Maria’s Bakery was established in 1950 when Jerry and Maria arrived from a northern province of Italy and made their home in Brighton, Massachusetts. Bakers by trade in the “old country”, their goal was to establish a bakery.
Brighton is a city located some five miles west of Boston which became a destination for many immigrant Italian families in the 1950s. With an already established target market for Jerry and Maria, it was not difficult to develop a clientele for the breads and pastries that were a part of the Italian lifestyle. The bakery made its debut in the small kitchen of a row house that became the first home of the young immigrant couple.
The couple started a family early on and brought into the world two sons, Bruno and Paulo, who would both be raised in the midst of the family business. In the 1960s the business finally moved out of the cluttered row home into retail space in the center of town. The business was established and opened under the name of Maria’s Italian Bakery.
By the 1990s, Jerry and Maria were getting ready for retirement. The business had stopped growing many years ago and they were ready to hopefully pass it on to their two sons. Both boys had attended college and moved on to their own careers, but were interested in taking over the family business.
At this point in time, the demographics of Brighton had changed dramatically. The Italian population, which at one time was the majority ethnic group, had dwindled significantly. Brighton, just as it had in the 1950s, now became a haven for many other ethnic groups such as Indians, Pakistanis, and Hispanics. The large Italian population, tired of the cramped city landscape, had moved to the suburbs.
Bruno and Paulo, using the education that their parents worked so hard to give them, recognized the shift in demographics and recommended to their parents that the bakery name be changed to Maria’s Bakery. This, in their estimation, would open the door to carry other bakery products to meet the needs of the demographics now dominate in the Newton market.
Jerry and Maria were very upset at this recommendation, but realized that they worked hard for their children’s education and should listen to their proposal. They agreed and asked the boys to enlist the services of a marketing research consultant to back up their claims.
You have been hired as that consultant and your job is to establish a plan to gather enough data to support a name and product assortment change. Because this is a fictitious scenario, you will not be expected to collect primary data. This is a proposal explaining how you intend to make your final recommendations to the owners.
Your report must include the following:
Define the problem, and then Explain the research objectives.

Group 4:          

Course Project Case Study: Mr. Lopez is an 85 year-old Hispanic man who was admitted to the hospital with complaints of fatigue, decreased appetite, and a 25 pound weight loss over the past six months. He also reports change in his short term memory. He used to be active with his local retired friends and walked 1.5 miles a day but now spends most of his time in his recliner watching television. He has a medical history of coronary artery disease and hypertension.

Orders include:

Regular diet, calorie count

Ensure shakes TID daily

Ambulate TID daily, stand by assist

Daily weights

Warfarin 2 mg PO daily

Digoxin 125 mcg PO daily

Atorvastatin 20 mg PO daily

Escitalopram 10 mg PO daily

Metoprolol 50 mg PO BID

Do not resuscitate

1. Medical history- Describe the pathophysiology of the medical diagnoses of your assigned patient. Include the admitting diagnosis as number one and then four other medical diagnoses (for a total of 5). The admitting diagnosis is reason for being in the facility. If post-surgical, include surgery and reason for surgery. The secondary diagnoses include a history of pre-existing medical diagnoses). You need to include 4 secondary diagnoses. If your patient does not have a total of five medical diagnoses put N/A - you must note that in your paper or you will lose points. For each diagnosis, provide at least a 5 sentence explanation of the pathophysiology of the condition/problem. MAKE SURE YOU CITE YOUR SOURCES.   

2. Nursing Care Plan- 4 nursing diagnoses, one short-term and one long-term goal PER NURSING DIAGNOSIS, and three interventions PER NURSING DIAGNOSIS (not per goal, unless you want to). Prioritize per Maslow with an explanation and an expected evaluation. Make sure to include a teaching plan in your care plan.  Upload the table below into your paper. Include the following in your paper: Which of your nursing diagnoses are priority using Maslow’s Hierarchy of Needs? If you were to implement this plan of care, would you expect any of your short-term expected outcomes met during your shift? Explain. How might you revise your care plan next time to achieve at least one outcome during your shift?

A company with a large fleet of cars hopes to keep gasoline costs down and sets a goal of attaining a fleet average of at least

2424

miles per gallon. To see if the goal is being​ met, they check the gasoline usage for

5050

company trips chosen at​ random, finding a mean of

22.0522.05

mpg and a standard deviation of

5.555.55

mpg. Is this strong evidence they have failed to attain their fuel economy​ goal? Complete parts a through e below.

