Insights on the major changes occuring in healthcare. One article on health and wellbeing in a major pharma, by thier Director HSE, illustrates the challenge of getting meaningful metrics published, and the weak link with company financials.
Healthy Savings. Medical Technology and the Economic Burden of DiseaseRevital (Tali) Hirsch
As America ages and sedentary lifestyles and unhealthy diets become more common, experts agree the nation is suffering a sharp rise in the prevalence of chronic disease. As the 21st century unfolds, technology – in the form of advanced diagnostic and therapeutic devices -- can meet the need for early detection and more effective management of illness. Some researchers, however, have questioned whether the overall benefit of technical advances outweighs the costs -- a question this report definitively answers.
Accordingly, researchers at the Milken Institute undertook a comprehensive, quantitative documentation of medical technology's impact on the economic burden of disease. The study also projects how future innovation in this sector would affect the health care system and the larger economy -- a positive benefit of more than $23 billion a year for the United States.
The study takes a systematic approach to documenting the full costs and broader economic benefits of health care investments by examining innovations pertaining to four prevalent causes of disability and death: heart disease, diabetes, colorectal cancer, and musculoskeletal disease. The report considers therapeutics and diagnostic devices that are widely used and have substantially affected the lives of patients as well as the overall U.S. economy. Among the 10 devices or device-based procedures studied are pacemakers, insulin infusion pumps, colonoscopies, and joint replacement surgery.
The data demonstrate that the use of medical technology brings considerable economic benefits. These are seen in both aggregate savings in treatment expenditures and prevention as well as the reduction of "indirect impact" through larger contributions to the economy.
Insights on the major changes occuring in healthcare. One article on health and wellbeing in a major pharma, by thier Director HSE, illustrates the challenge of getting meaningful metrics published, and the weak link with company financials.
Healthy Savings. Medical Technology and the Economic Burden of DiseaseRevital (Tali) Hirsch
As America ages and sedentary lifestyles and unhealthy diets become more common, experts agree the nation is suffering a sharp rise in the prevalence of chronic disease. As the 21st century unfolds, technology – in the form of advanced diagnostic and therapeutic devices -- can meet the need for early detection and more effective management of illness. Some researchers, however, have questioned whether the overall benefit of technical advances outweighs the costs -- a question this report definitively answers.
Accordingly, researchers at the Milken Institute undertook a comprehensive, quantitative documentation of medical technology's impact on the economic burden of disease. The study also projects how future innovation in this sector would affect the health care system and the larger economy -- a positive benefit of more than $23 billion a year for the United States.
The study takes a systematic approach to documenting the full costs and broader economic benefits of health care investments by examining innovations pertaining to four prevalent causes of disability and death: heart disease, diabetes, colorectal cancer, and musculoskeletal disease. The report considers therapeutics and diagnostic devices that are widely used and have substantially affected the lives of patients as well as the overall U.S. economy. Among the 10 devices or device-based procedures studied are pacemakers, insulin infusion pumps, colonoscopies, and joint replacement surgery.
The data demonstrate that the use of medical technology brings considerable economic benefits. These are seen in both aggregate savings in treatment expenditures and prevention as well as the reduction of "indirect impact" through larger contributions to the economy.
Welcome to TechSoup New Member Orientation and Q&A (May 2024).pdfTechSoup
In this webinar you will learn how your organization can access TechSoup's wide variety of product discount and donation programs. From hardware to software, we'll give you a tour of the tools available to help your nonprofit with productivity, collaboration, financial management, donor tracking, security, and more.
Synthetic Fiber Construction in lab .pptxPavel ( NSTU)
Synthetic fiber production is a fascinating and complex field that blends chemistry, engineering, and environmental science. By understanding these aspects, students can gain a comprehensive view of synthetic fiber production, its impact on society and the environment, and the potential for future innovations. Synthetic fibers play a crucial role in modern society, impacting various aspects of daily life, industry, and the environment. ynthetic fibers are integral to modern life, offering a range of benefits from cost-effectiveness and versatility to innovative applications and performance characteristics. While they pose environmental challenges, ongoing research and development aim to create more sustainable and eco-friendly alternatives. Understanding the importance of synthetic fibers helps in appreciating their role in the economy, industry, and daily life, while also emphasizing the need for sustainable practices and innovation.
