The Case of the Phony PA

As a Senior Investigator at University Hospital, you were awarded a large grant to study the effects of new medications on healing leg wounds. The grant calls for either a nurse practitioner (NP) or a physician assistant (PA) who will be able to document the processes and keep the paperwork up-to-date on the grant. You interviewed several candidates and have found that Charles Tony, a PA, appeared to be the best candidate. His resume indicated that he earned a bachelor’s degree from a prestigious midwestern university, worked several years as an EMT, then went to PA school and earned an associate’s degree as a PA. He presented diplomas and copies of licensure certificates and had excellent recommendations from many reliable sources. This package was presented to you by the Human Resources Department. He was interviewed by several colleagues who would be participating in the study and was hired. He began work and appeared to be doing a good job. After a few months, some strange events started to occur. For instance, the locker he shared with one of the physicians was broken into. Multiple purchases were made on the physician’s credit cards in a very short time. Mr. Tony claimed his wallet had been stolen during that same incident. Other employees stated he was acting somewhat strange around them. He began dating an employee in the institution, then her apartment was broken into. At this point, no one was really suspicious, and Mr. Tony appeared to perform the functions of this job without any problems. Approximately 14 months after he was hired, he did not show up for work, did not answer his phone, and none of the records he was responsible for could be located. You contacted the HR Department and they began an investigation. To everybody’s surprise, you learned none of his credentials was actually checked back to their primary sources. When this check was completed after he disappeared, none of the academic institutions had ever heard of him. His references were all fraudulent. The police searched his apartment and found many missing pieces of University Hospital equipment. Mr. Tony was, however, nowhere to be found. It appears you hired a true pretender.

1. Were there red flags that should have altered you to the problem earlier?

2. Provide a detailed plan for evaluation and verification of health care professional's credentials and recommendations to avoid this type of issue in the future.

Donna Shader, manager at the Winter Park Hotel, is considering how to restructure the front desk to reach an optmum level of staff efficiency and guest service. Presently, the hotel has five clerks on duty, each with a separate waiting line, during the peak check in time of 3:00 P.M to 5:00 P.M.

Observation of arrivals during this time show that an average of 90 guests arrive each hour (although there is no upward limit on the number that could arrive at any given time). It takes an average of 3 minutes for the front-desk clerk to register each guest.

Donna is considering three plans for improving guest service by reducing the length of time guests spend waiting in line.

The first proposal would designate on employee as a quick service clerk for guests registering under corporate accounts, a market segment that fills about 30% of all occupied rooms. Because corporate guests are preregistered, their registration takes just 2 minutes. With these guests separated from the rest of the clientele, the average time for registering a typical guest would climb to 3.4 minutes. Under plan 1, noncorporate guests would choose any of the remaining four lines.

The second plan is to implement a single line system. All guests could form a single waiting line to be served by whichever of the five clerks became available. This option would require sufficient lobby space for what could be a substantial queue.

The third proposal using an automatic teller machine (ATM) for check-ins. This ATM would provide approximately the same service rate as a clerk would. Given that initial use of this technology might be minimal, Shader estimated that 20% of customers, primarily frequent guests, would be willing to use the machines.

(This might be a conservative estimate if the guests perceive direct benefits from using the ATM, as bank customers do. Citibank reports that 95% of its Manhattan customers use its ATMs.) Donna would set up a single queue for customers who prefer human check-in clerks. This would be served by the five clerks although Donna is hopeful that the machine will allow a reduction to four.

Required:

1. Determine the average amount of time that a guest spends checking in.
2. What is the check in time under each plan?
3. What plan would you recommend.

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Question: The Jarrad Corporation's management team is getting ready to prepare its master budget for one it...

The Jarrad Corporation's management team is getting ready to prepare its master budget for one its product lines for the year 2019. The company produces caramel lollipops which are basically cooked down sugar on a stick, a diabetics nightmare along with many other sweet treats.

