31/17$129,090.43$10,327.23$39,764.06$50,091.29$89,326.3710/31/18$89,326.37$7,146.11$42,945.18$50,091.29$46,381.1910/31/19$46,381.19$3,710.50$46,380.79$50,091.29$0.403.a) Accrued interest as December 31st 2015Accrued interest expense = $200,000*8%*2/12= $2,666.67. Thus the journal entry is as shown below:DescriptionDr($)Cr($)interest expense $2,666.67 Interest payable $2,666.67b) The first annual payment on the note.Ten more months of interest has accrued $200,000*8%*10/12 =$13,333.33 accrued interest .Therefore the journal entry is as shown below:DescriptionDr($)Cr($)Notes payable$34,091.29interest expense$13,333.33interest payable$2,666.67 Cash$50,091.29
PROBLEM 14-7AProblem 14-7AQuestion 1a) Debt to equity ratiosPulaski CompanyScott Company Total liabilities$360,000.00$240,000.00Total Equity$500,000.00$200,000.00Debt-Equity Ratio0.721.2Question 2The debt to equity ratio measures the amount of debt a company uses has to finance its business for every dollar of equity it has. A higher debt to equity ratio implies that a company uses more debt than equity for financing. In this case, the debt to equity ratio for Pulaski Company is 0.72 which is less than 1 implying that the stockholder's equity exceeds the amount of debt borrowed. Thus Pulaski Company may not likely suffer from risks brought about by huge amount of debts in the capital structure. On the other hand, the debt to equity ratio of Scott Company is 1.2 which is greater than 1 implying that the debt exceeds the totalamount stockholders equity. Huge debts is associated with a lot of risks. First, there is the risk of defaulting whereby the company may be unable to repay its debt and therefore leading to bankruptcy. Second, a company may find it difficult to obtain additional funding from creditors.This is because the creditors prefer companies with low debt to equity ratio. Finally, there is the risks of violating the debt covenants. A covenant is an agreement that requires a company to maintain adequate financial ratio levels. Too much borrowings may violate this covenant. Since ScottCompany has a higher debt to equity ratio, it may experience these risks which may eventually lead to the company being declared bankrupt .
PROBLEM 14-6BProblem 14-6B: Gordon Enterprises Borrowings1. Total amount of each installment payment.Present value of an ordi.
Problem 13-3AThe stockholders’ equity accounts of Ashley Corpo.docxChantellPantoja184
Problem 13-3A
The stockholders’ equity accounts of Ashley Corporation on January 1, 2012, were as follows.
Preferred Stock (8%, $49 par, cumulative, 10,200 shares authorized)
$ 387,100
Common Stock ($1 stated value, 1,937,100 shares authorized)
1,408,700
Paid-in Capital in Excess of Par—Preferred Stock
123,200
Paid-in Capital in Excess of Stated Value—Common Stock
1,496,800
Retained Earnings
1,814,400
Treasury Stock (10,300 common shares)
51,500
During 2012, the corporation had the following transactions and events pertaining to its stockholders’ equity.
Feb. 1
Issued 24,100 shares of common stock for $123,900.
Apr. 14
Sold 6,000 shares of treasury stock—common for $33,800.
Sept. 3
Issued 5,100 shares of common stock for a patent valued at $35,700.
Nov. 10
Purchased 1,100 shares of common stock for the treasury at a cost of $5,700.
Dec. 31
Determined that net income for the year was $456,600.
No dividends were declared during the year.
(a)
Journalize the transactions and the closing entry for net income. (Credit account titles are automatically indented when amount is entered. Do not indent manually.)
Date
Account Titles and Explanation
Debit
Credit
Feb. 1
Apr. 14
Sept. 3
Nov. 10
Dec. 31
Click if you would like to Show Work for this question:
Open Show Work
LINK TO TEXT
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.
Problem 12-9AYour answer is partially correct. Try again..docxChantellPantoja184
Problem 12-9A
Your answer is partially correct. Try again.
Condensed financial data of Odgers Inc. follow.
ODGERS INC.Comparative Balance Sheets
December 31
Assets
2014
2013
Cash
$ 131,704
$ 78,892
Accounts receivable
143,114
61,940
Inventory
183,375
167,646
Prepaid expenses
46,292
42,380
Long-term investments
224,940
177,670
Plant assets
464,550
395,275
Accumulated depreciation
(81,500
)
(84,760
)
Total
$1,112,475
$839,043
Liabilities and Stockholders’ Equity
Accounts payable
$ 166,260
$ 109,699
Accrued expenses payable
26,895
34,230
Bonds payable
179,300
237,980
Common stock
358,600
285,250
Retained earnings
381,420
171,884
Total
$1,112,475
$839,043
ODGERS INC.Income Statement Data
For the Year Ended December 31, 2014
Sales revenue
$633,190
Less:
Cost of goods sold
$220,800
Operating expenses, excluding depreciation
20,228
Depreciation expense
75,795
Income tax expense
44,466
Interest expense
7,710
Loss on disposal of plant assets
12,225
381,224
Net income
$ 251,966
Additional information:
1.
New plant assets costing $163,000 were purchased for cash during the year.
2.
Old plant assets having an original cost of $93,725 and accumulated depreciation of $79,055 were sold for $2,445 cash.
3.
Bonds payable matured and were paid off at face value for cash.
4.
A cash dividend of $42,430 was declared and paid during the year.
Prepare a statement of cash flows using the indirect method. (Show amounts that decrease cash flow with either a - sign e.g. -15,000 or in parenthesis e.g. (15,000).)
ODGERS INC.Statement of Cash Flows
For the Year Ended December 31, 2014
$
Adjustments to reconcile net income to
$
$
Problem 12-10A
Condensed financial data of Odgers Inc. follow.
