Draw graphs illustrating how precision and recall change as the threshold t is varied for two
different systems: i) System A that has perfect accuracy when the threshold is 0.5. ii) System B
that predicts the scores randomly. For each graph, use the threshold t on the x-axis and either
precision or recall on the y-axis. If you need to make any assumptions, state them clearly in your
answer.
See the full context of the question below:
We have multiple machine learning models that each predict a score between 0 and 1 for
detecting spam e-mails. A score value higher than a particular threshold t means the e-mail is
categorised as spam and not shown to the user. Our development set is balanced between spam
and non-spam emails. The predicted scores from each system are evenly distributed across the
possible range. No two emails receive the same score. We experiment with different threshold
values on this development set while measuring precision and recall on the spam class. Draw
graphs illustrating how precision and recall change as the threshold t is varied for two different
systems: i) System A that has perfect accuracy when the threshold is 0.5 . ii) System B that
predicts the scores randomly. For each graph, use the threshold t on the x-axis and either
precision or recall on the y-axis. If you need to make any assumptions, state them clearly in your
answer..
ED John Budd a 72yearold arrived in the emergency depa.pdfinfo878313
ED: John Budd, a 72-year-old, arrived in the emergency department unconscious, with stab
wounds to the upper right abdomen and lower right chest that were sustained in his home while
fighting off a burglar. The paramedics secured two large-bore intravenous catheters in his right
and left anticubital spaces and infused lactated Ringer's solution wide ope in both sites. An
endotracheal tube was inserted, and ventilation with resuscitation bag at 100% oxygen was
begun. Medical antishock trousers (MAST) were in place. Pressure dressings to both wounds
were secured. A 5-cm (2 inch) stab wound to his right lower chest and a 7.5-cm (3 inch) stab
wound to his upper right abdomen were inspected. Chest tubes were inserted into the upper-right
and lower-right midaxillary regions. Immediately, 500 ml of red drainage returned via the lower
chest tube. His heart rate was 125 bpm, and the monitor showed sinus tachycardia without ectopy.
His blood pressure was 70/50 mmHg. Inserting a Foley catheter resulted in drainage of 400 ml
clear, dark yellow urine. After infusion of more than 2000 ml of lactated Ringer's solution, Mr. Budd
was sent to surgery, still in a hypotensive state. Preoperative body weight was 74 kg (165 lb).
Surgical intervention: During surgery, a right thoracotomy and right abdominal laparotomy were
performed. The right chest wound was explored, and a lacerated intercostal artery was ligated.
Exploration of his upper-right abdominal wound revealed more extensive damage. The liver and
the duodenum were lacerated. Extensive hemorrhage and leaking of intestinal contents were
apparent after opening the peritoneum. Mr. Budd's injuries were repaired, the peritoneal cavity
was irrigated with antibiotic solution, and the incisional sump drains were placed in the duodenum.
During the 4-hour surgery, Mr. Budd received 6 U of blood and an additional 3 L of lactated
Ringer's solution. A pulmonary artery catheter and right radial arterial line were inserted.
ICU, Immediate Post-op: When Mr. Budd arrived in the surgical ICU, he was receiving ventilation
support. Ventilator settings were as follows:
Assit - mode Rate 12 FiO 60% Vt 800 ml
2
Vital signs and hemodynamic parameters immediately after surgery were:
o o
BP 92/52 HR 114 Resp 12 Temp 36.2 C (97.2 F) PAP 20/8 mmHg PCWP 6 mmHg CVP 4
2
mmHg CO 5L/min CI 2.9 L/min/m SVR 1040 dynes/sec/cm
Arterial blood gas values were normal. Except for a WBC of 13.6 and a hemoglobin of 10 g/dl, Mr.
Budd's other laboratory values were within normal limits.
ICU, PO Day1: Mr. Budd remained drowsy and received ventilatory support for 24 hours. His pain
was controlled by IV morphine sulfate. The nasogastric tube continued to drain large amounts of
green fluid, and an incisional duodenal sump tube drained large amounts of greenish brown fluid.
His chest and abdominal dressings remained dry. Breath sounds were diminished on the right side
but clear on the left. His chest tubes continued to drain small amounts of bloody fluid.
This is an ARDS case study presentation done by a group of Respiratory care students in UOD:
Aziza AlAmri, Fay AlBuainain, Mashail AlRayes, Nora AlWohayeb, Salma Almakinzi .
The original case study:(http://www.researchgate.net/publication/50399037_Acute_Respiratory_Distress_SyndromeA_Case_Study)
I need finding assessmentresolutionmon Chief Complaint.pdfsukhvir71
I need
finding, assessment,resolution,mon
= Chief Complaint "My chest hurts, I can't catch my breath, and this cough is getting worse." = HPI
Justin Case is a 60-year-old man with a past medical history significant for MI who was admitted to
the hospital 5 days ago to undergo a scheduled surgical procedure following a recent diagnosis of
colorectal adenocarcinoma with metastatic lesions to the liver. The patient was taken to the OR on
hospital day 2 and underwent an exploratory laparotomy, diverting ileostomy, and Hickman
catheter placement in preparation for chemotherapy. Postoperatively, the patient was transferred
to the progressive ICU for his recovery without complication. The patient had no new complaints
until hospital day 5 when he complained of retrosternal crushing chest pain radiating to the left
shoulder and left jaw, shortness of breath, and a worsening cough with sputum production. The
patient was noted to be in respiratory distress with a RR of 43 breaths/min, HR 153bpm, BP
162/103mmHg, and O2 saturation of 87%. He was then transferred to the medical ICU and
underwent endotracheal intubation due to worsening respiratory status. Cardiac markers were
obtained, given the patient's symptoms and history of MI. Imaging and blood & sputum cultures
were obtained after patient transfer. =PMH CAD, S/P MI 3 years ago for which he did not undergo
any surgical intervention =SH Lives with his wife Smokes one ppd 40 years Denies alcohol or illicit
drug use Meds Patient states that he did not take any medications at home. Hospital medications
include (ICU medication list): Aspirin 325mgPO1 dose, then 81mg PO daily Enoxaparin 70mg
subcutaneously every 12 hours Esomeprazole 40mg PO daily Fentanyl 25mcg /hour IV
continuous infusion Lorazepam 2mg hour IV continuous infusion Metoprolol 25mg PO every 12
hours Nicotine patch 21mg per day applied daily AIl NKDA =ROS Patient is experiencing
significant chest pain, shortness of breath, and a cough with sputum production. He denies
nausea, vomiting, or difficulty urinating. He complains of mild abdominal pain near his ostomy and
incision sites. - Physical Examination Gen WDWN Caucasian man, initially anxious, ill-appearing,
and in moderate respiratory distress; now, S/P endotracheal intubation and in NAD VS BP
162/103 mm Hg, P 147 bpm, RR 42 breaths/min, T 38.5C; Wt 70kg,Ht56 Skin Warm; no rash; no
skin breakdown HEENT PERRLA; moist mucous membranes Neck/Lymph Nodes Supple; no
lymphadenopathy Lungs/Thorax Scattered rhonchi with expiratory wheezing; diffuse bilateral
crackles; decreased breath sounds in bilateral bases; right U Hickman catheter intact without
erythemaAbd Soft; mildly distended; hypoactive BS; large liver palpated in RUQ; ileostomy in RLQ
is pink and functioning; surgical incision is C/D/I Genit/Rect Deferred MS/Ext 1+ pitting edema; 2+
pulses bilaterally; good peripheral perfusion Neuro Prior to intubation, A&O3; CN II-XII intact;
patient is now intubated and sedated m Labs - Cardiac Mark.
ED John Budd a 72yearold arrived in the emergency depa.pdfinfo878313
ED: John Budd, a 72-year-old, arrived in the emergency department unconscious, with stab
wounds to the upper right abdomen and lower right chest that were sustained in his home while
fighting off a burglar. The paramedics secured two large-bore intravenous catheters in his right
and left anticubital spaces and infused lactated Ringer's solution wide ope in both sites. An
endotracheal tube was inserted, and ventilation with resuscitation bag at 100% oxygen was
begun. Medical antishock trousers (MAST) were in place. Pressure dressings to both wounds
were secured. A 5-cm (2 inch) stab wound to his right lower chest and a 7.5-cm (3 inch) stab
wound to his upper right abdomen were inspected. Chest tubes were inserted into the upper-right
and lower-right midaxillary regions. Immediately, 500 ml of red drainage returned via the lower
chest tube. His heart rate was 125 bpm, and the monitor showed sinus tachycardia without ectopy.
