The concept of ACOs has been around since 2005. The ACA strengthened the commitment of CMS to expand ACO programs for Medicare. Currently, there are over 480 ACOs participating in CMS Medicare Shared Savings Program (MSSP). ACOs are responsible for the health outcomes for beneficiaries attributed to their organization. Therefore, ACOs will share savings (expenditures less than predicted) or return payments back to CMS based on their patient population.

1. Is it fair for CMS to hold providers accountable for the actions of their beneficiaries?

For example, a physician counsels their patients about weight loss and healthy diet. Only a portion of their patients will change their eating and exercise habits.

2. For those who do not, is it fair to hold the provider responsible for the patient’s future healthcare expenditures?

3. Should the patient be held accountable?

4. How could CMS hold the patient accountable for their decision to ignore physician instruction?

Please will need at least one reference if possible . Thanks

Answers

Answer 1

1. The potential impact of holding providers accountable for the actions of their patients on the quality of care is also a concern.

2. It is not fair to hold providers responsible for the future healthcare expenditures of patients who do not follow their advice.

3. Yes, the patient should be held accountable for their decision to ignore physician instruction.

4. CMS could hold patients accountable by requiring them to pay higher copays or deductibles for care that is not preventive.

1. There are a number of factors to consider when answering this question, including the following:

The role of providers in influencing the health outcomes of their patients.The extent to which providers can be held responsible for the actions of their patients.The potential impact of holding providers accountable for the actions of their patients on the quality of care.

On the one hand, providers play a critical role in influencing the health outcomes of their patients. They can provide education and counseling on healthy living, screen for and diagnose diseases, and prescribe medications. In some cases, providers may even be able to intervene to prevent patients from engaging in risky behaviors.

On the other hand, it is important to note that providers cannot control the actions of their patients. Patients ultimately make their own decisions about their health, and they may not always follow the advice of their providers.

The potential impact of holding providers accountable for the actions of their patients on the quality of care is also a concern. If providers are worried about being held responsible for the actions of their patients, they may be less likely to take risks or provide innovative care. This could have a negative impact on the quality of care that patients receive.

Ultimately, the question of whether or not it is fair for CMS to hold providers accountable for the actions of their beneficiaries is a complex one with no easy answer. There are a number of factors to consider, and the best approach may vary depending on the specific circumstances.

2. As mentioned above, providers play a critical role in influencing the health outcomes of their patients. However, they cannot control the actions of their patients. If a patient chooses not to follow the advice of their provider, it is not fair to hold the provider responsible for the patient's future healthcare expenditures.

In the example you provided, the physician counsels their patients about weight loss and healthy diet. However, only a portion of their patients will change their eating and exercise habits. It is not fair to hold the provider responsible for the future healthcare expenditures of the patients who do not follow their advice.

The provider has done their part by providing education and counseling. The patient is ultimately responsible for their own health.

3. The patient is ultimately responsible for their own health. If they choose to ignore the advice of their provider, they should be held accountable for the consequences of their decision.

This does not mean that the patient should be denied care. However, they should be aware that they may be responsible for the cost of their care if they do not follow the advice of their provider.

4. There are a number of ways that CMS could hold patients accountable for their decision to ignore physician instruction. One way would be to require them to pay higher copays or deductibles for care that is not preventive. This would give patients a financial incentive to follow the advice of their providers.

Another way that CMS could hold patients accountable would be to deny them coverage for care that is not preventive. This would be a more drastic measure, but it would send a clear message to patients that they need to take responsibility for their own health.

Ultimately, the best way to hold patients accountable for their decision to ignore physician instruction is to educate them about the importance of preventive care and the consequences of not following the advice of their providers.

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Related Questions

You will begin this Assignment by providing a summary of the selected health issue and corresponding health behavior theories. In outline format, you will provide three goals for the proposed health intervention, project, or program. Each goal should have at least 2–3 objectives. Goals and objectives must reflect health behavior at the intrapersonal, interpersonal, or community-based level. Goals and objectives must also be specific, measurable, achievable, relevant, and time-bound (i.e., SMART goals). Conclude this Assignment with a short discussion on possible barriers or challenges to implementing these goals and objectives.

Answers

The corresponding health behavior theories are the Health Belief Model and the Social Cognitive Theory.

Summary Alcohol use is a major health issue that has the potential to lead to significant health issues and complications. This issue can be addressed by utilizing health behavior theories such as the Health Belief Model and the Social Cognitive Theory.

Health Belief Model: This theory posits that health behavior is influenced by the perceived threat of an illness or disease. It suggests that people are more likely to take preventive actions if they believe they are susceptible to a condition and if they perceive the benefits of taking action to be greater than the costs.

Social Cognitive Theory: This theory posits that health behavior is influenced by social factors such as peer pressure, social norms, and media messages. It suggests that individuals are more likely to engage in health behaviors if they believe that they have the ability to do so and if they receive positive feedback for their actions.

Objectives of the proposed health intervention, project, or program Goal 1: Increase awareness of the dangers of alcohol use and abuse in the community.

Objectives: 1) Conduct a series of educational sessions at community centers and schools.

2) Organize a public awareness campaign through the local media to highlight the dangers of alcohol use and abuse. Goal

2: Encourage individuals to seek help if they are struggling with alcohol addiction.

Objectives: 1) Partner with local addiction centers to offer support and counseling to individuals.

2) Organize support groups in the community to encourage individuals to seek help and support from peers. Goal

3: Create an environment that discourages alcohol use and abuse in the community.Objectives: 1) Partner with local law enforcement to crack down on underage drinking and public intoxication.