ODGERS INC.Comparative Balance Sheets
December 31
Assets
2014
2013
Cash
$ 151,904
$ 90,992
Accounts receivable
165,064
71,440
Inventory
211,500
193,358
Prepaid expenses
53,392
48,880
Long-term investments
259,440
204,920
Plant assets
535,800
455,900
Accumulated depreciation
(94,000
)
(97,760
)
Total
$1,283,100
$967,730
Liabilities and Stockholders’ Equity
Accounts payable
$ 191,760
$ 126,524
Accrued expenses payable
31,020
39,480
Bonds payable
206,800
274,480
Common stock
413,600
329,000
Retained earnings
439,920
198,246
Total
$1,283,100
$967,730
ODGERS INC.Income Statement Data
For the Year Ended December 31, 2014
Sales revenue
$730,305
Less:
Cost of goods sold
$254,665
Operating expenses, excluding depreciation
23,331
Depreciation expense
87,420
Income taxes
51,286
Interest expense
8,892
Loss on disposal of plant assets
14,100
439,694
Net income
$ 290,611
Additional information:
1.
New plant assets costing $188,000 were purchased for c.
Problem 1123456Xf122437455763715813910106Name DateTopic.docxChantellPantoja184
Problem 1123456Xf122437455763715813910106
Name: Date:
Topic One: Mean, Variance, and Standard Deviation
Please type your answer in the cell beside the question.
5. The following is the heart rate for 10 randomly selected patients on the unit. Find the mean, variance, and standard deviation of the data using the descriptive statistics option in the data analysis toolpak.
75, 80, 62, 97, 107, 59, 76, 83, 84, 69
6. The following is a frequency distribution fo the number of times patience use the call light in a days time. X is the number of times the call light is used and f is the frequency (meaning the number of patients). Create a histogram of the data.
Sheet2
Sheet3
EXERCISE 11 USING STATISTICS TO DESCRIBE A STUDY SAMPLE
STATISTICAL TECHNIQUE IN REVIEW
Most studies describe the subjects that comprise the study sample. This description of the sample is called the sample characteristics which may be presented in a table or the narrative of the article. The sample characteristics are often presented for each of the groups in a study (i.e. experimental and control groups). Descriptive statistics are used to generate sample characteristics, and the type of statistic used depends on the level of measurement of the demographic variables included in a study (Burns & Grove, 2007). For example, measuring gender produces nominal level data that can be described using frequencies, percentages, and mode. Measuring educational level usually produces ordinal data that can be described using frequencies, percentages, mode, median, and range. Obtaining each subject's specific age is an example of ratio data that can be described using mean, range, and standard deviation. Interval and ratio data are analyzed with the same type of statistics and are usually referred to as interval/ratio level data in this text.
RESEARCH ARTICLE
Source: Troy, N. W., & Dalgas-Pelish, P. (2003). The effectiveness of a self-care intervention for the management of postpartum fatigue. Applied Nursing Research, 16 (1), 38–45.
Introduction
Troy and Dalgas-Pelish (2003) conducted a quasi-experimental study to determine the effectiveness of a self-care intervention (Tiredness Management Guide [TMG]) on postpartum fatigue. The study subjects included 68 primiparous mothers, who were randomly assigned to either the experimental group (32 subjects) or the control group (36 subjects) using a computer program. The results of the study indicated that the TMG was effective in reducing levels of morning postpartum fatigue from the 2nd to 4th weeks postpartum. These researchers recommend that “mothers need to be informed that they will probably experience postpartum fatigue and be taught to assess and manage this phenomenon” (Troy & Dalgas-Pelish, 2003, pp. 44-5).
Relevant Study Results
“A total of 80 women were initially enrolled [in the study] … twelve of these women dropped out of the study resulting in a final sample of 68.” (Troy & Dalgas-Pelish, 2003, p. 39). The researchers presen.
Problem 1. For the truss and loading shown below, calculate th.docxChantellPantoja184
Problem 1. For the truss and loading shown below, calculate the horizontal
displacement of point "D" using the method of virtual work. Show ALL your work!
HW No. 8 - Part 1
Solution
HW FA15 2 Page 1
Problem 1 Continued
Member L (in.) N (lb) N (in) NnL
HW No. 8 - Part 1
.
Problem 1 (30 marks)Review enough information about .docxChantellPantoja184
Problem 1 (30 marks)
Review enough information about Trinidad Drilling Ltd. to propose a vision and strategic objectives for the company. Develop a balanced scorecard that will help the company achieve this vision and monitor how well it is accomplishing its strategic objectives. Include a strategy map in table format that shows objectives and performance measures, with arrows illustrating hypothesized cause-and -effect relationships. Provide rationale for your strategy map. The body of your report should not exceed 1,000 words. Cite material you used to prepare the response and provide references in an appendix.
Problem 2 (20 marks)
Ajax Auto Upholstery Ltd. manufactures upholstered products for automobiles, vans, and trucks. Among the various Ajax plants around Canada is the Owlseye plant located in rural Alberta.
The chief financial officer has just received a report indicating that Ajax could purchase the entire annual output of the Owlseye plant from a foreign supplier for $37 million per year.
The budgeted operating costs (in thousands) for the Owlseye plant’s for the coming year is as follows:
Materials $15,000
Labor
Direct $12,000
Supervision 4,000
Indirect plant 5,000 19,000
Overhead
Depreciation – plant 6,000
Utilities, property tax, maintenance 2,000
Pension expense 4,500
Plant manager and staff 2,500
Corporate headquarters overhead allocation 3,000 18,000
Total budgeted costs $52,000
If material purchase orders are cancelled as a consequence of the plant closing, termination charges would amount to 10 percent of the annual cost of direct materials in the first year (zero thereafter).
