states that she has been having vaginal bleeding‚ more like spotting‚ over the past month. She denies the chance of pregnancy‚ although she states that she is sexually active and using no birth control. GYNECOLOGIC HISTORY: Patient is gravida 2‚ para 1‚ abortus 1. He only child is a 15 year old daughter who lives in Texas with her grandmother. PAST HISTORY: Positive for Hepatitis B. SURGICAL HISTORY: Pilonidal cyst removed in the emote past. Had plastic surgery on her ears as a child. SOCIAL HISTORY:
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Comparison of the occupational safety and health management systems in Great Britain and Japan Introduction The occupational safety and health management system (OSHMS) in Britain has the longest history in the world (Walters‚ 1996)‚ which could be traced back over 150 years (Health and Safety Executive‚ 2009). With the continuing adjustment‚ this system has successfully served millions of workers for over 40 years. The foundation of the present system is the result of Health and Safety at Work etc
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Original Article A Comprehensive Case Management Program To Improve Palliative Care 1 1 Claire M. Spettell‚ Ph.D.‚ Wayne S. Rawlins‚ M.D.‚ M.B.A.‚2 Randall Krakauer‚ M.D.‚3 Joaquim Fernandes‚ M.S.‚ 2 2 2 Mary E.S. Breton‚ B.S.‚ J.D.‚ Wayne Gowdy‚ B.S.‚ Sharon Brodeur‚ R.N.‚ B.S.‚ M.P.A.‚ Maureen MacCoy‚ B.S.N.‚ M.B.A.‚2 and Troyen A. Brennan‚ M.D.‚ M.P.H.4 Abstract Objective: The objective of this study was to evaluate the impact of comprehensive case management (CM) and expanded insurance benefits
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Case Study: System Development Hanan Aldraawi Sullivan University: HCA535 System development is a process in which programmers with organization contribution write codes to solve a problem that face the organization system or automate a procedure. There are three major systems development techniques that been used to solve systems’ problems. The system development techniques are SDLC (Systems Development Life Cycle)‚ JAD (Joint Application Development)‚ and RAD (Rapid Application Development)
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Week 2 Case Study Project Risk Management The need for this project is due to the decision by Ajax to upgrade their software system and they are uncertain which would be the best method to proceed. The goal for Ajax is to automate their production planning and control system. While the case study does not clearly state the reason it is safe to assume that the new system would be expected to increase productivity and maintain control of the production system. Ajax has chosen two options that
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Amazon Case Study 1. What technology services does Amazon provide? What are the business advantages to Amazon and to subscribers of these services? What are the disadvantages to each? What kinds of businesses are likely to benefit from these services? Amazon provides cloud utility computing‚ also known as on-demand computing when they introduced their services Simple Storage Service (S3) and Elastic Compute Cloud (EC2). With these two services‚ Amazon provides a pay-as-you-go model of
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1. Describe the situation of the Lehman brothers from an ethics perspective. What’s your opinion of what happened here? Lehman’ executives exploiting loopholes in the accounting standards to manipulate their balance sheet in order to mislead the investing public is the ethical issue that contributed to the company’s collapse. Lehman was able to clear vast amounts of unprofitable assets off of its balance sheet instead of selling them at a loss by using Repo 105. There was evidence that the chief
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1. Why is the BlackBerry controversy prominent in Asia‚ particularly in the Middle East‚ and not anywhere else in the world? The blackberry controversy is prominent in Asia‚ particularly in the Middle East‚ and not anywhere else in the world because of the instability of the region‚ government corruption‚ and restricted freedoms. The governments in the Middle East are under threat and need all of the information on potential terrorist plots so they can get to protect their sovereignty. In order
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to take on something ‘bigger and bolder’?? World Bank (2001) with its Urban Transport Strategy Review alleged that the public transport has a very poor image and reputation. It is associated with very low earnings and exploited crews. In the case of the Philippines‚ we see how ‘boundaries’ set by transport operators leads to the despicable behaviour of drivers‚ thus contributing to the negative image of the sector. Moreover‚ urban congestion‚ adverse environmental impacts resulting from the
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Telecommuting at MedEx The case is about a Human Resource Manager that is very concerned about the high turnover rate for the specialists at a company called MedEx. Turnover is very costly for the company and the manager‚ Harry Davis‚ wants to lower the turnover rate. Telecommuting came up as an idea to help decrease the turnover rate. The specialist job that they keep referring to has an intensive 3-week training but after that the specialist work independently on their work and so telecommuting
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