3) Work with community leaders to create policies and regulations that discourage alcohol use and abuse. Barriers or challenges to implementing these goals and objectivesThe biggest challenge to implementing these goals and objectives is the lack of resources. It can be challenging to secure funding and resources for community-based programs and initiatives.

Additionally, resistance from the community can be a significant barrier. Some individuals may not be receptive to these interventions, which can make it challenging to achieve the desired outcomes. Finally, a lack of organizational support can be a barrier as well. Without support from community leaders and organizations, it can be challenging to create an effective and sustainable program.

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how soon after ovulation can you test for pregnancy

Answers

After ovulation, it is important to wait for the appropriate time before performing a pregnancy test. Testing too soon after ovulation may not yield accurate results. Pregnancy tests can detect the presence of pregnancy hormones in a woman's urine or blood.

Home pregnancy test kits, available at pharmacies, offer a convenient and quick method for checking for pregnancy. Generally, pregnancy tests are most accurate within a week after fertilization, but several factors can influence their accuracy.

For the most precise results, it is advisable to wait until your period is due before testing for pregnancy. If your period is late, you can take a pregnancy test to determine if you are pregnant. Some pregnancy tests, known as sensitive tests, can be taken five days before a missed period. Other tests, such as digital pregnancy tests, are more likely to provide positive results after a missed period.

It is important to note that no pregnancy test is completely accurate. The accuracy of the test can be influenced by factors such as the timing of the test, the method of testing, and the concentration of human chorionic gonadotropin (hCG) in the body.

In conclusion, it is recommended to wait until your period is late or use a sensitive pregnancy test five days before your expected period to obtain the most reliable results.

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A client who is taking warfarin sodium for a deep vein thrombosis dvt as an inr level of 2 n inr what intervention should the nurse implement?

Answers

It shows that the level of therapeutically intended blood coagulation is present in the client.

The following intervention should be implemented

Monitor the client's condition, Provide education, Assess for signs of bleeding or clotting, Encourage follow-up appointments, etc. It's crucial to remember that precise actions may change based on the client's unique circumstances and the advice of the healthcare practitioner.

The most frequent are minor bleeding or bruises. On warfarin, expect bruises to appear more easily. Your INR should be within the range prescribed for you in order to reduce your risk of bleeding.

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What is the name of the entity that is responsible for the disposal of pharmacy waste? select one: a. distributor b. wholesaler c. reverse wholesaler d. reverse distributor

Answers

The name of the entity that is responsible for the disposal of pharmacy waste is reverse distributor (option D).

Who is a reverse distributor?

A reverse distributor is a company which receives pharmaceuticals from a wholesale or retail seller or a healthcare facility.

This is done so as to return unwanted, unusable, or outdated pharmaceuticals to the manufacturer or to another entity that can legitimately reuse the medicine.

Also, reverse distributors are saddled with the responsibility of disposing pharmaceutical waste.

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The nurse is caring for a client two days after the client was admitted with burn injury. When performing the respiratory assessment, the nurse observes for which type of sputum?

Answers

When assessing the respiratory system of a client with burn injuries, the nurse should be observant for sputum that is thick and discolored. This can be seen as part of the healing process of the body, as it attempts to remove damaged and necrotic tissue from the respiratory system.

In addition, the nurse should monitor the client's oxygen saturation and lung sounds frequently to ensure that there are no signs of respiratory distress.

The nurse should also monitor for signs of infection such as fever, chills, and increased white blood cell count as these could indicate a possible pulmonary infection.

The nurse should also ensure that the client is getting adequate pain management and proper wound care to promote healing.

This includes frequent dressing changes and proper nutrition to support the body's healing process.

In conclusion, when caring for a client with burn injuries, the nurse should monitor for thick and discolored sputum as well as signs of respiratory distress and infection.

The nurse should also ensure proper pain management and wound care to promote healing.

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What was the initial focus of singapore's healthcare system once they gain their independence?

Answers

Singapore's healthcare system initially prioritized providing basic primary care services and other public health services like decent housing.

In terms of both maintaining a good standard of healthcare and keeping costs under control, Singapore has accomplished incredible things. Its healthcare spending is the lowest among all high-income countries in the world in terms of per capita spending and as a proportion of Gross Domestic Product (GDP).

What caused this to occur? How is it that Singapore has been able to produce such outcomes?A healthcare system's construction is only one aspect of the questions that need to be addressed.

There are other important variables that relate to Singapore's culture and philosophy, its system of government, how it handles domestic problems, and how it interacts with the outside world.

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what is your opinion on this statement?
"Healthcare executives should not be driven by desire for self-wealth, increasing profits, power, independence, and a need to succeed, but should focus on providing quality and safe service."

Answers

The statement suggests that healthcare executives should prioritize providing quality and safe service over personal desires such as self-wealth, increasing profits, power, independence, and a need to succeed.

By focusing on delivering quality and safe services, healthcare executives can prioritize patient outcomes, safety, and satisfaction. This can involve initiatives such as implementing evidence-based practices, improving patient experience, investing in staff training and development, and enhancing overall healthcare delivery systems.

However, it's worth noting that healthcare organizations operate within complex systems that require financial sustainability and effective management to continue providing quality care. Balancing financial considerations with the goal of delivering high-quality services can be a challenging task for healthcare executives. Generating revenue and managing resources effectively can enable healthcare organizations to invest in advanced technologies, attract skilled professionals, and improve infrastructure, ultimately leading to better patient care.

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What is the transmission route of an infection acquired by ingestion of contaminated food?

Answers

The transmission route of an infection acquired by ingestion or contaminated food is food-borne.

