The consult order had... A page to the Ethics on-call consultant came at 4 PM on...

The consult order had... A page to the Ethics on-call consultant came at 4 PM on a Monday afternoon. The consult order had been placed by the new attending during the third week of hospitalization for an incapacitated and unresponsive patient in the medical ICU. The requestor’s reason for consulting ethics: “Assistance requested in complex case of anoxic brain injury patient with unreliable DPOA and potential conflict regarding goals of care.” “Patti” was a 52-year old woman with history of asthma, chronic pulmonary obstructive disease (COPD), Hepatitis C, and polysubstance abuse. She presented to the emergency department after cardiac arrest at home with subsequent return of spontaneous respiration (ROSC). Upon examination and MRI, findings were consistent with diffuse anoxic brain injury. Neurology was consulted and confirmed both the diagnosis and prognosis of “little, if any, chance for meaningful recovery.” The medical team met with Patti’s husband at bedside. After extended discussion, he expressed understanding of the gravity of his wife's situation, but remained hopeful that "maybe a miracle could happen." He wanted to give his wife "a little more time" while he discussed the care plan with family members. Patti had left no written advance directive, so treatment decisions were by means of substituted judgment. Of later significance was an early conversation shortly after admission. When asked by the attending physician what Patti would want, her husband said, “Well, she wouldn’t want to be a vegetable.” After a week in the hospital, the medical team began daily attempts to engage the husband in conversations around the patient’s prognosis and her goals of care. He reportedly would no longer participate in conversations and stopped coming to the hospital. The spousal surrogate rarely would answer his phone or respond to voice messages. When contacted, he might agree to come for a family meeting, but then would not show up, or not at the agreed upon time. This went on for another week. Palliative Care was consulted to assist with goals of care discussions and to support the husband during this emotionally difficult time. Ethics was similarly consulted to assist with a situation that was challenging on multiple fronts, ethical also. In most cases, ethics consultants communicate directly with patients and/or their next of kin, in addition to the care team. In this case, there was bedside observation, but no direct contact with the patient’s family. In a situation of stymied communication process, it was deemed more helpful to support the care team in their communication efforts, and to provide ethics perspective with procedural recommendations and “what if” options. The palliative care team ultimately was able to engage the spousal surrogate in conversations both by phone and in person. His absence seemed due to emotional avoidance, but also illness and lack of resources for transportation. Social Work subsequently provided cab vouchers to and from the hospital to assist his participation in establishing goals of care for Patti. This was an obviously difficult conversation for the husband, but socioeconomic barriers also were a significant problem to his participation, a factor unanticipated even by Ethics. However, cab vouchers and empathy did not fully resolve the issues that had triggered an ethics consult. Even with multiple attempts by many care providers to provide family support and facilitate communication, the husband continued to be absent and avoidant of decision-making. Palliative extubation was scheduled and then canceled upon no-show of family. Another week passed. Care team discussions led to a “unilateral” decision to place a “Do Not Attempt Resuscitation” order on the chart. Ethical grounding could be found for decisions in keeping with the patient’s best interests, reasonable goals of care, and accepted standards of care. This was documented in the electronic medical record by Ethics consultants. Ethical, compassionate, and aggressive palliative care continued while further attempts were made to collaborate with family. Despite ongoing life support, Patti’s body gave out, and she died on the vent. It was not the sort of ending envisioned by Ethics or anyone as optimal and timely. One imagined for Patti an anticipated death in which she was attended by loving family members at the bedside, having had opportunity to say goodbye. Not everything involving humans can be orchestrated just as we wish. Multidisciplinary team collaboration nonetheless resulted in a better demise than Patti might have experienced otherwise. Doing “better than” is sometimes the ethically best we can do. List some of the ethical principles that can relate to this case?

In: Psychology

Neuroscience has been attacked by many as an invasion of privacy. Describe how marketers are using...

Neuroscience has been attacked by many as an invasion of privacy. Describe how marketers are using neuroscience research and discuss the pros and cons of this ethical argument.

In: Psychology

Calculate the moment of inertia of a baseball bat for the following cases. (a) Assume the...

Calculate the moment of inertia of a baseball bat for the following cases.

(a) Assume the bat is a wooden rod of uniform diameter and take the pivot point to be in the middle of the bat, at the end of the bat, and 5 cm from the end of the handle, where a batter who "chokes up" on the bat would place his hands. Hint: Consider the bat as two rods held together at the pivot point.

Estimate the mass of the bat.
kg

Estimate the length of the bat.
m

(i) in the middle of the bat (Use your estimate.)
kg

In: Physics

Select a topic from below and write a 250 word (1/2 pg single-spaced, 1pg double-spaced) answer...