A clause in the Ajax union contract requires the company to provide employment assistance to its former employees for 12 months after a plant closes. The estimated cost to administer this service if the Owlseye plant closes would be $2 million. $3.6 million of next year’s pension expense would continue indefinitely whether or not the plant remains open. About $900,000 of labour would still be required in the first year after closure to decommission the plant. After that, the plant would be sold for an estimated $1 million. Utilities, property taxes, and maintenance costs would remain unchanged in the first year after closure, but disappear when the plant is sold.
The plant manager and her staff would be somewhat affected by the closing of the Owlseye plant. Some managers would still be responsible for managing three other plants. As a result, total management salaries would be about 50% of the current level, starting at closure and remaining into the future.
Required:
Assume you are the company’s chief financial officer. Perform a five-year financial analysis and make a recommendation whether to close the Owlseye plant on this basis. Provide support for and cautions about your recommendation with organized, clearly-labeled data. Use bullet points where appropriate.
Problem 3 (16 marks)
Br.
Problem 1 (10 points) Note that an eigenvector cannot be zero.docxChantellPantoja184
Problem 1 (10 points): Note that an eigenvector cannot be zero, but an eigenvalue can
be 0. Suppose that 0 is an eigenvalue of A. What does it say about A? (Hint: One of the
most important properties of a matrix is whether or not it is invertible. Think about the
Invertible Matrix Theorem and all the ‘good things’ of dealing with invertible matrices)
Problem 5: (20 points): The figure below shows a network of one-way streets with
traffic flowing in the directions indicated. The flow rate along the streets are measured
as the average number of vehicles per hour.
a) Set up a mathematical model whose solution provides the unknown flow rates
b) Solve the model for the unknown flow rates
c) If the flow rates along the road A to B must be reduced for construction, what is
the minimum flow that is required to keep traffic flowing on all roads?
Problem 6 (20 points): Problem 7 (9 points): Prove that if A and B are matrices of the same
size, then tr(A+B)=tr(A)+tr(B)
Given:
Goal:
Proof:
Problem 7 (20 points)*: In the 1990, the northern spotted owl became the center of a
nationwide controversy over the use and misuse of the majestic forests in the Pacific
Northwest. Environmentalists convinced the federal government that the owl was
threatened with extinction if logging continued in the old-growth forests (with trees over
200 years old), where the owls prefer to live. The timber industry, anticipating the loss of
30,000 to 100,000 jobs as a result of new government restrictions on logging, argued that
the owl should not be classified as a “threatened species” and cited a number of published
scientific reports to support its case.
Caught in the crossfire of the two lobbying groups, mathematical ecologists
intensified their drive to understand the population dynamics of the spotted owl. The life
cycle of a spotted owl divides naturally into three stages: juvenile (up to 1 year old),
subadult (1 to 2 years), and adult (over 2 years). The owls mate for life during the subadult
and adult stages, begin to breed as adults, and live for up to 20 years. Each owl pair
requires about 1,000 hectares (4 square miles) for its own home territory. A critical time in
the life cycle is when the juveniles leave the nest. To survive and become a subadult, a
juvenile must successfully find a new home range (and usually a mate).
A first step in studying the population dynamics is to model the population at yearly
intervals, at times denoted by 𝑘𝑘 = 0,1,2, …. Usually, one assumes that there is a 1:1 ratio of
males to females in each life stage and counts only the females. The population at year 𝑘𝑘
can be described by a vector 𝒙𝒙𝒌𝒌 = (𝑗𝑗𝑘𝑘 , 𝑠𝑠𝑘𝑘 , 𝑎𝑎𝑘𝑘 ), where 𝑗𝑗𝑘𝑘 , 𝑠𝑠𝑘𝑘 , and 𝑎𝑎𝑘𝑘 are the numbers of
females in the juvenile, subadult, and adult stages, respectively. Using actual field data from
demographic studies, a rese
Probation and Parole 3Running head Probation and Parole.docxChantellPantoja184
Probation and Parole 3
Running head: Probation and Parole
Probation and Parole
Student Name
Allied American University
Author Note
This paper was prepared for Probation and Parole, Module 8 Check Your Understanding taught by [INSERT INSTRUCTOR’S NAME].
Directions: Respond to the following questions using complete sentences. Your answer should be at least 1 paragraph in length, which must be composed of three to five sentences.
1. What is meant by intermediate punishments and what programs are included in this category?
2. How do intermediate punishments serve to keep down prison populations?
3. Why has electronic monitoring proven so popular?
4. What is meant by shock probation/parole?
5. What are the essential features of the boot camp program?
6. Why has intensive supervision been a public relations success?
7. What are the criticisms of boot camp programs?
8. What has research revealed with respect to intensive supervision?
9. What are the criticisms of electronic monitoring in probation and parole?
10. What are the criticisms leveled at intensive supervision?
11. What are the purposes of and services offered by a day reporting center?
12. Why would heroin addicts who have no intention of giving up drug use voluntarily enter a drug treatment program? What are the advantages of using methadone to treat heroin addicts?
13. Why is behavior modification difficult to use in treating drug abusers?
14. What are the characteristics of chemical dependency (CD) programs?
15. What are the primary characteristics of the therapeutic community (TC) approach for treating drug abusers?
16. What are criticisms of the Alcoholics Anonymous approach?
17. What are the problems inherent in drug testing?
18. What are the typical characteristics of sex offenders? How have sex offender laws affected P/P supervision?
19. What are the pros and cons of restitution and charging offenders fees in probation or parole?
20. What are the problems encountered in using the interstate compact?
.