What are food-borne diseases?

Food-borne diseases are those diseases that are transmitted through food.

Examples of food-borne diseases are as follows;

BotulismBrucellosisCampylobacter enteritisGastroenteritis

According to this question, food-borne diseases is the route of transmission for infections that are acquired by ingestion of contaminated food.

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A patient may develop neutropenia from using topical silvadene for burns. neutropenia is a(n):_________

Answers

A patient may develop neutropenia from using topical silvadene for burns. Neutropenia is a type of blood disorder that affects white blood cells.

Neutrophils are a type of white blood cell that is responsible for fighting off bacterial infections.

Neutropenia is a condition in which the body has a low number of neutrophils.

There are different types of neutropenia, including cyclic neutropenia and drug-induced neutropenia.

Neutropenia is a condition that occurs when there is a deficiency of neutrophils in the blood. It can occur due to a variety of reasons, including viral infections, autoimmune diseases, radiation therapy, and chemotherapy.

One common cause of drug-induced neutropenia is the use of topical silvadene for burns.

Silvadene is a topical medication that is used to treat burns and other wounds.

It contains silver sulfadiazine, which is an antibiotic that is effective against a wide range of bacteria.

However, it can also cause side effects, including neutropenia.

When a patient uses silvadene, it can lead to a decrease in the number of neutrophils in the blood. This can make it harder for the body to fight off bacterial infections.

Therefore, it is essential to monitor patients who use silvadene for burns to make sure that they do not develop neutropenia.

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A patient may develop neutropenia from using topical silvadene for burns. Neutropenia is a type of blood disorder that affects white blood cells.

Neutrophils are a type of white blood cell that is responsible for fighting off bacterial infections.

Neutropenia is a condition in which the body has a low number of neutrophils.

There are different types of neutropenia, including cyclic neutropenia and drug-induced neutropenia.

Neutropenia is a condition that occurs when there is a deficiency of neutrophils in the blood. It can occur due to a variety of reasons, including viral infections, autoimmune diseases, radiation therapy, and chemotherapy.

One common cause of drug-induced neutropenia is the use of topical silvadene for burns.

Silvadene is a topical medication that is used to treat burns and other wounds.

It contains silver sulfadiazine, which is an antibiotic that is effective against a wide range of bacteria.

However, it can also cause side effects, including neutropenia.

When a patient uses silvadene, it can lead to a decrease in the number of neutrophils in the blood. This can make it harder for the body to fight off bacterial infections.

Therefore, it is essential to monitor patients who use silvadene for burns to make sure that they do not develop neutropenia.

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A patient may develop neutropenia from using topical silvadene for burns. Neutropenia is a type of blood disorder that affects white blood cells.

Neutrophils are a type of white blood cell that is responsible for fighting off bacterial infections.

Neutropenia is a condition in which the body has a low number of neutrophils.

There are different types of neutropenia, including cyclic neutropenia and drug-induced neutropenia.

Neutropenia is a condition that occurs when there is a deficiency of neutrophils in the blood. It can occur due to a variety of reasons, including viral infections, autoimmune diseases, radiation therapy, and chemotherapy.

One common cause of drug-induced neutropenia is the use of topical silvadene for burns.

Silvadene is a topical medication that is used to treat burns and other wounds.

It contains silver sulfadiazine, which is an antibiotic that is effective against a wide range of bacteria.

However, it can also cause side effects, including neutropenia.

When a patient uses silvadene, it can lead to a decrease in the number of neutrophils in the blood. This can make it harder for the body to fight off bacterial infections.

Therefore, it is essential to monitor patients who use silvadene for burns to make sure that they do not develop neutropenia.

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When assessing a neonate for seizures, what would the nurse expect to find?

Answers

When assessing a neonate for seizures, the nurse is expected to find b. Tachycardia, c. Jitteriness. and d. Ocular deviation.

A seizure is an uncontrollable and abrupt condition that disrupts the electrical activity of brain impulses. The skeletal muscles of the body experience spasmodic motions as a result of this interruption. It causes changes in behaviour, altered consciousness, respiratory issues, bewilderment, stiffening of the body, etc. It can influence and contribute to a number of CNS disorders, such as epilepsy, which can result in localised or generalized seizures.

A nurse evaluating a newborn for seizures would anticipate discovering Tachycardia as A neonate having a seizure is frequently seen to have an elevated heart rate. As jitteriness or tremors in newborns having seizures might be a sign of seizure activity, there may be jitteriness. A neonate's eyes may also deviate or move abnormally during a seizure, which is known as ocular deviation (OD).

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Complete Question:

When assessing a neonate for seizures, which of the following would the nurse expect to find? Select all that apply.

a. Elevated blood pressure.

b. Tachycardia.

c. Jitteriness.

d. Ocular deviation.

A nurse who is 3 months pregnant is assigned to pass medications to a group of clients. the nurse asks another nurse to administer which medication?

Answers

A separate nurse should provide any drug that may be harmful to the developing fetus at the pregnant nurse's request.

When consumed while pregnant, certain drugs can damage the growing fetus. It is advised that the nurse delegate the administration of potentially harmful medications to another nurse to safeguard the safety of the nurse's unborn child.

By doing so, the nurse decreases the chance of injury to both herself and the fetus, keeping the environment safe and healthy for everyone. This answer is generated by keeping in mind that the well being of the pregnant nurse and the baby is the utmost priority during medication.

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The body becomes tired after doing many mental and physical activities. Justify​

Answers

Answer:  

The body and mind require energy to function correctly. Doing physical or mental work requires energy, which is obtained from our food. When we perform various physical and mental activities, we use up our energy reserves.

