Evaluate the following discharge summary compared to CMS regulations a.pdf
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A product with a large advertising budget has its sales S (in millions of dollars) given by S = 200 t + 2 400 (t + 2)2 where t is the number of months the product has been on the market. (a) Find the rate of change of sales at any time t. S' = (b) What is the rate of change of sales at t = 2? (c).
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LAPAROSCOPIC VERSUS OPEN APPENDICECTOMY IN ADULTS. (STUDY OF 50 CASES)
Background: Appendicectomy is one of the common procedures performed by a general surgeon. However,
the advent of laparoscopic appendicectomy has reduced the number of open appendicectomies performed. Therefore
there is a need to study the advantages of the laparoscopic approach over the traditional open approach. Aims: The
study aimed to compare laparoscopic appendicectomy with open appendicectomy based on various intraoperative and
postoperative parameters Materials and methods: 50 patients undergoing interval appendicectomy were randomised
into two groups. Group A comprised 25 patients who underwent laparoscopic appendicectomy and group B comprised
25 patients who underwent open appendicectomy. Results: Confirmation of diagnosis and evaluation of intraoperative
findings was easier in group A patients. In addition, early commencement of feeds with early bowel movements, reduced
need for postoperative analgesia due to less pain, lesser complications and shorter duration of hospital stay was observed
in group A patients. Conclusion: Laparoscopic appendicectomy has better outcomes rendering it a preferable procedure
for appendicectomy.
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LAPAROSCOPIC VERSUS OPEN APPENDICECTOMY IN ADULTS. (STUDY OF 50 CASES)
Background: Appendicectomy is one of the common procedures performed by a general surgeon. However,
the advent of laparoscopic appendicectomy has reduced the number of open appendicectomies performed. Therefore
there is a need to study the advantages of the laparoscopic approach over the traditional open approach. Aims: The
study aimed to compare laparoscopic appendicectomy with open appendicectomy based on various intraoperative and
postoperative parameters Materials and methods: 50 patients undergoing interval appendicectomy were randomised
into two groups. Group A comprised 25 patients who underwent laparoscopic appendicectomy and group B comprised
25 patients who underwent open appendicectomy. Results: Confirmation of diagnosis and evaluation of intraoperative
findings was easier in group A patients. In addition, early commencement of feeds with early bowel movements, reduced
need for postoperative analgesia due to less pain, lesser complications and shorter duration of hospital stay was observed
in group A patients. Conclusion: Laparoscopic appendicectomy has better outcomes rendering it a preferable procedure
for appendicectomy.
Managament of anastomotic leak - case capsule- Dr Keyur Bhatt
Management of anastomotic leak after gastrointestinal surgery. This is very important step for any general or GI surgeons to know how to deal with the anastomotic leak following surgery.
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Global Hospitals is India's leading and the fastest growing super specialty care and multi-organ transplantation hospital.
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ENDOSCOPIC TREATMENT OF PILONIDAL SINUS IN EGYPTIAN PATIENTS
Background: Treatment for pilonidal disease using minimally invasive methods is a reliable and successful alternative to conventional surgery, with quicker recovery, better cosmetic outcomes, and better pain management. The primary goals of this study are to assess the early outcomes of endoscopic pilonidal sinus treatment and to demonstrate the surgical approach and its adaptations. Materials and Methods: Our study was conducted on 30 patients with pilonidal sinus disease as a prospective cohort study for endoscopic treatment of the pilonidal sinus, from October 2021 to October 2022, in our surgical department at Theodor Bilharz Research Institute (TBRI). Surgical outcomes of sinus healing, pain, and discharge were reviewed in the outpatient clinic, and patient satisfaction levels were assessed through a standardized phone interview. Results: There were 24 males and 6 females, with a median age of 21.87±1.85 years (ranging from 16 to 57 years). The mean operative time was 44.17 (35-55) ±1.26 min. During the follow-up period of 24 weeks, wound closure was seen after a median of 4 weeks. Wounds were closed in 72% of patients after one month and 93% of patients after two months. 2 patients had to be re-operated due to failure: one had persistence of discharge, and the other had recurrence after 3 months. The satisfaction rate was 93.3%. Conclusions: Endoscopic pilonidal sinus treatment is a minimally invasive and cosmetically favorable procedure. To find out if it reduces recovery time and the long-term recurrence rate, a larger sample size and a longer follow-up are needed.