Instructions for Submissions thorugh G- Classroom.pptxJheel Barad
This presentation provides a briefing on how to upload submissions and documents in Google Classroom. It was prepared as part of an orientation for new Sainik School in-service teacher trainees. As a training officer, my goal is to ensure that you are comfortable and proficient with this essential tool for managing assignments and fostering student engagement.
Acetabularia Information For Class 9 .docxvaibhavrinwa19
Acetabularia acetabulum is a single-celled green alga that in its vegetative state is morphologically differentiated into a basal rhizoid and an axially elongated stalk, which bears whorls of branching hairs. The single diploid nucleus resides in the rhizoid.
Palestine last event orientationfvgnh .pptxRaedMohamed3
An EFL lesson about the current events in Palestine. It is intended to be for intermediate students who wish to increase their listening skills through a short lesson in power point.
How to Make a Field invisible in Odoo 17Celine George
It is possible to hide or invisible some fields in odoo. Commonly using “invisible” attribute in the field definition to invisible the fields. This slide will show how to make a field invisible in odoo 17.
1. Asa Score Essay
Our study validates that the Perioperative Risk Assessment Score using patient's characteristics and
urgency of the surgical procedure can reliably predict postoperative mortality. In addition, we show
that despite a good prediction of mortality, the ASA score has a large range of intervariability that
may limit its use as shown in figure 4. Developed in 1941, the American Society of
Anesthesiologists (ASA) classification was created to establish a scoring system (I to V) for the
evaluation of a patient's general health and comorbidities immediately before an operative
procedure. (Sakad, Keats) This score is designed to identify surgical patients at risk for developing
postoperative complications, taking into account the patient's physical state and neglecting the
surgical impact (type, complexity and urgency). It has been established as a significant predictive
factor for perioperative risk assessment, perioperative mortality, complication rates, and
postoperative outcomes in multiple surgical specialties. ( Menke, Wolters, Prause, Conners)
Similarly, our data shows a good predictability of mortality by the ASA PS. It has undergone slight
modification by the ASA to a scale of 6 numbers and is now widely used for preoperative ... Show
more content on Helpwriting.net ...
However, the ASA–PS has a wide variability leading to inconsistencies between anesthesiologists
that may lead to incorrect clinical assessment and over– or under– estimation of financial revenue.
(Haynes, Owens). Levels of agreement between anesthesiologist for the ASA PS classes range from
40% to 60%. (Mak) In other words, they are equally likely to disagree or agree on a particular ASA
class for a patient. The wide range of variability is shown in figure 4. Therefore, although the ASA
PS score can be predictive of mortality and outcomes, its variability calls for a more precise risk
assessment score similar to the BAL.
... Get more on HelpWriting.net ...
2.
3.
4.
5. Surgical Site Infections Plague Among The World On A Daily...
Surgical site infections plague patients all over the world on a daily basis. The Centers for Disease
Control and Prevention (CDC) estimates that drug–resistant bacteria cause two million illnesses and
about 23,000 deaths each year in the United States alone" (Frieden, 2013).
Hospitals report data to The Centers for Disease Control and based on the research and viewing of
the data they have concurred that "Surgical site infections are the second most common type of
adverse events occurring in hospitalized patient. While advances have been made in infection
control practices, including improved operating room ventilation, sterilization methods, barriers,
surgical technique, and availability of antimicrobial prophylaxis, SSIs remain a ... Show more
content on Helpwriting.net ...
The agents chosen by most hospitals are chlorhexidine gluconate (CHG) 2% and isopropyl alcohol
(IPA). "The use of a 2% chlorhexidine–based preparation for cutaneous antisepsis is classified as a
Category 1A recommendation–the highest level of recommendation the CDC bestows" (ChloraPrep
FAQs, 2015). Alcohol is contraindicated in some instances "...including procedures in which the
preparatory agent may pool or not dry, for example, procedures involving hai due to fire risk.
Alcohol may also be contraindicated for procedures involving mucosa, cornea, or ear" (Anderson,
et. al. 2014) Skin should be allowed to dry after the prepping of the skin. Chlorahexadine washes are
encouraged the night before and the day of surgery. Patients bring their own host of risk factors into
the situation. Age, obesity, malnutrition, smoking, peripheral vascular disease, and steroid use being
the most common risks seen in the operative arena. The risk of SSI increase with factors that
suppress the ability of the immune response (for example, diabetes, malnutrition, or
immunosuppressive therapy with radiotherapy, chemotherapy or steroids) or local immune response
(for example, foreign bodies, damaged tissue or formation of a hematoma). Smoking cessation
should be encouraged by the practitioner. Blood glucose should be
... Get more on HelpWriting.net ...
