Kristen, who was active in competitive sports throughout high school, has decided to run a marathon with some of her college friends. She has started training and monitors her miles, time, and calories using a wrist band and training app. She is 25 years old, 5 ft, 8 in. tall, and weighs 135 lb. She eats all sorts of foods, likes fruits and vegetables, but tries to avoid greasy foods. She says coffee is her downfall—she drinks 4–6 cups a day. She doesn't like sweets, although she keeps ice cream in her freezer. A family history notes that her mother needed angioplasty to treat occluded arteries shortly after menopause and that her father is not at risk for any chronic conditions. Although she would eventually like to have children, Kristen is not pregnant now. An analysis of a 24-hour dietary recall shows the following:

2090 cal

352 g carbohydrate (67% of calories)

41 g total fiber

34 mg iron

958 g calcium

690 mcg RAE vitamin A

98 g protein (19% of calories)

33 g fat (14% of calories) (7 g saturated fat, 1 g trans fat, 1.5 g omega-3 fatty acid, 99 mg cholesterol)

3343 mg sodium

158 mg vitamin C

5.0 mcg vitamin D

8.7 mg TE vitamin E

586 mcg DFE folic acid

283 mg choline

1. How many calories does Kristen need to maintain her weight?

2. Is she eating enough to support daily workouts?

3. Describe three health-promoting aspects of Kristen's diet?

4. Make three suggestions that could improve Kristen's diet.

Mrs. Walker is an 87 year old widow recently discharged from the hospital following an incident of high blood glucose related to a chronic diagnosis of Type 2 Diabetes. She has returned for a follow up visit with her physician who asked you to join him/her during the examination as part of the health care team. Mrs. Walker lives alone and has a daughter who lives 30 miles away and visits once or twice a week. She no longer drives but does have a church family to help her attend religious events weekly. She tells the health care team that she has been “a little dizzy sometimes” but did read the pamphlet about how to manage her diabetes after she was discharged from the hospital 4 days ago and thinks she is doing “ok”. She brought her medications with her and it was noted during medication reconciliation that she has not taken her blood pressure medication since she was discharged from the hospital. When asked about her medications she answered that she was “not sure if that was the blue one or the big white one”. Her insulin pen is also full although she states that she is injecting herself “at least 4 times a day”.

Answer the following questions fully:

1. What are the health literacy issues present in this case study? Explain each fully.
2. What is the impact of poor communication on Mrs. Walker’s situation? How could this have been prevented?
3. How could communication be improved to result in better outcomes?
4. What open-ended questions would be valuable to obtain accurate information?
5. What technique would assure you that Mrs. Walker was able to test her blood glucose and administer her insulin correctly?
6. What alternate methods of communication would be helpful?
7. Address each of the parts of health literacy outlined on the Lecture 4 presentation as they relate to Mrs. Walker.

Total cost of ownership for a personal vehicle

Compare the total cost of ownership for the purchase of two personal vehicles of your choice (use two that are currently for sale!). One vehicle should be a new car, while the second should be a used car that would serve as a reasonable substitute for the new car (i.e. don’t compare a Civic and Tahoe… you don’t have to compare the same exact vehicle model, but make sure they are in the same ‘class’).

What costs should you include?Maintenance/repairs, motor vehicle taxes, insurance, fuel… plus anything else you believe is relevant. This is going to require extra research, including things such as miles per gallon calculations, typical maintenance/repair needs, average insurance costs, and local motor vehicle tax information.

Also consider how long you expect your ownership period to be… will you drive the vehicles until they fall apart? Or will you trade it in after several years? Regardless of which you choose, you should estimate a salvage value at the end of your ownership period (again, this salvage value estimate will require some research into expected resale values).

1. Provide a description of vehicle #1, a new car. Calculate its total cost of ownership, being as detailed as possible in your costs.

Calculate the Net Present Value of this series of cash flows using a discount rate of 4%.

Calculate the Net Present Value of this series of cash flows using a discount rate of 7%.

Stan, a CPA, contributed the following items:

            1.   Clothing to Goodwill Industries (Cost - $600; FMV on date of contribution - $100)

            2.   Mileage driven on Red Cross Pledge Drive - 200 miles

            3.   100 hours donated to Red Cross as local chapter Treasurer (his professional hourly rate is $200/hour)

      If Stan's AGI is $100,000, his current year charitable contribution itemized deduction is:

      a.   $100.

      b.   $128.

      c.   $628.

      d.   $20,128.

      e.   none of the above.