Problem 1(a) Complete the following ANOVA table based on 20 obs.docxChantellPantoja184
Problem 1:
(a) Complete the following ANOVA table based on 20 observations for the regression equation
(a) Is the overall regression significant? Fill in the missing values in the table.
Source DF SS MS F
Regression ___ 350 ____ ____
Error ___ _____
Total 500
(b) Suppose that you have computed the following sequential sums of squares due to regression:
Regressor Variables in Model SS Regression
………………………………………. 300
……………………………………… 250
…………………………………….. 340
……………………………………. 325
Fill in the missing values in the following “computer output”:
Source DF Partial SS F-value Pr>F
……………………………………………………………………………………….. 0.1245
………………………………………………………………………………………. 0.3841
………………………………………………………………………………………. 0.0042
………………………………………………………………………………………. 0.0401
Problem 2:
The time required for a merchandise to stock a grocery store shelf with a soft drink product as well as the number of cases of product stocked are given below. Consider a linear regression of delivery time against number of cases.
X=number of cases
Y=delivery time
Delivery time number of cases Hat diagonals
1.41 4 0.5077
2.96 6 0.3907
6.04 14 0.2013
7.57 19 0.3092
9.38 24 0.5912
Observations used L.S. Model
4,6,14,19,24
6,14,19,24
4,14,19,24
4,14,19,24
4,6,14,24
4,6,14,19
(a)
Calculate the PRESS statistic for the model .
(b) Calculate the regular residual for the model above. Then, compare these residuals with the PRESS residuals for this model.
Exercises from the Text
Use SAS whenever possible to do these exercises:
# 3.4 on p 122
# 3.5
# 3.8
# 3.15
# 3.21
# 3.27
# 3.28
# 3.31
# 3.38
# 3.39
Example with SAS on Sequential and Partial Sum of Squares
Data Weather;
Title 'Lows and Highs from N&O Jan 28,29,30 1992';
Title2 'using actual numbers (yesterday values)';
input city $ hi2 lo2 yhi ylo thi tlo;
* Mon Tues Wed ;
cards;
seattle 51 44 52 44 59 47
.
.
.
;
proc reg; model thi = yhi hi2 tlo ylo lo2/ss1 ss2;
test tlo=0, ylo=0, lo2=0;
/*-----------------------------------------------
| Showing sequential and partial sums of squares|
| Note t**2 = F relationship for partial F. By |
| hand, construct F to leave out .
Probe 140 SPrecipitation in inchesTemperature in F.docxChantellPantoja184
Probe 1
40 S
Precipitation in inches
Temperature in F
J F M A M J J A S O N D
2
4
6
8
10
12
0
10
20
30
40
50
60
70
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90
POTET 26.8
Precip 27.1
MAT(F) 59.8
Probe 2
6 S
Precipitation in inches
Temperature in F
J F M A M J J A S O N D
2
4
6
8
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0
10
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POTET 69.2
Precip 124.6
MAT(F) 77.9
Probe 3
57 S
Precipitation in inches
Temperature in F
J F M A M J J A S O N D
2
4
6
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0
10
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POTET 21.5
Precip 38.7
MAT(F) 43.5
Probe 4
38 N
Precipitation in inches
Temperature in F
J F M A M J J A S O N D
2
4
6
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0
10
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POTET 30.3
Precip 16.5
MAT(F) 53.6
Probe 5
55 N
Precipitation in inches
Temperature in F
J F M A M J J A S O N D
2
4
6
8
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12
0
10
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90
POTET 21.3
Precip 28.1
MAT(F) 40.6
Probe 6
43 N
Precipitation in inches
Temperature in F
J F M A M J J A S O N D
2
4
6
8
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0
10
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90
POTET 25.4
Precip 14.4
MAT(F) 47.2
Probe 7
42 N
Precipitation in inches
Temperature in F
J F M A M J J A S O N D
2
4
6
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0
10
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90
POTET 17.3
Precip 31.2
MAT(F) 26.0
Probe 8
42 N
Precipitation in inches
Temperature in F
J F M A M J J A S O N D
2
4
6
8
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12
0
10
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90
POTET 29.6
Precip 38.8
MAT(F) 51.6
Probe 9
18 S
Precipitation in inches
Temperature in F
J F M A M J J A S O N D
2
4
6
8
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12
0
10
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POTET 66.1
Precip 74.8
MAT(F) 77.7
Probe 10
58 N
Precipitation in inches
Temperature in F
J F M A M J J A S O N D
2
4
6
8
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12
0
10
20
30
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50
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90
POTET 16.5
Precip 24.8
MAT(F) 36.9
Probe 11
26 N
Precipitation in inches
Temperature in F
J F M A M J J A S O N D
2
4
6
8
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12
0
10
20
30
40
50
60
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90
POTET 47.6
Precip 3.8
MAT(F) 70.1
Probe 12
29 N
Precipitation in inches
Temperature in F
J F M A M J J A S O N D
2
4
6
8
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0
10
20
30
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90
POTET 44.0
Precip 47.3
MAT(F) 63.2
Probe 4
Probe 2
Probe 10
Probe 5
Probe 6
Probe 7
Probe 11
Probe 12
Probe 8
Probe 9
Probe 3
Probe 1
Map 1
20 N
40 N
60 N
80 N
0
20 S
40 S
60 S
0
1000
miles
Geography 204
Koppen Climate Classification Guidelines
If POTET exceeds Precip then B
BW = POTET more than 2x Precip
(desert)
h = mean annual temp > 18 C (64.4 F)
k = mean annual temp < 18 C (64.4 F)
BS = POTET less than 2x Precip
(steppe)
h = mean annual t.
