S.H., age 47, reports difficulty falling asleep and staying asleep. These problems have been ongoing for many years, but she has never mentioned them to her health care provider. She has generally “lived with it” and self-treated the problem with OTC Tylenol PM. Currently, she is also experiencing perimenopausal symptoms of night sweats and mood swings. Current medical problems include hypertension controlled with medications. Past medical history includes childhood illnesses of measles, chickenpox, and mumps. Family history is positive for diabetes on the maternal side and hypertension on the paternal side. Her only medication is an angiotensin-converting enzyme inhibitor and diuretic combination for hypertension control. She generally does not like taking medication and does not take any other OTC products.

Diagnosis: Insomnia

Answer the following questions. Include two references, cited in APA style.

1-List specific goals of therapy for S.H.

2-What drug therapy would you prescribe? Why?

3-What are the parameters for monitoring the success of the therapy?

4-Discuss specific patient education based on the prescribed therapy.

5-List one or two adverse reactions for the selected agent that would cause you to change therapy.

6-What would be the choice for second-line therapy?

7-What OTC and/or alternative medicines might be appropriate for this patient?

8-What dietary and lifestyle changes might you recommend?

9-Describe one or two drug–drug or drug–food interactions for the selected agent.

Please answer all 9 quistion in details

A falling head permeability test was performed on a re-moulded silty clay soil sample 150 mm in diameter and 250 mm in length. The diameter of the standpipe was 12.7 mm. At the start of the test, the height of the water in the standpipe measured 2,236 mm above the constant water level where the soil sample was immersed in. After 7 hours and 45 minutes, the height of the water in the standpipe was measured at 1971 mm. Determine: (i) the coefficient of permeability of the soil (in m/sec), and (ii) the estimated height of the water in the standpipe after a further 12 hours of running this test. (iii) the total time (from the start of the test in days, hours, minutes and seconds) it will take for the water level in the standpipe to reach a height of 600 mm.  

Drof's silver reserves are being depleted, so its sales are falling. Also, because its pit is getting deeper each year, its costs are rising. As a result, the company's earnings and dividends are declining at the constant rate of 5% per year.If the current dividend is $6 per share and the investor's required rate of return is 13%, what is the value of Drof's stock?

Answer: $31.67

Please show all work and formulas used for a financial calculator, not excel.

Which of the following questions would be studied in the area of microeconomics?

-What determines the number of hours an individual works?

-Do interest rates affect net exports?

-Will an increase in government spending cause inflation?

-What portion of total spending comes from households?

-Does hosting the Olympics decrease the unemployment rate?

If governments were to increase spending, determine the effect on RGDP, price levels, and AD. By increasing spending, do you believe government is trying to slow down or speed up the economy? Why? I When economic growth occurs, what happens to LRAS and SRAS? What happens to price levels and RGDP

Sam Smith, the laundry supervisor of the Toronto Street Shelter, stared at the memo that had just reached his desk:

The shelter had adopted a responsibility accounting system. From now on you will receive quarterly reports comparing the costs of operating your department with budgeted costs. The reports will highlight the differences (variances) so that you can zero in on the departure from budgeted costs. (This is called management by exception.) Responsibility accounting means you are accountable for keeping the costs in your department within budget. The variances from the budget will help you identify which costs are out of line, and the sizes of the variances will indicate the most important ones. Your first such report accompanies this announcement. [Exhibit 1]

As this report indicates, your costs are significantly above budget for the quarter. You need to pay particular attention to labor, supplies and maintenance. Please get back to me by the end of this week with a plan for making the needed reductions

Mr. Smith knew that he needed a plan, yet midwinter was the busiest time of the year at the shelter, and the laundry was piling up faster than his staff could wash it.

Background

Toronto Street Shelter was located in the heart of Toronto. Founded in the late 1800’s, it had been serving the homeless every since, providing hot meals, shelter, and companionship. Situated on a busy urban thoroughfare, it was a have of last resort for many of the city’s indigent, and “home” for many others. As might be expected, the demand for its services was especially high in the winter, when temperatures frequently dropped to below freezing, and life on the street became unbearable.

The shelter provide three services. Its most significant service activity was the Hot-Meal Program, where it served hundreds of meals a day. A meal of hot soup and a sandwich was available to anyone who arrived between the hours of noon and 2 pm and 5pm to 7pm. Its second program was its Overnight Hostel, where it had 150 beds that were available on a first-come, first-served basis. The linen was changed daily, and fresh towels were always available, so that the shelter’s clients could look forward to clean sheets and a hot shower. Finally, it had a counseling program, in which a staff of three full-time social workers assisted clients to cope with the difficulties that had brought them to the shelter, and in establishing themselves in a more self-sufficient lifestyle.