2.   Sue contributed the following items:

            1.   Cash paid to Central Michigan University - $2,500

            2.   Cost of ticket to attend American Cancer Society Benefit Dinner (Cost, $50; FMV of dinner received, $20)

            3.   Cash paid to a family in Michigan whose home was destroyed by fire - $100

      If Sue’s AGI is $130,000, her current year charitable contribution itemized deduction is:

      a.   $2,650.

      b.   $2,550.

      c.   $2,530.

      d.   $2,500.

      e.   none of the above.

3.   Kathy contributed the following items:

            1.   Cash paid to Haitian charity to help homeless Haitian children - $500

            2.   Cash paid to National Democratic Party - $50

            3.   Cash paid to First Church - $28,000

      If Kathy's current year AGI is $40,000, her charitable contribution carryforward to next year is:

      a.   $0.

      b.   $4,000.

      c.   $4,500.

      d.   $4,550.

      e.   none of the above.

4.   Calvin, a sole proprietor, made the following contributions to qualified charities:

                                        Donee                            Item                       Cost                   FMV
                      Hobbs Medical Center            IBM stock              $ 5,000              $ 25,000

                                   (held 3 years)
                          Homeless Shelter                inventory                  5,000                   8,000

                                 (held 3 months)                       
                              United Way                        cash                     2,000                   2,000

      (Note: a sole proprietor deducts all allowable charitable contributions as an itemized deduction.) If Calvin’s AGI             is $70,000, his charitable contribution itemized deduction is:

      a.   $35,000.

      b.   $32,000.

      c.   $31,000.

      d.   $28,000.

      e.   none of the above.

Variable Costing Income Statement for a Service Company

East Coast Railroad Company transports commodities among three routes (city-pairs): Atlanta/Baltimore, Baltimore/Pittsburgh, and Pittsburgh/Atlanta. Significant costs, their cost behavior, and activity rates for April are as follows:

Operating statistics from the management information system reveal the following for April:

a. Prepare a contribution margin by route report for East Coast Railroad Company for the month of April. Calculate the contribution margin ratio, rounded to one decimal place.

b. Evaluate the route performance of the railroad using the report in (a).

The route performs significantly worse than do the other two routes. A close examination of the operating statistics indicates that this route runs railcars, combined with fairly total mileage. This combination suggests that the railroad is running many trains on the railroad. That is, the railroad’s profitability is sensitive to the size, or length, of the train in railcar terms.

The Smith family lives in Scranton, PA. Mr. Smith work in a factory producing widgets that are used and bought by automobile manufacturing. His factory job pays and annual salary of $31,000 per year, with overtime when available, he makes up to an additional $8,000.

The mother is a stay at home mother raising five children, ages of 6 months, 2 years, 3 years, 4 years, and 6 years of age.Mr. Smith was recently laid off. Because of the severance that was paid totaling $20,000 and the salary already received throughout the year, the Smith's currently do not qualify for Medical Assistance. The children have been able to receive the CHIP program.

The ABC cancer foundation has been engaging in a mass breast cancer awareness campaign indicating the need for women to get checks, risks, and benefits. As part of the project, the ABC cancer foundation has been offering free breast cancer (mammograms) for women with limited or no insurance. Mrs. Smith decides to participate in the program. As a result of the exam, a tumor is found. Labs were taken and the tumor came back malignant. XYZ Hospital is a non-profit hospital in the region. It is only hospital in the region.

closest hospital to XYZ is 50 miles away. Over the past five years, XYZ hospital has been experiencing significant declines in cash flow, layoffs, and operating deficiencies.

Days cash on hand is at 5 days. The industry average is 85 days cash on hand. The hospital is in jeopardy of going bankrupt.The Smith family presented in the emergency room with the lab results indicating a malignant tumor. XYZ hospital staff knows that if a surgical procedure was scheduled, additional staff, medical supplies, and resources would be needed.

What does the hospital administration do? In your reflection, place yourself in both the family role and also as the CFO. (Reference the Ignatian and Jesuit articles in the resource section as well as you own values and perspective on hospital survival). What implications to the community, the family, the hospital, etc.?

Waterbury Insurance Company wants to study the relationship between the amount of fire damage and the distance between the burning house and the nearest fire station. This information will be used in setting rates for insurance coverage. For a sample of 30 claims for the last year, the director of the actuarial department determined the distance from the fire station (x) and the amount of fire damage, in thousands of dollars (y). The MegaStat output is reported below.

a-1. Write out the regression equation. (Round your answers to 3 decimal places.)

a-2. Is there a direct or indirect relationship between the distance from the fire station and the amount of fire damage?

2. How much damage would you estimate for a fire 9 miles from the nearest fire station? (Round your answer to the nearest dollar amount.)

c-1. Determine and interpret the coefficient of determination. (Round your answer to 3 decimal places.)

c-2. Fill in the blank below. (Round your answer to one decimal place.)