COMPARATIVE STUDY BETWEEN LAPAROSCOPIC AND OPEN CHOLECYSTECTOMY (STUDY OF 50 ...
Background: Laparoscopic cholecystectomy is a new alternative to the traditional open approach for
treating calculous cholecystitis. It is, therefore, necessary to assess the efficacy of laparoscopic cholecystectomy over the
open cholecystectomy. Objectives: To compare the surgical outcomes of laparoscopic cholecystectomy with those of open
cholecystectomy. Materials and methods: 50 patients diagnosed as symptomatic cholelithiasis proven by radiological
investigations were distributed into two groups of 25 each. Group A patients were subjected to laparoscopic cholecystectomy, and group B patients underwent open cholecystectomy. The surgical outcomes were studied prospectively.
Intraoperative complications and postoperative care parameters were evaluated. Results: Mean age of patients in group
A was 46.68±13.6 years, and in the group, B was 42.64±14.1 years. Majority of patients were in the age group of 41 to 60
years. Patients who had diabetes in group B developed wound infections, whereas diabetic patients in group A did not
develop any infection. Significant bleeding necessitating blood transfusion occurred in one patient belonging to group B.
The duration of postoperative analgesia required was 3.16 days in group A and 5.16 days in group B. The duration of
postoperative antibiotics administered in laparoscopic and open cases was 1.48 and 4.8 days, respectively. One of the
patients in group A developed a postoperative biliary leak, whereas none in group B had any such complication. The
commencement of oral feeds and after that return of bowel movements was earlier in group A than group B. The mean
hospital stay was 4.5 days in group A as compared to 6.3 days in group B. Conclusion: Laparoscopic cholecystectomy
is superior to open cholecystectomy regarding reduced postoperative discomfort and pain, antibiotic and analgesic
requirement, early commencement of oral feeds, and shorter duration of hospitalization
A RETROSPECTIVE ANALYSIS IN TERTIARY HOSPITAL FOR SURGICAL SITE INFECTIONS AF...
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Identify the variable of interest in this ghady: b. Organize the data into a Hess than" frequency
using cqual class width of 40 and stant with [6] 50. c. Set up a percentage distribution and a
cumblative percentage distribution based on the "less than" frequency distribution in part (a). d.
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data tend to concentrate? f. Find the probability that two unrelated families spent at least RM210
on food and drink per day. [3] g. 40% of the customers who spent at least RM210 are the visitors
from Hong Kong. find the probability that a randomly chosen family is from Hong Kong and
spent at least RM210 on food and drink. [4] h. It is known that X 1 = 6651 and ( X 1 X ) 2 =
65661.96 . compute the mean and standard deviation in amount of money spent on food and
drink. [ 4 ] i. Compute the median amount spent on food and drink. [2] j. Discuss the shape of the
distribution of amount of money spent on food and drink, in terms of skewness. k. The amount of
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modeling a germ cell from the testes of a male diploid organism. The haploid number of
chromosomes in this organism is 4 (that is diploid, 2 n = 8 ). - Your model must be able
represent the changes that take place in the germ cell and its chromosomes as it divides to
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I'm writing a 20 questions java program and keep getting errors for the QuestionNode and
inability to find the symbol.
Can you please help me with what I need to add to this to remove these errors? Thanks!