System Changes

In March, the shelter had hired a new administrator to improve it business activities. A business school graduate with prior experience in manufacturing and service companies in the private sector, one of his first steps had been to introduce what he called “responsibility accounting”. He had instituted a new budgeting system, along with the provision of quarterly cost reports to the shelter’s department heads. Previously, cost data had been presented to the department heads on a yearly basis.

The annual budget for the current fiscal year had been constructed by the new administrator, based on an analysis of the three prior year’s costs. The analysis show that all costs increased each year, with more rapid increases between the second and third year. He considered establishing the budget at an average of the three prior years’ costs hoping that the installation of the system would reduce costs to this level. However, in view of the rapidly increasing prices, he finally chose the prior fiscal year’s costs less 3% for the current year’s budget. He decided to measure activity by client nights, and to set the budget for pounds of laundry processed at last year’s level, which was approximately equal to the volume of the past three years.

Quarterly budgets were compiled as one-fourth of the annual budget. Mr. Smith had received the report show in Exhibit 1 in mid-January. He reflected on its content:

A lot of my costs don’t change, even if the number of pounds of laundry changes. I suppose laundry labor, supplies, water-related items, and maintenance vary with changes in pounds, but that’s about all. Nevertheless, shouldn’t my budget reflect those changes? Also, I hadn’t planned for the fact that I was given a salary increase as of October 1 – was I supposed to refuse it to help keep my budget in balance?

Finally, I think that it’s important to note that I had to pay overtime to the staff because the department became inundated with laundry during the cold snap we had back in mid-December. Because of this, my average hourly rate for the whole three months was $10.20 instead of the $9.00 that was in my budget. In fact, and maybe this is a little picky, the average number of minutes it took my staff to wash a pound of laundry actually dropped from $0.48, which was my budget target, to $0.47 for the quarter. Somehow, even though it’s pretty small, I think that should be taken into consideration.

Assignment

What is your assessment of the method the administrator used to construct the budget?

Prepare a flexible budget for the laundry department. What are the volume and spending variances?

What should you acting as Mr. Smith tell his boss about the budget variances by the end of the week?

Exhibit 1

Amanda would like to organize BAL as either an LLC (taxed as a sole proprietorship) or a C corporation. In either form, the entity is expected to generate an 8 percent annual before-tax return on a $500,000 investment. Amanda’s marginal income tax rate is 37 percent and her tax rate on dividends and capital gains is 23.8 percent (including the 3.8 percent net investment income tax). If Amanda organizes BAL as an LLC, she will be required to pay an additional 2.9 percent for self-employment tax and an additional 0.9 percent for the additional Medicare tax. Also, she is eligible to claim a full deduction for qualified business income on BAL’s income. Assume that BAL will distribute half of its after-tax earnings every year as a dividend if it is formed as a C corporation. (Round your intermediate computations to the nearest whole dollar amount.)

How much cash after taxes would Amanda receive from her investment in the first year if BAL is organised as either an LLC or a C corporation ?

After-tax cash flow for LLC ;

C corporation ?

You are the audit senior on the audit of Easy Fit Pty Limited, a large manufacturer of shoes. Easy Fit Pty Limited’s main market lies with 18 to 24-year olds. This is the first year in which your firm has performed the audit. As part of the planning work, you have performed analytical procedures on an annualised basis and compared the results to industry averages and last year’s audited financial information. The results are given below: Industry Average Easy Fit Pty Limited Ratio 20X7 20X6 20X7 20X6 1 Current ratio 2.84 3.27 1.89 2.24 2 Receivables turnover ratio 4.9 4.6 6.3 7.0 3 Inventory turnover ratio 3.7 3.8 5.0 5.5 4 Return on total assets 7% 5% 13% 11% 5 Net profit ratio 0.06 0.06 0.04 0.04 Required: Explain the general meaning of each of the above ratios (1 - 5), discuss the conclusions that you can draw about Easy Fit’s financial position and identify potential audit risks to be investigated further.

Andrea would like to organize SHO as either an LLC (taxed as a sole proprietorship) or a C corporation. In either form, the entity is expected to generate an 11 percent annual before-tax return on a $200,000 investment. Andrea's marginal income tax rate is 35 percent and her tax rate on dividends and capital gains is 15 percent. Andrea will also pay a 3.8 percent net investment income tax on dividends and capital gains she recognizes. If Andrea organizes SHO as an LLC, Andrea will be required to pay an additional 2.9 percent for self-employment tax and an addition 0.9 percent for the additional Medicare tax. Further, she is eligible to claim the full deduction for qualified business income. Assume that SHO will pay out all of its after-tax earnings every year as a dividend if it is formed as a C corporation.  

a). How much cash after taxes would Andrea receive from her investment in the first year if SHO is organized as either an LLC or a C corporation?

LLC---after tax cash flow?

C Corporation--after cash flow?