His blood pressure was 70/50 mmHg. Inserting a Foley catheter resulted in drainage of 400 ml
clear, dark yellow urine. After infusion of more than 2000 ml of lactated Ringer's solution, Mr. Budd
was sent to surgery, still in a hypotensive state. Preoperative body weight was 74 kg (165 lb).
Surgical intervention: During surgery, a right thoracotomy and right abdominal laparotomy were
performed. The right chest wound was explored, and a lacerated intercostal artery was ligated.
Exploration of his upper-right abdominal wound revealed more extensive damage. The liver and
the duodenum were lacerated. Extensive hemorrhage and leaking of intestinal contents were
apparent after opening the peritoneum. Mr. Budd's injuries were repaired, the peritoneal cavity
was irrigated with antibiotic solution, and the incisional sump drains were placed in the duodenum.
During the 4-hour surgery, Mr. Budd received 6 U of blood and an additional 3 L of lactated
Ringer's solution. A pulmonary artery catheter and right radial arterial line were inserted.
ICU, Immediate Post-op: When Mr. Budd arrived in the surgical ICU, he was receiving ventilation
support. Ventilator settings were as follows:
Assit - mode Rate 12 FiO 60% Vt 800 ml
2
Vital signs and hemodynamic parameters immediately after surgery were:
o o
BP 92/52 HR 114 Resp 12 Temp 36.2 C (97.2 F) PAP 20/8 mmHg PCWP 6 mmHg CVP 4
2
mmHg CO 5L/min CI 2.9 L/min/m SVR 1040 dynes/sec/cm
Arterial blood gas values were normal. Except for a WBC of 13.6 and a hemoglobin of 10 g/dl, Mr.
Budd's other laboratory values were within normal limits.
ICU, PO Day1: Mr. Budd remained drowsy and received ventilatory support for 24 hours. His pain
was controlled by IV morphine sulfate. The nasogastric tube continued to drain large amounts of
green fluid, and an incisional duodenal sump tube drained large amounts of greenish brown fluid.
His chest and abdominal dressings remained dry. Breath sounds were diminished on the right side
but clear on the left. His chest tubes continued to drain small amounts of bloody fluid.
This is an ARDS case study presentation done by a group of Respiratory care students in UOD:
Aziza AlAmri, Fay AlBuainain, Mashail AlRayes, Nora AlWohayeb, Salma Almakinzi .
The original case study:(http://www.researchgate.net/publication/50399037_Acute_Respiratory_Distress_SyndromeA_Case_Study)
I need finding assessmentresolutionmon Chief Complaint.pdfsukhvir71
I need
finding, assessment,resolution,mon
= Chief Complaint "My chest hurts, I can't catch my breath, and this cough is getting worse." = HPI
Justin Case is a 60-year-old man with a past medical history significant for MI who was admitted to
the hospital 5 days ago to undergo a scheduled surgical procedure following a recent diagnosis of
colorectal adenocarcinoma with metastatic lesions to the liver. The patient was taken to the OR on
hospital day 2 and underwent an exploratory laparotomy, diverting ileostomy, and Hickman
catheter placement in preparation for chemotherapy. Postoperatively, the patient was transferred
to the progressive ICU for his recovery without complication. The patient had no new complaints
until hospital day 5 when he complained of retrosternal crushing chest pain radiating to the left
shoulder and left jaw, shortness of breath, and a worsening cough with sputum production. The
patient was noted to be in respiratory distress with a RR of 43 breaths/min, HR 153bpm, BP
162/103mmHg, and O2 saturation of 87%. He was then transferred to the medical ICU and
underwent endotracheal intubation due to worsening respiratory status. Cardiac markers were
obtained, given the patient's symptoms and history of MI. Imaging and blood & sputum cultures
were obtained after patient transfer. =PMH CAD, S/P MI 3 years ago for which he did not undergo
any surgical intervention =SH Lives with his wife Smokes one ppd 40 years Denies alcohol or illicit
drug use Meds Patient states that he did not take any medications at home. Hospital medications
include (ICU medication list): Aspirin 325mgPO1 dose, then 81mg PO daily Enoxaparin 70mg
subcutaneously every 12 hours Esomeprazole 40mg PO daily Fentanyl 25mcg /hour IV
continuous infusion Lorazepam 2mg hour IV continuous infusion Metoprolol 25mg PO every 12
hours Nicotine patch 21mg per day applied daily AIl NKDA =ROS Patient is experiencing
significant chest pain, shortness of breath, and a cough with sputum production. He denies
nausea, vomiting, or difficulty urinating. He complains of mild abdominal pain near his ostomy and
incision sites. - Physical Examination Gen WDWN Caucasian man, initially anxious, ill-appearing,
and in moderate respiratory distress; now, S/P endotracheal intubation and in NAD VS BP
162/103 mm Hg, P 147 bpm, RR 42 breaths/min, T 38.5C; Wt 70kg,Ht56 Skin Warm; no rash; no
skin breakdown HEENT PERRLA; moist mucous membranes Neck/Lymph Nodes Supple; no
lymphadenopathy Lungs/Thorax Scattered rhonchi with expiratory wheezing; diffuse bilateral
crackles; decreased breath sounds in bilateral bases; right U Hickman catheter intact without
erythemaAbd Soft; mildly distended; hypoactive BS; large liver palpated in RUQ; ileostomy in RLQ
is pink and functioning; surgical incision is C/D/I Genit/Rect Deferred MS/Ext 1+ pitting edema; 2+
pulses bilaterally; good peripheral perfusion Neuro Prior to intubation, A&O3; CN II-XII intact;
patient is now intubated and sedated m Labs - Cardiac Mark.
2 Respiratory Disorders
Case Study
31 Acute Respiratory Distress Syndrome
Difficulty: Advanced
Setting: Hospital
Index Words: acute respiratory distress syndrome (ARDS), medications, pain management, assessment, laboratory values, dysrhythmias, crisis management
Giddens Concepts: Clinical Judgment, Collaboration, Fluid and Electrolyte Balance, Gas Exchange, Oxygenation, Safety
HESI Concepts: Assessment, Clinical Decision Making—Clinical Judgment, Collaboration/Managing Care, Fluid and Electrolyte Balance, Gas Exchange, Oxygenation, Safety
G.S., a 56-year-old secretary, was involved in a motor vehicle accident; a car drifted left of the centerline and struck G.S. head-on, pinning her behind the steering wheel. She was intubated immediately after extrication and flown to your trauma center. Her injuries were found to be extensive: bilateral flail chest, right hemothorax and pneumothorax, fractured spleen, multiple small liver lacerations, open fractures of both legs, and probable cardiac contusion. She was taken to the operating room (OR) for repair of her injuries. In the OR she received 36 units of packed red blood cells (RBCs), 20 units of platelets, 12 units of fresh frozen plasma, and 18 L of lactated Ringer's solution. G.S. was admitted to the intensive care unit (ICu) postoperatively, where she developed acute respiratory distress syndrome (ARDS).
·
Scenario
1. What is ARDS?
2. What are the risk factors for developing ARDS? Which does G.S. have?
CaSE StuDy ProGrESS
G.S. was in the ICu for 4 weeks, and her ARDS is almost resolved. She is being transferred to your unit. The ICu nurse gives you the following report: “She is awake, alert, and oriented to person and place. Both legs remain casted from hip to toe. She can wiggle her toes on both feet. Heart tones are clear, last vital signs were 138/90, 88, 26, 99.3° F (37.4° C); bilateral radial pulses 3. All of her surgical incisions are healed. She has bilateral chest tubes to water suction with closed drainage, both dressings are dry and intact. She has a duodenal feeding tube, a Foley catheter to down drain, and a left double-lumen peripherally inserted central catheter (PICC) line. Her morning labs are still pending.”
