...Dr. Burns Case Study Assignment 1 Operations Management 505 Submitted to Coach Jan Wirsam From Lise Beland June 21, 2013 Word Count: Table of Contents Background …………………………………………………………………………..1 The Technology……………………………………………………………………....2 Operations Strategy………………………………………………………. ……….. 3 Cash Flow Statements…………………………………………………………………………….4 Clinical Trial Work Design Process…………………………………………………4 Final Recommendation……………………………………………………………….5 References………………………………… …………………………………………6 Background: Dr. Nicholas Burns, a sole practitioner dentist in a small town in Ontario, is considering the purchase of a new dental laser which allows dentists to perform certain dental treatments without anesthesia. He wondered if the benefits of the new dental laser would justify the expenditure. Dr. Burns knew he should consider whether the technological advantage offered by the new dental laser would improve his office's profitability and the possibility that a different technology may become the standard in the industry. Issue 1: Will Waterlase become a sought after technology? OPERATIONS STRATEGY Analysis 1: Waterlase is a proven technology that provides the patient with a revolutionary treatment. The laser has been approved by Health Canada since 1998 and it main benefits enable better clotting and healing on soft tissues. The reduced...
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...is a burn? Burns are physical injuries that occur when the human skin comes in contact with heat, radiation, electricity or certain chemicals. Burns are extremely dangerous and excruciatingly painful. Even a minor burn can be extremely painful. They can cause a severe damage to the skin and in some cases also to some internal organs of the body. They form permanent or temporary marks on the skin and involve the damage of the layers of skin. Basically burns are caused by any hot object or a chemical. Usually the most common agent causing burns is the fire. Other agents are hot liquids, electricity and chemicals and gas. Each year, over 200,000 Canadians receive medical care for burn injuries. More than 5000 of these are hospitalized for an average of two weeks, and of these, four percent will die from their injuries. How many of you have had a burn? How many of you have had, or ever had a loved one have a burn so severe that they had to go to a burn ward for treatment? I’d like to take this opportunity to give you a little history on the creation of burn wards in Canada, specifically Winnipeg, Regina (my own personal experience with my brother) and Toronto, the costs of these services, the leadership required to make these services a reality, and the important role these services play in the welfare of injured Canadians as a whole. Prior to the 1960s, burn victims were treated in general surgical wards. There were no specialized facilities for treating burn victims...
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...Burns- Assessment of such as age and the depth of the burn , bsa, inhalation injury , injury of other special surfaces such as the face the perineum , hands or feet or genital areas as well as medical hx. Burns are classified as : superficial partial thickness --- deep partial thickness--- full thickness injuries, it is important to remember that these are similar to but not the same as first second and third degree burns. Fourth degree burn if used is classified as a full thickness burn that destroys also tendons and muscle usually from high voltage injury or prolonged flame contact. Superficial partial thickness- the epidermis is destroyed or injured and portion of the dermis may be injured to Deep partial thickness – the epidermis is destroyed and the upper layers of the dermis with possible involvement of the deep layers, cap refill and tissue blanching, hair follicle still in tact Full thickness- destroys everything up to and including the underlying tissue of bone and muscle, color ranges from pale white to red and charred brown and black. No sensation due to destruction of the nerve. Wound is leathery no hair or sweat glands. Wound must be grafted to heal BSA: Rule of nines: head is 9, arms are 9, chest is 18 anterior and 18 posterior , belly is 18 anterior and posterior, legs are 18 and genitals are 1. Lund/bowder method is more accurate it determines BSA based on proportion of the area to the whole body and is more precise. Usually is given estimate then...
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...lost a great deal of his electrolytes through sweating earlier in the day containing sodium, potassium, calcium, chloride and bicarbonate. All aid in the ability for the body to maintain homeostasis and muscle control. 3. During a heat stroke, your body is unable to properly cool itself. When it is unable to cool itself, the core body temperature rises rapidly.When the core temperature rises, the brain begins to fail. (The brain can only function in a very narrow temperature range). As the brain overheats, the individual will become disoriented, combative, argumentative and may hallucinate. 4. Due to the growth, change of color and bleeding these are all first signs of melanoma. He should have them looked at by the dermatologist. The Dr. will more than likely take a biopsy of the mole. All potentially cancerous skin growths must be biopsied to confirm acancer diagnosis. Depending on the suspected type of skin cancer, the biopsy techniques vary slightly but crucially. Any potential melanoma requires a surgical biopsy, in which the entire growth is removed with a scalpel if possible. A pathologist then studies the sample under a microscope to determine whether cancer cells are present. If melanoma is diagnosed, other tests may be ordered to assess the degree of cancer spread (metastasis). They include: Imaging. Your doctor will order one or more tests to look for metastasis. They include CT scan, MRI, PET scan, bone scan, and chest X-ray. Other biopsies. Using a variety of...