How to Manage Your Lost Opportunities in Odoo 17 CRMCeline George
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2. Correspondence
Professor Le-xin Wang, Department of
Cardiology, Liaocheng People's Hospital,
Liaocheng City, Shandong 252000, China.
Email: [email protected]
Abstract
Objective: To study the effect of nurse-led counselling on the
anxiety symptoms and
the quality of life following percutaneous coronary intervention
for stable coronary
artery disease.
Design: Randomised control trial.
Setting: Rural and remote China.
Participants: Rural and remote patients were consecutively
recruited from a medical
centre located in China between January and December 2014.
Interventions: The control group received standard pre-
procedure information from a
ward nurse on the processes of the hospitalisation and
percutaneous coronary intervention,
and post-procedural care. The intervention group received a
structured 30-minute coun-
selling session the day before and 24 hours after the
percutaneous coronary intervention,
by nurse consultants with qualifications in psychological
therapies and counselling. The
health outcomes were assessed by a SF-12 scale and the Seattle
Angina Questionnaire at
6 and 12 months after percutaneous coronary intervention. The
anxiety and depression
symptoms were evaluated by a Zung anxiety and depression
questionnaire.
Main outcome measures: Cardiac outcomes, quality of life and
mental health status.
Results: Eighty patients were randomly divided into control
3. (n = 40) and interven-
tion groups (n = 40). There was a significant increase in the
scores of the three
domains of Seattle Angina Questionnaire 12 months after
percutaneous coronary in-
tervention in the intervention group (P < .01). The mental health
and physical health
scores also increased (P < .01). In the control group, the mean
scores of Zung self-
rating anxiety scale 12 months following percutaneous coronary
intervention were
higher than the baseline scores, and higher than in the
intervention group (P < .01).
Conclusions: Counselling by a clinician qualified in
psychological therapies and
counselling significantly reduces anxiety symptoms and
improves quality of life.
K E Y W O R D S
cardiovascular medicine, education and remote practice,
international health, mental health, nurse
practitioners
https://orcid.org/0000-0001-7592-832X
mailto:
https://orcid.org/0000-0002-9760-7436
mailto:[email protected]
| 125CHANG et Al.
1 | I N T R O D U C T I O N
Cardiovascular disease is a leading cause of morbidity and
mortality around the globe, responsible for one-third of the
deaths worldwide.1,2 In the past three decades, there have
been tremendous advances in the management of coronary
4. artery disease and percutaneous coronary intervention (PCI).
This has led to a significant improvement in cardiac out-
comes in patients suffering from acute coronary syndrome or
myocardial infarction.3
However, the impact of PCI on health-related quality of
life (QoL), specifically mental health status, is not well un-
derstood.4,5 While some studies show improvement in the
QoL shortly after PCI, others indicate that the short-term
improvement in QoL is not sustainable beyond 1 year.4,5
The factors determining the post-PCI QoL are yet to be de-
termined. However, age, lifestyle measures, such as smok-
ing and diet, as well as post-procedural self-care are thought
to influence a patient's QoL following successful PCI.6,7
Patients' mental health status is associated with the outcomes
of cardiovascular disease, with depression or anxiety at the
time of PCI being related to a higher rate of post-procedural
mortality than patients without mental illnesses.8 However, it
is unclear whether anxiety or depression has any significant
influence on QoL following PCI.
There is limited literature on the effectiveness of pre- and
post-procedural counselling on the anxiety symptoms and the
QoL following PCI, even though studies have identified that
anxiety management is justified before and following PCI.9
While there has been extensive research on the benefits of
cardiac rehabilitation following surgery,10 which often have
poor rural and remote patient participation, there is a scarcity
of quick and effective pre-procedural psychological inter-
ventions aimed at a temporary rural and remote population.
However, a recent study appears to confirm the belief that a
psychological intervention program improves patient mental
health following PCI.11 The researchers found that compared
to the control group, patients in the intervention group had
significantly better mental health, coupled with improved cop-
ing styles and reduced levels of cortisol. This study included
5. a single metropolitan based population, with regular access
to other interventions. As such, its generalisability is limited,
with other studies required to confirm the benefits of a psy-
chological intervention on patients who received a PCI.11
The main objectives of this study are to determine the ef-
fect of nurse-led counselling on the anxiety symptoms and
the QoL following PCI for stable coronary artery disease; and
to determine whether there was a general improvement in the
cardiac outcomes, QoL and mental health status in rural and
remote patients who have received PCI for stable coronary
artery disease. Furthermore, the determining factors for post-
PCI QoL were also analysed in order to improve the care and
outcomes of these patients.
2 | M E T H O D
2.1 | Recruitment of participants
Patients were consecutively recruited from a single medical
centre (Figure 1) located in rural and remote China between
January and December 2014 (12 months). Those selected for
inclusion included those aged 18 years or older who were
scheduled for elective PCI for stable coronary artery disease.
Coronary artery disease was defined as a stenosis of more
than 70% in at least one major coronary artery with clini-
cal or laboratory evidence of myocardial ischaemia (eg, ST
segment depression on ECG during angina or stress testing).
Exclusion criteria included the following: (a) unable to give a
written informed consent; (b) unable to participate in regular
follow-ups at our hospital clinics; (c) a history of psychologi -
cal disorders or mental health illnesses; and (d) a history of
other chronic illnesses or heart failure (left ventricular ejec -
tion fraction <45%).