6.
7.
8.
9. Symptoms And Treatment Of A Clinic For Neutering
Rigby is a 3 year old intact male Boston terrier that was presented to the clinic for neutering. The
owners states the neighbor's dog is a female, not spayed, and recently in heat. Rigby has been
digging under the fence since the female has been in heat. The owner is afraid Rigby may be
attacked by the neighbor's dog, contribute to unwanted litters, or get loose and hurt since he is
digging under the fence.
General appearance: Bright, Alert & Responsive [BAR]
Weight: 12lbs [5.4kg]
Temperature: 101.1F –Rectal
Skin/coat: Normal
Eyes/fundic exam: Normal
Ears/otoscopic exam: Normal
Oral cavity: MM–Pink, CRT ~2 seconds
Musculoskeletal: Normal
Cardiovascular: 100bmp, auscultation Within Normal Limit [WNL]
Gastrointestinal: No palpable abnormalities
Respiratory: 22bmp, Auscultation WNL.
Genitourinary: Intact
Nervous system: Normal
Lymph nodes: Normal
The veterinarian requires a minimum patient database before any surgical procedure. This includes,
the patient history, physical exam, and results of any diagnostic work up (Thomas, Lerche,
McKelvey, 2011). The technician was responsible for the history, and the veterinarian responsible
for examining the dog, and interpreting the pre–surgical lab work. Both the exam and lab work came
back unremarkable and the patient was labeled as P1 ASA [American Society of Anesthesiologists
Physical Status Classification]. This means the patient is healthy and has no issues compromising an
elective surgery of castration (Thomas, Lerche,
... Get more on HelpWriting.net ...
10.
11.
12.
13. The Boeing Company 2007 Annual Report
This Page Intentionally Left Blank
The Boeing Company 2007 Annual Report
Leading the Way
Vision 2016: People working together as a global enterprise for aerospace leadership
The Boeing Company
Boeing is the world's leading aerospace company and the largest manufacturer of commercial
jetliners and military aircraft combined, providing products and tailored services to airlines and U.S.
and allied armed forces around the world. Our capabilities include rotorcraft, electronic and defense
systems, missiles, satellites, launch systems and advanced
information and communication systems. Our reach extends to customers in more than 90 countries
around the world, and we are a leading U.S. exporter in terms of sales. With corporate ... Show more
content on Helpwriting.net ...
On that foundation, we are pursuing one big, overarching goal. We aim to be the world's strongest,
best and best–integrated aerospace company – for today and tomorrow. Measured against that goal,
2007 stands out as a year of significant – and accelerating – progress. We achieved record financial
performance, which reflects the potent combination of good top–line growth and strong gains in
productivity. Total revenues rose to an all–time high of $66.4 billion. For the first time ever, both of
our core businesses – Boeing Commercial Airplanes and Boeing Integrated Defense Systems –
simultaneously achieved double–digit operating margins. Gains in productivity and performance in
existing programs contributed significantly to earnings and helped offset additional investment in
key growth programs. Our cash flow went from strong to even stronger – increasing from $7.5
billion in 2006 to $9.6 billion in 2007.
We also had our best year ever in capturing new business and adding to a backlog that now totals
almost one third of a trillion dollars – or just about five times our total revenues in 2007. Boeing
Commercial Airplanes had spectacular success in landing 1,423 airplane orders during 2007,
reaching more than 1,000 orders for an unprecedented
... Get more on HelpWriting.net ...
14.
15.
16.
17. Toys Project
UNIVERZA V LJUBLJANI EKONOMSKA FAKULTETA
SPECIALISATION THESIS
Tatjana MEDIC
UNIVERZA V LJUBLJANI EKONOMSKA FAKULTETA PODIPLOMSKI STUDIJ
SPECIALISATION THESIS International Business Strategy Of Toys"R"Us For The Norwegian
Market
Ljubljana, May 2002
Tatjana MEDIC
Conformation
Tatjana Medic, a student of the University of Economics in Ljubljana, hereby confirms to be the
author of this specialisation thesis written under the guidence of Professor Tone Hrastelj. Pursuant to
1st paragraph of the 21st article of the Law of the author and legal rights I give the University of
Economics in Ljubljana the right to use and publish this thesis.
Ljubljana, 23 May 2002
Tatjana Medic
Izjava Studentka Tatjana Medic ... Show more content on Helpwriting.net ...