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...Lakeview Dr. Silver Spring, MD 20904 Dear Mrs. Garcia, According to the U.S. Fire Administration, they say that burning candles are the cause of approximately 15,600 fires, 1,270 injuries, 150 deaths, and an estimated of $539 million damages every year. Are you aware that 80% of burning candles are the cause of house fires? When you light up a fire free candle manufactured by Ambiance Candles, You will enjoy the lovely aroma that surrounds your home without worrying about those horrific statistics. Ambiance Candles is made out of real fragranced and with the soy plant, a plant source which prevents diseases such as cancer and heart disease. You can actually plug in your warmer and watch your candle burn fire free. The soy wax melts very slowly while you enjoy the sweet smells of your choice for 10 hours or more. We carry all of your desired fragrances. Ambiance Candles offers over 250 fragrances and 100 different warmers. When our dedicated customers writes their review about our candles, they say they are so excited about the different fragrances that we offer, and are very happy of how safe the candles are around their families and pets. We listen to our customer’s suggestions and ideas and that is the reason why we are able to bring to you all of your hearts desires when it comes to a safer, cleaner and healthier way of burning candles in your homes. Our candles are lead and soot free, and can last an average of 100 hours! On a yearly base, candle lovers burns approximately...
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...A man shot and killed 12 people at the premiere of 'Batman' Police in Colorado say a shooting at a movie theater premiere of the latest Batman film has killed at least 12 people and injured 50 more, the Associated Press reported. The death toll was originally given as 14, but later revised down. Several people are said to be in critical condition in hospitals in and around Aurora, near Denver, where the shooting took place. A suspect is in police custody. Officials identified him to NBC News as 24-year-old local man James Holmes. More from GlobalPost: Eyewitness account: Batman premiere shooting in Colorado Shots were reported around 30 minutes into a midnight showing of the newly released Batman movie, The Dark Night Rises, the Denver Post said. Witnesses at the Century 16 movie theater described terrifying scenes. Eyewitness Sharon Segura told GlobalPost: "We get about 10 minutes into the movie and there is this big action scene and there's lots of gunfire. And there is just maybe five or six really loud pops. "So I freak out and I jump a little. And my husband laughs at me and I said, 'No, you don't understand, that wasn't part of the movie, that was real. That was way too loud.'" The AP said the suspect is believed to have kicked in an emergency exit door and thrown some sort of explosive, possibly tear gas, into the darkened theater before opening fire. More from GlobalPost: Yahoo to pay Marissa Mayer up to $100M over 5 years Frank Fania, a police spokesman...
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...Product Liability Management Victor Adejayan Dr. Dianne Barrs Strayer University LEG 500 September, 2012 Product liability is the responsibility of a manufacturer for injury or loss caused by its product (Dictionary.com). Product liability serves to protect the public but it is may turn out to be very expensive to organizations. Management has the duty of making sure that organizations’ resources, especially funds and reputation, do not suffer unnecessary attrition and damages through the implementation of effective, affordable product liability programs. It is important to have people in management that possess the skills such needed to solve liability issues in the legal arena, most importantly before they occur.The challenge of the manager is fulfilling his/hers responsibilities by generating profit in business while protecting the interests of otherstakeholders, such as, employees and customers. Though the savvy manager cannot stop people from having the intention and grievances to sue the organization, they can reduce the motive of prospective plaintiffs and in event of a lawsuit happens; effective product liability management mitigates the negative effects on the organization. Management has the duty of making sure the product liability policies and programs of the organization is clear, concise and precise so that the interpretation thereof cannot be turned to work against the organization. Most lawsuits that are directed at organizations arise...
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...powder 1 on the plastic film in two piles, and test its reaction to vinegar then to iodine. Repeat this for mystery powders 2-6. 3) Record results 4) Make 6 small bowls out of the tin foil to hold the mystery powders. 5) Connect the Bunsen burner hose. 6) Turn on the gas and light with a striker. 7) Hold the tin foil bowls with the mystery powders in them with tongs, and then move the bowls over the flame for 20 to 30 seconds. 8) Record results Observations Vinegar Iodine Heat A White powder, Blue tint No Fizz No reaction Burned around edges B White powder, fine, clumps together Fizz Reaction Smokes, burns edges C fine powder, clumps Fizz No reaction No heating reaction D clumps, yellow tint, soft No Fizz Reaction Very quick reaction, Flames E very soft, very fine No Fizz Reaction Caught on fire early F clumps, fine powder No Fizz No reaction Melted but no burn till later G Fine powder, course Fizz Reaction No heating reaction In this experiment we got different results from the rest of the groups, but that was because my group was in a dark corner and was difficult to determine if iodine had a reaction. We did not need to vary from the...
