The patient was a 5-year old male who awoke on the day prior to evaluation with a sore throat and fever. His mother treated him symptomatically with Tylenol, and he stayed home. That night, he slept well, but the next day he awoke still complaining of sore throat and fever, as well as headache and abdominal pain. On physical examination, he had a fever, and his anterior pharynx and tonsils were red. His anterior cervical lymph nodes at the angle of the mandible were enlarged and tender. No skin lesions or rashes were seen. He did not have a cough, runny nose, or conjunctivitis. A rapid antigen test for Group A streptococci (GAS) was taken, and the results were positive. As a result, the clinician prescribed a 10-day course of oral amoxicillin.
Based on his clinical presentation, what organism was most likely causing this patient’s infection? Explain what bacterial virulence factors are important for the development of the sore throat.
Sore throat associated with a macupapular rash is frequently seen with this organism. What is this condition called? What virulence factors are responsible for this rash?
Was antimicrobial therapy necessary in this patient? Explain.
This patient is a risk for noninfectious sequelae. What are they? Describe our current understanding of the pathogenesis of these nonsuppurative sequelae. What bacterial virulence factors are important for the development of these diseases?
In: Nursing
(a) If management requires projects to have a 3-year payback, would it accept either of the following two independent projects? Please explain thoroughly the calculations of payback period, by showing precise years of payback. Please show formulas in your calculations. Please do not use excel.
(b) What is the NPV of project B assuming the discount rate is 14%. Please explain thoroughly your calculations. Please show formulas. Please do not use excel.
(c) Sketch the NPV profile for project B. Also indicate the point when the discount rate is 37.01%. Please show thoroughly your calculations. Please explain how to draft a sketch in excel.
| Year | Cash flow (A) | Cash flow (B) |
| 0 | -55,000 | -95,000 |
| 1 | 19,000 | 18,000 |
| 2 | 19,000 | 18,000 |
| 3 | 19,000 | 18,000 |
| 4 | 19,000 | 230,013 |
In: Finance
It’s the year 1995 and John Smith is staying overnight at a
hotel before an important meeting the next morning. He asked the
customer service desk to give him a 7 am wake-up call. The
probability that he gets the call is 0.9. If he gets the call, the
probability that he will arrive for the meeting on time is 0.9. If
the call is not given, the probability that he will be on time for
the meeting is 0.4.
a) Calculate the probability that John Smith will not arrive on
time for the meeting.
b) If John Smith is on time for the meeting, what is the
probability that the wake-up call was not made?
In: Statistics and Probability
I invested $15,000 at the end of each year for 20 years, earning an average of 8% per year, then $20,000 at the end of each year for the next 20 years earning an average of 4 percent per year. I then contacted Annuity Corp. which offers annuities to retirees. If I receive an annual interest rate of 2.5%, how much could I receive at the end of each of the following 20 years if I invested my retirement savings?
In: Finance
On the last day of the fiscal year, a co-worker asks you to cut a check for $2,000 as a miscellaneous expense for supplies in order to complete a project for a VIP customer today. You notice the invoice looks a little different from other invoices that are usually processed. You know that by preparing the closing entries tomorrow, the miscellaneous expense will be set to zero for the beginning of the year.
In: Accounting
In a survey of 2009 adults in a recent year, 705 made a New Year's resolution to eat healthier. Construct 90% and 95% confidence intervals for the population proportion. Interpret the results and compare the widths of the confidence intervals.
1) The 90% confidence interval for the population proportion p is (_,_) (Round to three decimal places as needed.)
2) The 95% confidence interval for the population proportion p is (_,_) (Round to three decimal places as needed.)
3) With the given confidence, it can be said that the _____ of adults who say they have made a New Year's resolution is _____ of the given confidence interval.
4) Compare the widths of the confidence intervals. Choose the correct answer below. A) The 90% confidence interval is wider B) The 95% confidence interval is wider. C) The confidence intervals are the same width. D) The confidence intervals cannot be compared.
In: Statistics and Probability
An apartment building has the following investment characteristics:
Year 1 NOI $2,500,000
Year 2 NOI $2,600,000
Year 3 NOI $2,704,000
Year 4 NOI $2,812,000
You plan to purchase the asset at a 5% initial cap rate and to sell it 3 years later, also at a 5% cap rate. You plan to use a loan at 60% LTV to purchase the asset. The loan will be interest only (no amortization) at a 4% annual interest rate. Answer the following:
What is the purchase price?
What is your initial equity investment?
What are the annual mortgage payments?
What is the loan balance at the end of year 3?
What is your expected equity (levered) IRR?
In: Finance
The net income reported on the income statement for the current year was $210,000. Depreciation recorded on equipment and a building amount to $62,500 for the year. Balances of the current asset and current liabilities accounts at the beginning and end of the year are as follows:
| End of Year | Beginning of Year | |
| Cash |
$ 56,000 |
$ 59,500 |
| Accounts receivable (net) |
71,000 |
73,400 |
| Inventories |
140,000 |
126,500 |
| Prepaid expenses |
7,800 |
8,400 |
| Accounts payable (merchandise creditors) |
62,600 |
66,400 |
| Salaries payable |
9,000 |
8,250 |
| (a) | Prepare the cash flows from operating activities section of the statement of cash flows, using the indirect method. |
| (b) | If the direct method had been used, would the net cash flow from operating activities have been the same? Explain. |
In: Accounting
It is a very dry year in New Mexico. Described two adaptations and two acclimatization's that plants have for dealing with drought (4 points).
Adaptation 1:
Adaptation 2:
Acclimatization 1:
Acclimatization 2:
Explain the two-fold cost of stomatal closure for water conservation during drought (2 points).
18) In your own words, explain the difference between the fundamental niche and the realized niche (2 points). Provide an example (can be real or hypothetical, can be plant or animal) of when the fundamental and realized niches of a species would differ. (2 points)
In: Biology
Betty and Bob a 2-year coupon bond with a face and maturity value of $1,000 and a coupon rate of 8% per annum payable semiannually and a yield to maturity of 10% per annum compounded semiannually.
A. Algebraically find the price of the bond. Your final answer
should be correct to 2 places after the decimal point.
The price of the portfolio is __________________.
B. Algebraically find the exact Macaulay Duration of the
portfolio. Your final answer should be correct to 2 places after
the decimal point and expressed in years.
The Macaulay Duration is ______________ years.
In: Finance