During physical activity, our muscles contract and relax, which consumes energy. If the activity is prolonged, the muscles can become tired and sore. This happens because the energy reserves are depleted, and the muscles must work harder to continue performing.

Similarly, mental activities such as studying, reading, and problem-solving require the brain to use energy. The brain consumes glucose, which is the body's primary energy source. When we engage in mental activities for an extended period, the glucose level in the blood decreases, causing mental fatigue and exhaustion.

Therefore, physical and mental activities require energy, and the body becomes tired after performing them for an extended period. This is a natural body response, and it is essential to take breaks and rest to replenish the energy reserves.

Explanation:

What three variables should be included in designing a muscular strength/muscular endurance program?

Answers

A muscular strength/muscular endurance program should take sets, reps, and weight into consideration.

Your capacity to repeatedly perform a physical action over an extended length of time is referred to as muscular endurance. A marathon runner or cyclist competing in the Tour de France, for instance, needs to have strong muscles.

In contrast, athletes who excel at muscular strength, such as weightlifters or sprinters, need to exert more explosive force in a shorter amount of time.

Fast-twitch muscle fibers are used when a force is applied to your muscles that is larger than what the slow-twitch fibers can withstand. These fibers are stronger and can produce more force since they are bigger. These fibers will quickly wear out and need rest intervals.

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A number of techniques have been developed that allow us to examine the activation of specifically defined brain areas. these techniques are called:______

Answers

The techniques that allow us to examine the activation of specifically defined brain areas are called neuroimaging techniques.

What is neuroimaging techniques ?

These technologies, which include varied ones including functional magnetic resonance imaging, positron emission tomography, electroencephalography , magnetoencephalography, and optical imaging, among others, provide a way to see and examine brain activity.

These methods aid in the understanding of the operation of various brain areas and their contribution to various cognitive processes and disorders in researchers and clinicians.

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On a dog, the face and nose are the most ______________ part of the body, while the buttocks and tail are the most _____________ part of the body.

Answers

On a dog, the face and nose are the most prominent parts of the body, while the buttocks and tail are the most posterior parts of the body. Out of all the options, option a is correct.

The face and nose of a dog are considered the most prominent parts of their body. Dogs have a highly expressive face with various features, such as eyes, ears, and a muzzle. The nose is especially noteworthy as it plays a vital role in a dog's sense of smell, which is highly developed. A dog's sense of smell is significantly more powerful than that of humans and is crucial for their exploration, hunting, and overall perception of the world.

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complete question is below

On a dog, the face and nose are the most ______________ part of the body, while the buttocks and tail are the most _____________ part of the body.

a.prominent , posterior

b.posterior ,posterior

c.posterior  anterior

This patient is suffering from...

a) dilated cardiomyopathy

b) ward-romano syndrome

c) inherited form of aortic regurgitation

d) ellis van creveld syndrome

Answers

Amongst the mentioned options, the patient is suffering from dilated cardiomyopathy. Dilated cardiomyopathy (DCM) is a myocardial disorder characterized by chamber dilatation and reduced systolic function.

DCM is typically idiopathic and has a multifactorial etiology, but it can also be caused by genetic mutations, drugs, alcohol, or infectious diseases.

It affects both genders and all ages equally.

Signs and Symptoms of Dilated cardiomyopathy

The symptoms of DCM are similar to those of other forms of heart failure and include:

Shortness of breath, Dyspnea.

Fatigue.

A feeling of weakness in the muscles.

Fainting.

Tachycardia.

Heart palpitations.

The liver is swollen.

Fluid accumulation in the ankles, feet, legs, and occasionally in the abdomen is referred to as edema.

The neck veins are swollen.

Diagnosis of Dilated cardiomyopathy

DCM is frequently found on an echocardiogram, which may show an enlarged left ventricular cavity, impaired systolic function, and increased end-diastolic volume.

In conclusion, the patient is suffering from dilated cardiomyopathy, which is a myocardial disorder that causes chamber dilatation and reduced systolic function, leading to symptoms such as shortness of breath, fatigue, and edema, amongst others.

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The accompanying histogram shows the total number of adoptions in each of 58 regions. determine whether the mean number of adoptions or the median number of adoptions is higher. why?

Answers

As a result of the a. distribution's high end being skewed, which pulls the mean towards larger values, the mean or median number of adoptions is greater.

Through the process of adoption, a person takes over the parental responsibilities of another, often a kid, from that person's biological or legal parent or parents. Legal adoptions transfer all rights, obligations, and filiation from the biological parents to the adoptive parents forever.

Adoption, as opposed to guardianship or other institutions created for the care of the young, aims to bring about a permanent change in status and as such needs society acknowledgment, either through legal or religious permission. In the past, certain civilizations have passed laws specifically regulating adoption, while others have utilized less formal methods (most notably, contracts that laid out inheritance rights and parenting obligations without a corresponding transfer of filiation).

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correct question is:

The accompanying histogram shows the total number of adoptions in each of 42 regions. Determine whether the mean number of adoptions or the median number of adoptions is higher. Why?

A. The mean is higher because the distribution is skewed to the high end, so the mean is pulled toward the higher values.

B. The median and mean are about the same because the distribution is skewed to the high end, the ren pulled equally by the higher and lower values.

C. The median and mean are about the same because the distribution is nearly symmetric, so the mean is pulled equally by the higher and lower values.

D. The median is higher because the distribution is skewed to the low end, so the mean is pulled toward the lower values.