Budgeted sales of the lollipops for each quarter of 2019 are as follows:

1st Quarter-12,500 cases

2nd Quarter-14,000 cases

3rd Quarter-25,500 cases

4th Quarter-34,900 cases

There are 100 lollipops in a case and each sells for $200. Jarrad is budgeting a 5% sales price increase effective July 1,2019

The 4th Quarter 2018 sales have been budgeted at 32,000 cases and Jarrad wants to have an ending inventory carried over into 2019 of 2,000 cases.

At the end of 2019 they desire an ending inventory of 2,250 cases. Each quarter an additional 10% of that quarter's sales is to be produced as an ending inventoy to be carried over into the following quarter.

Materials:

Sugar costs the company $3.20 per lb. (16 ounces) Each lolllipop is 2 ounces of sugar which is melted down into caramel. The caramel is coated in 2 ounces of Belgian chocolate which costs the company $.28 per ounce. Each lollipop stick costs $.03

Direct Labor and Machine Hours:

The production of these lollipops is a highly automated one requring only 45 minutes to produce one case of lollipops. Of this 45 minutes, 30 minutes are automated and 15 minutes requires human interaction. The cost of running the machines during the year based on 4,500 hours is $8.75 per hour. Budget these hours evenly over the four quarters of 2019. The direct labor rate per hour is $11. The budgeted cost of operating the machinery is included in the manufacturing overhead budget for the year.

-What is the budgeted amount of sales revenues for 2019?

1st Quarter $.......................................

2nd Quarter $.....................................

3rd Quarter $......................................

4th Quarter $......................................

Total Budgeted Sales for 2019 $...............................................................

82) What is the name of the genetic mechanism that allows B cells or T cells to produce specific antibodies?

1. Homeostasis
2. Gene rearrangement
3. Excretion
4. Antigen presentation

83) Which below describes the Humoral Immune Response

A) involves activation and clonal selection of Cytotoxic T cells

B) involves activation and clonal selection of B cells, resulting in production of secreted antibodies

C) Lymphocytes are screened for host reactivity in the Thymus gland

84) Which below describes the Cell Mediated Immune Response

A) involves activation and clonal selection of cytotoxic T cells

B) involves activation and clonal selection of B cells, resulting in production of secreted antibodies

C) Lymphocytes are screened for host reactivity in the Thymus gland

85) Occurs when a pathogen can no longer infect a host because it is bound to an antibody

A) Neutralization

B) Opsonization

C) Excretion

D) Plasmolysis

86) Occurs when antibodies bound to antigens increases phagocytosis of foreign cells by the immune system

A) Neutralization

B) Opsonization

C) Excretion

D) Plasmolysis

87) The process where Antibodies cause lysis of foreign cells is called

A) Neutralization

B) Opsonization

C) Plasmolysis

D) Activation of the complement system

Match the following 3 terms to the description(s) of function(s) below

A) Antigen presentation      B) Antigen switching C) Clonal selection    D) Self screening E) Complement System

110) Pathogens such as Plasmodium evade human adaptive immunity with this mechanism

111) Following antibody/antigen match, a B cell or T cell proliferates with the help of cytokines from a matching Helper T-Cell

112) B cells or T cells with self-reactive antibodies undergo apoptosis

113) A dendritic cell or macrophage stimulates B cells or T cells that have matching antibodies

