Subsystems аre оrgаnized _______ in а way that regulates pоwer within and between subsystems.
Cоnsider the mоnthly hоtel room аverаges for 2 yeаrs (number of occupied rooms in the hotel) shown below. Compute point forecasts of the deseasonalized averages for the last month of year 2. Picture1(3)(1).png Time Series Decomposition for yMethod Model type Multiplicative Model Data y Length 24 NMissing 0 Fitted Trend Equation: Yt = 557.73 + 1.874×t Accuracy Measures MAPE 0.7671 MAD 4.4159 MSD 52.8250 Seasonal Indices Period Index 1 0.89266 2 0.84003 3 0.90379 4 1.02080 5 0.97051 6 1.11458 7 1.27543 8 1.26851 9 1.02169 10 0.94350 11 0.83267 12 0.91583 Forecasts Period Forecast 25 539.676 26 509.432 27 549.792 28 622.888 Picture1(5)(1).png
Dоcument а cоmplete аnd thоrough physicаl examination from your patient encounter Be sure to document any and all specific exam findings that you observed or were provided during the encounter. Below you will find a copy of the patient information provided to you during the OSCE: Patient Name: Martha Gaines Age: 45 y/o Gender: Female Chief Complaint: “Vision problems” Vital Signs: Temperature: 37°C (98.5°F) Pulse rate: 72 Respiration rate: 16/min Blood pressure: 142/88 mmHg Oxygen saturation: 99% on room air Weight: 83 kg (183 lb) Height: 164 cm (64.2 in) HPI: Martha is a 45 y/o female who presents with a complaint of intermittent “vision problems” for the last 3 weeks. She reports that this problem affects both eyes when present. As described, the entire vision is affected, not one specific area. She reports the vision disturbance is best described as “blurriness”. She states that when present, this lasts anywhere from an hour to several hours. She denies history of this in the past and currently does not wear prescription glasses or contact lenses. She does, however, admit to using over-the-counter “reading glasses” to read at night before bed and has been doing that for “about 6 months”. She has never seen an eye doctor before. She denies any preceding event/injury, or other recent eye problem. She would rank the severity as mild when symptoms are present, as it does not cause complete vision loss, or eye pain. She also denies redness to the eyes, double vision, shining lights/flashers, photophobia, or floaters. She thinks that stress sometimes may bring on, or worsen, her symptoms and is unsure of anything else that makes it worse. She reports that Naproxen, relaxing, laying down or napping, and calming yoga will improve this issue. She also reports occasional accompanying frontal area headache simultaneously when having a “bad” visual disturbance episode. She notes having the headaches 3-4 times per week, sporadically. Headaches do not seem to happen every time she has the vision issue, however. She denies any additional vision symptoms during this time, such as flashing lights or colors. She denies any aura-like symptoms when asked. She denies that the headaches awaken her from sleeping. She denies associated nausea/vomiting, numbness, or weakness anywhere. She denies gait problems, or dizziness with this. She denies any prior history of headache disorders. Past Medical History: Illnesses/Injuries: Chronic conditions: Martha told she had elevated cholesterol 10 years ago, and has attempted to modify her diet since. She admits that she has not been to a doctor in 10 years since being told this. OB-GYN Hx: G4P3. One spontaneous abortion at age 25. Normal pap smears up to age 35, noting that she has not had any exams in 10 years. Hospitalizations: Only a short hospital stay for appendectomy at age 25 Surgical History: Appendectomy at age 25 Immunizations/Health Maintenance: Patient is unsure, but thinks she had all her immunizations up to age 35. Has not received any yearly vaccines in 10 years. Medications (Prescription, Over the Counter, Supplements) Pt denies taking any prescription medications. She reports taking one tablet of Aleve (500mg) when having a bad headache, which occurs 3-4 times per month. Allergies (e.g. environmental, food, medication and reaction) Shellfish (reaction: throat swelling) Iodine (reaction: throat swelling) Family Medical History: Father: alive, 80 years old, hx of diabetes mellitus type 2 Mother: alive, 79 years old, hx of stroke (age 68), high blood pressure, high cholesterol Brother 1: 48 y/o alive, hx of high cholesterol and high blood pressure Brother 2: 40 y/o alive, hx unknown. Pt has lost touch with him. Child 1 (male): Age 14 – alive and well Child 2 (female): Age 17 – alive and well Child 3 (female): Age 20 – alive and well Social History: ●Tobacco/Vape: Yes, tobacco use (cigarettes, ½ pack) daily for the last 15 years. ●Alcohol: Denies. ●Illicit drugs: Reports remote history of marijuana use. Denies any recent use in “years”. ●Marital/Sexual: Married x 20 years. She identifies as heterosexual. Sexually active with husband only, no birth control or barrier protection used. ●Living situation: Lives in El Cajon with husband. Feels safe at home. ●Job: Elementary school teacher ●Hobbies: Knitting, walking around her neighborhood, bible study with friends. ●Diet: Has been attempting to eat a low-fat diet for several years. ●Religion: Christian ●Sleep: 6-7 hours per night Review of Systems: General +Reports 5-8 lb weight gain over the last year. No fever/chills. No night sweats. Skin Denies hair loss, nail pitting, rashes, or discoloration. No report of jaundice or itching. Head +See HPI. Occasional frontal area headaches. No neck pain or stiffness. No head trauma reported. Eyes No visual change, pain, redness, conjunctivitis, or vision loss Ears No hearing loss, tinnitus, otorrhea, or otalgia (ear pain) Nose/Sinuses No nosebleeds or rhinorrhea Throat/Mouth/Neck No neck pain, sore throat, hoarseness, swelling, neck stiffness, or lymph node swelling. Respiratory No cough, shortness of breath, orthopnea, dyspnea, or hematemesis. Cardiovascular/ PV No chest pain, palpitations, swelling or edema of the extremities. No extremity discoloration or cold extremities reported. Gastrointestinal +Occasional constipation reported. No nausea/vomiting, abdominal pain, diarrhea, or bright red blood in stool / dark stools seen. Genitourinary No changes in urination, dysuria, or blood in urine. No vaginal bleeding, unusual discharge, or pelvic pain. Musculoskeletal Denies joint swelling, redness, warmth or myalgias. Psychiatric No anxiety, depression, hallucinations, and homicidal or suicidal ideations Neurologic Denies confusion, syncope, paresthesias, numbness, or muscle weakness. No dizziness. Hematologic / Lymph Denies easy bruising or bleeding. Denies gum bleeding. Endocrine +Reports some cold intolerance. Denies heat intolerance, polydipsia, polyphagia, or polyuria. ***END OF STUDENT INFORMATION***