2 Respiratory Disorders
3. What additional information do you need from the ICU nurse?
CaSE StuDy ProGrESS
You complete your assessment of G.S. You note she is dyspneic and has fine crackles throughout all lung fields posteriorly and in both lower lobes anteriorly, and coarse crackles over the large airways. She has oxygen on at 2 L per nasal cannula and her Spo2 is 94%.4. What is the significance of the fine and coarse crackles?
5. The nurse from the previous shift charted the following statement: “Fine and coarse crackles that clear with vigorous coughing.” Based on your knowledge of pathophysiology, determine the accur ...
Alan moelleken-md-santa-barbara-spine ortho-cardiac-arrestAlan Moelleken
I'm providing this for informational purposes only in the medical, law, lawsuit, anti-trust, expert witness field. This is only for inquiry education use. Not a final determination of any legal term, lawsuit opinion, medical diagnosis by Alan Moelleken MD, Cottage Hospital, Santa Barbara, California.
Alan moelleken-md-santa-barbara-spine ortho-cardiac-arrestJoseph Simunovich
Law, Legal, Lawsuit, Anti-trust, medical terms, Alan Moelleken, Moelleken MD, for inquiry education only by Cottage Hospital Dr Alan Moelleken, MD Santa Barbara, California
Q5 Let D be a database that contains the following four tra.pdfabhishekcctv
Please help me fix my C code to match the instructions for the following problem:
Implement the Roller Coaster problem in C (not C++) ensuring the constraints are met and critical
sections are properly protected. The program must compile and execute under Ubuntu 22.04 LTS.
The Roller Coaster scenario is a concurrent programming problem that can be solved using
semaphores1 and is summarized below. This code requires multi-threading, semaphores, and
possibly overcoming deadlocks.
Suppose there are n passenger threads and one roller coaster car thread. The car can hold at
most c passengers, where c < n. Each passenger would ride the roller coaster for a random
number of times, and the random number is in the range [0, i]. After each ride, the passenger will
wait for a random time in the range [0s, 10s] to brace themselves. After completing their
predetermined number of iterations, the passenger will exit the park (i.e., the thread terminates).
Upon deciding to ride a roller coaster, the passenger must wait for an open seat to ride the roller
coaster car. The car waits for passengers for a maximum of 2s. Upon completing 2s or reaching
the maximum capacity, the car goes around the track for 5s. The roller coaster shuts down (the
car thread exits) after all passengers exit the park.
You will create one thread for each user and one thread for the car. The car thread will allow
passenger boarding for 2s or until the car is full. Once the boarding closes, the car goes on a ride
for 5s, represented by a sleep function call. The pseudo code for the car thread can be found
below:
Each user thread will wait for a random time in the rage [0, 10s] and then attempt to board the car.
During the boarding process, the user checks to see if the car is boarding passengers. If the car is
not boarding, the user thread will have to wait until the car is boarding. If the car is boarding
passengers, the user can check to see if a seat is available. If the seat is available, the user can
take the seat. However, if the seat is unavailable, the user will have to wait in the queue until the
car finishes a loop and there are empty seats. The Pseudo code for the passenger thread can be
found on the next page.
Pseudo code for the car and passenger:
The total number of passengers, n, the number of passengers per car, c, and the upper bound on
the maximum number of iterations of a passenger, i, will be accepted as command line arguments.
The accepted arguments should meet the following constraints: c < n, n < 100, and i <= 20. All
values must be > 0.
Include Files:
In order to use threading functions and semaphores in C, you will need the below include files:
#include <stdio.h>
#include <stdlib.h>
#include <unistd.h>
#include <signal.h>
#include <pthread.h>
#include <semaphore.h>
#include <time.h>
#include <stdbool.h>
Compilation options: user the following compilation options:
gcc -Wall -g -pedantic -pthread -o roller roller.c
Example Output: the following are some execution .
PepsiCos financial statements are presented in Appendix B .pdfabhishekcctv
On January 1, 2020, ABC Corp. purchased 30,000 shares of the voting common stock of XYZ,
Inc. During 2020, XYZ had the following information: Reported earnings $ 550,000 Paid dividends
$ 380,000 Common stock at $15 par value $1,500,000 Additional paid in capital - common stock $
680,000 ABC assumes that all of XYZ's undistributed earnings will be distributed as
dividends in future periods when the enacted tax rate will be 46% ABC's current enacted
income tax rate is: 40% Prepare a journal entry to reflect the change in deferred tax for ABC as of
12/31/2020. Show work..
More Related Content
Similar to ED John Budd a 72yearold arrived in the emergency depa.pdf
2 Respiratory Disorders
Case Study
31 Acute Respiratory Distress Syndrome
Difficulty: Advanced
Setting: Hospital
Index Words: acute respiratory distress syndrome (ARDS), medications, pain management, assessment, laboratory values, dysrhythmias, crisis management
Giddens Concepts: Clinical Judgment, Collaboration, Fluid and Electrolyte Balance, Gas Exchange, Oxygenation, Safety
HESI Concepts: Assessment, Clinical Decision Making—Clinical Judgment, Collaboration/Managing Care, Fluid and Electrolyte Balance, Gas Exchange, Oxygenation, Safety
G.S., a 56-year-old secretary, was involved in a motor vehicle accident; a car drifted left of the centerline and struck G.S. head-on, pinning her behind the steering wheel. She was intubated immediately after extrication and flown to your trauma center. Her injuries were found to be extensive: bilateral flail chest, right hemothorax and pneumothorax, fractured spleen, multiple small liver lacerations, open fractures of both legs, and probable cardiac contusion. She was taken to the operating room (OR) for repair of her injuries. In the OR she received 36 units of packed red blood cells (RBCs), 20 units of platelets, 12 units of fresh frozen plasma, and 18 L of lactated Ringer's solution. G.S. was admitted to the intensive care unit (ICu) postoperatively, where she developed acute respiratory distress syndrome (ARDS).
·
Scenario
1. What is ARDS?
2. What are the risk factors for developing ARDS? Which does G.S. have?
CaSE StuDy ProGrESS
G.S. was in the ICu for 4 weeks, and her ARDS is almost resolved. She is being transferred to your unit. The ICu nurse gives you the following report: “She is awake, alert, and oriented to person and place. Both legs remain casted from hip to toe. She can wiggle her toes on both feet. Heart tones are clear, last vital signs were 138/90, 88, 26, 99.3° F (37.4° C); bilateral radial pulses 3. All of her surgical incisions are healed. She has bilateral chest tubes to water suction with closed drainage, both dressings are dry and intact. She has a duodenal feeding tube, a Foley catheter to down drain, and a left double-lumen peripherally inserted central catheter (PICC) line. Her morning labs are still pending.”
2 Respiratory Disorders
3. What additional information do you need from the ICU nurse?
CaSE StuDy ProGrESS
You complete your assessment of G.S. You note she is dyspneic and has fine crackles throughout all lung fields posteriorly and in both lower lobes anteriorly, and coarse crackles over the large airways. She has oxygen on at 2 L per nasal cannula and her Spo2 is 94%.4. What is the significance of the fine and coarse crackles?
5. The nurse from the previous shift charted the following statement: “Fine and coarse crackles that clear with vigorous coughing.” Based on your knowledge of pathophysiology, determine the accur ...
Alan moelleken-md-santa-barbara-spine ortho-cardiac-arrestAlan Moelleken
I'm providing this for informational purposes only in the medical, law, lawsuit, anti-trust, expert witness field. This is only for inquiry education use. Not a final determination of any legal term, lawsuit opinion, medical diagnosis by Alan Moelleken MD, Cottage Hospital, Santa Barbara, California.
Alan moelleken-md-santa-barbara-spine ortho-cardiac-arrestJoseph Simunovich
Law, Legal, Lawsuit, Anti-trust, medical terms, Alan Moelleken, Moelleken MD, for inquiry education only by Cottage Hospital Dr Alan Moelleken, MD Santa Barbara, California
Q5 Let D be a database that contains the following four tra.pdfabhishekcctv
Please help me fix my C code to match the instructions for the following problem:
Implement the Roller Coaster problem in C (not C++) ensuring the constraints are met and critical
sections are properly protected. The program must compile and execute under Ubuntu 22.04 LTS.
The Roller Coaster scenario is a concurrent programming problem that can be solved using
semaphores1 and is summarized below. This code requires multi-threading, semaphores, and
possibly overcoming deadlocks.