114) B plasma cell antibodies cause destructions of targets by this mechanism

27) The Hamstring and Quadricep Muscle are examples of

A) Opposing muscles in a muscle group

B) Afferent muscle groups

C) Efferent muscle groups

D) The CNS

35) Which requires energy in the form of ATP

A) Sodium (Na) rushing in

B) Potassium (K) rushing out

C) Activity in the form of the Na/K pump

D) Voltage gated ion channels

E) Potassium channels

Question 3: For the last two decades, foreign direct investment (FDI) has been offering an unprecedented opportunity for developing countries to achieve faster economic growth. Through FDI, foreign investors be and managerial know-how. For capital-scarce developing economies, FDI implies access to not only capital but also the benefit of acquiring advanced technology, managerial expertise, employment productivity, human resource development, global marketing networks, and best-practice systems of corporate governance. In particular, Asian countries have been successful in attracting FDI Consequently, FDI in Asian developing countries increased from $396 million in 1980 to $275 billion in 2010, 1 indicating Asia as a main destination of FDI. While dramatic shifts in the composition of recipient countries have changed over time, with China currently becoming an attractive destination for FDI, Southeast Asia continues to remain an attractive hub for foreign investors. Although Southeast Asian countries have been successfully attracting FDI inflows, success in attracting FDI has varied widely between countries. Some countries fare much better than others in attracting and hosting foreign investment projects within Southeast Asia. Within this context, this study aims to understand the reasons behind why certain countries have high FDI inflows while other countries have low FDI inflows, with special reference to countries in Southeast Asia. In particeular, the Philipines and nefit from utilizing their firm-specific assets and resources efficiently, such as technology Thailand will be examined. The two countries share many of the economic determinants of FDI in common, however, the level of FDI inflows differ substantially Answer the following questions each one carries 10 marks Do you think the political institutions can be considered as significant incentives or deterrents to FDI inflows in the Philippines and Thailand? What are the factors contributing for the inflow of FDI in Southeast Asian countries? a. b. role in inviting more FDI? d. Trade liberalization is an essential engine for growth for developing countries, Explain this statement with reference to Southeast Asian countries. e. Higher GDP level of economic development attracts higher levels of FDI inflows. Critically evaluate this statement. Question 2: What do you mean by the concept of Circular Economy and Mechanisms of Protection to the Environment, and Renewable Energy Generation? Explain I detail with relevant examples. 20 Marks

Write fairly complete pseudocode for the Fish Wars card game.   Fish Wars is a card game where two players get 13 cards each. The cards have face values of 1-10 plus one shark card and two peace cards.

The game is played in 13 rounds. Each round, the players each play one card face down and then flip them up at the same time. The player with the higher number (plus any battle bonus) wins. No one wins on a tie. A round winner gets one point added to their score plus one battle bonus point. Play continues until all thirteen rounds are complete and the highest final score wins.

Play exception. If you play a shark card then you always win unless the opponent plays a peace card then it is a tie and no one wins. If you play a point card or a shark card against a peace card then it is a draw plus the player who did not play the peace card has their battle bonus reduced to zero.    If two peace cards are played then it is just a tie.

Your job is to write a program that simulates the Fish Wars game between a human player and an AI opponent. To start, the AI opponent can just randomly select a card. Have the program do all scoring and keep track of the battle bonus. Also make it so that the player can play the game again at the end if they want to do so.

Example of Play:

Round 1: 5 vs. 6 - Player 2 wins!    Score 0 : 1 (BB: 1)
Round 2:   3 vs. 2 (+1 BB) - Draw!    Score 0 : 1 (BB: 1)
Round 3: Shark vs. 7 (+1 BB) - Player 1 wins! Score 1 (BB: 1) - 1 (BB: 1)
Round 4: Peace (+1 BB) vs 5 (+1 BB) - Draw- Player 2 BB reduced to 0; Score 1(BB: 1) - 1 (BB: 0)
Round 5: 2 (+1 BB) vs. Shark - Player 2 wins! Score 1(BB: 1) - 2 (BB: 1)

   For this program, do not use classes and objects plus use standard C++ code and the entire code must be in one file with at most three functions.

