CASE STUDY
A 29-year-old man comes to your clinic, stating that he and his
healthy 32-year-old wife had been unable to conceive after more
than 1 year. The patient had been seen by an outside physician a
few months ago and had been diagnosed as having hypogonadism with a
low sperm concentration of 2 million/ml (normal concentration ≥20
million/ml). At that time, he was started on testosterone therapy,
testosterone enantate 200 mg intramuscularly every 2 weeks, for
hypogonadism.
While the patient was on testosterone therapy, a repeat sperm
collection showed a complete absence of sperm (indicating a sperm
concentration <2 million/ml). He then presented for a second
opinion and further treatment of male infertility. At the time of
evaluation in your clinic, the patient had ceased testosterone
therapy for 2 months.
The patient had gone through normal puberty co-incident with his
peers and had never, to his knowledge, fathered a pregnancy. He had
no history of testicular trauma, torsion, or infections. The
patient denied alcohol, tobacco, marijuana or other illegal drug
use, and was taking no prescription medications at the time of
referral.
On physical examination, the patient had vital signs of:
Weight = 154 kg BMI of 54.5 kg/m2
Notable findings on examination were the presence of stage IV gynecomastia and subnormal testicular volumes of 12 cm3 on the right and 8 cm3 on the left. He had normal male-pattern hair distribution.
1) What are you initially thinking might be going on based on this information? What additional tests/protocols would you want to order to get more information? What more would you want to know from his medical history?
You order lab tests and find:
| Parameters studied | normal range |
results |
| Estradiol (pmol/I) | 73-275 | 172 |
| FSH (IU/I) | 1-14 | 2 |
| LH (IU/I) | 1-14 | <1 |
| Total testosterone (nmol/) | 7.7-27.3 | 5.3 |
| Calculated free testosterone (pmol/I) | 105-490 | 102 |
| Prolactin (pmol) | 0-609 | 652 |
| IGF-1 (μg/l) | 117-329 | 102 |
| SHBG (nmol/I) | 13.0-71.0 | 34.8 |
| TSH (mlU/I) | 0.4-0.5 | 3.31 |
| Sperm concentration (spermatozoa/mL) | <20,000,000 | <1,000,000 |
2) Based on all the information above, what do you suspect is the origin for his hypogonadism? Based on what you know, what treatments, both pharmaceutical and lifestyle, do you recommend for this patient? What will you be monitoring over time?
In: Nursing
1. For a new product, sales volume in the first year is estimated to be 50,000 units and is projected to grow at a rate of 7% per year. The selling price is $100 and will increase by $10 each year. Per-unit variable costs are $22 and annual fixed costs are $1,000,000. Per-unit costs are expected to increase 4% per year. Fixed costs are expected to increase 10% per year. Develop a spreadsheet model to predict the net present value of profit over a three-year period, assuming a 4% discount rate.
Note: Please include Excel worksheet with all the details with your answer.
2. Suppose that a firm can produce a part it uses for $500 per unit, with a fixed cost of $12,000. The company has been offered a contract from a supplier that allows it to purchase the part at a cost of $510 per unit, which includes transportation. The key outputs in the model are the difference in these costs and the decision that results in the lower cost. Assume that the production volume is uncertain. Suppose the manufacturer has enough data and information to estimate that the production volume will be normally distributed with a mean of 1,200 and a standard deviation of 85. Use a 100-trial Monte Carlo simulation to find the average cost difference and percent of trials that result in manufacturing or outsourcing as the best decision. (Your data table should show both the cost difference and decision for each trial.)
Note: Please include Excel worksheet with all the details with your answer.