import java.util.*;
import java.io.*;
public class QuestionTree {
private QuestionNode rootOfTree;
private Scanner console;
public QuestionTree() {
rootOfTree = new QuestionNode("computer");
console = new Scanner(System.in);
}
public void read(Scanner input) {
while(input.hasNextLine()) {
rootOfTree = readHelper(input);
}
}
private QuestionNode readHelper(Scanner input) {
String type = input.nextLine();
String data = input.nextLine();
QuestionNode root = new QuestionNode(data);
if (type.contains("Q:")) {
root.yesNode = readHelper(input);
root.noNode = readHelper(input);
}
return root;
}
public void write(PrintStream output) {
if (output == null) {
throw new IllegalArgumentException();
}
writeTree(rootOfTree, output);
}
private void writeTree(QuestionNode rootOfTree, PrintStream output) {
if (isAnswerNode(rootOfTree)) {
output.println("A:");
output.println(rootOfTree.data);
} else {
output.println("Q:");
output.println(rootOfTree.data);
writeTree(rootOfTree.yesNode, output);
writeTree(rootOfTree.noNode, output);
}
}
public void askQuestions() {
rootOfTree = askQuestions(rootOfTree);
}
private QuestionNode askQuestions(QuestionNode current) {
if (isAnswerNode(current)) {
if (yesTo("Would your object happen to be " + current.data +"?")) {
System.out.println("Great, I got it right!");
} else {
System.out.print("What is the name of your object? ");
QuestionNode answer = new QuestionNode(console.nextLine());
System.out.println("Please give me a yes/no question that");
System.out.println("distinguishes between your object");
System.out.print("and mine--> ");
String question = console.nextLine();
if (yesTo("And what is the answer for your object?")) {
current = new QuestionNode(question, answer, current);
} else {
current = new QuestionNode(question, current, answer);
}
}
} else {
if (yesTo(current.data)) {
current.yesNode = askQuestions(current.yesNode);
} else {
current.noNode = askQuestions(current.noNode);
}
}
return current;
}
public boolean yesTo(String prompt) {
System.out.print(prompt + " (y/n)? ");
String response = console.nextLine().trim().toLowerCase();
while (!response.equals("y") && !response.equals("n")) {
System.out.println("Please answer y or n.");
System.out.print(prompt + " (y/n)? ");
response = console.nextLine().trim().toLowerCase();
}
return response.equals("y");
}
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return (node.yesNode == null || node.noNode == null);
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COMPARATIVE STUDY BETWEEN LAPAROSCOPIC AND OPEN CHOLECYSTECTOMY (STUDY OF 50 ...
Background: Laparoscopic cholecystectomy is a new alternative to the traditional open approach for
treating calculous cholecystitis. It is, therefore, necessary to assess the efficacy of laparoscopic cholecystectomy over the
open cholecystectomy. Objectives: To compare the surgical outcomes of laparoscopic cholecystectomy with those of open
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investigations were distributed into two groups of 25 each. Group A patients were subjected to laparoscopic cholecystectomy, and group B patients underwent open cholecystectomy. The surgical outcomes were studied prospectively.
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A was 46.68±13.6 years, and in the group, B was 42.64±14.1 years. Majority of patients were in the age group of 41 to 60
years. Patients who had diabetes in group B developed wound infections, whereas diabetic patients in group A did not
develop any infection. Significant bleeding necessitating blood transfusion occurred in one patient belonging to group B.
The duration of postoperative analgesia required was 3.16 days in group A and 5.16 days in group B. The duration of
postoperative antibiotics administered in laparoscopic and open cases was 1.48 and 4.8 days, respectively. One of the
patients in group A developed a postoperative biliary leak, whereas none in group B had any such complication. The
commencement of oral feeds and after that return of bowel movements was earlier in group A than group B. The mean
hospital stay was 4.5 days in group A as compared to 6.3 days in group B. Conclusion: Laparoscopic cholecystectomy
is superior to open cholecystectomy regarding reduced postoperative discomfort and pain, antibiotic and analgesic
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Most of these articles will have an experiment that was conducted. If that is the case, then the
summary should include what they were testing (hypothesis) and what they found. Then you
should include a few sentences about how this article will help you with your presentation. If the
article is a review, then just summarize the paper and include how it will help you with the
presentation.
Write a 2-page summary (double spaced, 12 pt. font, 1" margins). For the summary, IN YOUR
OWN WORDS, be sure to include why the article was of interest and how you plan to use it in
your group presentation. Be sure to answer the following questions:
1. What was the research question (hypothesis and/or research objectives)?
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$9 , 990 . June 2 Received $5 , 530 from Dr. Kyle Norby and wrote off the remainder owed on
the sale of January 19 as uncollectible. Oct. 23 Reinstated the account of Dr. Kyle Norby that
had been written off on June 2 and received $12 , 430 cash in full payment..
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stimulate the behavior of chromosomes during mitosis and meiosis. You have seen that mitosis
and meiosis have many similarities. They also have important differences. In this investigation,
you will create a model of a cell that undergoes mitosis and meiosis. Then you will use your
model to describe the different phases of each type of cell division. Design specifications Work
in a small group. With your group, examine the following design specifications: - You are
modeling a germ cell from the testes of a male diploid organism. The haploid number of
chromosomes in this organism is 4 (that is diploid, 2 n = 8 ). - Your model must be able
represent the changes that take place in the germ cell and its chromosomes as it divides to
produce two identical germ cells, one of which then divides to produce four non-identical
gametes. - Your model must be able to represent at least TWO mechanisms that ensure genetic
variation among the gametes. Plan and construct 1. Brainstorm options for a model that meets
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inability to find the symbol.