Suppose there are n passenger threads and one roller coaster car thread. The car can hold at
most c passengers, where c < n. Each passenger would ride the roller coaster for a random
number of times, and the random number is in the range [0, i]. After each ride, the passenger will
wait for a random time in the range [0s, 10s] to brace themselves. After completing their
predetermined number of iterations, the passenger will exit the park (i.e., the thread terminates).
Upon deciding to ride a roller coaster, the passenger must wait for an open seat to ride the roller
coaster car. The car waits for passengers for a maximum of 2s. Upon completing 2s or reaching
the maximum capacity, the car goes around the track for 5s. The roller coaster shuts down (the
car thread exits) after all passengers exit the park.
You will create one thread for each user and one thread for the car. The car thread will allow
passenger boarding for 2s or until the car is full. Once the boarding closes, the car goes on a ride
for 5s, represented by a sleep function call. The pseudo code for the car thread can be found
below:
Each user thread will wait for a random time in the rage [0, 10s] and then attempt to board the car.
During the boarding process, the user checks to see if the car is boarding passengers. If the car is
not boarding, the user thread will have to wait until the car is boarding. If the car is boarding
passengers, the user can check to see if a seat is available. If the seat is available, the user can
take the seat. However, if the seat is unavailable, the user will have to wait in the queue until the
car finishes a loop and there are empty seats. The Pseudo code for the passenger thread can be
found on the next page.
Pseudo code for the car and passenger:
The total number of passengers, n, the number of passengers per car, c, and the upper bound on
the maximum number of iterations of a passenger, i, will be accepted as command line arguments.
The accepted arguments should meet the following constraints: c < n, n < 100, and i <= 20. All
values must be > 0.
Include Files:
In order to use threading functions and semaphores in C, you will need the below include files:
#include <stdio.h>
#include <stdlib.h>
#include <unistd.h>
#include <signal.h>
#include <pthread.h>
#include <semaphore.h>
#include <time.h>
#include <stdbool.h>
Compilation options: user the following compilation options:
gcc -Wall -g -pedantic -pthread -o roller roller.c
Example Output: the following are some execution .
PepsiCos financial statements are presented in Appendix B .pdfabhishekcctv
On January 1, 2020, ABC Corp. purchased 30,000 shares of the voting common stock of XYZ,
Inc. During 2020, XYZ had the following information: Reported earnings $ 550,000 Paid dividends
$ 380,000 Common stock at $15 par value $1,500,000 Additional paid in capital - common stock $
680,000 ABC assumes that all of XYZ's undistributed earnings will be distributed as
dividends in future periods when the enacted tax rate will be 46% ABC's current enacted
income tax rate is: 40% Prepare a journal entry to reflect the change in deferred tax for ABC as of
12/31/2020. Show work..
pregunta Cul de los siguientes es un ejemplo de particin.pdfabhishekcctv
PepsiCo's financial statements are presented in Appendix B. Click here to view Appendix B.
Financial statements of The Coca-Cola Company are presented in Appendix C. Click here to view
Appendix C. The complete annual reports of PepsiCo and Coca-Cola, including the notes to the
financial statements, are available at each company's respective website. Based on the
information contained in these financial statements, determine each of the following for each
company: (a1) The percentage increase (decrease) in (i) net sales and (ii) net income from 2017
to 2018. (Round answers to 1 decimal places, e.g. 15. Enter negative amounts using either a
negative sign preceding the number e.g. -15.2% or parentheses e.g. (15.2)%.)The percentage
increase in (i) total assets and (ii) total common stockholders' (shareholders') equity from 2017 to
2018. (Round answers to 1 decimal place, e.g. 15.2%. Enter negative amounts using either a
negative sign preceding the number e.g. - 15.2% or parentheses e.g. (15.2)%.)The basic earnings
per share and price-earnings ratio for 2018. (For both PepsiCo and Coca-Cola, use the basic
earnings per share.) Coca-Cola's common stock had a market price of $47.35 at the end of fiscal-
year 2018, and PepsiCo's common stock had a market price of $110.48. (Round basic earnings
per share to 2 decimal places, e.g. 15.25 and price-earning ratio to 1 decimal place, e.g.
15.2.)Specimen Financial Statements: Pepsico, Inc. PepsiCo, Inc. is a world leader in convenient
snacks, foods, and beverages. The following are - . * Consolidated Statement of Comprehensive
Income PepsiCo, Inc. and Subsidiaries Fiscal years ended December 29, 2018, December 30,
2017 and December 31,2016 (in millions) begin{tabular}{llllll} hline Net income & $12,5592018 &
$4,9082017 & $6,379 end{tabular} Other comprehensive income/(loss), net of taxes: See
accompanying notes to the consolidated financial statements. Consolidated Statement of Cash
Flows PepsiCo, Inc. and Subsidiaries Fiscal years ended December 29, 2018, December 30, 2017
and December 31,2016 (in millions) (continues)Investing Activities Short-term investments, by
original maturity: See accompanying notes to the consolidated financial statements.Consolidated
Balance Sheet PepsiCo, Inc. and Subsidiaries December 29, 2018 and December 30, 2017 (in
millions except per share amounts) ASSETS Current Assets LIABILITIES AND EQUITY Current
Liabilities Short-term debt obligations Accounts payable and other current liabilities Total Current
Liabilities Long-Term Debt Obligations Deferred Income Taxes Other Liabilities Total Liabilities
Commitments and contingencies Preferred Stock, no par value Repurchased Preferred Stock
PepsiCo Common Shareholders' Equity Common stock, par value 12/st per share (authorized
3,600 shares; issued, net of repurchased common stock at par value: 1,409 and 1,420 shares,
respectively) Capital in excess of par value Retained earnings Accumulated other comprehensive
loss Repurchased common .
In the Course Documents section of Blackboard you will find.pdfabhishekcctv
II. 1. Omar earns a salary of $7,500 per month during the year. FICA taxes are 7.65% on the first
$117,000 of gross earnings. Federal unemployment insurance taxes are 6.2% of the first $7.000;
however, a credit is allowed equal to the state unemployment insurance taxces of 5.4% on the
$7,000. During the year, $25,600 was withheld for federal income taxes and $5,700 was withheld
for state income taxes. [4 Marks] Instructions (a) Prepare a journal entry summarizing the payment
of Omar total salary during the year. (b) Prepare a journal entry summarizing the employer payroil
tex expense on Omar's salsry for the year..
Nordstrom Inc. es una tienda por departamentos con sede en Seattle que rivaliza con Saks Fifth
Avenue, Neiman Marcus y Bloomingdale's. Nordstrom es miembro del Saln de la Fama de la lista
de las 100 mejores empresas para trabajar de la revista Fortune. Nordstrom es conocida por su
indumentaria de calidad, su entorno exclusivo y sus generosas recompensas para los empleados.
Sin embargo, Nordstrom es ms famoso por brindar un servicio al cliente que va ms all de las
normas de la industria minorista. Esta orientacin al servicio sirve como una forma de control, ya
que ayuda a los empleados a decidir cmo comportarse cuando se encuentran con situaciones
nuevas. Abundan las historias sobre el servicio de Nordstrom. Por ejemplo, segn una historia que
la compaa confirma desde hace mucho tiempo, en 1975 Nordstrom se mud a una nueva ubicacin
que anteriormente haba sido una tienda de neumticos. Un cliente trajo un juego de llantas a la
tienda para devolverlas. Sin una palabra sobre la confusin, se aceptaron los neumticos y se
reembols al cliente el precio de compra en su totalidad. En una historia diferente, un cliente se
prob varios pares de zapatos pero no pudo encontrar la combinacin correcta de talla y color.
