Explain why it is better to use bolted connections on site and save welding for the factory.

AND

What two factors are critical in the design of bearing type bolted connections (i.e. what two things do engineers need to check in their calculations)?

(American Government)

How has the Internet made it easier to interact with, and influence, the bureaucracy?

(American Government)

What do you see as the biggest issue with bureaucracy, in its current form? What do you think would be more helpful in solving this problem? More political patronage or more focus on merit? Why?

1. Evaluating IMPACT (Level 5 – Evaluating)

As patients continue their recovery, post-acute care (PAC) safely transitions them out of the acute-care hospital. There are four PAC settings: skilled nursing facilities (SNF), long-term care hospitals (LTCHs), inpatient rehabilitation facilities (IRFs), home health agencies (HHAs).

Patients in these settings have similar conditions, such as strokes and hip replacements. However, Medicare pays different prices depending upon the setting (Medicare Payment Advisory Commission 2014, 171). For a patient’s continued recovery and optimal outcome, does the choice of PAC setting matter? Two sets of researchers investigated this question. One set investigated the functional recovery for patients who had had a stroke (Chan et al. 2013).   Another set investigated the functional recovery for patients who had had a hip fracture repaired (Mallinson et al. 2014).

Chan and colleagues performed a long-term study on 222 patients who had had a stroke. The patients had received care from four different acute care hospitals in one integrated delivery system (IDS). The patients also received their postacute care from settings in the IDS. The IDS offered three types of PAC settings: SNF, IRF, and HHA. In addition, patients could receive out-patient care in the IDS. The researchers used a standardized instrument, the Activity Measure for Post Acute Care (AM-PAC), to determine the patients’ functional status. The researchers scored the patients functional status twice: first immediately upon discharge from the acute care hospital and second six months after discharge and after receiving postacute care. The researchers’ results showed:

• Patients who received their postacute care in an IRF had at least eight-point higher improvements in mobility, self-care, and cognition, than patients who received their postacute care in a SNF.
• Patients who received their postacute care in an IRF also had statistically significant improvements in Applied Cognition compared to those patients who only received home health combined with outpatient services.

Chan and colleagues concluded that “patients with a stroke may make more functional gains if they receive some of their postacute care in an IRF compared to other sites” (Chan et al. 2013, 629). Deutsch’s commentary on the research of Chan and colleagues noted that comparing outcomes across postacute care is difficult because the PAC sites use different data sets (2013, 631-632).

            Mallinson and colleagues investigated the outcomes of patients after hip fracture repair. Facilities from three types of PAC settings participated in the research. Eventually, the researchers reviewed the care of 181 patients at 18 PAC providers. These PAC providers were four IRFs, six SNFs, and eight HHAs. After being trained on the data collection instrument, nurses at each site collected data using the IF functional independence measure (FIM). The researchers’ results showed, controlling for patients’ characteristics, severity, comorbidities, and services:

• IRF and HHA patients had lower self-care function at discharge relative to SNF patients
• HHA patients had, on average, a two-week longer length of stay than SNF patients
• SNF patients had, on average, a nine-day longer length of stay and IRF patients

Mallinson and colleagues concluded that outcomes varied among settings “depending upon whether self-care or mobility was the outcome of focus” (Mallinson et al. 2014, 209).

DeJong’s commentary on the research of Mallinson and colleagues noted that the absence of a common PAC patient assessment instrument requires workarounds (2014). Researchers can use a site-neutral instrument, such as the AM-PAC or they can use an existing PAC-site-specific instrument. Both workarounds require training on the instrument for all or some of the data collectors and require special data collection outside of routine procedures.

Questions

1.  List the data collection instrument for PAC settings discussed in the case

2.   What PAC setting is missing from the previously described research investigations? What is that setting’s data collection instrument?

3.   Both Deutsch and DeJong note problems caused by the lack of a common data set across PAC settings. How has Congress addressed this problem?

4.   Workarounds require special training and special data collection outside routine procedures. Why are these workarounds a problem for researchers? Does Congress’ solution address this problem?

5.   How could you or your family benefit from a common data collection instrument across PAC settings?

Examples of companies using technology effectively for their (global) marketing campaigns.

The human resource employee recruitment and selection processes are critical to maintaining a competent and fully staffed workforce. Although these processes may have some potential weaknesses, it is incumbent upon the organization to continue to identify these issues and make any required improvements.