However, as recently as the 1970s, some governments and firms saw international marketing as an
"optional extra" of minor importance. International business was typically considered a field
reserved for a few trading companies and specialists. Other firms were content to focus on their
domestic markets and disregarded international dimensions.
Conditions have changed. Global trade has rapidly increased in both volume and value, reaching
nowadays more than $4 trillion in 1997 (Daniels J.D., Radebaugh, 1998, pg. 529). Competition is
fierce from all corners of the world. Failure at the global level can backfire and may consume
18. existing brands and business relationships. At the same time, global opportunities have emerged that
offer possibilities for growth, profit, and an improvement in worldwide standards of living.
Today, firms have to deal with a global marketplace; marketers have no other choice. Participation
in global marketing has begun to shift from a mere "option" to an imperative. The world is
becoming more homogeneous. Distinctions between national markets
... Get more on HelpWriting.net ...
19.
20.
21.
22. Igbo Dictionary
onaryDictionary of Ònìchà Igbo 2nd edition of the Igbo dictionary, Kay Williamson, Ethiope
Press, 1972. Kay Williamson (†) This version prepared and edited by Roger Blench Roger Blench
Mallam Dendo 8, Guest Road Cambridge CB1 2AL United Kingdom Voice/ Fax. 0044–(0)1223–
560687 Mobile worldwide (00–44)–(0)7967–696804 E–mail R.Blench@odi.org.uk
http://www.rogerblench.info/RBOP.htm To whom all correspondence should be addressed. This
printout: November 16, 2006 TABLE OF CONTENTS Abbreviations:
................................................................................................................................................. 2 Editor's
... Show more content on Helpwriting.net ...
12 5.1 Alphabet
............................................................................................................................................... 12 5.2
Double vowels ......................................................................................................................................
13 5.3 Syllabic nasal
....................................................................................................................................... 13 5.4
Tones.....................................................................................................................................................
13 5.5 Word division
...................................................................................................................................... 13 5.6 A note on
'y' ......................................................................................................................................... 14 6.
Grammatical sketch
.................................................................................................................................. 15 6.1 Parts of
speech ..................................................................................................................................... 15 6.2
Verbs.....................................................................................................................................................
17 6.2.1. Types of verbs
... Get more on HelpWriting.net ...
31. Physical Status Score Improves Predictions Of Survival...
Full title: Self–reported fitness combined with American Society of Anaesthesiologists Physical
Status Score improves predictions of survival after endovascular aneurysm repair
Category: Original article
Short title: Combining self–reported fitness and ASA improves survival predictions after EVAR
Authors:
Mary Barnes (BAppSc, GradDipMath)1 , Margaret Boult (BSc (Hons), GDIM)2, Prue Cowled
(BSc(Hons), PhD)2, Robert A Fitridge (MS, FRACS)2
Affiliations:
1CSIRO, Adelaide, South Australia 5000, Australia
2Discipline of Surgery, The University of Adelaide, The Queen Elizabeth Hospital, Woodville,
South Australia 5011, Australia
Corresponding author:
Professor Robert Fitridge,
Discipline of Surgery, The Queen Elizabeth Hospital,
28 Woodville Road, Woodville South, South Australia, 5011, AUSTRALIA
Telephone number: +61 8 8222 7711, Fax number: +61 8 8222 6028
Email: robert.fitridge@adelaide.edu.au
Source of Funding: This study was funded from a project grant (565335) awarded by the National
Health and Medical Research Council of Australia
Keywords: Endovascular procedures; aortic aneurysm, abdominal; physical fitness, ASA, mortality;
registries; aged.
Abstract
Introduction:
Although the American Society of Anaesthesiologists Physical Status Score was established for
statistical purposes, it is often used prognostically. However, older patients undergoing elective
surgery are most often classified ASA 3, which limits the ability to stratify patients. We look at the
... Get more on HelpWriting.net ...
32.
33.
34.
35. The New River Guitars Ise Deployment
Executive Summary
The purpose of this document is to provide New River Guitars with detailed documentation of the
ISE 1.2 deployment performed during October and November, 2013. This document will encompass
business and technical requirements, methodology, design, and specific configurations for the ISE
deployment.