3. Find the feasible region for the following system of inequalities and show it on a graph.
x + y > 3
3x + 2y ≤ 12
In: Statistics and Probability
| Item | Prior year | Current year |
| Accounts payable | 8,171.00 | 7,835.00 |
| Accounts receivable | 6,020.00 | 6,657.00 |
| Accruals | 994.00 | 1,520.00 |
| Cash | ??? | ??? |
| Common Stock | 10,036.00 | 11,928.00 |
| COGS | 12,613.00 | 18,047.00 |
| Current portion long-term debt | 4,949.00 | 5,009.00 |
| Depreciation expense | 2,500 | 2,782.00 |
| Interest expense | 733 | 417 |
| Inventories | 4,179.00 | 4,783.00 |
| Long-term debt | 14,146.00 | 13,880.00 |
| Net fixed assets | 50,413.00 | 54,188.00 |
| Notes payable | 4,390.00 | 9,873.00 |
| Operating expenses (excl. depr.) | 13,977 | 18,172 |
| Retained earnings | 28,128.00 | 30,099.00 |
| Sales | 35,119 | 47,770.00 |
| Taxes | 2,084 | 2,775 |
What is the firm's total change in cash from the prior year to the current year?
Hello can I please receive help on this homework question? Thank You
In: Finance
1. 1 year(s) ago, Vince had 143,500 dollars in his account. In 4 year(s), he expects to have 309,100 dollars. If he has earned and expects to earn the same return each year from 1 year(s) ago to 4 year(s) from today, then how much does he expect to have in 2 year(s) from today?
2. Sasha owns two investments, A and B, that have a combined total value of 45,300 dollars. Investment A is expected to pay 21,000 dollars in 7 year(s) from today and has an expected return of 13.24 percent per year. Investment B is expected to pay X in 4 years from today and has an expected return of 7.99 percent per year. What is X, the cash flow expected from investment B in 4 years from today?
In: Finance
| Category | Prior Year | Current Year |
| Accounts payable | 3,199.00 | 5,931.00 |
| Accounts receivable | 6,803.00 | 9,039.00 |
| Accruals | 5,755.00 | 6,011.00 |
| Additional paid in capital | 20,289.00 | 13,608.00 |
| Cash | ??? | ??? |
| Common Stock | 2,850 | 2,850 |
| COGS | 22,266.00 | 18,678.00 |
| Current portion long-term debt | 500 | 500 |
| Depreciation expense | 1,014.00 | 1,044.00 |
| Interest expense | 1,257.00 | 1,160.00 |
| Inventories | 3,042.00 | 6,728.00 |
| Long-term debt | 16,573.00 | 22,600.00 |
| Net fixed assets | 75,429.00 | 74,203.00 |
| Notes payable | 4,074.00 | 6,552.00 |
| Operating expenses (excl. depr.) | 19,950 | 20,000 |
| Retained earnings | 35,652.00 | 34,461.00 |
| Sales | 46,360 | 45,161.00 |
| Taxes | 350 | 920 |
What is the firm's cash flow from financing?
In: Finance
| Category | Prior Year | Current Year |
| Accounts payable | 3,118.00 | 5,915.00 |
| Accounts receivable | 6,886.00 | 8,946.00 |
| Accruals | 5,773.00 | 6,085.00 |
| Additional paid in capital | 20,141.00 | 13,168.00 |
| Cash | ??? | ??? |
| Common Stock | 2,850 | 2,850 |
| COGS | 22,782.00 | 18,128.00 |
| Current portion long-term debt | 500 | 500 |
| Depreciation expense | 1,034.00 | 970.00 |
| Interest expense | 1,260.00 | 1,163.00 |
| Inventories | 3,065.00 | 6,714.00 |
| Long-term debt | 16,837.00 | 22,761.00 |
| Net fixed assets | 75,542.00 | 73,957.00 |
| Notes payable | 4,090.00 | 6,595.00 |
| Operating expenses (excl. depr.) | 19,950 | 20,000 |
| Retained earnings | 35,432.00 | 34,768.00 |
| Sales | 46,360 | 45,595.00 |
| Taxes | 350 | 920 |
What is the firm's cash flow from financing?
Answer format: Number: Round to: 0 decimal places.