Program #1: You will be writing code for several different examples of conditional execution. Each example should be written as a unique method. Each method should include a method header. So the basic outline of your code is: public class Branching { /** * This is an example method header. Notice how it's multi-line and written * using college-level English and not fragments - this is for the Human to * read and not the compiler to parse, so be verbose here. The purpose of this * main method is call the methods written for each of the parts of the *assignment. */ public static void main(String[] args) { methodA(); } public static void methodA() { /** *methodA header */ } A. Prompt the user with: "Enter a whole number". a. Determine if the number is negative and if so, print: "The number is negative." b. Determine if the number is positive and if so, print: "The number is positive." B. Ask the user for another whole number, and then determine if the number is even or odd. a. Hint: modulo might help. b. Print out a message that includes the number the user input as well as indicating if the number the user input was odd or even. C. Ask the user for a temperature, stored as an integer. Write an if/else statement that asks: Is the temperature higher than 78 degrees? If it is not, is the temperature less than (or equal to) 78 degrees? a. Describe the current temperature as “higher than 78 degrees” or “less than or equal to 78 degrees” D. Prompt the user for a letter grade and store this in a char. Then, write a multi-way if statement that ends in a tail-test, that asks the following questions: Is the grade an “A”? Else is the grade a “B”? Else is the grade a “C”? Else is the grade a “D”? Else is the grade an “F”? a. Notice the use of the word else in the sentence above, which provides for a more precise meaning. In spoken English we might use the word “or” instead, but of course, English is terribly ambiguous and Java needs to be discrete, deterministic, and precise. E. Rewrite your code for number D, but use a switch statement to accomplish the same thing. F. Prompt the user for two integer values and store them as “firstInteger” and “secondInteger”. a. Write an if/else statement that outputs either: “ firstInteger was larger than secondInteger” or “secondInteger was larger than firstInteger” on the console, based on the values provided by user that also includes the integer values in the output stament. b. If the values are equal, indicate this in an output that includes the values of the integers.

c++

Create a class named EvolutionTree which will hold a list of species and their expected age, and allow a user to search for a particular species or an age.

EvolutionTree should have private data members:

• species (a string array of size 400 with all the species)
• speciesAges (an int array of size 400 for all the species' ages).

EvolutionTree should have a default constructor which should initialize the species array to empty strings ("") and initialize the speciesAges array to 0's and the following public methods:

• int LoadTree(string filename)
• int SearchForSpecies(string speciesName)
• string GetSpecies(int speciesAge)

LoadTree should read in a filename where each line is the name of a species and its expected age, separated by a comma. The method should read the file and put the appropriate data into species and speciesAges. LoadTree should return -1 for invalid filenames, and it should return 0 for valid filenames. Each species and species age will only appear once. The last line may or may not end in '\n'.

Few lines from the file to be loaded:

Human,82
Asian elephants,86
Dog,7
Cat,10

SearchForSpecies will search for a particular species' name, and return the index where that name is located. It should return -1 if the name is not found.

GetSpecies will take in an age and return the corresponding species name. It should return an empty string ("") if the age is not found.

You only need to write the class definition and any code that is required for that class. Place all code within the class definition. Our code will create and test your class.

NOTE: We have provided a function that may make the parsing easier:
      int split(string s, char sep, string words[], int max_words);

int split(string phrase, char delimer, string result[], int length)
{
//add one more delimer in the end
phrase += delimer;
//introduce variables
string partHolder = "";
int partCounter = 0;
int phraseLength = phrase.length();
for (int i = 0; i < phraseLength; i++)
{
//if we do not need to split,
if (phrase[i] != delimer)
{
//store result in the correct position
partHolder += phrase[i];
}
else
{
//make postion and holder ready for a new word, store part in result string, and count a part
if (partCounter < length && partHolder != "") //accounts for double delimer
{
result[partCounter] = partHolder;
partCounter++;
partHolder = "";
}
}
}

C++

Each year businesses, individuals, and governments face the impact of droughts, fires, hurricanes, tornados, and floods; all disrupting lives and the economy. This is a good time to talk about the environment. In the US, issues of the environment and global warming arguably take a backseat to the economy and current political rhetoric and civil strife.  For several years former presidential candidate Al Gore tried to raise awareness about global warming and the roles of business, government, and industry and is currently in the news with his An Inconvenient Truth, Sequel. Even though 2016 and 2017 were reported to be the warmest years on record, whether he or others will have an impact in the US or abroad is yet to be fully seen. Environmental stewardship is not without consequences (good or bad) and failure has legal, ethical, societal, financial considerations.

