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# Initial Evaluation Note Part 1: History of Present Illness (HPI)

Please watch the video and create an HPI based on the requirements:

After watching the Patient Interview (link below), write the medical history portion of the psychiatric report. The medical history should include the following sections:

Identification

Chief Complaint

History of present illness

Past psychiatric and medical history

Family history

Personal history

Summation of observations and impressions

Review of Systems

https://canvas.westcoastuniversity.edu/courses/13981/pages/week-2-patient-interview-scenario

## assignment statistics 2

assignment statistics 2.

Data sources

For incidence cases and rates worldwide

http://globocan.iarc.fr/Pages/age-specific_table_sel.aspx

For  Demographic economic data & development data

http://data.worldbank.org/data-catalog/world-development-indicators

Gross National Income (GNI) GNI World Bank (WB) Atlas method “GNI, calculated in national currency, is usually converted to U.S. dollars at official exchange rates for comparisons across economies, although an alternative rate is used when the official exchange rate is judged to diverge by an exceptionally large margin from the rate actually applied in international transactions. To smooth fluctuations in prices and exchange rates, a special Atlas method of conversion is used by the World Bank. This applies a conversion factor that averages the exchange rate for a given year and the two preceding years, adjusted for differences in rates of inflation between the country, and through 2000, the G-5 countries (France, Germany, Japan, the United Kingdom, and the United States). From 2001, these countries include the Euro area, Japan, the United Kingdom, and the United States”.

Four group of Countries according to GNI per capita in current US\$:

Low income: GNI per capita ≤\$1,035;

Lower middle income: \$1,035 ‹ GNI per capita ≤ \$4,085;

Upper middle income \$4,085 ‹ GNI per capita ≤ \$12,615;

High income: GNI per capita >\$12,615

(World Bank,2013)

‘women in development’ indicators

20 to 24 year women who were first married by age 18,

Percentage of women employed and

Women in parliaments, as a percentage of total seats

Environmental exposure:

Ambient air pollution PM2.5 air pollution: mean annual exposure micrograms per cubic meter, in 2013

Carbon dioxide emissions per capita (metric tons), in 2011

http://wdi.worldbank.org/table/1.3#

For cancer primary, secondary and tertiary policies and interventions

WHO http://www.who.int/cancer/country-profiles/

QUESTIONS for BY PAIR WORK TO BE SENT ON THURSDAY October 5 at 11:30 pm

Present  the breakdown of total breast cancer cases for females below 50 and above fifty for the four income country group levels (see cases Excel sheet) (see during class)

Then

1. Descriptive statistics for the main variables of interest for the all age ranges and per income level for

– Incidence per age ranges and income country levels (mean, Standard D. Min and Max)

– Life expectancy

– Other main variables you want to describe

2. Generate two age groups : 15 to 49 (or below 50) and from 50 and +

3. Present  the breakdown of incidence rates
Present the statistics for the incidence rates for these two groups

4. Draw the boxplots for each of these two groups  according to the income country level group

5. Test the statistical significance of the differences between two groups

6. Analysis the main factors that may influence incidences rates by performing some multivariate regressions (examine if some interaction between variables have to be taken into account)

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## Insert Surname4 Professor’s name Student’s name Course title Date Evaluating financial statements

Initial Evaluation Note Part 1: History of Present Illness (HPI) Insert Surname4

Professor’s name

Student’s name

Course title

Date

Evaluating financial statements

Financial statements are can be described as documents that describe an organizations financial status. This includes details pertaining income, assets, liabilities among other variables. All financial statements simply summarize the organizations financial performance for a given periods of time. These documents are extremely essential in an organization because they benchmark on the finances and estimate, predict and plan for the future of the organization as well. Financial statements do not only help accountants and the management in making decisions, they also create awareness to the rest of the stakeholders so as for them to be able to make informed decisions concerning the organization (Wang & Clare, 2014).