#2
| Category | Prior Year | Current Year |
| Accounts payable | 3,118.00 | 5,915.00 |
| Accounts receivable | 6,886.00 | 8,946.00 |
| Accruals | 5,773.00 | 6,085.00 |
| Additional paid in capital | 20,141.00 | 13,168.00 |
| Cash | ??? | ??? |
| Common Stock | 2,850 | 2,850 |
| COGS | 22,782.00 | 18,128.00 |
| Current portion long-term debt | 500 | 500 |
| Depreciation expense | 1,034.00 | 970.00 |
| Interest expense | 1,260.00 | 1,163.00 |
| Inventories | 3,065.00 | 6,714.00 |
| Long-term debt | 16,837.00 | 22,761.00 |
| Net fixed assets | 75,542.00 | 73,957.00 |
| Notes payable | 4,090.00 | 6,595.00 |
| Operating expenses (excl. depr.) | 19,950 | 20,000 |
| Retained earnings | 35,432.00 | 34,768.00 |
| Sales | 46,360 | 45,595.00 |
| Taxes | 350 | 920 |
What is the firm's cash flow from investing?
Submit
Answer format: Number: Round to: 0 decimal places.
#3
| Category | Prior Year | Current Year |
| Accounts payable | 3,118.00 | 5,915.00 |
| Accounts receivable | 6,886.00 | 8,946.00 |
| Accruals | 5,773.00 | 6,085.00 |
| Additional paid in capital | 20,141.00 | 13,168.00 |
| Cash | ??? | ??? |
| Common Stock | 2,850 | 2,850 |
| COGS | 22,782.00 | 18,128.00 |
| Current portion long-term debt | 500 | 500 |
| Depreciation expense | 1,034.00 | 970.00 |
| Interest expense | 1,260.00 | 1,163.00 |
| Inventories | 3,065.00 | 6,714.00 |
| Long-term debt | 16,837.00 | 22,761.00 |
| Net fixed assets | 75,542.00 | 73,957.00 |
| Notes payable | 4,090.00 | 6,595.00 |
| Operating expenses (excl. depr.) | 19,950 | 20,000 |
| Retained earnings | 35,432.00 | 34,768.00 |
| Sales | 46,360 | 45,595.00 |
| Taxes | 350 | 920 |
What is the firm's total change in cash from the prior year to the current year?
Answer format: Number: Round to: 0 decimal places.
CAN YOU PLEASE ANSWER POSSIBLY 2 OUT OF THE 3? I PAID $3 FOR THIS ONE QUESTION..? I WILL LIKE AND COMMENT. THANK YOU!
In: Finance
| U.S. Civilian Labor Force (thousands) | ||||
| Year | Labor Force | Year | Labor Force | |
| 2007 | 168,954 | 2012 | 170,664 | |
| 2008 | 169,691 | 2013 | 170,187 | |
| 2009 | 168,147 | 2014 | 171,274 | |
| 2010 | 168,686 | 2015 | 172,993 | |
| 2011 | 169,031 | 2016 | 174,676 | |
Click here for the Excel Data File
(a) Make a line graph of the U.S. civilian labor
force data.
| Line Graph A | Line Graph B | Line Graph C | Line Graph D |
Line Graph 1
Line Graph 2
Line Graph 3
Line Graph 4
(b) Describe the trend (if any) and discuss possible
causes.
Trend is (Click to
select) positive negative . There
seems to be an (Click to
select) increase decrease in the
rate of growth over the past few years.
(c) Fit three trend models: linear, exponential,
and quadratic. Which model would offer the most believable
forecasts? (You may select more than one answer. Click the
box with a check mark for the correct answer and double click to
empty the box for the wrong answer.)