Select a topic from below and write a 250 word (1/2 pg single-spaced, 1pg double-spaced) answer discussing it.

  1. The Spinal Column (NOT spinal cord) & related movements
  2. The Thorax & related movements
  3. The Upper Extremities & ROM
  4. The Anatomy of the Hip joint & ROM
  5. The Anatomy of the Knee joint & ROM
  6. The Anatomy of the Ankle joint & ROM

Include details about the bones, joints, muscles, and ligaments in the anatomy portion of the essay.

In: Anatomy and Physiology

Astronauts use a centrifuge to simulate the acceleration of a rocket launch. The centrifuge takes 30.0...

Astronauts use a centrifuge to simulate the acceleration of a rocket launch. The centrifuge takes 30.0 s to speed up from rest to its top speed of 1 rotation every 1.10 s . The astronaut is strapped into a seat 4.00 m from the axis.

Part A

What is the astronaut's tangential acceleration during the first 30.0 s ?

Express your answer with the appropriate units.

In: Physics

Suppose the following data are product weights for the same items produced on two different production...

Suppose the following data are product weights for the same items produced on two different production lines.

Line 1 Line 2
13.9 13.5
13.3 14.2
14.0 14.4
13.6 14.0
13.8 14.9
13.4 13.7
13.1 14.8
13.9 14.3
12.6 14.7
14.8 14.1
15.0
14.6

Test for a difference between the product weights for the two lines. Use α = 0.05.

State the null and alternative hypotheses.

H0: The two populations of product weights are identical.
Ha: The two populations of product weights are not identical.H0: Median for line 1 − Median for line 2 < 0
Ha: Median for line 1 − Median for line 2 = 0    H0: The two populations of product weights are not identical.
Ha: The two populations of product weights are identical.H0: Median for line 1 − Median for line 2 ≤ 0
Ha: Median for line 1 − Median for line 2 > 0H0: Median for line 1 − Median for line 2 ≥ 0
Ha: Median for line 1 − Median for line 2 < 0

Find the value of the test statistic.

W =

Find the p-value. (Round your answer to four decimal places.)

p-value =

State your conclusion.

Reject H0. There is not sufficient evidence to conclude that there is a significant difference between the product weights for the two lines.Reject H0. There is sufficient evidence to conclude that there is a significant difference between the product weights for the two lines.    Do not reject H0. There is sufficient evidence to conclude that there is a significant difference between the product weights for the two lines.Do not reject H0. There is not sufficient evidence to conclude that there is a significant difference between the product weights for the two lines.

In: Math

A student carrying out out a Spectrophotmetric dtermination of copper in Brass lab experiment was in...

A student carrying out out a Spectrophotmetric dtermination of copper in Brass lab experiment was in a hurry to finish. The student decided to omit the filtering step of the procedure because the brass solution did not appear very cloudy. It turned out that there was tin in the sample.

a) Did the omission of the filtering step cause a high or low result? Briefly explain.

b) Also during the filtering process some of the brass solution is absorbed by the filter paper. Would this cause a high or low result for percent copper? Briefly explain.

In: Chemistry

The November 30, 2017, unadjusted trial balance of Business Solutions is found in the Trial balance...

The November 30, 2017, unadjusted trial balance of Business Solutions is found in the Trial balance tab. Business Solutions had the following transactions and events in December 2017.
General journal, General ledger, Trial balance, Income statement, St Retained earnings, Balance sheet, Impact on Income

Dec. 2 Paid $1,025 cash to Hillside Mall for Business Solutions’ share of mall advertising costs.
Dec. 3 Paid $500 cash for minor repairs to the company’s computer.
Dec. 4 Received $3,950 cash from Alex’s Engineering Co. for the receivable from November.
Dec. 10 Paid cash to Lyn Addie for six days of work at the rate of $125 per day.
Dec. 14 Notified by Alex’s Engineering Co. that Business Solutions’ bid of $7,000 on a proposed project has been accepted. Alex’s paid a $1,500 cash advance to Business Solutions.
Dec. 15 Purchased $1,100 of computer supplies on credit from Harris Office Products.
Dec. 16 Sent a reminder to Gomez Co. to pay the fee for services recorded on November 8.
Dec. 20 Completed a project for Liu Corporation and received $5,625 cash.
Dec. 28 Received $3,000 cash from Gomez Co. on its receivable.
Dec. 29 Reimbursed S. Rey for business automobile mileage (600 miles at $0.32 per mile).
Dec. 31 The company paid $1,500 cash in dividends.