Cuando estaba a punto de irse, el empleado llam a otras tiendas de Nordstrom, pero solo pudo
ubicar el par correcto en Macy's, un competidor cercano. El empleado hizo que Macy's enviara los
zapatos a la casa del cliente a expensas de Nordstrom. En una tercera historia, un cliente
describe cmo deambulaba por un Nordstrom de Portland, Oregn, en busca de un esmoquin de
Armani para la boda de su hija. El asociado de ventas tom sus medidas en caso de que
encontraran una. Al da siguiente, el cliente recibi una llamada telefnica informndole que el
esmoquin estaba disponible. Cuando se le presion, la asociada revel que usando sus conexiones
encontr uno en Nueva York, lo puso en un camin con destino a Chicago y envi a alguien a buscar
el camin en Chicago en una parada de descanso. Al da siguiente, envi el esmoquin a la direccin
del cliente, y el cliente descubri que el esmoquin ya haba sido modificado para sus medidas y
estaba listo para usar. Lo que es an ms impresionante de esta historia es que Nordstrom no
vende esmoquin Armani. Cmo persiste Nordstrom en la creacin de estas historias que sirven
como una forma de controlar y dirigir el comportamiento de los empleados? Si supuso que tienen
una gran cantidad de reglas y regulaciones diseadas para enfatizar la calidad en el servicio al
cliente, estara equivocado. De hecho, la empresa entrega a los empleados una tarjeta de 5
pulgadas por 7 pulgadas como manual del empleado. En un lado de la tarjeta, la empresa da la
bienvenida a los empleados a Nordstrom y afirma que su objetivo principal es brindar un
excelente servicio al cliente, y para esto solo tienen una regla. En el otro lado de la tarjeta, se
establece la regla nica: "Use el buen juicio en todas las situaciones". Al dejarlo en manos de los
asociados.
LO32 Identify the differences between transcription and tran.pdfabhishekcctv
La rana arbustiva no tiene etapa de renacuajo y los huevos eclosionan directamente en ranitas.
La rana toro tiene una etapa de renacuajo a la que sigue la metamorfosis en una rana adulta. Es
razonable pensar que el desarrollo de estos huevos en ranitas o renacuajos es el mismo? En
otras palabras, piensas que las etapas de desarrollo y cambio embrionario seran las mismas
porque ambas especies son ranas o crees que seran diferentes de alguna manera debido a su
hbitat? Defiende tu respuesta..
Let agt0 be a constant and let X be a continuous random va.pdfabhishekcctv
JVN, Inc. has the following balance sheet at the end of the year:
JVN owns $7,500 of material used on various client projects.
JVN owns office equipment totaling $80,550.
Clients owe $28,275 for completed projects.
JVN has a cash balance of $12,500.
JVN owes $35,000 to the bank.
JVN owes suppliers $19,450.
Calculate the firms total assets.
Calculate the firms total liabilities.
Calculate the firms net assets.
Calculate the firms debt to equity ratio..
Given the Hex Dump of MP3 data below what is the bitrate of.pdfabhishekcctv
Function name: massVigenere
Inputs:
(M x N) Cell array of coded phrases
(M x N) Cell array of secret keys
Outputs:
(1 x K) Vec of chars representing the decoded phrase
Description:
In cryptography, there is a encryption algorithm called, "Vigenere Cipher". To create a cipher like
this, you first start with a phrase (e.x.: "Attack Now!") and then you have a secret key associated
with the phrase (e.x.: "woot"). From these two pieces of information, you can create an updated
key that would look like: "Wootwo Otw!". As you can see, you repeat the secret key's sequence
and have capital characters from the secret key associated with capital letters from the original
phrase. Lower case with lower. And then ignore punctuation. Once you have the updated key, you
before a ceasar shift.
E.x.: char(updatedKey - originalPhrase) => 'Whhtyy Bhs!' When performing a shift like this, think of
'A' starting at 0.
'W' - 'A' = 'W';
'h' - 't' = 'o' (notice that there is potential to loop back around the alphabet)
and so on...
This is a single instance of encoding a vigenere cipher. For this question, you will be given a cell
array of several different
phrases with several different keys were cellArrayCodedPhrases(i,j) is the phrase associated with
the key cellArrayKeys(i,j).
Once you decode all of the phrases, you might have an array like:
{'This ' 'is' }
{' an' ' example.'}
Going from left to right, top to bottom, concat the phrases together to get a final decoded phrase:
'This is an example' which will be your output.
Examples:
cellArrayCodedPhrases = [{'Pvwl'} {' ez' };
{' kn '} {'slfadqs.'}]
cellArrayKeys = [{'woot' } {'wham'};
{'kapow'} {'oof' }]
output = massVigenere(cellArrayCodedPhrases,cellArrayKeys)
% output = 'This is an example.'
cellArrayCodedPhrases = [{'Whhtyy '} {'Jck!'}]
cellArrayKeys = [{'woot'} {'woot'}]
output = massVigenere(cellArrayCodedPhrases,cellArrayKeys)
% >> output = 'Attack Now!'
cellArrayCodedPhrases = {'Whhtyy Bhs!'}
cellArrayKeys = {'woot'}
output = massVigenere(cellArrayCodedPhrases,cellArrayKeys)
% >> output = 'Attack Now!'
Function name: massVigenere Inputs: - (M x N) Cell array of coded phrases - (MN) Cell array of
secret keys Outputs: - (1 K) Vec of chars representing the decoded phrase Description: In
cryptography, there is a encryption algorithm called, "Vigenere Cipher". To create a cipher like
this, you first start with a phrase (e.x.: "Attack Now!") and then you have a secret key associated
with the phrase (e.x.: "woot"). From these two pieces of information, you can create an updated
key that would look like: "Wootwo Otw!". As you can see, you repeat the secret key's sequence
and have capital characters from the secret key associated with capital letters from the original
phrase. Lower case with lower. And then ignore punctuation. Once you have the updated key, you
before a ceasar shift. E.x.: char(updatedKey - originalPhrase) 'Whhtyy Bhs!' When performing a
shift like this, think of 'A' starting at 0 . 'W' - 'A' = 'W'; ' .
Los investigadores dividieron a 100 ratones con una composi.pdfabhishekcctv
Lancaster Company must make three adjusting entries on December 31, 201. a. Supplies used,
$11,000 (supplies totaling $18,000 were purchased on December 1,201, and debited to the
Supplles account) b. Expired insurance, $8,200; on December 1,201, the firm paid $49,200 for six
months insurance coverage in advance and debited Prepaid insurance for this amount. c.
Depreciation expense for equipment, $5,800. Required: Prepare the journal entries for these
adjustments and post the entries to the general ledger accounts. Complete this question by
entering your answers in the tabs below. Pont the entries to the general ledger accounts..
I figured out the answers to these Alteryx Questions just w.pdfabhishekcctv
Her biri u be ders konusundan birinden, doal seilimin mkemmel uyum salamasnn beklenmedii iki
farkl evrim senaryosunu aklayn: poplasyon genetii, niceliksel zelliklerin evrimi, yaam yks evrimi,
akraba seilimi veya cinsel seilim (1). ki senaryonun her biri iin gerek bir rnek verin (1) ve hangi
evrimsel mekanizmalarn altn (2) ve kusurlu adaptasyonla sonulanacak ekilde nasl etkileime
girdiklerini aklayn (1). (Ayn konuda iki rnek kullanmayn.).
John and Lynn are equal partners in the Pony Partnership Th.pdfabhishekcctv
Indicate whether the following statements are TRUE or FALSE and
explain your answer fully, but succinctly. Without an adequate explanation, you will get no credit.
a) In a Nash equilibrium all players get the same payoff.
b) A Pareto Improvement should get unanimous support.
c) A Potential Pareto Improvement should get unanimous support..
Kindly provide a unique answer PROJECT TASK The outbreak of.pdfabhishekcctv
Iolanda purchased a Treasury bond with a coupon rate of 4.36% and face value of $100. The
maturity date of the bond is 15 April 2029.
(a) Luciana plans to purchase Iolanda's Treasury bond on 13 April 2018. What price will Luciana
pay (rounded to four decimal places)? Assume a yield of 2.92% p.a. compounded half-yearly.
a.
113.4648
b.
112.9232
c.
113.4467
d.
113.4460
(b) In fact, Luciana purchased Iolanda's bond on 8 February 2018. What was Luciana's purchase
price (rounded to four decimal places)? Assume a yield of 2.92% p.a. compounded half-yearly.
a.
115.0352
b.
112.8699
c.
114.5112
d.
115.0385.