E. The mean is higher because the distribution is skewed to the low end, so the mean is pulled toward the higher values.

F. The median is higher because the distribution is nearly symmetric, so the mean is pulled toward the lower values.

why am i getting headaches everyday all of a sudden

Answers

There are many reasons why one may suddenly start experiencing headaches every day. Firstly, one of the most common causes of sudden, frequent headaches is stress. Stress can manifest in various ways, including muscle tension and anxiety.

Headaches can range from mild to severe and can be an indication of an underlying medical condition.

In this answer, we will discuss some of the possible causes of sudden, frequent headaches.

The muscles around the neck and head can become tense, which can lead to tension headaches. Additionally, stress can trigger migraines in some people, which are characterized by a throbbing pain on one side of the head, nausea, and sensitivity to light and sound.

Secondly, dehydration is another possible cause of headaches. When the body is dehydrated, it can lead to a headache. This is because dehydration can cause the brain to contract, which pulls on the meninges, the protective layer around the brain, and can cause pain.

Thirdly, changes in sleep patterns can lead to headaches. For instance, if you are not getting enough sleep, or if you are sleeping too much, this can cause headaches. Sleep apnea, a condition in which breathing is interrupted during sleep, can also lead to headaches.

Lastly, an underlying medical condition could be the cause of frequent headaches. Examples of such conditions include high blood pressure, brain tumors, or aneurysms.

In conclusion, there are various reasons why one may suddenly start experiencing headaches every day. It is advisable to consult a doctor if the headache is severe, persistent, or accompanied by other symptoms.

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Which of the following would be a source of original research? (1 point)
A. Today’s Dietitian
B. National Fitness Trade Journal
C. The International Journal of Behavioral Nutrition and Physical Activity D. The Washington Post
2. Using the title of this study, identify each study as an example of original research, research editorial, narrative review, or meta-analysis.
A. "Breast-feeding and postpartum weight retention: A meta-analysis" (He et al., 2015). (1 point)
B. "Are dietary guidelines sensible to consumers?" (Pérez-Rodrigo & Tseng, 2013). (1 point)
C. "Targeted physician education positively affects delivery of nutrition therapy and patient
outcomes: Results of a prospective clinical trial" (Hurt et al., 2015). (1 point)
D. "Physical activity at altitude: A summary of the challenges for people with diabetes" (de
Mol et al., 2014). (1 point)
Answer the following questions with ‘true’ or ‘false.’
3. From the Leonard Lief Lehman Library Page (https://lehman.edu/library/). When you search
‘Databases,’ with the search word "Nutrition..."
A. 24 different databases are available to me. (1 point)
B. Science Direct provides access to over 4,000 journals. (1 point)
C. The Public Health Database is one of the databases that I have access to. (1 point)
Go to the PubMed Database (www. Pubmed.gov) to answer the following questions.
4. Using the keywords "constipation" and "fiber," answer the following questions: Which search will
give you more results: "constipation AND fiber" or "constipation OR fiber"? (2 point) A. Constipation AND fiber
B. Constipation OR fiber
Go to the PubMed Database (www. Pubmed.gov) to answer the following questions.
5. When you search PubMed’s MeSH database, what is the MeSH term for Constipation? (3 points)
A. Constipation
B. Feces Evacuation
C. Dyschezia B.
D. Colonic Evacuation
6. If you did a search for ‘constipation’ AND ‘dietary fiber’ using the MeSH database, how many articles would you retrieve? (3 points)
A. 1-100
B. 101-500
C. 501-800
D. Greater than 800
7. What are some ways you could filter your search? (2 point)
A. Filter to find full-text articles
B. Filter to find systematic reviews
C. Filter for human-studies
D. Filter by date
E. All of the above
8. If you filter your original search: ‘constipation’ AND ‘dietary fiber’ using the MeSH database, by
article type, meta-analysis, how many articles would you retrieve now? (3 points)
A. 1-100
B. 101-500
C. 501-800
D. Greater than 800
9. Three of these terms are MeSH terms. Identify the two terms that are not MeSH terms. (5 points) saturated fatty acid, prebiotics, breast milk, inflammatory bowel disease, vegetables
10. Developing a Search strategy. Select a theme, either: (19 points)
(1) losing weight with a particular diet or
(2) losing weight with a particular exercise regimen.
Within the theme that you select (‘dieting’ or ‘exercise’) pick a more specific topic to investigate alongside weight loss. E.g., You could choose a type of diet (e.g., ketogenic) or exercise regimen (e.g., 7- minute workout). *Do not use this exact example to answer your question. Come up with something else that interests you.
A. Which health topic did you choose to investigate? E.g., The effect of the ketogenic diet on weight loss.
B. Select two or more keywords related to your select topic. Which keywords did you select to search for articles related to your topic? E.g., ketogenic, dieting, weight loss

C. Which Boolean operators are you going to use to link your keywords together in your keyword search. Write the command here, remember to capitalize Boolean operators. E.g., (ketogenic) AND (weight loss) AND (dieting)
D. Record the number of records (hits) you got from this search. (E.g., 534 results)
E. Next use the MeSH database to help formulate subject headings for your keywords. What are the MeSH terms associated with your selected keywords from step B?
Keyword
E.g., Ketogenic E.g., Dieting E.g., Weight loss
MeSH Term
Diet, Ketogenic Diet
Weight loss
F. Which MeSH terms will you use to conduct your search? E.g., Diet, Ketogenic; Weight Loss
G. Which Boolean operators do you choose to connect your MeSH terms?
H. Conduct a search using your selected MeSH terms and Boolean operators. Copy and paste the command from the search builder box below. E.g., ("Weight Loss"[Mesh]) AND "Diet, Ketogenic"[Mesh])
I. Record the number of records (hits) you got from this search. (E.g., 154 results)

Answers

1. A. Today’s Dietitian. 2. A. Original research, B. Narrative review, C. Original research, D. Research editorial. 3. A. False, B. True, C. True. 4. B. Constipation OR fiber. 5. A. Constipation. 6. C. 501-800. 7. E. All of the above. 8. A. 1-100. 9. Saturated fatty acid, inflammatory bowel disease. 10. A. Effect of exercise on weight loss. B. Exercise, weight loss. C. (Exercise) AND (weight loss). D. [Number of records will vary]. E. Exercise, Weight loss. F. Exercise, Weight loss. G. AND. H. ("Weight Loss"[Mesh]) AND "Exercise"[Mesh]. I. [Number of records will vary].