The following additional facts are collected for use in making adjusting entries prior to preparing financial statements for the company’s first three months:


  

  1. The December 31 inventory count of computer supplies shows $580 still available.
  2. Three months have expired since the 12-month insurance premium was paid in advance.
  3. As of December 31, Lyn Addie has not been paid for four days of work at $125 per day.
  4. The computer system, acquired on October 1, is expected to have a four-year life with no salvage value.
  5. The office equipment, acquired on October 1, is expected to have a five-year life with no salvage value.
  6. Three of the four months’ prepaid rent has expired.

In: Accounting

A 3.60-kg block starts from rest at the top of a 30.0° incline and slides a...

A 3.60-kg block starts from rest at the top of a 30.0° incline and slides a distance of 2.30 m down the incline in 1.80 s.

(a) Find the magnitude of the acceleration of the block.

(b) Find the coefficient of kinetic friction between block and plane.

(c) Find the friction force acting on the block.

magnitude

direction

(d) Find the speed of the block after it has slid 2.30 m.

In: Physics

Assume that a Parent company acquires a 75% interest in its Subsidiary on January 1, 2016.  On...

  1. Assume that a Parent company acquires a 75% interest in its Subsidiary on January 1, 2016.  On the date of acquisition, the fair value of the 75% controlling interest was $1,800,000 and the fair value of the 25% noncontrolling interest was $600,000.  On January 1, 2016, the book value of net assets equaled $2,400,000 and the fair value of the identifiable net assets equaled the book value of identifiable net assets (i.e. there was no AAP or Goodwill). The parent uses the equity method to account for its investment in the subsidiary.

On December 31, 2017, the Subsidiary company issued $1,500,000 (face) 6 percent, five-year bonds to an unaffiliated company for $1,380,218 (i.e. the bonds had an effective yield of 8 percent).  The bonds pay interest annually on December 31, and the bond discount is amortized using the straight-line method.  This results in annual bond-payable discount amortization equal to $23,956 per year.

On December 31, 2019, the Parent paid $1,540,849 to purchase all of the outstanding Subsidiary company bonds (i.e. the bonds had an effective yield of 5 percent).  The bond premium is amortized using the straight-line method, which results in annual bond-investment premium amortization equal to $13,616 per year.

The Parent and the Subsidiary report the following financial statements for the year ended December 31, 2020:

Income Statement

3

Subsidiary

Sales

$12,100,000

$1,240,000

Cost of goods sold

(9,060,000)

   (710,000)

Gross Profit

3,040,000

530,000

Income (loss) from subsidiary

131,355

Bond interest income

76,384

Bond interest expense

(113,956)

Operating expenses

(2,030,000)

    (291,000)

Net income

$  1,217,739

$   125,044

Statement of Retained Earnings

Parent

Subsidiary

BOY Retained Earnings

$8,036,000

$1,115,000

Net income

1,217,739

125,044

Dividends

   (170,000)

     (26,000)

EOY Retained Earnings

$9,083,739

$1,214,044

Balance Sheet

Parent

Subsidiary

Assets:

Cash

$  1,559,000

$  596,131

Accounts receivable

3,100,000

    760,000

Inventory

3,105,000

    520,000

Equity Investment

2,027,887

Investment in bonds

1,527,233

PPE, net

    9,700,000

  4,450,000

$21,019,120

$6,326,131

Liabilities and Stockholders’ Equity:

Accounts payable

$  1,650,000

$   620,000

Current Liabilities

1,700,000

       700,000

Bonds payable

    1,452,087

Long-term Liabilities

2,080,000

       750,000

Common Stock

1,020,000

       540,000

APIC

5,485,381

    1,050,000

Retained Earnings

    9,083,739

    1,214,044

$21,019,120

$6,326,131

Required:

Provide the consolidation entries and prepare a consolidation worksheet for the year ended December 31, 2018.

In: Accounting

What are some advantages to using hemoglobin to transport oxygen?

What are some advantages to using hemoglobin to transport oxygen?

In: Biology

1-The lines observed in H-lamp are parts of Balmer Series. All these lines are due to...

1-The lines observed in H-lamp are parts of Balmer Series. All these lines are due to a transition from various higher n value to a common n. What is this common lower n value for all these lines?

a-0
b-1
c-2
d-3

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Question 2

The bright violet line of Hg lamp has a wavelength of 435.8 nm. What is the energy of the photon associated with this emission line?

a-4.56*10^-19 J
b-4.56*10^-28 J
c-6.88*10^14 J
d-2.89*10^-31 J

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Question 3

Given: In Atomic Spectra lab, a student obtained his best-fit line equation to be y = 0.29 x + 46.8 when he plotted his Vernier reading on the y-axis and wavelength in nm on the x-axis.