La Autoridad de Vivienda Pblica realiz una encuesta en cie.pdfabhishekcctv
It is the end of March and you have just been hired as a new management trainee by Irie Earrings
Unlimited, a distributor of hand-crafted earrings to various resort gift shops and craft vendors
across the country. In the past, the company has done very little in the way of budgeting and at
certain times of the year has experienced a shortage of cash.
you have decided to prepare a cash budget for the upcoming second
quarter of the year.
The company sells different styles of earrings, but all are sold for the same price. Actual sales of
earrings for the last three months and budgeted sales for the next six months are as follows:
January (actual).....$200,000 May(budget).....................$500,000
February(actual)....$260,000 June (budget).................. $300,000
March (actual)......$400,000 July (budget).....................$280,000
April (budget).......$650,000 August (budget).................$250,000
All sales are on credit, with no discount, and payable within 15 days. However, the company has
found that only 20% of a months sales are collected in the month of sale. An additional 70% is
collected in the following month, and the remaining 10% is collected in the second month
following sale. Bad debts have been negligible.
Data relating to purchases of merchandise is as follows:
MARCH APRIL MAY JUNE
Purchases $200,000 $236,000 $168,000 $116,800
One-half of a months purchase is paid for in the month of purchase; the other half is paid for in
the following month.
Monthly operating expenses for the company are given below:
Variable:
Sales commissions.......................4% of sales
Fixed:
Advertising............................... $200,000
Rent........................................ 18,000
Salaries.................................... 106,000
Utilities.................................... 7,000
Insurance expired........................ 3,000
Depreciation.............................. 14,000
Insurance is paid on an annual basis, in November of each year.
Page 3 of 4
The company plans to purchase $16,000 in new equipment during May and $40,000 in new
equipment during June; both purchases will be for cash. The company declares dividends of
$15,000 each quarter, payables in the first month of the following quarter.
A listing of some of the companys ledger accounts as of March 31 is given below:
Assets & Liabilities $
Cash...................................................... 74,000
Accounts receivable ($26,000February sales
$320,000 March sales)................................ 346,000
Accounts payable.................................... 100,000
Dividends payable................................... 15,000
Part of the budgeting program will be to establish an ongoing line of credit at a local bank.
Therefore, determine the borrowing that will be needed to maintain a minimum cash balance of
$50,000. If the company has an outstanding loan balance and finds itself with cash in excess of
the minimum balance, it plans to pay off the portion thereof of .
Evaluate and discuss how management transformed Haier Group .pdfabhishekcctv
En el mes de marzo, Digby recibi pedidos de 115 unidades a un precio de $15.00 para su
producto Drum. Digby utiliza el mtodo de acumulacin de contabilidad y ofrece condiciones de
crdito de 30 das. Digby entrega 115 unidades en abril. Recibieron el pago de 58 unidades en
marzo y 58 unidades en abril. En el estado de resultados de marzo, cunto ingreso se reconoce en
el estado de resultados de marzo de este pedido? Cunto en la declaracin de la Renta de abril?
(Respuesta en miles).
E Coli durdurma kodonlarn tanyan tRNAlar oluturmak iin g.pdfabhishekcctv
Dog Up! Franks is looking at a new sausage system with an installed cost of $460,000. This cost
will be depreciated straight-line to zero over the project's five-year life, at the end of which the
sausage system can be scrapped for $59,000. The sausage system will save the firm $142,000
per year in pretax operating costs, and the system requires an initial investment in net working
capital of $26,500. If the tax rate is 21 percent and the discount rate is 9 percent, what is the NPV
of this project? (Do not round intermediate calculations and round your answer to 2 decimal
places, e.g., 32.16.).
How would you use a multilevel theory to address a problem .pdfabhishekcctv
Help me do transactions and the unadjusted trial balance.
Dec. 2 Purchased 475 units of inventory for $2,850 on account from Sparkle, Co. on terms, 3/10,
n/20. 5 Purchased 600 units of inventory from Borax on account with terms 2/10, n/30. The total
invoice was for $4,500, which included a $150 freight charge. 7 Returned 75 units of inventory to
Sparkle from the December 2 purchase (cost $450). 9 Paid Borax. 11 Sold 285 units of goods to
Happy Maids for $3,990 on account with terms 3/10, n/30. Crystal Clears cost of the goods sold
was $1,710. 12 Paid Sparkle. 15 Received 22 units with a retail price of $308 of goods back from
customer Happy Maids. The goods cost Crystal Clear $132 21 Received payment from Happy
Maids, settling the amount due in full. 28 Sold 265 units of goods to Bridget, Inc. for cash of
$3,975 (cost $1,691). 29 Paid cash for utilities $415. 30 Paid cash for Sales Commission Expense
of $550..
If A and B are independent events with PA02 and PB06.pdfabhishekcctv
housands of dollars) on adjusted gross income and the average or reasonable amount of itemized
deductions follow.y^= (c) Predict the reasonable level of total itemized deductions (in $1,000s) for
a taxpayer with an adjusted gross income of $47,500. (Round your answer to two decimal places.)
$ thousand If this taxpayer claimed itemized deductions of $20,200, would the IRS agent's request
for an audit appear justified? Explain. Since the predicted amount of itemized deductions is
significantly less than the actual claimed itemized deductions, the agent's request for an audit
appears to be justified.numerical values to three decimal places.) y^= $ thousand If this taxpayer
claimed itemized deductions of $20,200, would the IRS agent's request for an audit appear
justified? Explain..
First quartile Q1 is Part 2 of 2 Third quartile Q3 isAge.pdfabhishekcctv
Fair or Foul - Determine if each game is a fair game. - If the game is not fair, find the fair price of
the game. 1. Dice You roll a red 4-sided die and a blue 4-sided die. If the blue die's roll is higher
you gain 6 points. If the red die's roll is higher you lose 2 points (the cost to play). If the two dice
rolls tie you lose 1 point. 2. Cards You draw a card at random from a standard deck of 52 cards. If
you draw an Ace and a Heart you win $27. If you draw a King or a Diamond you win $6. Otherwise
you lose $5 (the cost to play). 3. Marbles You have a bag of 15 marbles ( 6 blue, 4 red, 3 yellow, 2
green). You draw out two marbles, without replacement from the bag. If you draw two red marbles,
you win 61 tickets. If you draw at least one yellow marble, you win 6 tickets. If you draw two blue
marbles, you lose 40 tickets (the cost to play). Otherwise you break even. 4. Empirical Tegan and
Sara are working at a ticket stand at a carnival. Over the past five hours they have kept track of
the features of the last 100 people who have stopped by (see table). They have decided to spice
up the rest of the day and have developed a game to play (described from Tegan's perspective). If
the next person that stops by has short hair or glasses, Tegan gets 12 points. If the person is bald
and not wearing glasses, Tegan gets 120 points. Otherwise, Tegan loses 8 points (the cost to
play). Using the provided data (and empirical probabilities), find the expected value for the game
(for Tegan). Is the game a fair game? If not, find a fair price..
Bu atama zellikle daha gen daha yksek gelirli pazar hed.pdfabhishekcctv
Book and liquidation value The halance sheet for Gallinas Indusiries is as fotows Additionat
information with respect to the frm is avatioble 1. Preferred stock can be liquidated at book value:
2. Accounts recelvable and invontories can be liquidaled at 93% of book value 3. The firm has
10.000 shares of common stock outstanding 4 All intorest and dividends are carrenily paid up 5.
Land and buildings can be liguldated at 140% of booK value. 6. Machinery and equipment can be
Fiquidated at 74% of hook valiag. 7 . Castr and marketable securifies can be liquidated at book val
Given this information, answec tho following a. What is Gallinss industries' book value per share?
b. Whit is its liquidaton value per share? a. Gollinas lndustries' book value per ithare is 3 (Round ta
the neatest cent) b. Galinas Industries' ligulation value per share is (Round to the niearesticent) c.
Compate contrast and discuss the values found in pats a and b. (gelect the bost ansuer bebw).
airn undervaliedData table.
Unit 8 - Information and Communication Technology (Paper I).pdfThiyagu K
This slides describes the basic concepts of ICT, basics of Email, Emerging Technology and Digital Initiatives in Education. This presentations aligns with the UGC Paper I syllabus.
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.