(d) Make forecasts using the following fitted trend models
for years 2017-2019. (Round your answers to the nearest
whole number.)
| t | Linear | Quadratic | Exponential |
| 11 | |||
| 12 | |||
| 13 | |||
In: Statistics and Probability
| Item | Prior year | Current year |
| Accounts payable | 8,152.00 | 7,765.00 |
| Accounts receivable | 6,093.00 | 6,539.00 |
| Accruals | 968.00 | 1,384.00 |
| Cash | ??? | ??? |
| Common Stock | 11,707.00 | 11,223.00 |
| COGS | 12,746.00 | 18,266.00 |
| Current portion long-term debt | 5,066.00 | 5,052.00 |
| Depreciation expense | 2,500 | 2,796.00 |
| Interest expense | 733 | 417 |
| Inventories | 4,107.00 | 4,816.00 |
| Long-term debt | 14,369.00 | 14,055.00 |
| Net fixed assets | 51,018.00 | 54,844.00 |
| Notes payable | 4,305.00 | 9,922.00 |
| Operating expenses (excl. depr.) | 13,977 | 18,172 |
| Retained earnings | 28,906.00 | 30,194.00 |
| Sales | 35,119 | 46,371.00 |
| Taxes | 2,084 | 2,775 |
What is the firm's cash flow from operations?
Submit
Answer format: Number: Round to: 0 decimal places.
In: Finance
|
Property type |
Price |
Mortgage |
Expected |
Estimated |
|
|---|---|---|---|---|---|
|
Rental income |
Depreciation expense |
resale |
|||
|
(per year) |
(per year) |
value |
|||
| Strip shopping center | $800,000 | $448,000 | $136,016 | $7,692 | $912,000 |
| Small apartment complex | $650,000 | $292,500 | $91,281 | $8,273 | $685,100 |
The first potential investment consists of a seven-store shopping center, which has a current market price of $800,000. Of this amount, $200,000 represents the cost of the land, and the balance, $600,000, is attributable to buildings on the property. The second possible investment, which costs $650,000, consists of a small four-unit apartment complex. $195,000 of the investment's total price is reflects the cost of land, and the remaining $455,000 is associated with structures on the land. For both properties, you believe you can increase the rents 2% per year for each of the next four years, and expect to sell either property at the end that time. You desire a return of 7% on your investments.
Now perform a comparable analysis for the residential lease property:
|
Small apartment complex |
Year 1 |
Year 2 |
Year 3 |
Year 4 |
|---|---|---|---|---|
| Annual rental income | $91,281 | $93,107 | $94,969 | $96,868 |
| Estimated resale value | 0 | 0 | 0 | 685,100 |
| Less: Annual operating expenses | 18,256 | 18,621 | 18,994 | 19,374 |
| Less: Annual depreciation expense | 8,273 | 8,273 | 8,273 | 8,273 |
| Less: Annual interest payments (4%) | 11,700 | 11,115 | 10,530 | 9,945 |
| Less: Taxes (25%) | 13,263 | 13,775 | 14,293 | 14,819 |
| Less: Capital gains tax (15%) | 0 | 0 | 0 | |
| Net profit | ||||
| Interest factor (7%) | 0.9346 | 0.8734 | 0.8163 | 0.7629 |
| PV of Cash flow | ||||
| Total PV of Cash flows |
The net discounted return expected from an investment in the apartment complex—after deducting the cost of the investment—is ($27,908, $10,843$, $660,843,$59,637).
In: Accounting
| Category | Prior Year | Current Year |
| Accounts payable | 3,130.00 | 5,902.00 |
| Accounts receivable | 6,875.00 | 9,027.00 |
| Accruals | 5,768.00 | 6,161.00 |
| Additional paid in capital | 20,385.00 | 13,869.00 |
| Cash | ??? | ??? |
| Common Stock | 2,850 | 2,850 |
| COGS | 22,803.00 | 18,987.00 |
| Current portion long-term debt | 500 | 500 |
| Depreciation expense | 1,038.00 | 977.00 |
| Interest expense | 1,290.00 | 1,142.00 |
| Inventories | 3,032.00 | 6,682.00 |
| Long-term debt | 16,522.00 | 22,321.00 |
| Net fixed assets | 75,296.00 | 74,002.00 |
| Notes payable | 4,042.00 | 6,533.00 |
| Operating expenses (excl. depr.) | 19,950 | 20,000 |
| Retained earnings | 35,822.00 | 34,700.00 |
| Sales | 46,360 | 45,291.00 |
| Taxes | 350 | 920 |
What is the firm's total change in cash from the prior year to the current year?
In: Accounting