health service delivery system of SHMC and the Johnson Unit. Substance abuse is the most common and clinically significant comorbid disorder among adults with severe mental illness‚ (Drake‚ et al). Since the problem of dual diagnosis became clinically apparent in the early 1980’s‚ researchers have established
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required to meet the ever-changing demand on services. In spite of increases in activity by the hospital‚ admissions and waiting lists are increasing‚ reflecting this increasing demand (Table22.1). Table 22.1 Admissions 1991-2 In-patient Day cases Acute Waiting list Total 1992-3 17‚198 21‚893 37‚793 8723 76‚884 1993-4 15‚641 27‚237 39‚490 8820 82‚368 17‚444 16‚136 36‚459 70‚039 Health authorities want the best value for money service‚ best use of resources‚and high patient throughput
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Engineering Flexible Manufacturing System (FMS) Name University Course Instructor Date Engineering Flexible Manufacturing System A. The effectiveness of the FlexSim simulation package in designing and planning the flexible manufacturing system and evaluating its performance FlexSim is one of the most advanced simulation tools used currently in the manufacturing sector (Kumar et al.‚ 2015). The simulation engine is located beneath a number of intuitive controls including drop-down lists‚ drag
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Abstract In common-pool resource systems the diverse ways in which resource users appropriate benefits results in complex and dynamic configuration of stakeholders. Problems in benefit sharing are bound to be experienced in such a resource system. It takes the input and actions of multiple actors to achieve joint outcomes and it is difficult to exclude beneficiaries of these actions even if they do not contribute. With an increasing number of stakeholders in a resource system the resource units become highly
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Case Study: The Hometown Deli- Stage 1 I am proud to now be the sole decision maker and owner of my family’s deli‚ The Hometown Deli‚ which has been in my family since 1952. I feel honored and I am so happy that I have been given the chance to better the business and bring it into the 21st century. I need to be careful in doing so since I have never had such responsibilities before. Not only am I now faced with the challenges of learning the ropes of the business‚ but the new rumor about the
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Although alcohol has been legal for nearly a decade within Canada‚ it has produced numerous influences on crimes and has been at the heart of the Canadian criminal justice system. One of the greatest negative impacts associated with alcohol is the vast amount of violent crimes‚ which occur within Canada as a result. Pernanen‚ Cousineau‚ Brochu‚ and Sun (2002) conducted extensive research on the prevalence of alcohol and illicit-drug use and correlation to violent crimes within the Canadian Correctional
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1. What was the most difficult aspect of the reservation system for Native Americans to accept and why?Consider factors such as conversion to Christianity‚ getting a formal education‚ having to speak English‚ etc. and be sure to discuss how this "acceptance" sacrificed cultural identity. For Native Americans the reservation system would destroy so much of their culture and their identity as a people‚ and the factors that led to this are many. Of the different acts that stripped Native Americans
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Written in Bone‚ Sally M. Walker‚ develops many central ideas over the course of the text. One central idea is forensic anthropologists explore bones to tell the stories of the past . Another central idea is forensic anthropology is the study of human skeletal remains to understand the life and death of people in the past. The author develops these central ideas using explanations telling us how they are made using captions and photographs of Doug Owsley and more people studying bones and graves
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cerebral contusions. On arrival to Emergency Department he is very unwell; in severe pain‚ pale and diaphoretic with decreased level of consciousness. His vital signs are abnormal and arterial blood gases - concerning. The essay below draws on the case study as described above. It consists of three parts that consecutively explain the impact of Mohammad’s injuries and habits on his respiratory function‚ hemodynamics and arterial blood gases. Respiratory changes Normal tidal respiration is a
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disease characterized by low bone density‚ which can lead to an increased risk of bone fractures1. Osteoporosis is closely linked to bone remodeling2‚ an adaptive process which maintains bone tissue integrity throughout one’s lifetime3. This process is carried out by specialized groups of bone cells known as basic multicellular units (BMUs) which dictate the processes of coupled bone breakdown and bone formation.3 During osteoporosis‚ this bone turnover rate accelerates and bone remodeling is shifted towards
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