This discussion has four parts, as follows:

1. Think about personal experiences that you have had with a human resources department either during recruitment or the hiring process. What role did human resources play in the recruitment and selection processes? Your reply should focus on the tasks of the human resources group that would include items such as determining the need for new employees.
2. Discuss the importance of each step of the recruitment and selection processes. Based on your personal experience, what step do you think is the most important, and why? Your response should provide details of these steps and not simply list the steps.
3. From your personal experiences with the employee recruitment and selection process, what are some problems that you have seen, and what do you think could be improved?
4. Think about a time when you were interviewing for a position. What test or assessment was used during your evaluation? In your response, speak to how the assessment was done and how effective you think it was.

(American Government)

What do you see as the biggest issue with bureaucracy, in its current form?

Andrew, a highly qualified and experienced software developer, has just started work with a government health department on a project that has been underway for about 9 months. He is replacing a novice developer who has decided to move on to a new project with another organisation. Even though the current system is incomplete, it has is being used with 'live' data. On analysing what's been done so far, Andrew discovers that the system is poorly designed and is riddled with bugs due to the former developer's lack of expertise, and that the choice of technologies are incompatible with the department's infrastructure, leading to corruptions and loss of financial data on a daily basis. In fact, much of Andrew's time is initially spent unsuccessfully attempting to recover corrupted data. His vast experience leads him to the conclusion that the system is so unstable that it will eventually corrupt beyond repair and that all its data will become unrecoverable. He therefore advises the supervisor of his findings and recommends that the system be redeveloped using appropriate technologies and quality control measures. He indicates that the entire redevelopment effort will take less than 6 weeks. The supervisor rejects Andrew's recommendation, stating that their IT Department will not agree to a change in technology, and directs Andrew to complete the project using the existing technologies. What should Andrew do?

Q1. What are the ethical issues and implications?

Q2. What can be done about it?

Q3. What are the options?

Q4. Which option is best - and why?

What is used as a “means of maintaining dollar values”? Please explain in detail and pls no handwriting.thanks!

Enter the network address of the subnet to which the host 222.242.88.128/28 belongs.

Please show work.

Describe what production-related risks are? please explain in detail and please no handwriting. Thanks

PMB Security Ltd has been an audit client of Maitland Partners for the past 15 years. PMB Security Ltd, an ASX listed company, is based in Roma where it manufactures high-tech security systems. PMB Security’s end of financial year is 30 June, and Maitland Partners is preparing to commence the 2019 audit.

Caryn Marks has been the engagement partner on the PMB Security Ltd’s audit for the past five years. Caryn is a specialist in the security/IT industry and intends to remain as review partner when the audit is rotated next year to a new audit partner (Scott Turner, who is to be promoted to partner to enable him to sign-off on the audit).

In September 2018, PMB Security Ltd installed a new off-the-shelf inventory costing system. This system replaced a system that had been developed in-house, as the old system could no longer keep up with the complex and detailed manufacturing costing process that provides tender costings. The old system also had difficulty with the company’s broader reporting requirements.

PMB Security Ltd’s information technology (IT) department, together with the consultants from the software company implemented the new manufacturing costing system. Key operational staff from PMB Security Ltd, together with consultants from the software supplier were significantly engaged in the selection, testing, training and implementation stages. Several customized modifications were made and therefore PMB Security has asked Maitland Partners to provide an estimate of the valuation of the software system.

PMB Security Ltd has a small internal audit department which reports to the Chief Financial Officer (CFO), Bruce Tegan, who is an ex-partner of Maitland Partners. Tegan took up the appointment as CFO for PMB Security Ltd in November 2018, after spending two years in early retirement. During his last year at Maitland Partners, Tegan had been the review partner on the 2016 PMB Security Ltd audit. Tegan does not hold any financial interest in Maitland Partners, having been paid out his capital on retirement. Further, Tegan has not remained in contact with any of the remaining partners since his departure from the audit firm, with the exception of Scott Turner, whom he had mentored in his early career.

Question:

You are required to identify and discuss any issues that could give rise to potential threats to independence for Maitland Partners in their audit of PMB Security Ltd. (Australia)

Enter the first usable host on the network 12.48.105.97 255.255.252.0.

Please show work.

The data in columns 1 and 2 in the table below are for a private closed economy.

a. Use columns 1 and 2 to determine the equilibrium GDP for this hypothetical economy.

b. Now open up this economy to international trade by including the export and import figures of columns 3 and 4. Fill in columns 5 and 6 and determine the equilibrium GDP for the open economy. What is the change in equilibrium GDP caused by the addition of net exports?

c. What is the multiplier in this example?

The recently passed Coronavirus Relief package increased unemployment benefits by granting $600 a week (up to 4 months) to an unemployed individual, plus the normal unemployment benefit they would be entitled to (max $360 in Michigan); extended the duration of unemployment benefits another 13 weeks; makes former workers eligible (you need not have been laid off due to the pandemic). All of it is federally funded. Was this a good idea? What affects might there be on the labor markets? On the economy?