The New River Guitars ISE deployment will leverage ISE version 1.2 software in VMware virtual
machines. A distributed ISE deployment will be utilized placing nodes in the Phoenix and Nashville
data centers. Each data center will house an administrative node (PAN), a monitoring node (MnT),
and two policy service nodes (PSN). The PAN and MnT in Phoenix data center are the primary
devices. The PSNs are placed behind an F5 ... Show more content on Helpwriting.net ...
Per New River Guitars' requirements, the wired deployment will initially be in monitor mode. This
will allow users who fail authentication to be granted access to the network. Authorization Profiles
that are in use only Permit Access and do not Deny network access. ISE can be transitioned to an
low–impact or closed mode to require users to authenticate and authorize via ISE before being
granted access to the network. Low Impact and closed mode will be tested on lab ISE nodes and test
switches.
An authorization rule for Mac Authentication Bypass (MAB) was created. Devices without 802.1x
supplicants are authenticated against the MAB policy and then profiled. Once the device is profiled
a new authorization policy is created based upon the profiled endpoint identity and inserted above
the MAB rule in authorization policies. The intention of this is to profile and categorize every device
on the New River Guitars network.
2. Design Requirements
The primary requirements for this design are listed below to permit or deny users or devices network
access based on defined criteria.
2.1 Business Requirements
● Design a solution to authenticate, authorize and profile New River Guitars workstations using
wired connections based on a machine certificate using EAP–TLS
● Authenticate, authorize and profile New River Guitars wired devices that do
... Get more on HelpWriting.net ...
36.
37.
38.
39. Case Study 1 Cardiovascular Failure
PART ONE Medical–Surgical Cases
1
1 Cardiovascular
Cardiovascular Disorders
Case Study 1 Heart Failure
Difficulty: Beginning
Setting: Emergency department, hospital
Index Words: heart failure (HF), cardiomyopathy, volume overload, quality of life
X Scenario
M.G., a "frequent flier," is admitted to the emergency department (ED) with a diagnosis of heart
failure
(HF). She was discharged from the hospital 10 days ago and comes in today stating, "I just had to
come to the hospital today because I can't catch my breath and my legs are as big as tree trunks."
After further questioning, you learn she is strictly following the fluid and salt restriction ordered
during her last hospital admission. She reports gaining 1 to 2 pounds every day ... Show more
content on Helpwriting.net ...
Increased urine output
Daily weight, looking for weight loss
Intake and output (I&O)
Decreased dependent edema
Decreased shortness of breath, diminished crackles in the bases of the lungs, decreased work of
breathing, and decreased O2 demands
Decreased jugular venous distention (JVD)
6. What laboratory tests should be ordered for M.G. related to the order for furosemide
44. Managing Voluntary Turnover Can Cause Many Problems And...
Introduction In many organisations, voluntary turnover can cause many problems and setbacks.
(reference). Managing and adjusting to voluntary turnover needs to be continuously assessed and re–
evaluated (reference). Voluntary turnover can be a problem because of reasons XYZ (reference) and
causes outcome (reference). This essay will argue that in order to maintain stability and productivity
within a firm, specific strategies need to be implemented to manage voluntary turnover productively.
Hatch and Dyer's (2004) findings show that investments in firm–specific human capital increases
are learning and, in turn, firm performance. For the purpose of fluidity, this essay will be formatted
around the retention of highly valuable employees within ... Show more content on Helpwriting.net
...
Because the consequences have already received attention in the earlier parts of this essay, there is
less need to discuss them in depth here. Rather, they are presented as point of departure for our
discussion of adaptation strategies in the next section. Recognising that turnover can have negative
consequences is sufficient to establish the importance of considering adaptation strategies. Turnover
may raise the risk of dissolution for a firm when the individuals among it are considered to be
important 'repositories' of the firm's intellectual capital (Coff 1999). Operational Disruption Serious
disruption of day to day activities may occur as a result of insufficient man power, replacements
with less developed job skills, or discontinuity in decision making. When employee turnover is high,
goal accomplishment may become more difficult. To be successful, managers must develop
strategies that will help them adapt to the difficult environment caused by an unstable workforce
(Dan and William 1982). Demoralisation Turnover by co–workers or visible executives may cause
those who remain to question their own position in the organisation and to initiate search strategies
to locate better positions. The considerable speculation by those who remain about why others
... Get more on HelpWriting.net ...
45.
46.
47.
