...Lupus and Multiple Sclerosis Student’s Name University Abstract This study seeks to classify Lupus Multiple Sclerosis. This study, therefore, is comparing and contrasting the Pathophysiology, clinical manifestations, nursing or medical management and prognosis of two different disease processes (Bates, 2011). It will involve a survey research design; the sampling strategy included in this study will be simple random sampling as the required is readily available from secondary sources. About 90 patients suffering from Lupus Multiple Sclerosis will participate in the study. Analysis of data is through the use of regression analysis and descriptive statistics; the research findings will be on the research question and the research objectives. Multiple Sclerosis could have detrimental effects on the human nervous system, especially when misdiagnosed happens or when it is not detected early. It is a disease that requires close monitoring and proper treatment (Schopick, 2011). Table of Contents 1.0 Introduction/Background of the Study…………….………………………………....4 2.0 Problem……………………………………………………………………………….4 3.0 Purpose………………………………………………………………………………..5 4.0 Objectives……………………………………………………………………………..5 5.0 Research Questions…………………………………………………………………...5 6.0 Significance to Nursing……………………………………………………………….6 7.0 Methodology….............................................................................................................6 8.0 Results ………………………………………………………………………………...
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...taxpayer even if the controlled foreign company pays a dividend or not. c) Transfer pricing is were companies attempt to minimise tax by selectively allocating income and expenses between domestic and foreign entities, whereas transactions between entities are still required to be dealt in an arms length arrangement with transfer pricing this does not occur . Countries that have enacted anti-transfer pricing legislation recalculate the enterprises taxable profit using arms length pricing which is not recognised in the International Accounting Standards Section 27 Consolidated and Separate Financial Statements. Some of the methods used by countries are • Comparable uncontrolled price method • Resale price • Cost plus method Topic 10 Question 1: (a) The tax implications for Bill Bates as he is working in Country B he would have withholding tax even though he is only a temporary resident of Country B. For this reason Bill Bates would be allowed to get an exemption or a credit...
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...Abstract An electronic bar code medication administration was a system developed and successfully implemented in a 118-bed Veterans Administration hospital in February 2000. Known as Barcode Medication Administration (BCMA), this software proved useful in generating fast and accurate medication administration as well as online patient medication records preservation. The application created by the Eastern Kansas Health Care System in association with Colmery-O’Neil VA Medical Center has been modified a number of times to meet the general requirements in all U.S. Veterans Health Administration medical centers. The implementation of Barcode Medication Administration software has enabled electronic bedside administration of medication of medications. Online Barcode technology is revolutionizing medication administration more aspects than originally thought, and is such a blessing to the business industry in terms of cost cutting. To be honest, the force driving the momentum in the adoption of the new systems has been majorly based on financial, rather than safety concerns. The fee for- service compensation systems has done exceedingly well in increasing revenue to hospitals resulting from additional technology-related charges levied on patients for each dose dispensed (Cohen, 2002). From the evidences adduced in this research, bar code technology seems to hold great promise for general improvements in medication safety and efficiency. Nevertheless, evidence so far is limited...
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...financially affect the health care organization due to long patient stay in the hospital for advanced treatment (Presto, 2004). This research paper will provide highlights on medication errors definition, importance of safety during medication process, factors contributing to medication errors and effective factors in preventing medication errors. Medication errors were defined as a fault in medication that may occur at any stage of the process in ordering or delivering medications (Bates, Boyle, Vliet, Scheider & Leape, 1995), either an injury occurred or the potential for injury was present (Bates et al, 1999). These errors could occur in dosing error, which is common (Lesar, Briceland & Stein, 1997), or wrong route, or wrong time, or error in medicine rate and omission error (O’Shea, 1998). Also there are some situations such as missing a dose of medication or the correct medication given too many times to the patient. Both of these situations are considered as medication error (Bates, Boyle, Vliet, Schneider & Leape, 1995). These errors can happen anywhere, it can occur at home, pharmacies and hospitals or doctor’s clinics, which can lead to harm to the patient. However, this unsafe practice may indicate level of quality of the...