Can you please help me with what I need to add to this to remove these errors? Thanks!
import java.util.*;
import java.io.*;
public class QuestionTree {
private QuestionNode rootOfTree;
private Scanner console;
public QuestionTree() {
rootOfTree = new QuestionNode("computer");
console = new Scanner(System.in);
}
public void read(Scanner input) {
while(input.hasNextLine()) {
rootOfTree = readHelper(input);
}
}
private QuestionNode readHelper(Scanner input) {
String type = input.nextLine();
String data = input.nextLine();
QuestionNode root = new QuestionNode(data);
if (type.contains("Q:")) {
root.yesNode = readHelper(input);
root.noNode = readHelper(input);
}
return root;
}
public void write(PrintStream output) {
if (output == null) {
throw new IllegalArgumentException();
}
writeTree(rootOfTree, output);
}
private void writeTree(QuestionNode rootOfTree, PrintStream output) {
if (isAnswerNode(rootOfTree)) {
output.println("A:");
output.println(rootOfTree.data);
} else {
output.println("Q:");
output.println(rootOfTree.data);
writeTree(rootOfTree.yesNode, output);
writeTree(rootOfTree.noNode, output);
}
}
public void askQuestions() {
rootOfTree = askQuestions(rootOfTree);
}
private QuestionNode askQuestions(QuestionNode current) {
if (isAnswerNode(current)) {
if (yesTo("Would your object happen to be " + current.data +"?")) {
System.out.println("Great, I got it right!");
} else {
System.out.print("What is the name of your object? ");
QuestionNode answer = new QuestionNode(console.nextLine());
System.out.println("Please give me a yes/no question that");
System.out.println("distinguishes between your object");
System.out.print("and mine--> ");
String question = console.nextLine();
if (yesTo("And what is the answer for your object?")) {
current = new QuestionNode(question, answer, current);
} else {
current = new QuestionNode(question, current, answer);
}
}
} else {
if (yesTo(current.data)) {
current.yesNode = askQuestions(current.yesNode);
} else {
current.noNode = askQuestions(current.noNode);
}
}
return current;
}
public boolean yesTo(String prompt) {
System.out.print(prompt + " (y/n)? ");
String response = console.nextLine().trim().toLowerCase();
while (!response.equals("y") && !response.equals("n")) {
System.out.println("Please answer y or n.");
System.out.print(prompt + " (y/n)? ");
response = console.nextLine().trim().toLowerCase();
}
return response.equals("y");
}
private boolean isAnswerNode(QuestionNode node) {
return (node.yesNode == null || node.noNode == null);
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homework." End with a newline. Ex: If the input is 34 , then the output is: I can finish half of my
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For today's discussion, we're going to consider Biden's plan to cancel some student loans. Right
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worry about the legal challenges yet. For now, just consider exactly how the loans will be
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3. Now consider Nozick's Entitlement Theory. According to this theory, would cancelling
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determine whether to lease or purchase research equipment. The firm is in the 21% tax bracket,
and its after-tax cost of debt is currently 8% . The terms of the lease and of the purchase are as
follows: LEASE Annual end-of-year lease payments of $25 , 200 are required over the three-
year life of the lease. All maintenance costs will be paid by the lessor; insurance and other costs
will be borne by the lessee. The lessee will exercise its option to purchase the asset for $5 , 000
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the applicable depreciation percentages.) JLB will pay $1 , 800 per year for a service contract
that covers all maintenance costs; insurance and other costs will be borne by the JLB, who plans
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cash outflows associated with each alternative. b. Calculate the present value of each stream,
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initial drop is predicted to increase by 392 feet. D. For every additional second of duration, the
initial drop is predicted to increase by 0.392 feet. b) A new roller coaster advertises an initial
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second as needed.) c) Another coaster with a 150 -foot initial drop advertises a 2 and a half-
minute ride. Is this longer or shorter than expected? By how much? What's that called? The ride
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1.1. Suppose you're an investor who will get interest daily (for an annual rate of, say 5% ) on $1 ,
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day, and rounded to the nearest cent. This new amount will be used to calculate your sum on the
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Jack in the box (E. coli crisis)
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