Participants’ age, sex, level of education, monthly in-
comes, general medical history, and current medications
were recorded at baseline. The participants were ran-
6. domised by an administration staff member into control and
intervention group by a computer-generated randomisation
program. Participants were randomised so that there were
no statistically significant differences in age, sex, baseline
clinical data and coronary disease status between the two
What is already known on this subject:
• Percutaneous coronary intervention is associated
with an increased risk of post-procedural anxiety
and depression. However, it is unclear whether a
nurse-led psychological intervention reduces anx-
iety and depression and improves quality of life
after percutaneous coronary intervention.
What this study adds:
• A nurse-led psychological intervention before and
immediately after percutaneous coronary inter-
vention was associated with a significant reduc-
tion in anxiety and depression symptoms, and
improved quality of life 12 months after percuta-
neous coronary intervention.
• Nurse-led psychological intervention and educa-
tion should be an integrated part of the care for
rural and remote patients undergoing percutane-
ous coronary intervention for coronary artery
disease, who do not have access to traditional re-
habilitation services.
126 | CHANG et Al.
groups. The clinical staff were blinded to the patient ran-
domisation process.
7. 2.2 | Method of evaluation
Three evaluation instruments were administered, at base-
line, 6 and 12 months after PCI, by the nursing investigators
(Chang ZC, Guo AQ and Zhou AX). Data were collected via
face-to-face interviews when patients attended our outpa-
tient clinics. Information about their tobacco use, physical
activity, diet, mental health status, chest pain and compli-
ance to medications was recorded. QoL was assessed with
a short form (SF)-12 survey form. The SF-12 survey has 12
items that cover questions on physical functioning, physical
health-related role limitations, pain, general health percep-
tions, energy levels, emotional problems and general men-
tal health. The answers to the questions on the SF-12 are
calculated to generate a mental health score and physical
health score. Higher scores indicate less physical or mental
disability.12,13
The Seattle Angina Questionnaire (SAQ) was used to as-
sess disease-specific health status.14 The SAQ has 19 items
that measure coronary artery disease-related health status,
with scores ranging from 0 to 100 for each of the five do-
mains, covering frequency of angina, restrictions to physical
activity, satisfactory to treatment, stability of angina chest
pain and QoL. In each domain, a higher score indicates bet-
ter health status, with fewer symptoms and better survival.14
Angina frequency scale was defined as no angina (score,
100), monthly angina (score, 70-90), weekly angina (score,
40-60) or daily angina (score, <40). To reduce the workload
of the investigators of this study, only frequency of angina,
restrictions to physical activity and QoL scores were col -
lected and analysed.
To evaluate the impact of generalised anxiety symp-
toms, a Zung self-rating depression and anxiety scale was
8. administered at baseline, 6 and 12 months after PCI. The
F I G U R E 1 Study flowchart
| 127CHANG et Al.
Zung self-rating depression and anxiety scales were 20-item,
self-administered questionnaires for the assessment of depres-
sion and anxiety symptoms. They were reliable and validated
instrument among Chinese populations.15,16 The 20 items on
each scale give a total score from 20 to 80. A higher score
denotes more depression or anxiety symptoms. A depression
score of 50-59, 60-69 and 70-80 indicates mild, moderate
and severe depression, respectively.15, 16 An anxiety score of
45-59 and 60-80 denotes moderate to severe anxiety.15,16
2.3 | Psychological intervention
The control and intervention groups both received standard
pre-PCI care and general counselling about the procedure to
be undertaken. The general counselling was conducted by the
ward nurse on duty over a brief visit and consisted of com-
municating the hospitalisation process and the procedure to
be undertaken (ie PCI), and post-procedural care. No indi-
vidualised psychological intervention was provided prior to
PCI in the control group.
In addition to this standard counselling, the interven-
tion group also received a structured 30-minute counselling
session the day before and 24 hours after the PCI, by nurse
consultants with qualifications of psychological therapies
and counselling. The psychological interventions were
comprised of individualised cognitive behavioural thera-
pies and teaching of relaxation techniques. These measures
included identifying the causes of anxiety, challenging and
changing unhelpful thoughts or attitudes that may trigger or
9. aggravate anxiety, and the development of personal coping
strategies for anxiety prevention and treatment. The nurse
consultants also used this time to answer any of the patients
procedural and post-PCI concerns or questions. The post-
PCI counselling focused on improving the patients’ com-
fort level and confidence in participating in post-PCI care
recommendations.
2.4 | Data analysis
To detect a 10-point difference in the physical or mental
health scores on the SF-12 scale, and in the three domains
of the SAQ, a minimum of 34 patients were required for
this study, to achieve a significance of 0.05 with a power
of 80%. QoL measures were analysed by an analysis of
variance (ANOVA) at 6 and 12 months following PCI.
Categorical data were analysed using a chi-square test.
Multivariate logistic regression analysis was conducted
to ascertain factors (age, sex, smoking, hypertension, hy-
perlipidaemia, diabetes and SAS scores) against the QoL
scores. Statistical significance was determined at a P level
of <.05.
2.5 | Ethics approval
The study protocols received approval from our institutional
review board: Human Ethics Committee, Liaocheng People's
Hospital (approval number 201338). Written consent was
obtained from all participating patients. This study complied
with the CONSORT guidelines, however, was not required
to be a registered trail, reflective of local customs in China.
3 | R E S U LT S
3.1 | Patient population
There were 20 females and 60 males with a mean age of
59.7 ± 8.7 years (range, 42-79 years; Table 1). Twenty-one
(26.25%) patients had primary school education or less, with
34 (42.5%) having a high school education, with the remain-
10. ing 25 (31.25%) having a tertiary education.