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...bottom of the essay may have expired. -------------------------------------------------------------------------------- McDonalds coffee and the Liebeck lawsuit Lis Riba, 2000 Here are some facts about what really happened: At the trial, it was revealed: •McDonalds required their coffee kept at 185 degrees Fahrenheit, plus or minus 5 degrees, significantly higher than other establishments. [Coffee is usually served at 135 to 140 degrees] •An expert testified that 180 degree liquids will cause full thickness burns in 2 to 7 seconds. •McDonalds knew before this accident that burn hazards exist with any foods served above 140 degrees. •McDonalds knew that its coffee would burn drinkers at the temperature they served it. •McDonalds research showed that customers consumed coffee immediately while driving. •McDonalds knew of over 700 people burned by its coffee, including many third-degree burns similar to Ms. Liebeck's. •McDonalds had received previous requests from consumers and safety organizations to lower their coffee temperature. There were many things McDonalds could've done to prevent injuries: •lowering the holding temperature of their coffee, •putting warning labels on the cups not to drink immediately, •redesigning the...
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...|PLEASE KEEP OUT OF REACH OF CHILDREN AND PETS. ALWAYS| |PLACE ON HEAT RESISTANT SURFACE AWAY FROM FLAMMABLE | |PLACE ON HEAT RESISTANT SURFACE AWAY FROM FLAMMABLE | |PLACE ON HEAT RESISTANT SURFACE AWAY FROM FLAMMABLE | |MATERIAL. HANDLE WITH CARE. GLASS MAY BECOME VERY | |MATERIAL. HANDLE WITH CARE. GLASS MAY BECOME VERY | |MATERIAL. HANDLE WITH CARE. GLASS MAY BECOME VERY | |HOT. ALWAYS TRIM WICK ¼ INCH AND REMOVE WICK DEBRIS. | |HOT. ALWAYS TRIM WICK ¼ INCH AND REMOVE WICK DEBRIS. | |HOT. ALWAYS TRIM WICK ¼ INCH AND REMOVE WICK DEBRIS. | |FOR BEST RESULTS DO NOT BURN CANDLE FOR MORE THAN 2 | |FOR BEST RESULTS DO NOT BURN CANDLE FOR MORE THAN 2 | |FOR BEST RESULTS DO NOT BURN CANDLE FOR MORE THAN 2 | |HOURS AT A TIME. NEVER BURN CANDLE COMPLETELY, | |HOURS AT A TIME. NEVER BURN CANDLE COMPLETELY, | |HOURS AT A TIME. NEVER BURN CANDLE COMPLETELY, | |DISCARD WHEN ½ INCH OF WAX REMAINS IN THE CONTAINER. | |DISCARD WHEN ½ INCH OF WAX REMAINS IN THE CONTAINER. | |DISCARD WHEN ½ INCH OF WAX...
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...attended a private high school, and for most of his youth, he identified himself as neither male nor female, but rather “genderqueer” because there was a quality of questioning. That day, while riding the bus, Sasha was reading a book, and shortly after fell asleep. He wore a skirt for almost an entire year at that point, and while asleep, three other teenage boys on the same bus began to laugh and make jokes about Sasha and his attire. Suddenly, one of the three boys flicked his lighter, and Sasha’s skirt went up in flames. Sasha immediately leaped up and began to scream. Two other passengers on the bus helped extinguish the fire, and afterwards, an ambulance rushed Sasha to the San Francisco burn unit. He was treated and operated over the next 4 weeks for his second and third degree burns. Richard Thomas, the 16-year-old boy who lit Sasha’s skirt on fire was arrested the following day. Due to the severity and nature of the crime, Thomas was charged as an adult, denying him of his protections, which included anonymity, which is generally allowed for juveniles. He was charged with two felonies, both with a hate crime clause that would increase the time he would have to serve if he were to be convicted. Thomas, at this point, was facing the possibility of a life sentence. Thomas was interviewed by the police, so they could understand why he did what he did that day on the bus. His only reasoning for almost every question, was that he was homophobic and did not like gay people...