As other issues fade, the environment may resurface as a prime-time news issue. How it will rank with the current presidential agenda, the economy (jobs, military funding, and federal budget), the continuing healthcare issues, conflicts in the Mideast, and other pressing topics facing the US federal government will be interesting. Certainly the private business sector faces pressure from both internal and external stakeholders when the banners of environmental protection and social responsibility are hoisted. The question of corporate moral responsibility for the environment can easily fade from the media spotlight until a public figure promotes the message or an environmental crisis erupts and CNN or 60 Minutes or some other news agency appears at the corporate headquarters demanding answers with cameras running.

Beyond the legislated and governmental mandates (EPA, UN Environment Programme, or the Stockholm Declaration, among others), how far should corporate responsibility for the environment extend? For example, do trees, lakes, oceans, and animals have rights? Why, or why not? Could there be such a thing as a “one-level-removed-stakeholder” that would include "non-human" stakeholders? What is the likely outcome if environmental issues continue to succumb to political rhetoric and business profit/loss statements? So what if the dozen or so residents of a South Pacific atoll are displaced due to rising sea levels or a butterfly in the Amazon rainforest goes extent due to deforestation?

Discussion Questions:

Outcomes/Consequences:

What is the impact or consequences of considering environmental implications in business decisions?

Who/what are the stakeholders and what are the interests of each?

What are the consequences for each stakeholder?

What are the possible outcomes when addressing environmental issues in business decisions?

please go to details and don't forget to answer the questions that my professor ask for, also explain for the first question in one paragraph and explain second question in one paragraph too. thanks.

Sex Education and Teenage Pregnancy

Santrock (2016) mentions in his text that the United States has one of the highest teenage pregnancy rates of industrialized nations, despite the fact that adolescent sexual activity is no higher in the United States. Why is that? For starters, sex during adolescence is considered a "taboo" subject in our culture. Abstinence is also promoted and touted as the most safest, surefire way to avoid the consequences of early sexual activity. Additionally, we teach teens that sexual activity is an "adult activity" and do not acknowledge that during the adolescent period, when there is an upsurge of hormones and changes in the physiological landscape, teens grow curious about their bodies and that of the opposite sex. Teens are also at a stage in their life where experimentation and identify formation are at its "peak", and questioning, expressing, and exploring their sexual identity is part of that process.

How many people did you know in high school knew what sex was and even had sex? Probably the majority. That is because sexual curiosity during adolescence is part of healthy, typical human development.

What is sex education?

Briefly, sex education is about instilling accurate, scientific-based information and spreading awareness about the following:

1. The physiological changes that occur in the body due to pubertal/hormonal changes.

2. The risks and consequences involved in sexual activity such as contracting sexually transmitted diseases or pregnancy.

3. It involves teaching youngsters how to set boundaries with others when it comes to their own body and other people's bodies (i.e."No means NO!").

4. Contraception options-how to be "sex smart" such as the benefits of using protection.

5. A discussion about knowing when they are "ready" to have sex.

6. Define rape and sexual assault and how to know if you are about to be a victim.

Put it in Perspective...

Answer the Following Discussion Questions:

1. What was your experience with 'sex education'? Did you take a class in school? Did you learn from your caregivers? Include points that you remember learning. And how has that served you as a teenager?

2. According to the film "Inside the Teenage Brain" and your textbook readings, what are some effective ways to approach a conversation with teenagers about 'safe sex'?