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...Aku its final exam question …….it’s like take home exam where we will get 24 hours to write this questions and submit it tomorrow morning at 9 a.m …… so please help me to write this questions which you find very easy or familiar….it would be very grateful if aku could write and post me today evening around 4 or 5 p.m because I have to frame it in my English standard as you will have very high standard….soo….plz make spare few hours for this and post me the answers na aku…….. These are the questions…….? Question 1 Why do some individuals consider tax deferred to be taxes saved? Is their reasoning logical? (4 marks) Question 2 Mr. Karma is an employee of XYZ ltd. He draws salary @Nu.20,000 p.m during the year 2010-2011. He occupies residential house at Thimphu. Its rent is Nu.6000 p.m. He is offered three alternatives by the employer: 1) The company pays the rent direct to the landlord, the tenancy being between the company and the landlord. 2) The company pays house rent allowance to karma @Nu.5750 p.m and karma pays rent of Nu.6000 p.m to the landlord-the tenancy being between karma and the landlord. 3) The company neither offers karma the house accommodation, nor the rent allowance. Karma pays rent of Nu.6000 p.m for the accommodation occupied by him. He requests you to advise him as to which option would minimize his tax liabilities and maximize the cash inflow after tax. (5 marks) Question 3 Governments around the world...
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...Jail and Prisons Comparison Paper Marcus Alexander CJA/234 Introduction to Corrections June 23, 2014 Sherri Webster Jail and Prisons Comparison In the U.S. criminal justice system, when a person is arrested, the first place they are usually taken to is jail. From there, they see a judge and go through a court process. If further incarceration is needed, the individual is sentenced to serve time in either a county jail, state prison or federal prison. This paper will help discuss the history behind the jails and their use in addition to the history of state and federal prisons. While understanding the history of these three correctional facilities it will help to compare the different levels of security and how they work differently in each facility. A major problem in the United States, regarding the corrections system, is overcrowding. The effects of overcrowding are visible throughout the criminal justice system and there are different factors that influence the growth of jail/prison incarceration. The jails of the modern era can be traced back to the 1100’s in England. The first jail created was ordered built by King Henry II in 1166, and the English term gaol was used in place of the word jail (Seiter, 2011). Jails then were also used, as they are now, for the purpose of housing offenders that were waiting for trial, but also took in individuals who were homeless, poor or suffered from mental disabilities. Individuals that are incarcerated in...
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...Study of the rates of co-infection of HIV/AIDS and Tuberculosis in Urbanized regions within Sub-Saharan Africa Sistla Sumanth Introduction: Airborne communication of mycobacterium tuberculosis is responsible for the evolution of primary tuberculosis (TB) in immunostable and immunocomprimsed patients (Aaron, et al. 2004). In 1993, the center for disease control classification identified that TB was the defining illness in HIV infected patients, as it is typically the first symptom bearing illness to afflict the patient (Aaron, et al. 2004). TB cases have dramatically increased in the global setting in recent, particularly in Sub-Saharan Africa, illustrating the sensitivity of HIV infected patients to this co-infection. TB results from a pathogenic infection caused primarily by M. tuberculosis, and seldom Mycobacterium bovis; the infiltration of the bacterium into the respiratory tract leads to the infection of the macrophages and cytotoxic cells debilitating intracellular growth (Aaron, et al. 2004). The risk of HIV infected patients to succumb due to the co-infection of tuberculosis and HIV is twice that of patients only infected with HIV (Aaron, et al. 2004). A 1997 estimate suggests that atleast 10.7million people were co-infected with HIV and M. tuberculosis; more than 30% of TB cases in Africa are also infected with HIV (Aaron, et al. 2004) showing the susceptibility of co-infection in immunocompromised patients. Those living in Sub-Saharan Africa...
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...Skeeter is given to her by her older brother due to size at birth. He thought she took after a skeeter. Upon her return from school, she realizes a degree of modifications based on the issue of racism. To be precise, she has a changed perception on the relationship between the members of the white households and afro American maids. She wonders why her society adopts a double standard notion at looking at individuals. For instance, she is surprised at the fact that the whites would not let their maids use the same lavatories as them, yet entrusting them (black maids) with the care of their children. Her attitude is heavily attributed to the absence of her favorite maid. She feels it was unfair for Constantine to leave without informing her. As a result, she suspects that something awful must have compelled her to part ways with her family. She later realizes that Constantine had been relieved off her duties upon her act of reuniting with her daughter, Lullabelle Bates. Another change worth noting in Skeeter revolves around the nexus between education and employment. In spite of being in possession of a double major degree, she opts against looking for a job related to her specialization. She feels the degree she has earned is irrelevant. She refers to her degree certificate as a piece of paper. Instead, she opts to become a writer. Unfortunately, the only writing job available is that of a housekeeping columnist at a local company (Jackson...