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...Risk Management 2301 Stella Liebeck VS McDonalds This case involves two parties; McDonalds and Stella Liebeck, a 79-year-old female, was sitting in the passenger seat of her grandson’s car having just purchased a cup of McDonald’s coffee. After her grandson stopped the car, she tried to hold the cup securely between her knees while removing the lid. However, the cup tipped over, spilling boiling hot coffee onto her legs. She received third-degree burns on over 16 percent of her body, this required eight days of hospital care, whirlpool treatment for debridement of her wounds, skin grafting, scarring, and disability for more than two years. Despite these horrifically extensive injuries, she asked McDonald’s to settle her hospital bills of $20,000. However, McDonald’s refused to settle, they offered her a mere fraction of the required $20,000. McDonalds offered $800. The jury awarded Liebeck $200,000 in compensatory damages, which was reduced to $160,000 because the jury found Liebeck to be twenty percent at fault and $2.7 million in punitive damages for McDonald’s callous conduct. (The judge was referring to the fact that; McDonald's revenue from coffee sales is in excess of $1.3 million a day.) The trial judge reduced the punitive damages to $480,000. Subsequently, the parties entered a post-verdict settlement. The case went on to be considered a frivolous lawsuit, which means the practice of starting or carrying on lawsuits that, due to their lack of legal merit,...
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...http://cheap-cpr.com . Date 11 March, 2015, 01:35 Quiz Title: Adult/Pediatric CPR & First Aid Exam User Login: jackie_skibel User Name: jackie esquibel User E-mail: esquibel2012@gmail.com User Score: 19 Total Score: 20 Passing Score %: 75 The user spent 07:23 on this quiz jackie esquibel has passed the quiz 1.[1/1] When creating a splint for the fractured area, you should not: A. move the broken bone B. cover open wounds with a sterile dressing C. apply ice packs or cubes of ice wrapped in a towel D. elevate the injured area where possible Answer: A 2.[1/1] Burns from liquid chemicals must be rinsed with warm water A. true B. false Answer: B 3.[1/1] Which one of these is a must have in a first aid kit? A. Antibiotic Ointment B. Scissors C. Splints D. Ice Pack Answer: A 4.[1/1] Fractures can be classified as: A. Simple B. Compund C. All of the above Answer: C 5.[1/1] During adult CPR you should perform in the form of 30 chest compressions and 2 breaths. A. true B. false Answer: A 6.[1/1] CPR masks allow the rescuer to carry out CPR without direct contact with the victim’s mouth. A. true B. false Answer: A 7.[1/1] Bruises are caused by broken capillaries after a sudden impact. A. true B. false Answer: A 8.[1/1] CPR is always effective A. true B. false 1/3 http://cheap-cpr.com . Date 11 March, 2015, 01:35 Answer: B 9.[1/1] To check for a pulse, place the tips of your first two fingers besides the A. knee cap B. Adam's apple ...
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...after use is if it is spilt wipe the benches with Virkon to prevent microorganism growth. Disinfectants: low hazard. Wash hands after use. Ethanol: can cause a fire. Take care when using ethanol with the Bunsen. Bunsen: burns. Use carefully. Keep on yellow flame when not in use. E.coli: possibility of infections. Use a good antiseptic technique. Wear a lab coat. Cover cuts/ ware gloves. Depose of equipment in a bleach pot or bags for autoclaving. Hypothesis: I would expect to find that Dettol works better than Tesco’s disinfectant because it is said to work better than other leading brands. Equipment: Tweezers Borer Pipettes Suring (20Ym) Glass simmers Beaker of ethanol Bunsen burner E.coli 4 clean agar plates Virkon 30 Cm Ruler Micropipette Method: 1. 1 plate for each cleaner (2 plates used, other plates are in case a mistake is made) swamped the E.coli in the blue flame of the Bunsen burner. 2. Get a pipette of E.coli and up it on the plate. Flame the spreader (put it in ethanol then in the flame) be careful on to crack the spreader. Use the simmer to spread the bacteria around the agar plate 3. Flame borer (in the same way as the simmer but be careful if the borer is in the flame too long you can burn your hand. If you do run it...
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...After watching the documentary Hot Coffee, my eyes where open to many different things. Before watching the film I assumed that the entire documentary would be about the case of Liebeck v. McDonald’s Rests., No. CV-93-02419, 1995. There is many misconceptions about the case, many people believe that she just spilt hot coffee on herself. In reality, Libeck suffered serious burns that required many surgeries that cost a lot of money. The movie described how this case has been misused to describe frivolous lawsuits and referenced in conjunction with tort reforms. There where a few different cases discussed, such as Gourley v. Neb. Methodist Health Sys., 663 N.W.2d 43 (Neb. 2003). This case talked about the damages in medical malpractice which caused the plaintiffs son to be born with mental disorders....
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