48. Essay On Credit Risk Management
Chapter 1
Introduction
1.1. Origin of the report
As a part of the Internship Program of Bachelors of Business Administration course requirement, I
was assigned to do my internship at Bangladesh Small Industries and Commerce Bank Limited
popularly known as BASIC Bank Limited for the period of three months starting from December
20, 2006 to March 20, 2007 as an intern by the Internship Placement Committee of Department of
Accounting & Information Systems, University of Dhaka. Here at BASIC Bank, I was assigned to
work at Loans and advances Division of BASIC Bank, Moulvibazar Branch, Dhaka, Mr.Khan Iqbal
Hasan, Assistant General Manager and In–charge, was my supervisor. The title of the report is
"Credit Operations and Risk management ... Show more content on Helpwriting.net ...
1.5 Scope of the study:
The study would focus on the following areas: ▪ Credit Policy of BASIC Bank ▪ Credit appraisal
systems of BASIC Bank ▪ Supervision and monitoring of loans and advances at BASIC Bank ▪
Credit Risk Management Practices
Each of the above areas would be critically analyzed in order to determine the efficiency of BASIC
Bank's credit appraisal and credit risk management system.
1.6 Limitation of the study:
This study report is based upon secondary source of information from the documents and databases
of the Bank. Though I tried my level best to produce a comprehensive and well–organized report on
the "Credit Operations and Risk Management Practices of BASIC Bank Ltd", some limitations were
yet present there: i. A period of three month was not sufficient to collect and understand the insights
of credit appraisal and management. ii. Banks policy did not permit to disclose various data and
information related to Credit Portfolio.
Chapter 02 An Overview of BASIC Bank Ltd.
2.1 Historical Background
The BASIC Bank Limited (Bangladesh Small Industries and Commerce Bank Limited) establishes
49. as a banking company under the companies Act 1913 launched its operation in 1989. It was
incorporated under the Act on the 2nd of August, 1988.The Bank started its
... Get more on HelpWriting.net ...
50.
51.
52.
53. On Key Symbols (1873)- S. Ortner
On Key Symbols Author(s): Sherry B. Ortner Reviewed work(s): Source: American Anthropologist,
New Series, Vol. 75, No. 5 (Oct., 1973), pp. 1338–1346 Published by: Wiley–Blackwell on behalf of
the American Anthropological Association Stable URL: http://www.jstor.org/stable/674036 .
Accessed: 05/09/2012 09:42
Your use of the JSTOR archive indicates your acceptance of the Terms & Conditions of Use,
available at . http://www.jstor.org/page/info/about/policies/terms.jsp
.
JSTOR is a not–for–profit service that helps scholars, researchers, and students discover, use, and
build upon a wide range of content in a trusted digital archive. We use information technology and
tools to increase productivity and facilitate new forms of scholarship. For ... Show more content on
Helpwriting.net ...
She did not arriveat this tension throughan analysis of the meanings of chrysanthemums and swords
in the culture; she first established the tension in Japanese culture through analysis of various
symbolic systems, then chose these two items from the repertoireof Japanesesymbols to sum up the
opposition. In the second, more commonly employed approach, the investigator observes something
which seems to be an object of cultural interest, and analyzes it for its meanings. The
observationthat some symbol is a focus of cultural interest need not be very mysterious or intuitive.
I offer here five reasonably reliable indicators of cultural interest, and there are probably more. Most
key symbols, I venture to suggest, will be signaled by more than one of these indicators: (1) The
natives tell us that X is culturally important. (2) The natives seem positively or negatively aroused
about X, rather than indifferent. (3) X comes up in many different contexts. These contexts may be
behavioral or systemic: X comes up in many different kinds of action situation or conversation,or X
comes up in many different symbolic domains (myth, ritual, art, formal rhetoric, etc.). (4) There is
greater cultural elaboration surroundingX, e.g., elaboration of vocabulary, or elaboration of details
of X's
... Get more on HelpWriting.net ...
54.
55.
56.
57. Annual Report Rolls-Royce
TeAmwork And Technology
Rolls–Royce Group plc Annual report 2010
Trusted to deliver excellence
BUSIneSS reVIew
01 Introduction and highlights 02 Chairman's statement 04 Chief Executive's review 08 Our
consistent strategy 20 Market outlook 22 Key performance indicators 26 Principal risks and
uncertainties 28 Review of operations 28 civil aerospace 30 defence aerospace 32 marine 34 energy
36 engineering and technology 38 operations 40 Services 42 Sustainability 48 Finance Director's
review
goVernAnce
56 56 58 58 59 62 63 63 64 67 78 80 81 81 Chairman's introduction Board of directors The Group
Executive The International Advisory Board Governance structure Audit committee report
Nominations committee report Ethics committee ... Show more content on Helpwriting.net ...