​a) Write appropriate hypotheses.

Which hypotheses below will test if the company failed to attain their​ goal?

A.

Upper H 0H0​:

muμequals=2424

Upper H Subscript Upper AHA​:

muμnot equals≠2424

B.

Upper H 0H0​:

muμless than<2424

Upper H Subscript Upper AHA​:

muμequals=2424

C.

Upper H 0H0​:

muμgreater than>2424

Upper H Subscript Upper AHA​:

muμequals=2424

D.

Upper H 0H0​:

muμnot equals≠2424

Upper H Subscript Upper AHA​:

muμequals=2424

E.

Upper H 0H0​:

muμequals=2424

Upper H Subscript Upper AHA​:

muμgreater than>2424

F.

Upper H 0H0​:

muμequals=2424

Upper H Subscript Upper AHA​:

muμless than<2424

​b) Are the necessary assumptions to perform inference​ satisfied?

A.

​No, the nearly normal condition is not satisfied.

B.

​No, the randomization condition is not satisfied.

C.

​No, the​ 10% condition is not satisfied.

D.

​Yes, all the necessary assumptions are satisfied or can be assumed to be satisfied.

​c) Test the hypothesis and find the​ P-value.

The​ P-value is

nothing.

​(Round to three decimal places as​ needed.)

​d) Explain what the​ P-value means in this context.

Choose the correct answer below.

A.The​ P-value is the probability of obtaining a sample mean of

22.0522.05

mpg or more if the mean mileage of the fleet is

2424

mpg.

B.The​ P-value is the probability that the mean mileage of the fleet is greater than or equal to the proposed mean of

2424

mpg.

C.The​ P-value is the probability that the mean mileage of the fleet is

22.0522.05

mpg rather than the proposed mean of

2424

mpg.

D.The​ P-value is the probability of obtaining a sample mean of

22.0522.05

mpg or less if the mean mileage of the fleet is

2424

mpg.

​e) State an appropriate conclusion.

Since the​ P-value is

▼

less

greater

than any reasonable level of​ significance, the data

▼

provide

fail to provide

sufficient evidence to reject the null hypothesis.

Regression Analysis/Need R code/Step By Step Explanation/No Hand Written Regression:

A) Provide a 95% Confidence interval for each of the estimated parameters B ) Use Hypothesis Testing to test the significance of Regression and Residual Analysis C) Perform Lack of fit test Apply corresponding transformation to correct model inadequacies if any. D) Perform Multicollinearity and Validate your model Accordingly. We seek a model of the form # # B = A0 * X0 + A1 * X1 + A2 * X2 + A3 * X3 + A4 * X4

Dataset is in format that can be used and run in R Studio directly:

 a0, 1; a1, the petrol tax; a2, the per capita income;a3, the number of miles of paved highway;a4, the proportion of drivers; b,  the consumption of petrol.

b <- c(541, 524,561, 414,410,457,344, 467, 464, 498, 580, 471, 525, 508, 566,635,603,714,865,640,649
,540, 464, 547, 460, 566, 577, 631, 574, 534, 571, 554, 577, 628, 487, 644, 640, 704, 648, 968
, 587, 699, 632, 591, 782, 510,610, 524)

a4 <- c(0.525, 0.572, 0.580, 0.529, 0.544, 0.571, 0.451, 0.553, 0.529, 0.552, 0.530, 0.525,
0.574,0.545,0.608,0.586,0.572,0.540,0.724,0.677,0.663,0.602,0.511,0.517,0.551,0.544, 0.548,
0.579, 0.563, 0.493, 0.518, 0.513, 0.578, 0.547, 0.487, 0.629, 0.566, 0.586, 0.663, 0.672
,0.626,0.563,0.603,0.508,0.672,0.571,0.623, 0.593)

a3<- c(1976,1250, 1586, 2351, 431, 1333, 11868, 2138, 8577, 8507, 5939, 14186, 6930, 6580,8159,
10340, 8508, 4725, 5915, 6010,7834,602, 2449, 4686,2619, 4746, 5399,9061,5975, 4650, 6905,
6594,6524,4121,3495, 7834, 17782, 6385, 3274, 3905,4639, 3985, 3635, 2611, 2302, 3942, 4083
, 9794)