1. A. Today’s Dietitian: Today’s Dietitian is not a source of original research but rather a professional publication that provides information and articles related to nutrition and dietetics. It may contain summaries or discussions of research studies, but it is not a primary source of original research.

2. A. Original research: The study titled "Breast-feeding and postpartum weight retention: A meta-analysis" is an example of original research. Meta-analysis involves the systematic review and statistical analysis of multiple studies to draw conclusions. In this case, the researchers conducted a meta-analysis to examine the relationship between breast-feeding and postpartum weight retention.

B. Narrative review: The study titled "Are dietary guidelines sensible to consumers?" is an example of a narrative review. Narrative reviews involve the synthesis and interpretation of existing literature on a particular topic to provide an overview or summary of the current knowledge.

C. Original research: The study titled "Targeted physician education positively affects delivery of nutrition therapy and patient outcomes: Results of a prospective clinical trial" is an example of original research. It describes a prospective clinical trial that investigates the impact of targeted physician education on the delivery of nutrition therapy and patient outcomes.

D. Research editorial: The study titled "Physical activity at altitude: A summary of the challenges for people with diabetes" is likely a research editorial. Research editorials are opinion pieces or commentaries that discuss and provide insights on existing research studies or topics of interest.

3. A. False: The statement is false. The number of available databases may vary depending on the institution or library's subscriptions and resources. It is essential to check the specific library's website or catalog to determine the number of databases available.

B. True: Science Direct is a reputable scholarly database that provides access to a vast collection of scientific journals, including over 4,000 journals in various fields.

C. True: The Public Health Database is one of the databases that may be available for searching nutrition-related information. However, the specific databases accessible may vary depending on the institution's subscriptions and resources.

4. B. Constipation OR fiber: Using the "OR" operator in the search ("constipation OR fiber") will provide more results. It will retrieve articles that mention either constipation or fiber, broadening the scope of the search.

5. A. Constipation: The MeSH term for constipation is "Constipation." MeSH (Medical Subject Headings) is a controlled vocabulary used to index and categorize articles in PubMed.

6. C. 501-800: The number of articles retrieved from the search "constipation AND dietary fiber" using the MeSH database is estimated to be between 501 and 800.

7. E. All of the above: Filtering the search results can be done to find full-text articles, systematic reviews, human studies, or by date. All of these options can be utilized to refine and narrow down the search results.

8. A. 1-100: Filtering the original search by selecting the article type as meta-analysis will likely reduce the number of articles retrieved, resulting in a range of 1-100 articles.

9. Saturated fatty acid and inflammatory bowel disease: Saturated fatty acid and inflammatory bowel disease are not MeSH terms. They are specific terms or concepts related to nutrition and gastrointestinal health.

10. A. Effect of exercise on weight loss.

B. Exercise, weight loss.

C. (Exercise) AND (weight loss).

D. The number of records (hits) will vary depending on the specific search and database used.

E. Exercise, weight loss.

F. Exercise, weight loss.

G. AND.

H. ("Weight Loss"[Mesh]) AND "Exercise"[Mesh].

I. The number of records (hits) will vary depending on the specific search and database used.

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What evidence helps scientists determine the source of a potential outbreak of an infectious disease?

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The evidence that helps scientists determine the source of a potential outbreak of an infectious disease is epidemiological data, which is in option a, as epidemiological data plays a crucial role in identifying the source of an outbreak.

Scientists collect information on affected individuals, including their demographic details, location, and time of symptom onset. They conduct interviews, review medical records, and analyze patterns to identify commonalities and potential sources of exposure. Case-control studies are conducted to compare individuals who have been affected by the disease (cases) with similar individuals who have not been affected (controls). By examining differences in their behaviors, exposures, or characteristics, scientists can identify potential risk factors or sources of infection.

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complete question is below

What evidence helps scientists determine the source of a potential outbreak of an infectious disease?

a. epidemiological data

b. dermatological data

What are the 2 primary purposes of an exercise? Are there any others? Imagine you are the emergency manager in your city or county, explain how you would start the process of designing an emergency exercise in your city/county.

Answers

The two primary purposes of an exercise are to test and evaluate the effectiveness of emergency response plans and procedures and to provide training and practice for emergency personnel. By conducting exercises, emergency managers can identify strengths and weaknesses in their preparedness efforts, identify areas for improvement, and enhance coordination and communication among different response agencies.

In addition to these primary purposes, other objectives of an exercise may include assessing resource requirements, evaluating the effectiveness of communication systems, enhancing public awareness and preparedness, fostering interagency collaboration, and assessing the community's response and recovery capabilities.

As an emergency manager, I would start the process of designing an emergency exercise in my city/county by conducting a comprehensive risk assessment to identify potential hazards and their potential impacts. This assessment would help determine the specific scenarios and objectives for the exercise. I would then establish a planning team consisting of representatives from various response agencies, community stakeholders, and subject matter experts.