There are three forms of financial statements that can be found in the financial records in an organization. These three play different applications based on the type of organization. The balance sheet for instance shows the organizations assets, liabilities as well as the net work on a given date. This is to mean that the balance sheet is the main summary of a financial statement. The second type, the income statement which is also known as the profit and loss account is simply as the name suggests. It shows and explains how the net income in the balance sheet was reached at within the specified time. In other words, it shows the proof of the profit or loss realized by an organization within a given financial period of time. The third one of the basic types of financial statements is the cash flow statement and this one is the document responsible for recording the traffic of finances in the organization. It is responsible for showing how the cash is flowing in, out and within the organization. In short, it is the cash management tool in a financial statement. It may also be referred to as the business financials.

Therefore on a nutshell, financial statements are the summary reports that show how an organization utilizes the finding from donors, stakeholders, lenders as well as showing its currents financial position. In this given scenario, the organization given is a clinical institution that offers health services to its clients at a cost (Wahlen, James, Baginski & Bradshaw, 2014). This then means that its financial statements must capture all the relevant details because there is sensitive financial information that is required from time to time by audit authorities.

The ratios given for insurance payer suggest that the organization has invested in quality equipment as it claims the largest percentage of all the other items in the list. It is a good gesture because this is a positive element of an organization. Investing in assets and equipment is important for the stability as opposed to leasing or referring patients to other facilities for certain services.

The average Medicare rate is recorded at \$6200 as the baseline. Considering that the commercial insurance is 110%on average, the Medicaid takes up 65\$ of the commercial insurance while liabilities average is roughly 200% on average. The rest take up 100% on average as well. These figures are going to be used to find the individual reimbursement rates of the players.

To arrive at the expected rate of reimbursement for the timeframe given and for each payer, the total figure is taken into account while the percentage determines the exact rate. This is to say that the below are the figure, just in a wrap; Commercial at 40% considering that Medicaid’s 15% is \$6200, so using this the ratio for Medicare will be the 25% of the total, liability ties up with Medicaid is at 15% and the rest will claim the remaining 5% to equal to the 100% of the total payer figures. The rate chargeable for these is calculated at \$8700 hence making the total charges for all cases amount to \$28300.

The difference is found after computing the two figures which give \$13400 as the difference. However, the difference may be collected from the patient as long as they are on the co-payment arrangement and this will balance off the figures and unify the financial statements. In case the patient is not on Medicaid, this difference will remain and will only be captures in the books of account as a bad debt. It is really nothing to worry about because it is provided for in the statements so it will just be absorbed in.

The costs given are in different classifications. For instance, fixed costs include the Licensing of the facility, wages, building and insurances. Out of these, wages, building and licensing are direct costs while the variables are the insurance premiums are indirect costs since they are secured through an agent and mostly benefit third parties. On the other hand, materials and supplies, usage, medications and per diems are all variables. Among them, usage and materials are direct costs while supplies and medications are indirect costs because the facility does not use them itself rather than its clients in this case the patients.

For a case where materials cost is \$2270, wages \$2000, utility, building and usage \$1125 and insurance at \$175, the total amount is 5570. This then means that the ratio will be products of the individual contributions against the percentage per payers. Computation of the figures according to the classification of fixed and variable cost will result to the following numbers; Fixed: \$3125, Variable cost: \$2445. Both will total to the Grand total cost.

Finally, so as to realize a profit of \$150,000 with the intention of funding an expansion to the NICU, there would be an average of 12,000 cases attended to. With this, the assumption is that all the payments are met and there are no impeding bills and debts. This would be optimal at the payer mix involving all payers but most importantly the Medicaid insurance, Medicare insurance and Liability insurance at the following rations: Medicare – 48%, Medicaid – 26% and Liabilities – 26%.

Work cited

Wahlen, James, Stephen Baginski, and Mark Bradshaw. Financial reporting, financial statement analysis and valuation. Nelson Education, 2014.