a2 <- c(3571, 4092, 3865, 4870, 4399, 5342, 5319, 5126, 4447, 4512, 4391, 5126, 4817, 4207, 4332, 4318,
4206, 3718, 4716, 4341, 4593, 4983, 4897, 4258, 4574, 3721, 3448, 3846, 4188, 3601, 3640, 3333,
3063,3357,3528,3802,4045, 3897, 3635, 4345, 4449, 3656, 4300, 3745, 5215, 4476, 4296 ,5002)

a1 <- c(9.00, 9.00, 9.00, 7.50, 8.00, 10.00, 8.00, 8.00, 8.00, 7.00, 8.00, 7.50, 7.00, 7.00, 7.00, 7.00,
7.00, 7.00, 7.00, 8.50, 7.00, 8.00, 9.00, 9.00, 8.50, 9.00, 8.00, 7.50, 8.00, 9.00, 7.00,
7.00, 8.00, 7.50, 8.00, 6.58, 5.00, 7.00, 8.50, 7.00, 7.00, 7.00, 7.00, 7.00, 6.00, 9.00, 7.00
, 7.00)

Case study

Last month you were hired with the title Health Informatics Specialist at an independent community care hospital with 350 beds. The hospital includes a comprehensive outpatient clinic, a rehabilitation center with both inpatient and outpatient services, a cardiac care center, and an emergency room. In addition, four family health centers are located throughout the community. More than 930 primary care and specialty physicians are associated with the hospital, which has a staff of just over 2000 employees. The hospital has an EHR in place. The hospital has a working relationship with a major academic medical center located 23 miles away. Acute care patients who need more extensive treatment are usually transferred to the medical center. These are often emergency situations, and data are freely shared among the institutions with the best interests of the patient in mind. Located directly beside the hospital is a 194-bed skilled nursing home. While the nursing home has its own medical staff consisting of a physician and two nurse practitioners, patients needing consults or additional care are usually seen at the hospital with follow-up at physicians’ offices. While the nursing home, most of the physicians’ offices, and the hospital are independent institutions, there is a long history of sharing health-related data when treating patients who live at the nursing home and are seen at the hospital or in the physicians’ offices. This coordination is seen as a general benefit for a number of patients. It appears that most patients have signed a form giving the hospital permission to send information to the nursing home. However, these forms have been stored in individual offices, so it is difficult to determine who has signed what forms and what permission has or has not been given to share information among the nursing home, hospital, and independent medical practices.

Discussion Questions

1. What additional information is needed to clarify what problems may exist and what changes may be needed in terms of data that are shared among the institutions?

2. Can the EHR system and/or e-mail be used to share data among these different institutions more effectively and securely? If yes, how would this be done? For example, what agreements, policies, and procedures might need to be developed?

3. In your position as Health Informatics Specialist, how would you go about determining whether there are other potential security issues that now need to be managed by the hospital?

4. From your reading in chapter 25, name two federal agencies and describe their role in the regulatory oversight of Health IT.

5. What are three major issues with mHealth applications and wearable devices?

Warner and Augustine Robins, both 33 years old, have been married for 9 years and have no dependents.

Warner is the president of Dragon Lady Corporation located in Macon. The Dragon Lady stock is owned 40 percent by Warner, 40 percent by Augustine, and 20 percent by Warner’s father.

Warner and Augustine received the following tax documents:
1) W-2 Form
2) Form 1099-INT
3) Form 1098
4) Letter from Macon Museum of Arts regarding their charitable contribution.
These items are located on separate tabs.

The Robins paid the following amounts (all can be substantiated):

The tax basis for the donated painting is $25,000 and the painting has been owned by Warner and Augustine for 5 years.

Dragon Lady does not cover health insurance for its employees. In addition to Warner and Augustine's health insurance premiums shown above, Augustine required surgery which cost $6,720 for which only $3,100 was covered by insurance. Warner had to drive Augustine 300 miles each way to a surgical center.

On January 1, 2018, Warner sold land to Dragon Lady Corporation for $75,000. He acquired the land 5 years ago for $160,000. No Form 1099-B was filed for this transaction.

Dragon Lady Corporation does not have a qualified pension plan or Section 401(k) plan for its employees. Therefore, Warner deposited $11,000 ($5,500 each) into traditional IRA accounts for Augustine and himself (neither are covered by a qualified plan at work).