Question: If the Vernier reading for a line is 229.5, what is the predicted wavelength of this line in nm? (Keep 4 sig figs with one decimal place.)

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Question 4

The only electron in a hydrogen atom moved from n=2 to n=6. What is the wavelength of photon (in nm) being associated with this transition? Use whole numbers of nm without any decimal places, such as "415", "1125".

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Question 5

Which of the following transitions of the only electron in hydrogen atom will emit longest wavelength photon?

a-n=100 to n=5
b-n=4 to n=2
c-n =2 to n=1
d-n=10 to n=20

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Question 6

A student obtained the Rydberg constant to be 2.12*10-18 J. What is the % error of the measurement? Answer as percentage and keep one decimal place.

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Question 7

Which of the following orbitals of O has the lowest energy?choose all the right answer

a-2s
b- 2p
c-3d
d-4s

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Question 8

A 100-mL sample of Pb initially has a concentration of 14.3 ppm. If this sample was diluted to 300 mL, what is the new concentration in ppm? Keep one decimal place for your answer.

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Question 9

Which of the following is directly proportional to the concentration of a solution sample?

a-intensity of light passing through
b-transmittance of light
c- absorbance of light
d-extinct coefficient

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Question 10

When measuring the transmittance of the Fe standard solution, what is used as blank?

a-DI water
b-Tap water
c- Fe standard solution without complexing agent
d-DI water with complexing agent

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Question 11

When intensity of light changes due to sample absorption, which of the following change accordingly?

a-wavelength
b-frenqency
c-energy of each photon
d-transmittance

In: Chemistry

This is a java assignment inspired by Caesar algorithm with some minor modifications. You are required...

This is a java assignment inspired by Caesar algorithm with some minor modifications. You are required to take in three inputs; a string, which is the message that you want to encrypt, an integer number that we call it salt, which is going to salt your plain message to help create a better encrypted message and an int to be used for displacement of the letters.

Your algorithm is going to encode the message letter by letter. If the position of the letter in your message is odd, then it should add the value of this letter to the displacement value plus salt. If the letter is in even position, then it should be added to the displacement subtracted from salt. For example, assume displacement = 3 and salt = 5, then letter ‘A’ will be replaced by ‘I’, if it is in odd position and by ‘C’ if it is in even position.

The message that you read can contain any character that is typeable (i.e. you can see the typable characters on your keyboard). Your program finally should output the encrypted message.

Sample input and corresponding output:

Input:

Let's meet somewhere cool. How about Tuesday at 9:30 in Chemistry 0400?

5

3

Output:

           Jmr/q(kmc|_{muc•fmpm_kmwj6_Pm•_i`ws|_\smql_?_ir(7B18_ql(Apcu
     g{rzw(.<.8=

JAVA JAVA

In: Computer Science

Throughout history, research in the physical sciences has often been limited by our abilitiesof safely observing...

Throughout history, research in the physical sciences has often been limited by our abilitiesof safely observing and studying the very phenomenon in question. As we make technological progress, we have increasingly more tools to expand our observational capabilities. Write a three to five (3-5) page paper in which you: Part 1: Procedures in the Physical Sciences: Challenges in Measurements Identify three (3) specific challenges to making direct measurements in the fields of astronomy, chemistry, physics, or earth science. Describe how scientists have utilized indirect forms of measure to overcome these challenges. Choose two (2) of the most historically influential tools or techniques in the physical sciences. Explain how these techniques or tools work, and how they helped to advance our understanding of the physical sciences. Part 2: Procedures in the Physical Sciences: A Survey of Safety Choose one (1) hazard associated with research in the physical sciences. Discuss how protective gear or equipment might be used to mitigate the hazard, as well as its efficacy. Describe the ways in which advancements in the physical sciences might impact the safety of the global community. Assess any special considerations for regulating this research. Part 3: Documentation Use at least four (4) quality resources in this assignment. Note: Wikipedia and similar Websites do not qualify as quality resources. The body of the paper must have in-text citations that correspond to the references. Integrate all sources into your paper using proper techniques of quoting, paraphrasing and summarizing, along with proper use of in-text citations to credit your sources.

In: Physics

A converging lens (f = 11.7 cm) is located 26.6 cm to the left of a...

A converging lens (f = 11.7 cm) is located 26.6 cm to the left of a diverging lens (f = -5.42 cm). A postage stamp is placed 39.7 cm to the left of the converging lens. (a)Locate the final image of the stamp relative to the diverging lens. (b) Find the overall magnification.

In: Physics