Essay about S4 104

Essay about S4 104 Essay about S4 104 Â §4.104 Schedule of ratings- cardiovascular system. Diseases of the Heart Rating Note 1: Evaluate cor pulmonale, which is a form of secondary heart disease, as part of the pulmonary condition that causes it. Note 2: One MET (metabolic equivalent) is the energy cost of standing quietly at rest and represents an oxygen uptake of 3.5 milliliters per kilogram of body weight per minute. When the level of METs at which dyspnea, fatigue, angina, dizziness, or syncope develops is required for evaluation, and a laboratory determination of METs by exercise testing cannot be done for medical reasons, an estimation by a medical examiner of the level of activity (expressed in METs and supported by specific examples, such as slow stair climbing or shoveling snow) that results in dyspnea, fatigue, angina, dizziness, or syncope may be used. 7000 Valvular heart disease (including rheumatic heart disease): During active infection with valvular heart damage and for three months following cessation of therapy for the active infection 100 Thereafter, with valvular heart disease (documented by findings on physical examination and either echocardiogram, Doppler echocardiogram, or cardiac catheterization) resulting in: Chronic congestive heart failure, or; workload of 3 METs or less results in dyspnea, fatigue, angina, dizziness, or syncope, or; left ventricular dysfunction with an ejection fraction of less than 30 percent 100 More than one episode of acute congestive heart failure in the past year, or; workload of greater than 3 METs but not greater than 5 METs results in dyspnea, fatigue, angina, dizziness, or syncope, or; left ventricular dysfunction with an ejection fraction of 30 to 50 percent 60 Workload of greater than 5 METs but not greater than 7 METs results in dyspnea, fatigue, angina, dizziness, or syncope, or; evidence of cardiac hypertrophy or dilatation on electro-cardiogram, echocardiogram, or X-ray 30 Workload of greater than 7 METs but not greater than 10 METs results in dyspnea, fatigue, angina, dizziness, or syncope, or; continuous medication required 10 7001 Endocarditis: For three months following cessation of therapy for active infection with cardiac involvement 100 Thereafter, with endocarditis (documented by findings on physical examination and either echocardiogram, Doppler echocardiogram, or cardiac catheterization) resulting in: Chronic congestive heart failure, or; workload of 3 METs or less results in dyspnea, fatigue, angina, dizziness, or syncope, or; left ventricular dysfunction with an ejection fraction of less than 30 percent 100 More than one episode of acute congestive heart failure in the past year, or; workload of greater than 3 METs but not greater than 5 METs results in dyspnea, fatigue, angina, dizziness, or syncope, or; left ventricular dysfunction with an ejection fraction of 30 to 50 percent 60 Workload of greater than 5 METs but not greater than 7 METs results in dyspnea, fatigue, angina, dizziness, or syncope, or; evidence of cardiac hypertrophy or dilatation on electrocardiogram, echocardiogram, or X-ray 30 Workload of greater than 7 METs but not greater than 10 METs results in dyspnea, fatigue, angina, dizziness, or syncope, or; continuous medication required 10 7002 Pericarditis: For three months following cessation of therapy for active infection with cardiac involvement 100 Thereafter, with documented pericarditis resulting in: Chronic congestive heart failure, or; workload of 3 METs or less results in dyspnea, fatigue, angina, dizziness, or syncope, or; left ventricular dysfunction with an ejection fraction of less than 30 percent 100 More than one episode of acute congestive heart failure in the past year, or; workload of greater than 3 METs but not

Sovereign Hill in Ballarat is a classic example of 'staged Essay

Sovereign Hill in Ballarat is a classic example of 'staged authenticity, outline some of the challenges that the tourism operator faces in trying to commercial - Essay Example Sovereign Hill is a multidimensional attraction that depicts the Australian town of Ballarat, around the mid-nineteenth century, about ten years after the discovery of gold in 1851. The attraction offers an excellent example of a â€Å"living† museum, â€Å"presenting the mining and social history of Australia’s gold rush era† (Buhalis & Costa, 2005: 209). The township is spread over sixty acres of land, has around sixty buildings, 300 costumed staff, 200 costumed volunteers and around 40 horses. The gold rush museum promotes visitor participation and authentic experience through role playing, interactions with characters, and the buildings and artefacts. This is supported by a modern orientation centre which familiarizes visitors with the background of the gold rushes in the 1850s, with the help of audio and video. The tourist destination offers several interesting experiences including activities, events, festivals and a sound and light show â€Å"Blood on the Southern Cross† with spectacular lighting and special effects (Buhalis & Costa: 209). Sovereign Hill in Ballarat is a classic example of â€Å"staged authenticity†. This paper proposes to outline some of the challenges faced by the tourism operator in trying to commercialize the tourist destination, while at the same time attempting to maintain an authentic experience for the visitors. A tourist destination is not only a geographical place, it is an integration of products, services, natural resources, built environment, artificial elements and information that attracts a number of visitors to a place (Bieger: 8). The stakeholders are: actual and potential tourists, public administration, tourism operators, conductors of local private tourism activities, operators of non-local tourism activities and the host community. The main objective of tourism operators is the integration of different resources to provide facilities and activities based on policy. Tourism should â€Å"meet the needs of different

Audit report Essay Example | Topics and Well Written Essays - 1500 words

Audit report - Essay Example The two major perceptions are in line with the Audit Report’s adding significant credibility to the companies’ financial statements. A credible financial statement is a good basis for making a more informed management decisions as well as stakeholders’ decisions (Asare, 2009). Consequently, the IAASB is currently processing the enhanced auditor’s report. The IAASB’s research focuses on adhering to the different stakeholders’ demand for a more informed audit report. The new audit report will serve as a global solution to global popular demand for a change in the current audit reports’ standardized formats. The stakeholders’ audit report request is grounded on the growing complexities of the financial reports. The stakeholders include the investors, residents, managers, community, and employees. The standard audit report formats include the qualified opinion format, unqualified opinion format, and the adverse opinion format. The same board correctly affirms that international leaders must do their share to ensuring the audit report contains additional information needed by the decision makers. A more informed audit report contains additional relevant and valid information pertaining to the fairness or trueness of the finan cial report data (IFAC.org, 2013). The new audit report will include some notable changes. One of the major changes is to necessarily allow the external auditors to include comments to their audit reports (Gold et al., 2009). One of the reasons for the changes are necessary is that the comments will deliver additional relevant and valid information to the stakeholders, in terms of auditor’s specific audit responsibilities and tasks. The external auditor’s favorable comments will surely encourage the investors, community leaders, creditors, customers, and other affected stakeholders to invest or enter into any relevant business transaction with the company. In this regard, the IFAC accounting board is