I.W., aged 62, is a male who is new to your practice. He is reporting shortness of breath on exertion, especially after climbing steps or walking three to four blocks. His symptoms clear with rest. He also has difficulty sleeping at night (he tells you he needs two pillows to be comfortable). He tells you that 2 years ago, he suddenly became short of breath after hurrying for an airplane. He was admitted to a hospital and treated for acute pulmonary edema. Three days before the episode of pulmonary edema, he had an upper respiratory tract infection with fever and mild cough. After the episode of pulmonary edema, his blood pressure has been consistently elevated. His previous physician started him on a sustained-release preparation of diltiazem 180 mg/d. His medical history includes moderate prostatic hypertrophy for 5 years, adult-onset diabetes mellitus for 10 years, hypertension for 10 years, and degenerative joint disease for 5 years. His medication history includes hydrochlorothiazide (HydroDIURIL) 50 mg/d, atenolol (Tenormin) 100 mg/d, controlled-delivery diltiazem 180 mg/d, glyburide (DiaBeta) 5 mg/d, and indomethacin (Indocin) 25 to 50 mg three times a day as needed for pain. While reviewing his medical records, you see that his last physical examination revealed a blood pressure of 160/95 mm Hg, a pulse of 95 bpm, a respiratory rate of 18, normal peripheral pulses, mild edema bilaterally in his feet, a prominent S3 and S4, neck vein distention, and an enlarged liver.

Diagnosis: Heart Failure Class II

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

List specific goals of treatment for I.W. What drug(s) would you prescribe? Why?

What are the parameters for monitoring the success of your selected therapy?

Discuss specific patient education based on the prescribed therapy. Describe one or two drug–drug or drug–food interactions for the selected agent(s).

List one or two adverse reactions for the selected agent(s) that would cause you to change therapy.

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

What over-the-counter or alternative medications would be appropriate for this patient?

What dietary and lifestyle changes should be recommended for I.W.?

I.W., aged 62, is a male who is new to your practice. He is reporting shortness of breath on exertion, especially after climbing steps or walking three to four blocks. His symptoms clear with rest. He also has difficulty sleeping at night (he tells you he needs two pillows to be comfortable). He tells you that 2 years ago, he suddenly became short of breath after hurrying for an airplane. He was admitted to a hospital and treated for acute pulmonary edema. Three days before the episode of pulmonary edema, he had an upper respiratory tract infection with fever and mild cough. After the episode of pulmonary edema, his blood pressure has been consistently elevated. His previous physician started him on a sustained-release preparation of diltiazem 180 mg/d. His medical history includes moderate prostatic hypertrophy for 5 years, adult-onset diabetes mellitus for 10 years, hypertension for 10 years, and degenerative joint disease for 5 years. His medication history includes hydrochlorothiazide (HydroDIURIL) 50 mg/d, atenolol (Tenormin) 100 mg/d, controlled-delivery diltiazem 180 mg/d, glyburide (DiaBeta) 5 mg/d, and indomethacin (Indocin) 25 to 50 mg three times a day as needed for pain. While reviewing his medical records, you see that his last physical examination revealed a blood pressure of 160/95 mm Hg, a pulse of 95 bpm, a respiratory rate of 18, normal peripheral pulses, mild edema bilaterally in his feet, a prominent S3 and S4, neck vein distention, and an enlarged liver.

Diagnosis: Heart Failure Class II

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

List specific goals of treatment for I.W. What drug(s) would you prescribe? Why?

What are the parameters for monitoring the success of your selected therapy?

Discuss specific patient education based on the prescribed therapy.

Describe one or two drug–drug or drug–food interactions for the selected agent(s).

List one or two adverse reactions for the selected agent(s) that would cause you to change therapy.

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

What over-the-counter or alternative medications would be appropriate for this patient?

What dietary and lifestyle changes should be recommended for I.W.?

A professor tests whether the loudness of noise during an exam (low, medium, and high) is independent of grades (pass, fail). The following table shows the observed frequencies for this test.

(a) Conduct a chi-square test for independence at a 0.05 level of significance. (Round your answer to two decimal places.)
=  

Decide whether to retain or reject the null hypothesis.

Retain the null hypothesis.Reject the null hypothesis.     

(b) Compute effect size using Cramer's V. (Round your answer to two decimal places.)
V =

Problem 24-1: Compute gross pay.

Using the information given for Archway Company, compute the employees' gross pay for the payroll week ending July 14 and the year-to-date gross pay as of July 14. Employees receive time-and-a-half for overtime hours (fill in the shaded areas).