The planning team would collaborate to develop exercise objectives, design realistic scenarios, and define evaluation criteria. We would also consider logistical aspects such as location, timing, and resource requirements. The exercise design would include a range of activities such as tabletop exercises, functional exercises, or full-scale simulations based on the identified objectives.

Furthermore, we would establish an exercise timeline, develop exercise documentation, and communicate with participating agencies and the public to ensure their engagement and participation. Regular meetings, rehearsals, and evaluations would be conducted to refine the exercise design and ensure its alignment with the city/county's emergency management goals and objectives.

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The nurse is teaching a 15-year-old boy with type 2 diabetes and his parents how to monitor glucose levels. which communication technique is least effective?

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The least effective communication technique in teaching the 15-year-old boy with type 2 diabetes and his parents about glucose monitoring is written communication. Verbal and non-verbal communication techniques should be prioritized for effective interaction and feedback.

In the nurse's efforts to teach the fifteen-year-old boy with type 2 diabetes and his parents about glucose monitoring, effective communication techniques are crucial. To determine the least effective technique, we must examine the available options: verbal communication, non-verbal communication, and written communication.

Verbal communication involves using words and language to convey messages. The nurse can utilize techniques like questioning, active listening, and providing feedback to communicate with the parents and the boy.

Non-verbal communication entails conveying messages through body language, facial expressions, and tone of voice. The nurse can employ techniques such as body posture, tone of voice, and facial expressions to communicate effectively with the boy and his parents.

Written communication involves conveying information through written text, such as brochures or handouts. However, in this scenario, written communication is the least effective technique. It lacks the opportunity for immediate feedback and interaction, which is crucial for ensuring comprehension, especially with a fifteen-year-old boy.

In summary, written communication is the least effective technique when teaching the boy and his parents about glucose monitoring. The nurse should prioritize verbal and non-verbal communication techniques that allow for feedback and interaction, ensuring effective communication and understanding.

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Discuss the changing face of the healthcare financing system in Saudi Arabia. Provide at least two references in support of your response

Answers

The healthcare financing system in Saudi Arabia is undergoing significant changes, including the implementation of mandatory health insurance and the establishment of the Saudi Health Council. These changes aim to improve accessibility, affordability, and quality of healthcare services in the country.

The healthcare financing system in Saudi Arabia has been undergoing significant changes in recent years to improve accessibility, affordability, and quality of healthcare services. One major development is the implementation of mandatory health insurance known as the Cooperative Health Insurance System. This system requires all Saudi citizens and expatriates to have health insurance coverage, shifting the burden of healthcare costs from the government to individuals and employers. It aims to enhance the sustainability of the healthcare system and promote private sector participation in healthcare provision.

Another important change is the establishment of the Saudi Health Council, which oversees the planning, coordination, and regulation of the healthcare sector. The council is responsible for developing policies and strategies to achieve universal health coverage, improve healthcare quality, and enhance healthcare financing mechanisms.

References:

1. Almalki M, Fitzgerald G, Clark M. Health care system in Saudi Arabia: An overview. East Mediterr Health J. 2011;17(10):784-793.

2. Alshamsan R, Lee JT, Rana S, et al. The Saudi healthcare system: A view from the minaret. Int J Health Serv. 2014;44(4):627-646

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during her shift natasha, a nurse’s aide, was walking one of her alzheimer’s patients to the dining hall. the patient was sundowning and acting very agitated. she pushed natasha, knocking her off balance. natasha hit her shoulder as she fell and irritated an old injury. as a result, she won’t be able to work for 2 days. should this incident be reported to osha by natasha’s employer?

Answers

Yes, the incident should be reported to OSHA by Natasha's employer.

Occupational Safety and Health Administration (OSHA) is an organization that ensures safety and security in the workplace. It is necessary to inform OSHA in case of any severe injuries or death of a worker during their job.

Natasha, who works as a nurse's aide, was walking with a patient when the patient suddenly became agitated and pushed her. As a result, Natasha fell, aggravating her old injury and causing harm. Given this incident, Natasha's employer should report it to OSHA.

OSHA plays a crucial role in helping employers provide a safe working environment for their employees. It is the employer's responsibility to implement safety measures to prevent accidents. In this case, Natasha was performing her duties when she got injured, indicating that the employer is accountable for providing adequate safety measures.

By reporting this incident to OSHA, Natasha's employer can ensure the safety of their workers and take appropriate measures to prevent similar incidents from occurring in the future.

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The most foolproof way of testing the true effectiveness of a newly introduced method of psychological therapy is by means of.

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The most foolproof way of testing the true effectiveness of a newly introduced method of psychological therapy is by means of a randomized controlled trial.

Testing the effectiveness of a new psychological therapy

The most foolproof method to test the true effectiveness of a newly introduced psychological therapy is through a randomized controlled trial (RCT).

RCTs randomly assign participants to either the new therapy group or a control group receiving an existing therapy or placebo. This approach allows for a direct comparison between the two groups, reducing bias and providing robust evidence of the therapy's efficacy.

RCTs typically involve pre- and post-treatment assessments, follow-ups, and statistical analysis to evaluate outcomes. By utilizing RCTs, researchers can obtain reliable and objective data to determine the true effectiveness of the therapy.

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Which credible sources of information should the nurse use to obtain information about the client when developing a plan of care?

Answers

Credible sources for nurses to obtain information about the client when developing a plan of care include clinical practice guidelines, peer-reviewed journals, trusted healthcare websites, textbooks, and collaboration with the interdisciplinary healthcare team.