MATURITY PROFILE OF THE GROUP DEBT COMMITMENTS £m
567
132
201
201
600 400
500
£m 01 Rolls–Royce Group plc annual report 2010 1 48
1
1
58. 16.00
p
p
955
£m
£m
10
10
Governance
Business review
CReate woRld–ClaSS pRoduCtS aNd teChNology INtegRate Complex SyStemS delIVeR global
SolutIoNS
10
Business review
ChaIRmaN'S StatemeNt
" this has been a testing year, both for the world economy and for Rolls–Royce. I am therefore
delighted to report that Rolls–Royce has performed well in these challenging circumstances."
Business review
the group conducts business on a global basis and has customers in 120 countries. It is this broad
... Get more on HelpWriting.net ...
59.
60.
61.
62. Complications, Complication Rates, And 90 Day Readmission...
Abstract
With the recent focus on dramatic cuts and escalating healthcare costs in the United States, a new
center of attention has been placed upon postoperative readmission and reimbursement. Although
sacral fractures constitute a large component of all pelvic fractures, there is relatively little data
investigating differences in the postoperative length of stay (LOS), the complication rates, and the
90–day readmissions for these patients. The purpose of this paper was to investigate differences in
postoperative length of stay, complication rates, and 90–day readmission rates for patients with
operative isolated sacral fractures. All patients who presented to a large tertiary care center with
isolated sacral fractures in an 11 year ... Show more content on Helpwriting.net ...
This significant difference in LOS between ORIF vs. percutaneous fixation of sacral injuries leading
to an average difference of $13,590 in average inpatient cost highlights predicative information to
potentially reduce perioperative costs related to sacral fractures for orthopaedic surgeons.
INTRODUCTION
45% of all pelvic fractures are sacral injuries [1]. They can occur in high energy collisions, with
motor vehicle accidents making up 57% of these crush injuries [2]. Traumatic force can lead to
compression, which then precipitates neurological complications [3]. For this reason, these fractures
are musculoskeletal injuries requiring emergent action at trauma centers to reduce the risk of
complications.
While open reduction and internal fixation (ORIF) methods permits direct visualization of the
injured pelvis, there are highly variable wound complication rates ranging from 3.9% to 27% [4].
Critics of ORIF are concerned about the extremely high risk of infection post–operatively, which
can increase from 18% to 27% for fractures treated early and late, respectively [5]. It is reasonable
to consider a more minimally invasive technique such as percutaneous fixation, which uses screws
to mechanically stabilize an unstable sacrum [6]. Percutaneous fixation with iliosacral screws, for
example, have led to decreases in surgical time, exposure related hazards, and soft–tissue disruption
[7].
With the recent focus on dramatic cuts and
... Get more on HelpWriting.net ...
63.
64.
65.
66. Army Regulation 190–51
Army Regulation 190–51
Military Police
Security of
Unclassified
Army Property
(Sensitive and
Nonsensitive)
Headquarters
Department of the Army
Washington, DC
30 September 1993
UNCLASSIFIED
SUMMARY of CHANGE
AR 190–51
Security of Unclassified Army Property (Sensitive and Nonsensitive)
This revision–– o Consolidates paragraphs 6 through 9, 11, 13, 15 through 17, and 19 of AR 190–18
into chapter 5 and AR 190–50 into chapter 4. o Consolidates all responsibilities, to include
controlled substances and museums (chap 1). o Adds requirements for conducting risk analyses
during construction planning for assets of units or activities that will occupy new or renovated
facilities or facility additions (para 2–2). o Adds some ... Show more content on Helpwriting.net ...
The Deputy Chief of Staff for
Operations and Plans may delegate this authority, in writing, to a division chief within the proponent
agency in the grade of colonel or the civilian equivalent. The a p p r o v a l a u t h o r i t y w i l l c o
o r d i n a t e a l l questions regarding the scope of authority t o a p p r o v e e x c e p t i o n s w i t h
H Q D A
( D A J A – A L ) , W a s h i n g t o n , D C
20310–2200.
Army management control process.
This regulation is subject to the requirements of AR 11–2. It contains internal control provisions but
does not contain checklists for conducting internal control reviews. These checklists are contained in
D e p a r t m e n t o f t h e A r m y C i r c u l a r
11–89–2.