____% of the variation in damage is explained by variation in distance.

d-1. Determine the correlation coefficient. (Round your answer to 3 decimal places.)

d-3. How did you determine the sign of the correlation coefficient?

e-1. State the decision rule for 0.01 significance level: H₀ : ρ = 0; H₁ : ρ ≠ 0. (Negative value should be indicated by a minus sign. Round your answers to 3 decimal places.)

e-2. Compute the value of the test statistic. (Round your answer to 2 decimal places.)

e-3. Is there any significant relationship between the distance from the fire station and the amount of damage? Use the 0.01 significance level.

You are a real estate developer and are trying to determine the EMV of your net commission from a sales call to a potential purchaser.

Assume that your transportation cost is $1.45 per mile

Assume that the sales call is 70 miles round trip

Assume that your transportation time is 2.25 minutes per mile

Assume that the value of your time for transportation is $55.00 per hour

Assume that it will take 3 hours to meet with the potential purchaser

Assume that the value of your time for the customer meeting is $150.00 per hour

Assume that you will have a 19% chance of a successful sales call (sales call #1)

If sales call #1 is successful,

you will sell a house valued at $275,000 with likelihood = 55%

you will sell a house valued at $300,000 with likelihood = 35%

you will sell a house valued at $425,000 with likelihood = 10%

Assume that your commission will be 2.5% of the value of the house if sales call #1 is successful.

a) What is the expected cost (time and transportation) of sales call #1?

b) Without assuming that the sales call will be successful (that is, it may or may not be a success), what is the expected gross commission of sales call #1 (do not net out the expected costs)?

Suppose you have a second possible sales call (sales call #2). Assume that the expected cost remains the same and that the commission rate remains 2.5%, but that the following information is the different information for sales call #2.

Assume that you will have a 12% chance of a successful sales call (sales call #2) If sales call #2 is successful,

you will sell a house valued at $285,000 with likelihood = 45%

you will sell a house valued at $320,000 with likelihood = 25%

you will sell a house valued at $355,000 with likelihood = 30%

c) Assuming that your sales call is successful, look at the worst possible outcome for each decision and choose the decision that has the best (or least bad) of these.

This file is from a statistics textbook and

provides information on over 100 recently sold homes in a town in Arizona (fictional). The variables that

are included are:

Price: Sales prices in thousands of dollars

Bedrooms: Number of bedrooms

Baths: Number of bathrooms

Size: Size of the house measured in square feet

Pool: Variable is 0 if no pool, and 1 if there is a pool

Garage: Variable is 0 if no garage, and 1 if there is a garage

Distance: This is the number of miles that the house is from city center

Township: There are five townships in the town. This identifies the township the house is in

Part 1: Identify whether each variable is qualitative or quantitative. Then identify whether each

variable is nominal, ordinal, interval, or ratio.

Part 2: Use statistical techniques to provide a summary of the homes in this town. This can include

summary statistics and/or graphs. Think about what type of information is contained in each variable

(part 1) before you select summary techniques.

Part 3: Choose two townships and compare some aspects of the homes in each township. Please

consider both qualitative and quantitative characteristics. If a variable is quantitative please consider

measures of center and measures of dispersion when possible.

Liam is a 17-year-old male who is being seen by his family physician for his annual physical examination. Liam’s sexual maturation rating is estimated to be 3. He weighs 114 lbs and stands 5’6” tall.

When he was 16 y.o., his height was 5’5” and weight was 106 lbs.  

At 15 y.o., Liam was 5’3” tall and weighed 98lbs.  

During the visit, Liam reports that he has been experimenting with a vegan diet since his visit last year. He explains that he thinks it is a healthier way to eat and states that he avoids milk, beef, and pork eats poultry or fish once every two weeks and eats cheese 3-4x/wk. Breakfast is usually cold cereal with almond milk because he heard that was a healthy milk alternative. He likes pasta, pizza, and salad, which he eats almost every day.  

For exercise, he runs 3 miles 2x/wk, plays basketball with friends after school 3x/wk for an hour, and lifts weights in his garage for 45 min 5x/wk.  

He says he would like to gain muscle and grow taller.  

3. What clarifying questions would you like to ask Liam about his current behaviors? List 3.

4. If there is protein a concern in Liam’s diet, why? Estimate his RDA and use evidence to support your position.

5. Given Liam’s diet and exercise patterns, which dietary components may he be deficient in? For each dietary component, list possible food sources that are appropriate for his current eating pattern.

6. There are both health benefits and costs of eating mostly plants. How might his current way of eating affect Liam’s growth and maturation?

7. Is it necessary to assess Liam for the presence of an eating disorder? Provide support for your answer.