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...Paper (Step by Step) A customized summary of the guideline developed by Grey Anderson, Bates College University of Furtwangen Nov.2011 How to write a scientific paper: Your scientific papers are subdivided into the following sections: Title, Authors and Affiliation, Abstract, Discussion, Conclusion, Literature Cited, and Appendices. This is the system we will use. In the following we will describe the style, content, and format associated with each section. The sections appear in a paper in the following prescribed order: Content | Section of Paper | What is the paper about in nutshell? | Abstract | What is the problem or case which is analyzed?The methods and materials used for analysis. | Discussion | Results and the findings of the analysis. | Conclusion | Whose work did you refer to? | Literature Cited | Extra information | Appendices (Optional) | 1. Section Headings: Main Section Headings; Each main section of the paper begins with a heading which should be capitalized, centered at the beginning of the section, and double spaced from the lines above and below. Do not underline the section heading OR put a colon at the end. Example of a main section heading: Abstract Subheadings; Use subheadings to help organize the presentation. Subheadings should be capitalized (first letter in each word), left justified, bold italics, and double spaced from the lines above and below. Example of a subheading: Effects of Light Intensity...
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...CHAPTER 1 Summary Emma Woodhouse, Henry's younger daughter, lives in the small town of Highbury, sixteen miles away from London. She lives with her old, valetudinarian father at Hartfield. His elder daughter, Isabella, is married to the younger brother of George Knightley, the gentleman landlord and owner of Donwell Abbey Estate, a mile away from Hartfield. Isabella's husband is a lawyer; she lives with him and their five children in London. Emma lost her mother when she was five years old. Since then she has had the companionship of her governess, Miss Anne Taylor. After Isabella's marriage seven years earlier, Miss Taylor has been Emma's only companion and confidante. Emma is now twenty-one years old, beautiful and intelligent, but conceited and willful. Miss Taylor has just recently married Mr. Weston, a middle-aged widower. Even though she is very attached to her father, Emma feels depressed since she now has no companion except her this old, sickly man, who is against the thought of Emma marrying because he does not want to undergo any change. On the day following Miss Taylor's wedding, Mr. Woodhouse expresses his regrets over her marriage. Although he thinks Mr. Weston is a thorough gentleman, he disapproves of Miss Taylor desiring to marry in order to have a home of her own; Hartfield, where she has lived with the Woodhouses, is three times larger than Mr. Weston's Randalls. Emma tries to convince her father that their governess is happily married and tells him...
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...Gender and Transitional Justice An Assessment of the Contribution of Transitional Justice Mechanisms in Addressing Gender-Based Violence in post-Conflict Sierra Leone Introduction Sierra Leone, a relatively small country with a population of just over 6 million people, has been the focus of considerable attention due to the recent Ebola epidemic and, prior to that, the decade-long civil war (1991-2002) (Mills, Nesbitt-Ahmed, Diggins & Mackieu, 2015, p. 4). After the war, the transition from civil war to peace witnessed a number of landmark procedural innovations with widespread implications for gender justice. The decade-long conflict had shattered the West African country, displacing more than one million people and leaving more than two hundred thousand women and girls dealing with the aftermath of sexual and gender-based violence (SGBV). Then, in 1999, the Lomé Peace Agreement traded amnesty for peace, making provision for the creation of the Truth and Reconciliation Commission of Sierra Leone to work parallel to the Special Court of Sierra Leone (otherwise called the Special Court or the SCSL) in order to prosecute those who bore “the greatest responsibility” for mass atrocities committed during the civil war. While there is a growing consensus that truth and reconciliation commissions as a transitional justice mechanism can be effective tools “in the construction of a post-conflict society that is more democratic and more respectful of human rights” (Wielbelhans-Hrahm...