Embracing GenAI - A Strategic ImperativePeter Windle
Artificial Intelligence (AI) technologies such as Generative AI, Image Generators and Large Language Models have had a dramatic impact on teaching, learning and assessment over the past 18 months. The most immediate threat AI posed was to Academic Integrity with Higher Education Institutes (HEIs) focusing their efforts on combating the use of GenAI in assessment. Guidelines were developed for staff and students, policies put in place too. Innovative educators have forged paths in the use of Generative AI for teaching, learning and assessments leading to pockets of transformation springing up across HEIs, often with little or no top-down guidance, support or direction.
This Gasta posits a strategic approach to integrating AI into HEIs to prepare staff, students and the curriculum for an evolving world and workplace. We will highlight the advantages of working with these technologies beyond the realm of teaching, learning and assessment by considering prompt engineering skills, industry impact, curriculum changes, and the need for staff upskilling. In contrast, not engaging strategically with Generative AI poses risks, including falling behind peers, missed opportunities and failing to ensure our graduates remain employable. The rapid evolution of AI technologies necessitates a proactive and strategic approach if we are to remain relevant.
Macroeconomics- Movie Location
This will be used as part of your Personal Professional Portfolio once graded.
Objective:
Prepare a presentation or a paper using research, basic comparative analysis, data organization and application of economic information. You will make an informed assessment of an economic climate outside of the United States to accomplish an entertainment industry objective.
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.
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.
Francesca Gottschalk - How can education support child empowerment.pptxEduSkills OECD
Francesca Gottschalk from the OECD’s Centre for Educational Research and Innovation presents at the Ask an Expert Webinar: How can education support child empowerment?
The French Revolution, which began in 1789, was a period of radical social and political upheaval in France. It marked the decline of absolute monarchies, the rise of secular and democratic republics, and the eventual rise of Napoleon Bonaparte. This revolutionary period is crucial in understanding the transition from feudalism to modernity in Europe.
For more information, visit-www.vavaclasses.com
ED John Budd a 72yearold arrived in the emergency depa.pdf
1. ED: John Budd, a 72-year-old, arrived in the emergency department unconscious, with stab
wounds to the upper right abdomen and lower right chest that were sustained in his home while
fighting off a burglar. The paramedics secured two large-bore intravenous catheters in his right
and left anticubital spaces and infused lactated Ringer's solution wide ope in both sites. An
endotracheal tube was inserted, and ventilation with resuscitation bag at 100% oxygen was
begun. Medical antishock trousers (MAST) were in place. Pressure dressings to both wounds
were secured. A 5-cm (2 inch) stab wound to his right lower chest and a 7.5-cm (3 inch) stab
wound to his upper right abdomen were inspected. Chest tubes were inserted into the upper-right
and lower-right midaxillary regions. Immediately, 500 ml of red drainage returned via the lower
chest tube. His heart rate was 125 bpm, and the monitor showed sinus tachycardia without ectopy.
His blood pressure was 70/50 mmHg. Inserting a Foley catheter resulted in drainage of 400 ml
clear, dark yellow urine. After infusion of more than 2000 ml of lactated Ringer's solution, Mr. Budd
was sent to surgery, still in a hypotensive state. Preoperative body weight was 74 kg (165 lb).
Surgical intervention: During surgery, a right thoracotomy and right abdominal laparotomy were
performed. The right chest wound was explored, and a lacerated intercostal artery was ligated.
Exploration of his upper-right abdominal wound revealed more extensive damage. The liver and
the duodenum were lacerated. Extensive hemorrhage and leaking of intestinal contents were
apparent after opening the peritoneum. Mr. Budd's injuries were repaired, the peritoneal cavity
was irrigated with antibiotic solution, and the incisional sump drains were placed in the duodenum.
During the 4-hour surgery, Mr. Budd received 6 U of blood and an additional 3 L of lactated
Ringer's solution. A pulmonary artery catheter and right radial arterial line were inserted.
ICU, Immediate Post-op: When Mr. Budd arrived in the surgical ICU, he was receiving ventilation
support. Ventilator settings were as follows:
Assit - mode Rate 12 FiO2 60% Vt 800 ml
Vital signs and hemodynamic parameters immediately after surgery were:
BP 92/52 HR 114 Resp 12 Temp 36.2oC (97.2oF) PAP 20/8 mmHg PCWP 6 mmHg CVP 4 mmHg
CO 5L/min CI 2.9 L/min/m SVR 1040 dynes/sec/cm2
Arterial blood gas values were normal. Except for a WBC of 13.6 and a hemoglobin of 10 g/dl, Mr.
Budd's other laboratory values were within normal limits.
ICU, PO Day1: Mr. Budd remained drowsy and received ventilatory support for 24 hours. His pain
was controlled by IV morphine sulfate. The nasogastric tube continued to drain large amounts of
green fluid, and an incisional duodenal sump tube drained large amounts of greenish brown fluid.
His chest and abdominal dressings remained dry. Breath sounds were diminished on the right side
but clear on the left. His chest tubes continued to drain small amounts of bloody fluid. Urine output
was 40 to 60 ml/hr. His abdomen was slightly firm and distended, and he had no bowel sounds.
ICU, PO Day2: Mr. Budd's condition remained stable until his second PO day. At this time he
became difficult to arouse but did respond to commands. His respirations were 28 breaths/min,
shallow, and labored. His urine output dropped to 20 ml/hr. His skin became warm, dry, and
flushed. Other clinical data included:
BP 80/50 HR 132 Temp 36.2oC 997.2oF) PAP 14/7 mmHg PCWP 4 mm Hg CVP 2 mmHg CO 8
L/min CI 4.7 L/min/m2 SVR 560 dynes/sec/cm2 WBCs 22.0 Glucose 270 mg/dl
Culture and sensitivity reports from wound drainage indicated gram-negative bacilli. Appropriate IV
antibiotics were administered as well as IV hydrocortisone and naloxone (Narcan). A pharmacy
consultation to formulate and calculate nutritional needs was done and total parenteral nutrition
was started. Infusion of lactated Ringer's solution was increased to 150 ml/hr and dopamine at
5mcg/kg/min was started with a concentration of 200 mg/250 ml of D5W.
ICU, PO day 6: By the sixth postoperative day, Mr. Budd's condition had deteriorated drama
tically. His skin was cool, mottled, and moist. His sclerae were yellow tinged. He no longer
responded to stimuli. A norepinephrine (Levophed) drip infusion at 6 mcg/min with a concentration
of 4 mg/250 ml D5W along with a dopamine drip at 2 mcg/kg/min was begun. His monitor show
sinus tachycardia with short runs of VT. ST-segment elevation, T-wave inversion, and the
development of Q waves over most of the anterior V leads on his ECG. A 75 mg bolus of lidocaine
was given followed by a continuous infusion at 2 mg/min with a concentration of 2 g/500 ml D5W.
2. His breath sounds revealed crackles throughout his chest. Urinary output was only 3 to 5 ml/hr
and was grossly bloody. His abdomen was enlarged and firm. His abdominal suture line had
dehisced, and the peritoneum could be seen. The duodenal sump and NG drainage started to turn
red. All arterial and venous puncture sites began oozing blood. Further clinical data included:
BP 70/52 HR 140 Resp 14 Temp 35.8oC (96.4oF) PAP 44/26 mmHg PCWP 24 mmHg CVP 8
mmHg CO 2 L/min CI 1.1 L/min/m2 SVR 2000 dynes/sec/cm2
pH 7.14 PCO2 49 mmHg PO2 46 mmHg SaO2 85% HCO3- 12 mmol/L Lactic acid 3.0 mEq/L Na+
152 mmol/L Creatinine 3.4 mg/dl Amylase 290 U/L Lipase 3.9 U/L ALT 100 U/L AST 82 U/L FDP
39 Platelets 75,000/mm3 PT 22 sec PTT 98.5 sec Fibrinogen 130 mg/dl Ck 640 U/L Troponin I
>50
Final developments: Despite attempts to reduce afterload with sodium nitroprusside (Nipride) and
increase contractility with dobutamine (Dobutrex), Mr. Budd's hemodynamic status failed even
further. When his cardiac rhythm deteriorated into VF, resuscitation efforts were unsuccessful. An
autopsy revealed several small abscessed areas in the lung, acute hepatic failure, multiple
hemorrhagic areas, and an acute MI.