Wang, Clare. “Accounting standards harmonization and financial statement comparability: Evidence from transnational information transfer.” Journal of Accounting Research 52.4 (2014): 955-992.

## Delta Air Lines, Inc Case Study

Delta Air Lines, Inc Case Study.

Each case write-up should have three components: Analysis, Recommendations and Justifications. In the writeup, don’t simply repeat case facts or company history. Rather, use case facts to define the problem, and then provide thorough and well thought out recommendations along with suggested implementation actions. Usually two to three main recommendations are adequate. Provide justification for your recommendations by describing how your recommendations will potentially solve the organization’s problem/issue.

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## Non-US company’s annual report

Non-US company’s annual report.

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## Response needed

Please respond to aurora with 150 words
Hello All, So my stress score was medium. I am very surprised I feel that it was going to come back higher but i did do the test 2 times and it was correct. I feel I do not deal with stress well. But i do try to keep it control. when I’m stressed or in a situation I can not control or that is over heated that’s causing me stress i like to take drives and blast my radio. Something about the music and my thoughts and the road keeps me calm. In this weeks PPTs it explains and gives us good ways to try and control our stress like, Meditating– Listening to music– Getting enough sleep– Drinking tea– Spending time with a funny friend– Pampering, such as a massage– Doing something spiritual– Chewing gum
These are all things I am going to try n my daily life to control stress. Being that i am in the medical field and a full time student and mom and spouse my stress leave can sometimes hit the roof and i am up for any change that will help me on a daily with my stress.

## How brands use nostalgia effectively

How brands use nostalgia effectively.

You have to edit the first 10 pages of this paper, following the teacher’s recommendations below: You’ve spent 8 pages talking about general advertising today, you didn’t get to your topic – nostalgia – until page 10. Don’t waste time. Drill down on nostalgia right away. You need to say more about how and why nostalgia can work as an advertising tactic. What do experts and scholars say about nostalgia? What do creative directors say? When to use it? When not to use it? I will upload the paper for you

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## Self Assessment;Read the chapter titled “Self Management” (pages 52 – 79) found in the book described below which is available as an e-book from the SFC library. It can be downloaded. Do not wait until the assignment is due to read the chapter. The entire

Self Assessment;Read the chapter titled “Self Management” (pages 52 – 79) found in the book described below which is available as an e-book from the SFC library. It can be downloaded. Do not wait until the assignment is due to read the chapter. The entire.

The reflective writing should be at least 5 pages at 1.5 spacing with 1 inch margins. It will be graded using this rubric:
Self-Assessment Project Rubrics:
Each of the following categories is worth 25points:
1. How well you followed the directions
2. Quality, thoroughness and readability of the written document
3. Demonstrate an understanding of why this material is useful on a personal as well as professional level
4. Grammar and basic command of the language

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## Discussion 4 week 4

We will begin applying the ethics we are studying with via the discussion boards. I will be assigning case studies that have to do with the first 3 provisions of the Code of Ethics for Nursing for Week 9 presentations. For this week’s discussion, read the following article:

## equilibrium short experiment

In this experiment, you will explore the reaction between CoCl2(C3H8O)2 and water to form Co(H2O)62 . Keep good notes of all procedures performed and all observations.
Look at the solution of CoCl2(C3H8O)2 in isopropanol and the solution of Co(H2O)62 in water and note the color of each under a section headed “Observations”.
Watch the following preparations on video:
Use a graduated cylinder to measure 10.0 mL of 0.176 M CoCl2(C3H8O)2 into a 50 mL Erlenmeyer flask. Using a 10 mL graduated cylinder, add 1.3 mL of deionized water to the flask and swirl the solution several times to mix (it is important to measure accurately and to swirl thoroughly in this step). Note the color in your notebook. If the solution is still blue, add a couple of more drops of water until the solution has a noticeable color change.

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