The majority of patients had a single or double coronary
artery disease, with 11.2% having simultaneous involvement
of the three main coronary arteries (Table 1). The left anterior
descending coronary artery was involved in more than 83%
of the patients (Table 1). None of the patients had a known
history of mental health illness, such as depression or anxi -
ety, nor were they on any antidepressants. However, six pa-
tients (7.5%) had a Zung self-rating depression score of 59
and above at baseline (Table 2), suggesting moderate to severe
depression. Five patients (6.3%) had a Zung self-rating anxi-
ety score of 45 and above, indicating the presence of anxiety.
3.2 | Cardiac outcomes of PCI
Percutaneous coronary intervention was successful in all pa-
tients. The number of coronary stents received by each patient
ranged from one to six (median = 2). Thirty-six patients (45%)
received bare-metal stents, and 44 (55%) had drug-eluting
stents.
Antiplatelet therapy with clopidogrel and aspirin was adminis-
tered to all patients following PCI. There was no statistically
significant difference in patients who received bare-metal or
drug-
eluting stents between the study and control groups (P > .05).
Patients were followed up at our outpatient clinics monthly
for 12 months after the procedures. None of the patient expe-
rienced myocardial infarction, heart failure, stroke or cardiac
arrest. Three (3.8%) patients were admitted to hospital for
non-cardiac reasons.
3.3 | Quality of life measures
As shown in Table 2, there was a significant increase in the
three domains of SAQ, angina frequency, physical limitations
11. 128 | CHANG et Al.
and QoL, 12 months after PCI in the study and control groups
(P < .01, Table 2). The physical limitations and QoL scores in
the intervention group were higher than in the control group
(P < .05, Table 2). Twelve months following PCI, only two
(2.5%) patients experienced occasional angina chest pain and
repeat coronary angiogram did not reveal any stenotic lesions
in the coronary arteries.
The mental health scores and physical health scores
on the SF-12 scale were also increased 12 months after
the PCI (P < .01, Table 2). The increase in the interven-
tion group was higher than in the control group (P < .01,
Table 2).
3.4 | Depression and anxiety symptoms
following PCI
There was no statistically significant difference in the Zung
self-rating depression scores before and after PCI in the inter -
vention group or control group (P > .05, Table 2).
The mean scores of Zung self-rating anxiety scales in
the control group were higher than in the intervention group
following PCI (P < .01, Table 2). In the control group, the
number of patients with anxiety symptoms and the mean anx-
iety rating scores following PCI were higher than the baseline
values (P < .05, Table 2).
3.5 | Factors for post-PCI quality of life
Logistic regression analysis was performed to assess the fac-
tors influencing post-PCI QoL measures, that is QoL scores in
the SAQ, the mental health scores and physical health scores
12. in the SF-12 survey. Age, sex, education levels, monthly
incomes, co-morbidities, number of coronary lesions, types
of coronary stents and post-PCI depression scores were not
correlated to the measures for QoL. In the control group,
an inverse correlation between Zung anxiety scores and the
three QoL measures was identified (r = .822, .781 and .594,
respectively, P < .01) following PCI.
Logistic regression analysis was performed to assess the
factors influencing post-PCI Zung anxiety scores. Baseline
Zung anxiety scores and lower monthly incomes were found
to be correlated to the post-PCI Zung anxiety scores (r = .609
and .513, respectively, P < .01).
4 | D I S C U S S I O N
This study indicated that PCI or coronary stenting is as-
sociated with a significant improvement in QoL at 6 and
12 months in both the control (40.7 vs 63.7) and interven-
tion (40.1 vs 83.6) groups, with a significant reduction in
the monthly angina frequency in both groups following the
procedure (control = 12.5% vs 2.5%; intervention = 22.5%
vs 2.5%). In the control group, there was a significant in-
crease in the Zung self-rating depression scores (45.7 vs
47.0) and an increase in the number of patients who ex-
perienced generalised anxiety symptoms within the first
12 months of PCI (36.0 vs 47.1), whereas the intervention
group significantly decreased their Zung self-rating de-
pression scores (44.1 vs 24.5) and reduced their general -
ised anxiety symptoms within the first 12 months of PCI
(38.6 vs 18.9). Furthermore, anxiety symptoms prior to
PCI and lower monthly incomes appeared to increase the
risk of post-PCI anxiety.
T A B L E 1 Baseline data of the patients
Indices Study (n = 40) Control (n = 40)
13. Age (y) 59.7 ± 8.7 59.0 ± 7.7
Male/Female 30/10 30/10
Level of education (%)
Primary school or less 10 (25) 11 (27.5)
High school 18 (45.0) 16 (40.0)
Tertiary 12 (30.0) 13 (32.5)
Monthly incomes ($USD; %)
<150 10 (25.0) 12 (30.0)
150-299 16 (40.0) 15 (37.5.0)
>300 14 (35.0) 13 (32.5)
Clinical (%)
Smoking 5 (12.5) 4 (10.0)
Diabetes 13 (32.5) 11 (27.5)
Hypertension 35 (87.5) 34 (85.0)
Hyperlipidaemia 31 (77.5) 28 (70.0)
COPD 7 (17.5) 4 (10.0)
Prior MI or percutaneous
coronary intervention
14. 1 (2.5) 2 (5.0)
History of CHF 2 (5.0) 1 (2.6)
Previous stroke 1 (2.6) 0
Peripheral vascular
disease
4 (10.0) 3 (4.5)
Angiographic (%)
Single vessel disease
(LAD or RCA or left
main)
20 (50) 21 (52.5)
Double vessel disease
(LAD and RCA, or
left main plus LAD or
RCA)
15 (37.5) 12 (30.0)
Triple vessel disease
(LAD, RCA and left
main)
5 (12.5) 7 (17.5)
Abbreviations: COPD, chronic obstructive lung disease; LAD,
left descending
coronary artery; NS, no statistical significance; RCA, right
coronary artery.