1. Discuss the magnitude of bacteremia and sepsis in hospitalized patients and the relationship
between these two diagnoses.
2. What are the risk factors for infection and development of septic shock? Identify those that
applied to Mr. Budd?
3. Discuss the rationale for use of a pulmonary artery catheter in septic shock.
4. What organisms most commonly cause septic shock? In which sites is infection most often
seen?
5. What pathologic processes occur with septic shock? What are the efforts of these processes on
the patient's vascular tank, volume, and pump?
6. Discuss clinical, laboratory and therapy changes that occurred on Mr. Budd's second
postoperative day.
7. What is the rationale for each of the therapeutic modalities ordered for Mr. Budd on the second
postoperative day.
8. Discuss the clinical changes that occurred during Mr. Budd's sixth postoperative day.
9. What is the rationale for each of the therapeutic modalities ordered on the sixth postoperative
day. How many milliliters per hour should be infused for each of the drugs listed.
3. ED: John Budd, a 72-year-old, arrived in the emergency department unconscious, with stab
wounds to the upper right abdomen and lower right chest that were sustained in his home while
fighting off a burglar. The paramedics secured two large-bore intravenous catheters in his right
and left anticubital spaces and infused lactated Ringer's solution wide ope in both sites. An
endotracheal tube was inserted, and ventilation with resuscitation bag at 100% oxygen was
begun. Medical antishock trousers (MAST) were in place. Pressure dressings to both wounds
were secured. A 5-cm (2 inch) stab wound to his right lower chest and a 7.5-cm (3 inch) stab
wound to his upper right abdomen were inspected. Chest tubes were inserted into the upper-right
and lower-right midaxillary regions. Immediately, 500 ml of red drainage returned via the lower
chest tube. His heart rate was 125 bpm, and the monitor showed sinus tachycardia without
ectopy. His blood pressure was 70/50 mmHg. Inserting a Foley catheter resulted in drainage of
400 ml clear, dark yellow urine. After infusion of more than 2000 ml of lactated Ringer's solution,
Mr. Budd was sent to surgery, still in a hypotensive state. Preoperative body weight was 74 kg
(165 lb).
Surgical intervention: During surgery, a right thoracotomy and right abdominal laparotomy were
performed. The right chest wound was explored, and a lacerated intercostal artery was ligated.
Exploration of his upper-right abdominal wound revealed more extensive damage. The liver and
the duodenum were lacerated. Extensive hemorrhage and leaking of intestinal contents were
apparent after opening the peritoneum. Mr. Budd's injuries were repaired, the peritoneal cavity
was irrigated with antibiotic solution, and the incisional sump drains were placed in the
duodenum. During the 4-hour surgery, Mr. Budd received 6 U of blood and an additional 3 L of
lactated Ringer's solution. A pulmonary artery catheter and right radial arterial line were inserted.
ICU, Immediate Post-op: When Mr. Budd arrived in the surgical ICU, he was receiving ventilation
support. Ventilator settings were as follows:
Assit - mode Rate 12 FiO2 60% Vt 800 ml
Vital signs and hemodynamic parameters immediately after surgery were:
BP 92/52 HR 114 Resp 12 Temp 36.2oC (97.2oF) PAP 20/8 mmHg PCWP 6 mmHg CVP 4 mmHg
CO 5L/min CI 2.9 L/min/m SVR 1040 dynes/sec/cm2
Arterial blood gas values were normal. Except for a WBC of 13.6 and a hemoglobin of 10 g/dl, Mr.
Budd's other laboratory values were within normal limits.
ICU, PO Day1: Mr. Budd remained drowsy and received ventilatory support for 24 hours. His pain
was controlled by IV morphine sulfate. The nasogastric tube continued to drain large amounts of
green fluid, and an incisional duodenal sump tube drained large amounts of greenish brown fluid.
His chest and abdominal dressings remained dry. Breath sounds were diminished on the right
side but clear on the left. His chest tubes continued to drain small amounts of bloody fluid. Urine
output was 40 to 60 ml/hr. His abdomen was slightly firm and distended, and he had no bowel
sounds.
ICU, PO Day2: Mr. Budd's condition remained stable until his second PO day. At this time he
became difficult to arouse but did respond to commands. His respirations were 28 breaths/min,
shallow, and labored. His urine output dropped to 20 ml/hr. His skin became warm, dry, and
flushed. Other clinical data included:
BP 80/50 HR 132 Temp 36.2oC 997.2oF) PAP 14/7 mmHg PCWP 4 mm Hg CVP 2 mmHg CO 8
L/min CI 4.7 L/min/m2 SVR 560 dynes/sec/cm2 WBCs 22.0 Glucose 270 mg/dl
Culture and sensitivity reports from wound drainage indicated gram-negative bacilli. Appropriate
IV antibiotics were administered as well as IV hydrocortisone and naloxone (Narcan). A pharmacy
consultation to formulate and calculate nutritional needs was done and total parenteral nutrition
was started. Infusion of lactated Ringer's solution was increased to 150 ml/hr and dopamine at
5mcg/kg/min was started with a concentration of 200 mg/250 ml of D5W.
ICU, PO day 6: By the sixth postoperative day, Mr. Budd's condition had deteriorated
dramatically. His skin was cool, mottled, and moist. His sclerae were yellow tinged. He no longer
responded to stimuli. A norepinephrine (Levophed) drip infusion at 6 mcg/min with a
concentration of 4 mg/250 ml D5W along with a dopamine drip at 2 mcg/kg/min was begun. His
monitor show sinus tachycardia with short runs of VT. ST-segment elevation, T-wave inversion,
4. and the development of Q waves over most of the anterior V leads on his ECG. A 75 mg bolus of
lidocaine was given followed by a continuous infusion at 2 mg/min with a concentration of 2 g/500
ml D5W. His breath sounds revealed crackles throughout his chest. Urinary output was only 3 to
5 ml/hr and was grossly bloody. His abdomen was enlarged and firm. His abdominal suture line
had dehisced, and the peritoneum could be seen. The duodenal sump and NG drainage started
to turn red. All arterial and venous puncture sites began oozing blood. Further clinical data
included:
BP 70/52 HR 140 Resp 14 Temp 35.8oC (96.4oF) PAP 44/26 mmHg PCWP 24 mmHg CVP 8
mmHg CO 2 L/min CI 1.1 L/min/m2 SVR 2000 dynes/sec/cm2
pH 7.14 PCO2 49 mmHg PO2 46 mmHg SaO2 85% HCO3- 12 mmol/L Lactic acid 3.0 mEq/L Na+
152 mmol/L Creatinine 3.4 mg/dl Amylase 290 U/L Lipase 3.9 U/L ALT 100 U/L AST 82 U/L FDP
39 Platelets 75,000/mm3 PT 22 sec PTT 98.5 sec Fibrinogen 130 mg/dl Ck 640 U/L Troponin I
>50
Final developments: Despite attempts to reduce afterload with sodium nitroprusside (Nipride) and
increase contractility with dobutamine (Dobutrex), Mr. Budd's hemodynamic status failed even
further. When his cardiac rhythm deteriorated into VF, resuscitation efforts were unsuccessful. An
autopsy revealed several small abscessed areas in the lung, acute hepatic failure, multiple
hemorrhagic areas, and an acute MI.
1. Discuss the magnitude of bacteremia and sepsis in hospitalized patients and the relationship
between these two diagnoses.
2. What are the risk factors for infection and development of septic shock? Identify those that
applied to Mr. Budd?
3. Discuss the rationale for use of a pulmonary artery catheter in septic shock.
4. What organisms most commonly cause septic shock? In which sites is infection most often
seen?
5. What pathologic processes occur with septic shock? What are the efforts of these processes
on the patient's vascular tank, volume, and pump?
6. Discuss clinical, laboratory and therapy changes that occurred on Mr. Budd's second
postoperative day.
7. What is the rationale for each of the therapeutic modalities ordered for Mr. Budd on the second
postoperative day.
8. Discuss the clinical changes that occurred during Mr. Budd's sixth postoperative day.
9. What is the rationale for each of the therapeutic modalities ordered on the sixth postoperative
day. How many milliliters per hour should be infused for each of the drugs listed.
