Sam, a 42-year-old man, was booked for an endoscopy at a local clinic. Prior to the procedure he was injected with sedatives, but after several minutes the nurse noticed Sam seemed uncomfortable and required additional sedation. She used the same syringe, dipped it in the open sedative vial and re-injected him. The procedure continued as normal. Several months later, Sam, suffering from swelling of the liver, stomach pain, fatigue and jaundice, was diagnosed with Hepatitis C. The Centers for Disease Control was contacted, as 84 other cases of liver disease were linked to the clinic. It was believed that the sedative vial may have been contaminated from the backflow into the syringe and that the virus may have been passed on from the contaminated vial. Several health-care workers commented that reusing the syringe on the same patient (and thus dipping a used syringe into a common vial) was common practice.
Reference: Centers for Disease Control and Prevention, Atlanta. Syringe reuse linked to hepatitis C outbreak. Sonner, S., Associated Press
What do you think about this case (cases) that the CDC investigated? Should health care workers have anticipated that using a common vial between patients might lead to infection? How common do you think these types of incidents are?
In: Nursing
In March of this year, the Federal Reserve lowered the reserve requirement to zero.
What do you think of this? Explain. 2-3 sentences is plenty. Your grade will be based on your explanation (there's not a "right" answer).
In: Economics
Let's say that in 2019, Mary Jones was employed all year at a job making $61,000 in wages, that is, gross income, and, after $21,000 was "taken out" in various taxes and fees, she was clearing $40,000 per year in net income. Let's say that this is the only source of income for her family. She and her family spent $39,000 and saved the other $1,000. What is her A.P.C.? Is this good for our economy, in your opinion? Or bad? WHY? If she earns a pay raise of $1,000 after taxes, and spends $700 of it, what is her M.P.C.? Is this good for our economy? Or bad? Why? What happens to the other $300?
In: Economics
In: Economics
The patient is a 57-year old woman with a history of hypertension and chronic stable angina. She arrives in the ED complaining of indigestion-type pain that occurs more frequently than her chest pain and takes over 20 minutes to go away. She appears mildly short of breath, with vital signs of BP 155/98, pulse rate 100, respiratory rate 24/min.
What should be considered as the most likely cause of this patient’s pain? Why?
What is the difference between stable and unstable angina?
Why might this new pain most likely be considered unstable angina?
In: Nursing
The following table shows the nominal returns on Brazilian stocks and the rate of inflation.
| Year | Nominal Return (%) | Inflation (%) |
| 2012 | 0.4 | 7.4 |
| 2013 | -17.0 | 7.5 |
| 2014 | -15.0 | 8.0 |
| 2015 | -43.0 | 12.3 |
| 2016 | 67.8 | 7.9 |
| 2017 | 28.5 | 4.5 |
a. What was the standard deviation of the market returns? (Use decimals, not percents, in your calculations. Do not round intermediate calculations. Enter your answer as a percent rounded to 2 decimal places.)
b. Calculate the average real return. (A negative answer should be indicated by a minus sign. Do not round intermediate calculations. Enter your answer as a percent rounded to 2 decimal places)
In: Economics
Julie is 45 year old mother and lives on a cropping farm, run as
a family business, with her husband and his brother. Julie has
three children same, aged 14; Katie, aged 12 and James aged 8.The
two older children attend boarding school and return home for
holidays. James is at home and attends the local primary school 50
km away.
Both Julie's boys have type 1 diabetes that she manages.
Julie has lived with her diabetes for 37 years and has many
comorbidities due her both her diabetes and celiac disease. which
she developed as a teenager. Julie has stage 3 chronic kidney
disease, poor eyesight and osteoporosis. She is currently tryinģ to
give up smoking after having smoked since of 16.
Julie currently sees her endocrinologist in large metropolitan
hospital every three-month at outpatient clinic. It take her five
hours to drive by car to the appointment in the city a journey that
she takes with her husband. Her nephrologist is based at the
regional hospital about 2 hours drive from home.Julie engages with
a diabetes educator via phone and face to face monthly . The local
hospital is 50 km away and is small, rural hospital. with a locum
doctor and regular nursing staff, who cover the acute inpatient
ward, and community registered nurse. She attends a community
chronic diseases self management program at the local church hall
run by the community registered nurse once a week in town and does
her weekly groceries. Julie has expressed to the diabetes educator
that she need more assistance with managing her own condition. She
is concerned that her son who have type 1 diabetes, may end up with
the same comorbidities as her because she has an autoimmune chronic
condition
1. consider the health care teams and services involved in Julie`s care, how would you as nurse caring for Julie engage the health care team to provide collaborative support to Julie to self manage her multiple chronic conditions.
2. Justify your chosen health care professional, relate the discussion direct to the patient.
3. Demonstrate your understanding of why collaborative care is important
In: Nursing
f country A grows at 5% per year for 30 years, the percent increase will be _______%.
Select one:
A. 330.2
B. 332.2
C. 334.2
D. 336.2
In: Economics
If in 2008 China’s real GDP is growing at 9 percent a year, its population is growing at 1 percent a year, and these growth rates continue, in what year will China’s real GDP per person be twice what it is in 2008?
In: Economics
In April of this year the federal government started to provide $600 per week in extra unemployment insurance payments to people. Show graphically and explain how this affects the labor market and the unemployment rate assuming that wages stay constant.
In: Economics