Market Equilibrium Worksheet

1. The following table shows the supply and demand schedules in a market for sandals.

1. What is the equilibrium price in the sandals market?

2. What is the equilibrium quantity in the sandals market?

3. At a price of $2, will there be a surplus or shortage of sandals in this market?

4. At a price of $8, how large of a surplus will there be in this market?

If the supply curve shifts to the right, will the price in this market rise or fall?

MCParts, an MRO (maintenance, repair, and operations) distributor, sources three of its products from three different suppliers in the Atlanta region. These three products serve the same basic function but have varying features, and hence different demand profiles. Demand for the fastest selling product (product 1) is 24,000 units a year, demand for the medium selling product (product 2) is 9,000 units per year, and demand for the slowest moving product (product 3) is 3,000 units per year. Product 1 costs $200 to MCParts to purchase, with a holding cost of 25%; product 2 costs $220 to purchase, with a holding cost of 30%; product 3 costs $250 to purchase, with a holding cost of 40%. Each shipment costs $500 for the truck plus $250 per pickup due to processing and handling. Each truck has a capacity of 1500 of these products.

Currently, MCParts uses full truckload (FTL) transportation to source separately from each supplier, but they are considering two alternatives to reduce inventory costs: i. use optimal lot sizes for each product instead of full truckload shipments,

ii. aggregate sourcing on a single truck, via supplier runs.

A. What is the annual transportation and holding cost of sourcing a full truckload from each supplier in each order?

B. What is the optimal order quantity of each product, sourced separately from each supplier? What is the annual transportation and holding cost of this policy? Comment on why this policy saves from inventory costs when compared to full truckload policy in part (A).

C. What is the optimal order quantity for each product if MCParts aggregates shipments from the three suppliers on every truck that arrives from Atlanta? What is the annual transportation and holding cost of this policy? Comment on why this policy saves from inventory costs when compared to separate shipments policy in part (B).

D. Using the steps described in slides, develop a tailored aggregation policy that does not necessarily pickup all products in every supplier run. Describe the tailored policy and calculate its annual transportation and holding cost. Comment on why this policy was not as effective as the complete aggregation approach in part (C).

Johnny C. has two divisions. East division sells a component (L689) to West division. West then assembles a product, CAGE, using L689 and sells it to customers. East division incurs $50 of variable cost per unit of L689 and allocates $80 of fixed cost to each unit. East’s factory has limited space, so every unit of L689 it produces means one less unit of L690 is made. While L689 is only sold to West division, East division sells L690 to outside customers for $150 per unit while incurring $40 in variable cost per unit. In addition to the cost of L689, West division incurs $90 in variable cost and $100 in allocated fixed cost to make each unit of CAGE, which sells for $502. If necessary, West could contract with an outside supplier for a slightly different part, M777, that costs $200 per unit and would require an additional $25 in cost to convert it into an equivalent of L689. It will be in the best interest of Johnny C for the transfer to occur.

a) What is the lowest transfer price that will ensure that both divisions will voluntarily participate in the transfer (ie, if the price was lower than this level, one of the divisions would refuse to participate)?

b) What is the highest price that ensures both divisions will voluntarily participate in the transfer (ie, if the price was higher than this level, one of the divisions would refuse to participate)?

c) The manager of Johnny C decides to impose a transfer price since the two divisions cannot agree. He chooses the highest feasible price. His reasoning is that selling for a high price is better for Johnny C's profit. Is the manager's reasoning sound? Explain why or why not. (Limit of 25 words.)

Students completed a high school senior level standardized algebra exam. Major for students was also recorded. Data in terms of percent correct is recorded below for 32 students. We are interested to see if there is any difference between students' high-school algebra test scores and subsequent declared college major.

These students have now also just completed the same college-level calculus class and received a grade. We are therefore now also interested to see if there is any relationship between the students' algebra test scores and their calculus course grades: On average, did students who tended to score higher on the high-school algebra test also finish the course with higher grades? Conveniently, only one student of each major received the same grade (see table - for example, there is only one Education major who received a grad of A).

Use the Microsoft Excel "Anova Single-Factor" Data Analysis tool to conduct a 2-way ANOVA test for the data in the following table:

1. What are your two null hypotheses in this study?
2. What are your two corresponding alternate hypotheses? Use the phrase "at least one" in each of your hypothesis statements.
3. What level of significance did you choose and why?
4. What are your F_crit values?

Find the reasonable final state of Ks using CAPM as well as DCF approach. If the rRF = 7%, RPM = 6%, and the firm’s beta is 1.2, what’s the cost of common equity based upon the CAPM? Also calculate the required rate of return with DCF approach if the current dividend is $4.19 and P0 = $50. The firm has been earning 12% on equity and retaining 40% of its earnings. This situation is expected to continue. (5)