When developing a plan of care for a client, nurses should rely on credible sources of information to ensure accurate and evidence-based decision-making. Some reputable sources that nurses can consult include:

Clinical practice guidelines: These guidelines are developed by professional healthcare organizations and are based on extensive research and expert consensus. Examples include guidelines from the Centers for Disease Control and Prevention (CDC) and professional nursing associations.

Peer-reviewed journals: Published research articles in reputable journals provide valuable insights into the latest evidence and best practices in healthcare. Nurses can access databases like PubMed, CINAHL, or the Cochrane Library to search for relevant articles.

Trusted healthcare websites: Websites of reputable organizations like the World Health Organization (WHO), National Institutes of Health (NIH), Mayo Clinic, and academic medical centers often provide reliable and up-to-date information.

Textbooks and reference books: Nursing textbooks and reference books authored by recognized experts serve as reliable sources of comprehensive information.

Collaboration with interdisciplinary healthcare team: Consulting and collaborating with other healthcare professionals, such as physicians, pharmacists, and specialists, can provide valuable insights and ensure a holistic approach to care.

By utilizing these credible sources, nurses can access trustworthy information to inform their plan of care and ensure the delivery of high-quality, evidence-based nursing interventions.

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An older client is diagnosed with alzheimer disease. For which clinical manifestations should the nurse assess the client?

Answers

The nurse should look out for memory loss and communication skills.

How should the client be assessed?

Alzheimer's disease frequently causes progressive memory loss, especially in the recent or short-term memory. The customer can have trouble recalling previous discussions, events, or appointments.

The client can have trouble putting their thoughts into sentences, finding the correct words, or taking part in conversations. They could struggle to comprehend spoken or written information or to follow instructions.

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Which patients are more prone to hypothermia due to ineffective temperature regulation?

Answers

Certain individuals are at a higher risk of hypothermia due to ineffective temperature regulation. This includes the elderly, infants and young children, people with certain medical conditions, and homeless individuals. Prompt intervention is crucial in cases of hypothermia, which is a medical emergency.

Hypothermia is a medical emergency characterized by a body temperature below the normal range of 36.5-37.5°C (97.7-99.5°F). Prompt intervention is essential in such cases. While hypothermia can occur in anyone, certain individuals are at a higher risk due to ineffective temperature regulation. The following groups are particularly prone to hypothermia:

1. The elderly: Elderly individuals face a higher risk of hypothermia because they have difficulty regulating their body temperature. Their lower metabolic rate leads to less heat production. Moreover, elderly people often take medications that can interfere with temperature regulation.

2. Infants and young children: Infants and young children are vulnerable to hypothermia due to their larger surface area-to-volume ratio. This results in faster heat loss compared to adults. Additionally, they are unable to shiver, which is a mechanism adults use to generate heat.

3. People with certain medical conditions: Certain medical conditions like diabetes, hypothyroidism, and Parkinson's disease can disrupt the body's ability to regulate temperature. Individuals who have suffered a stroke or have spinal cord injuries may also be at risk since limited mobility hampers heat generation.

4. Homeless people: Homeless individuals are susceptible to hypothermia as they often lack access to adequate shelter and clothing. Malnutrition can further increase their vulnerability. Substance abuse, such as drugs or alcohol, can impair their ability to regulate body temperature.

It is important to be aware of these risk factors and take appropriate measures to prevent hypothermia in vulnerable populations.

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When administering oral medications, which practices should the nurse follow?

Answers

When administering oral medications, the nurse should follow practices such as verifying the correct medication, dose, and patient, and documenting the administration.

Nurses should observe these oral medicine practises:

1. Verify the patient's identity: Use at least two patient identifiers (e.g., name, date of birth) to guarantee the correct medication is delivered.

2. Review medicine orders: Verify the drug, dose, route, and frequency. Check patient allergies and contraindications.

3. Prepare the medication: Use gloves to handle and prepare oral drugs.

4. Give the patient the medication in a calm, comfortable environment. Explain how to take the drug, such as with water, on an empty stomach, or with meals.

5. Document administration: Record the date, time, medicine name, dosage, and any patient-specific instructions.

6. Watch for negative effects following medicine administration. Monitor pharmaceutical interactions and side effects.

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Public Health Question: The State of Colorado allows
adults ages 21 years and older to consume and possesses
recreational marijuana.
Identify the level(s) of government (i.e., federal, state, or
local

Answers

The State of Colorado allows adults ages 21 years and older to consume and possess recreational marijuana. This policy involves the federal, state, and local levels of government in terms of legality, regulation, and enforcement.

In the context of the State of Colorado allowing adults ages 21 years and older to consume and possess recreational marijuana, the levels of government involved include the federal, state, and local levels.

At the federal level, the possession, sale, and use of marijuana remain illegal under the Controlled Substances Act (CSA), which classifies marijuana as a Schedule I substance. However, the federal government has adopted a policy of non-interference with states that have legalized marijuana for recreational or medical purposes, as long as certain federal enforcement priorities are not violated.

At the state level, Colorado has enacted laws that legalize and regulate the recreational use of marijuana for adults. The state government has established licensing and regulatory frameworks for the cultivation, distribution, and sale of marijuana products, as well as regulations related to taxation, advertising, and public consumption.

At the local level, municipalities within Colorado have the authority to further regulate or restrict the sale and consumption of marijuana through zoning ordinances and local regulations. This allows local communities to have some control over the availability and accessibility of marijuana within their jurisdictions.

Overall, the legalization of recreational marijuana in Colorado involves the coordination and interaction of federal, state, and local governments in setting and implementing policies related to its possession and use.

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