15. | 129CHANG et Al.
Percutaneous coronary intervention has become a nor-
mal therapy for patients with acute coronary syndrome.
It is also used to provide relief of angina in patients with
stable coronary disease.17 PCI and optimised medical ther-
apy have been found to reduce the frequency of angina and
improve self-assessed health status.17 In line with previous
studies, we found that PCI in patients with stable coronary
artery disease was associated with significant improve-
ment in generic and disease-specific QoL measures. The
physical and mental health scores improved within the
first 12 months of PCI, and the frequency of angina was
significantly reduced, which translated into improvements
in physical limitations and QoL on the Seattle Angina
Questionnaires. These results may help with clinical de-
cision making on the role of PCI in the treatment of stable
coronary artery disease.
Depression and anxiety are very common mental illness
in all societies. Patients with coronary artery disease were
found to have an increased cardiovascular morbidity and
mortality when depression or anxiety was present. Some
evidence has suggested that post-procedural mental illness
may have an impact on the major cardiovascular events after
PCI. Reduced positive affect was independently associated
with a 1.5-fold increased risk of all-cause mortality 7 years
post-PCI.8 The prevalence and clinical significance of de-
pression or anxiety in patients with stable coronary artery
disease treated with PCI are not clear. In the present study,
depression and anxiety were found in 7.5% and 6.3% of the
patients, respectively, prior to PCI. After PCI, there was a
16. significant increase in the Zung anxiety scores and the pro-
portion of patients who met the criteria for generalised anx-
iety disorder 12 months after PCI within the control group.
Further analysis in these patients revealed that the pre-PCI
anxiety scores and low monthly incomes were associated
with post-PCI anxiety symptoms. This is an important find-
ing and supports research that has shown that mental disor-
ders are associated with lower levels of income. Specifically,
people with a household income of <$20 000 per year are
at an increased risk of developing a mood disorder within
3 years, as compared to those with income of $70 000 or
more per year.18 Furthermore, our results are supported by
a recent study, where low levels of education and pre-proce-
dural apprehension were some of the determining factors for
post-procedural mental health disorders.19
The clarification of factors that determine post-PCI QoL
has important clinical implications. A reduced frequency of
angina is often associated with a better QoL after PCI.20 Other
factors that are associated with a better post-procedural QoL
are non-smoking status, cardiac rehabilitation,10 and lack of
co-morbidities, such as heart failure.20 Depression compro-
mises the QoL following PCI.20 In the present study, age, sex,
level of education, monthly incomes, co-morbidities, location
Baseline 12 mo
Intervention Control Intervention Control
Seattle Angina Questionnaire (SAQ)
Angina frequency 61.9 ± 7.2 60.2 ± 6.0 96.9 ± 4.1 97.6 ± 5.2
Physical limitations 63.1 ± 8.6 62.9 ± 8.0 83.1 ± 6.0 72.0 ± 6.3*
18. T A B L E 2 Quality of life measures of
the 80 patients at baseline and 12 mo after
percutaneous coronary intervention
130 | CHANG et Al.
and severity of coronary lesions were not associated with the
post-procedural measures for QoL. However, the post-PCI anx-
iety scores were inversely correlated with the generic and dis-
ease-specific measures for QoL, indicating anxiety may have
a negative impact on the QoL in patients treated with PCI for
stable coronary artery disease.
An important finding in this study is that brief psychologi -
cal counselling by trained nurses the day before and after PCI
was associated with a significantly reduced anxiety scores,
and higher scores of qualities of life measures. These data
indicate that integration of psychological intervention into
pre- and post-PCI care may improve patient's mental health
following the procedure, particularly in those patients of a
low socio-economic background.
This study was limited by the small number of partici-
pants, limited to a single geographical area. Future studies are
required to refine the intervention protocol, and to extend to
other rural and remote populations without regular access to
ongoing pre- and post-rehabilitation services. Furthermore,
we were unable to determine why more males were referred
to our service, however we suspect it is because these rural
male populations have increased cardiovascular disease risk
factors, such as smoking. However, future research will need
to determine why more males are referred for PCI in this pop-
ulation setting.
19. 5 | C O N C L U S I O N
In this randomised controlled study, we have found that in pa-
tients with stable coronary artery disease, PCI elicits a signif-
icant improvement in QoL, with reduced angina frequency,
and increased physical and mental well-being. However,
there is also a significant increase in anxiety symptoms fol -
lowing PCI, and these symptoms were negatively correlated
with the scores of qualities of life measures. A nurse-led,
brief psychological intervention before and after PCI was as -
sociated a reduction in anxiety scores and improvement in
quality of life measures. These data suggest that a greater
effort should be made in screen for mental health disorders,
such as anxiety, before PCI. Brief psychological intervention
before and after PCI may further improve the outcomes in
patients with stable coronary artery disease.
O RC I D
Fergus W. Gardiner https://orcid.
org/0000-0001-7592-832X
Le-xin Wang https://orcid.org/0000-0002-9760-7436
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How to cite this article: Chang Z, Guo A, Zhou A,
et al. Nurse-led psychological intervention reduces
anxiety symptoms and improves quality of life
following percutaneous coronary intervention for
stable coronary artery disease. Aust J Rural Health.
2020;28:124–131. https ://doi.org/10.1111/ajr.12587
https://doi.org/10.1111/ajr.12587
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1. Identify and discuss the following:
· dependent variable(s) and the instrument(s) used to measure
them.
· how the data for the dependent variable(s) were collected.
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statistical results, as indicated by the variable values and the p-
values if reported?
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