Required:
Complete Warner and Augustine's Form 1040 and Schedules 1, A, and D and Form 8949. Do not complete Form 8283, which is used when large noncash donations are made to charity.

• Make realistic assumptions about any missing data.
• The taxpayers did not have health insurance coverage for the entire year and they do not want to make a contribution to the presidential election campaign.
• Enter all amounts as positive numbers, unless instructed otherwise.
• If an amount box does not require an entry or the answer is zero, enter "0".
• If required round any dollar amount to the nearest dollar.

including the calculation of the any alternative taxes

How should we decide what industries to protect?

In the 1970s, we protected the car industry from foreign competition. We also heavily protect our farm industry. However, we did NOT protect steel or microchips, and many other industries that must compete globally. Please answer the following questions.

When the first Japanese cars arrived on the West Coast in the 1970s, no one saw them as a threat to U.S. jobs. Although they were cheaper and more fuel-efficient than U.S.-made cars, most Americans could not be bothered; with gasoline at 30 cents a gallon, the difference in cost between a car that got 30 miles per gallon and one that got 10 was not very great, even for someone who drove a lot. But all this changed with the Arab oil embargo of 1973. As gas prices climbed, Americans took another look at small foreign cars. With expensive U.S. labor and outmoded facilities on one side, and Japanese efficiency and management techniques on the other, Japan seemed to be winning the war in the showroom. While imports may create as many jobs as they consume in the long run, in the short run many smokestack industry workers can be left permanently unemployed or underemployed.

Worried U.S. workers wanted protection, and they found a strong advocate in Representative John Dingell, one of the leaders of an emerging protectionist movement in Congress. Dingell spoke with President Reagan and Trade Representative William Brock and warned that if voluntary restrictions on Japanese auto imports weren't adopted, Congress would impose mandatory ones. Faced with this choice, the Japanese agreed in negotiations to voluntary restrictions. The restrictions worked. As the number of Japanese auto imports dropped between 1981 and 1982, domestic auto industry employment rose. But the cost of saving hundreds of thousands of U.S. jobs was restricted choice and higher prices for hundreds of millions of U.S. consumers. Hefty dealer markups were imposed on the scarcer but still-popular imports, and as sticker prices rose on Toyotas and Datsuns, General Motors, Ford, and Chrysler found that they could raise prices too.

The combined price paid by consumers for trade restrictions is very high; it has been estimated that each job protected from foreign competition with quotas or tariffs costs consumers about $160,000 in higher prices-more than enough to support the holder of that job. While trade restrictions may save jobs in the short run, they lock inefficiencies into the U.S. economy and merely delay needed efforts to divert people and assets into areas of the economy in which the United States has a competitive advantage-and which therefore offer long-term employment and profit possibilities.

Should all industries have to compete globally?

This is a read only assignment for you to review before posting your discussion in unit 4.

When the first Japanese cars arrived on the West Coast in the 1970s, no one saw them as a threat to U.S. jobs. Although they were cheaper and more fuel-efficient than U.S.-made cars, most Americans could not be bothered; with gasoline at 30 cents a gallon, the difference in cost between a car that got 30 miles per gallon and one that got 10 was not very great, even for someone who drove a lot. But all this changed with the Arab oil embargo of 1973. As gas prices climbed, Americans took another look at small foreign cars. With expensive U.S. labor and outmoded facilities on one side, and Japanese efficiency and management techniques on the other, Japan seemed to be winning the war in the showroom. While imports may create as many jobs as they consume in the long run, in the short run many smokestack industry workers can be left permanently unemployed or underemployed.

Worried U.S. workers wanted protection, and they found a strong advocate in Representative John Dingell, one of the leaders of an emerging protectionist movement in Congress. Dingell spoke with President Reagan and Trade Representative William Brock and warned that if voluntary restrictions on Japanese auto imports weren't adopted, Congress would impose mandatory ones. Faced with this choice, the Japanese agreed in negotiations to voluntary restrictions. The restrictions worked. As the number of Japanese auto imports dropped between 1981 and 1982, domestic auto industry employment rose. But the cost of saving hundreds of thousands of U.S. jobs was restricted choice and higher prices for hundreds of millions of U.S. consumers. Hefty dealer markups were imposed on the scarcer but still-popular imports, and as sticker prices rose on Toyotas and Datsuns, General Motors, Ford, and Chrysler found that they could raise prices too.