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...9 -6 0 3 -0 6 0 REV: FEBRUARY 20, 2003 ANDR E W P. MCAFEE S A R A H M. MA CG R E G O R MICH A E L BE NA R I Mount Auburn Hospital: Physician Order Entry Introduction In September of 2002, Robert Todd, the head of information systems (IS) for Mount Auburn Hospital in Cambridge, Massachusetts, reviewed progress toward the launch of the hospital’s new computerized physician order entry (POE) system. The committee overseeing the project consisted of an across-the-board selection of hospital representation, including physicians, pharmacy staff, nurses, administrators, and IS operations staff. The POE system was scheduled to ‚go live‛ on a pilot basis in the middle of October in the hospital’s labor and delivery unit. It had not been difficult to mount support for the project. POE systems had been demonstrated to reduce error rates, and medical errors were widely recognized as a large and serious problem in health care. A landmark study published in 19911 estimated that 1.3 million injuries occurred annually in U.S. hospitals, 69% of which were at last partially due to errors in patient management. The study found that 13% of injuries resulted in patient death, ‚a rate that if extrapolated to the United States as a whole suggested that approximately 180,000 deaths a year were, at least partly, the result of injuries received during the course of care.‛2 This study also found that adverse drug events (ADEs) accounted for nearly 20% of total injuries (making them the largest...
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...Drug Errors Introduction Administration of medicines is a key element of nursing care. Every day some 7000 doses of medication are administered in a typical NHS hospital (Audit commission 2002). Drug administration forms a major part of the clinical nurses role. Medicines are prescribed by the doctor and dispensed by the pharmacist but responsibility for correct administration rests with the registered nurse (O'Shea 1999). Each registered nurse is accountable for his/her practice. This practice includes preparing, checking and administering medications, updating knowledge of medications, monitoring the effectiveness of treatment, reporting adverse drug reactions and teaching patients about the drugs that they receive (O'Shea 1999). The patient is expected to receive the correct medication at each drug round but several studies have shown that this is not always the case (Raju et al 1988, Ferner 1995). Medication errors do occur and are a persistent problem associated with nursing practice (O'Shea 1999). The aim of this paper is to answer the question: Why are nurses still continuing to make drug errors? In order to answer this question this paper shall examine the guidelines that nurses must adhere to when administering drugs, shall provide a definition of a drug errors, look at reasons why drug errors occur and approaches that are aimed at reducing drug errors on the ward. There are a number of pieces of legislation that relate to prescribing, supply, storage and administration...
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...Indian Institute of Management and later Yale University before moving into the corporate sphere, eventually settling at PepsiCo in 1994. When she was named CEO in October of last year, India's water again became a focus of her life. This time Nooyi was cast as part of the problem. Villagers charged that PepsiCo—which has named India as a top strategic priority—consumes excessive groundwater in their parched communities. Even worse was the repeated claim that the snack and beverage company, along with rival Coca-Cola Co. (KO ), were allowing pesticide residue from groundwater to get into locally made soda. The charges, first leveled in 2003, emerged again two months before Nooyi took over the top job. Pepsi's soda sales, which fell by double digits in India when the scandal first broke, took another big hit last...
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...Referencing What is referencing? Referencing is acknowledging all of the material (books, articles, electronic resources – collectively known as your sources) that you have used in writing your assignment. Because this is other people’s work / ideas, you need to acknowledge their influence and ideas within your work. “Why bother?” or Reasons for referencing Referencing is an academic requirement. It is unethical (and can be illegal) to pass off the intellectual property of others as your own. This is called plagiarism. Plagiarism is regarded as a very serious offence (see your programme’s Student Handbook). Learning to reference correctly is your best protection against charges of plagiarism. HINT: Whenever you read, take notes, or photocopy any material that you might use in an assignment, immediately copy the full reference information onto your copy. If you can’t reference it – you can’t use it ! What is APA? There are multiple “styles” of referencing. The major ones are the Chicago, Harvard and APA styles. Each is slightly different from the other. The AUT faculty of Health uses the American Psychological Association (APA) system of referencing. The current edition of the APA style is the 5th edition. Below are the basic elements of the APA style of referencing. These are intended as guidelines only. You may find these guidelines do not cover your specific needs. For further information you can consult the APA style manual held in the library. The Call No. is...
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