S u p p l e m e n t a t i o n . S u p p l e m e n t a t i o n o f this regulation and establishment of
command and local forms are prohibited witho u t p r i o r a p p r o v a l f r o m H Q D A
( D A M O – O D L – S ) , 4 0 0 A r m y P e n t a g o n ,
67. Washington, DC 20310–0400.
I n t e r i m c h a n g e s . I n t e r i m c h a n g e s t o this regulation are not official unless they a r e
a u t h e n t i c a t e d b y t h e A d m i n i s t r a t i v e
Assistant to the Secretary of the Army.
U s e r s w i l l d e s t r o y i n t e r i m c h a n g e s o n their expiration dates unless sooner
superseded or rescinded.
Suggested Improvements. Users are invited to send comments and
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75. History Of Present Illness : 34 Year Old Woman With A...
History of present illness: 34–year–old woman with a history of Wolff Parkinson White Syndrome
complains of intermittent palpitations since 2005. She has had a 24–hour Holter, which was
unremarkable. She came in for a follow–up visit and had an EKG done that revealed the presence of
pre–excitation. The patient reports a daily sensation of palpitations that lasts for several minutes.
The patient reports lightheadedness with the palpitations without syncope. The patient underwent an
exercise treadmill evaluation, which showed no evidence of ischemia. The echocardiography
revealed a structurally normal heart. Delta waves were noted during evaluation but resolved at
higher heart rates. Wolff–Parkinson–White syndrome (WPW) is a conduction disorder of the heart
that is caused by pre accessory pathway resulting in tachyarrhythmias. Kesler & Lahham (2016)
state, "Approximately 0.07% of the population often presents with the chief complaint of
palpitations". A diagnosis of WPW is made in conjunction with certain characteristics.
Characteristics of WPW include: a short PR interval < 0.12 second caused by a faster electrical
conduction through the accessory pathway than the atrioventricular node, upsloping of the QRS and
a delta wave. The delta wave is indicative of rapid ventricular depolarization caused by the rapid
conduction through the accessory pathway (Kesler & Lahham, 2016, p. 469).
CEBM, Level 4
Past Medical History: In addition to her current condition the patient has a
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76.
77.
78.
79. Injury Mortality Theory
Annals of Surgery An Injury Mortality Prediction Based on the Anatomic Injury Scale ––Manuscript
Draft–– Manuscript Number: ANNSURG–D–15–02018 Full Title: An Injury Mortality Prediction
Based on the Anatomic Injury Scale Article Type: Original Study Keywords: Abbreviated Injury
Scale, injury mortality prediction, injury severity score, logarithm injury severity score, new injury
severity score, predictor of mortality, trauma mortality prediction model, trauma scoring.
Manuscript Region of Origin: CHINA Powered by Editorial Manager? and ProduXion Manager?
from Aries Systems Corporation MiniAbstract 2 Mini–Abstract Derive the mortality rate of different
AIS predot codes into the modified coefficient (MC), the IMP, as a new feasible scoring method ...
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White H. A heteroskedasticity–consistent covariance matrix estimator and a direct test for
heteroskedasticity. Econometrica. 1980;48:817–830. 13. MacKenzie EJ, Rivara FP, Jurkovich GJ, et
al. A national evaluation of the effect of trauma–center care on mortality. N Engl J Med.
2006;354:366–378. 14. Shafi S, Friese R, Gentilello L. Moving beyond personnel and process: a
case for incorporating outcome measures in the trauma center designation process. Arch Surg.
2008;143:115–119. 15. Boyd CR, Tolson MA, Copes WS. Evaluating trauma care: the TRISS
method. J Trauma. 1987;27:370–378. 16. Salottolo K, Settell A, Uribe P, et al. The impact of the
AIS 2005 revision on injury severity scores and clinical outcome measures. Injury. 2009;40:999–
1003. 17. Stewart KE, Cowan LD, Thompson DM. Changing to AIS 2005 and agreement of injury
severity scores in a trauma registry with scores based on manual chart review. Injury. 2011;42: 934–
939. Table 15 TABLE 1. Patient Demographics Patient Characteristics No. of Patients (%) Age 42
(23–62)* Female 407,200 (35.5) Race White, not Hispanic 760,141 (66.2) Black 163,860 (14.3)
Hispanic 128,135 (11.1) Asian 19,129 (1.7) Native American or Alaskan Native 12,663 (1.1) Other
64,431 (5.6) Mechanism of
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