The combined price paid by consumers for trade restrictions is very high; it has been estimated that each job protected from foreign competition with quotas or tariffs costs consumers about $160,000 in higher prices-more than enough to support the holder of that job. While trade restrictions may save jobs in the short run, they lock inefficiencies into the U.S. economy and merely delay needed efforts to divert people and assets into areas of the economy in which the United States has a competitive advantage-and which therefore offer long-term employment and profit possibilities.

You are caring for Mr. Jones, who was admitted to the hospital 4 days ago for treatment of injuries sustained in a motor vehicle accident. His diagnoses are fractured right femur, right shoulder dislocation, and closed head injury. Mr. Jones also has chronic hypertension, which has been worsened by his failure to take his medication for several days before the accident and by the stress of the accident.

Mr. Jones is 48 years old, married, and has three children ages 15, 10, and 4. He is the owner of a small, home-based plumbing company. Two other plumbers work for him. His wife does not work outside the home but does some of the office work for his company. The family lives in a small house in a relatively rural area, about 25 miles from the nearest city.

Mrs. Jones is a quiet, shy person who does not drive very much outside of her immediate area. Mr. Jones is the dominant figure, making all major decisions in both the business and the family. The family’s financial situation could be described as “just surviving month to month.” The family belongs to a small Baptist church in their community but are not active because Mr. Jones usually considers himself “on call” every weekend. Mr. Jones is a Native American and has no family in the area. Mrs. Jones is from the area and has one sister and an elderly mother living nearby.

Based on the above information, and the information from Chapter 10 in your text, describe what you think would be the impact of this illness on Mr. Jones and his family with respect to the questions that follow.

1. In his adjustment to illness, what stage do you think Mr. Jones is demonstrating? Give a rationale for your answer.

2. Based on references to Mr. Jones’ cultural background and previous behavior, how do you think Mr. Jones would behave as a patient while in the hospital? Would he be cooperative? Would he tell you if he had pain? Would he refuse treatment? (What internal and external influences might be factors?)

3. What impact would this illness have on Mr. Jones’ anxiety level?

4. What internal, external, and interpersonal stressors might be operative for Mr. Jones? List as many as possible under each category.

5. What stressors might be factors for this family? List as many as possible.

6. What is the potential impact of Mr. Jones’ illness on the family - his children, his wife, his extended family?

7. What could you, as a nurse, do to assist Mr. Jones?

Your friend Bob wants to starts an Italian restaurant and you decide to to invest in it. Bob has full discretion over establishing and managing the business. On January 1, 2010, you gave Bob $150,000 to start the business at the beginning of 2010 in exchange for 10,000 shares and 20,000 common stock, respectively. Bob has agreed to receive a starting salary of $80,000 per year. Bob decided to focus on catering to local corporation, so he rented a space off of 5th avenue on January 1,2010. He purchased equipment for $48,000 and a delivery truck for $60,000. In 2010 you decide to visit the restaurants to meet with Bob and discuss the results of your investment.

Bob: I've focused on selling to companies on credit, so they pay me later. I typically collect money within 30 days of making the sale. This year I sold $1,220,000 of food; as of year-end, I've only collected $1,100,000 of this amount and my customers still owe me the remainder. With the state of the current economy, I am worried about whether I'll be able to collect anywhere from $10,000 to $30,000 of what my customers still owe me. Throughout the year, I've also purchased baking and other supplies for the ship from various vendors . To receive quantity discounts and purchase the supplies for a slightly lower prices, I purchase more at a time. This year I purchased and received $1,010,000 of supplies. My vendors let me buy on credit and then pay them later. Thus I still owe my vendors $50,000. Currently, I have about $20,000 of supplies that I haven't used that are at the shop.

Bob continued:Business has been going well and I've been selling to a variety of places. I've put more miles on the delivery truck than I expected to, so it will only last another, 3 years. I will probably need to replace the equipment after another 2 years. The restaurant is in a great location, which I rent for $2,800 a month. However , to get that low rent, I had to sign a 3 year lease and must pay 3 months of rent at a time. At the end of December, I paid the landlord for rent through March 2011. I've also paid myself the $80,000 salary as we agreed. Currently, I have $60,000 in the bank.  

Based on what you know prepare a balance sheet, income statement and statement of cash flow for Bob.