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000-207 - High End Taps Solutions Version 5 - Dump Information
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Exam Code | : | 000-207 |
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Questions and Answers | : | 218 Q & A |
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Answer: D
QUESTION: 194
Which
of the following is used in a System Managed Tape environment to
correlate the tape volume serial numbers and the library slot location?
- Library Manager Database
- Tape Management Catalog
- TCDB
- VTS Database
Answer: A
QUESTION: 195
Which
of the following determines the target storage group for a
NON-SPECIFIC allocation in an SMS managed tape environment?
- Tape Configuration Database
- Library Manager Categories
- JCL
- ACS routines
Answer: D
QUESTION: 196
The
customer has asked for a high level overview presentation on the TS3500
systems storage tape library. Which of the following would be the best
source for such presentation?
- IBM Sales Manual Web site
- Techdocs website
- IBM Systems sales Web site
- Redbooks online Answer: C QUESTION: 197
Which of the following indicates that the physical installation of an IBM System Storage TS3500 Tape Library (3584) is complete?
- Code 20 is written by the IBM SSR
- HCD/OCP is updated
- ACS routings are coded and tested
- All items on the implementation plan are completed
Answer: A
QUESTION: 198
Which of the following compression methods is used by the IBM 3592-E05 drive?
- SLDC
- LZ1
- ICRC
- IDRC
Answer: A
QUESTION: 199
Your
company currently has an IBM 3494 Tape library with IBM 3490 Model F1A
Tape Drives for both production and development tape processing. The
following is the current company standard for the number of tape copies.
Production Tape: 2 local copies on separate physical volumes
Development Tape: 1 copy The customer is planning to migrate the tape
workload to an IBM TS7700 Virtualization Engine with TS1120 Tape drives.
Which of the following should be used to migrate the workload into a
TS7700 Virtualization Engine and maintain the copy scheme?
- Advanced Policy Management
- TS7700 Grid
- FICON Performance Accelerator
- SAN Volume Controller
Answer: A
QUESTION: 200
Your
company has an IBM TS7700 Virtualization Engine with six TB of Cache,
four FICON channels and four TS1120 tape drives. They are
beginning to experience
throttling
during their batch window. Which of the following offers the
most cost- effective solution to this problem?
- Add additional IBM TS1120 tape drives
- Add additional cache
- Add four more FICON channels
- Connect the TS77000 to anther cluster in a Grid configuration
Answer: A
QUESTION: 201
Which of the following is a symptom of IBM TS7700 Virtualization engine throttling?
- Increased job elapsed time
- High Channel Utilization
- High RMF Pend Time
- Increased physical mount time
Answer: A
QUESTION: 202
The
TS7700 Virtualization Engine supports the connection of TS7000 cluster
in a Grid configuration. The Grid communications connections between the
clusters are which of the following?
- SAN
- FICON
- ESCON
- TCP/IP
Answer: D
QUESTION: 203
Your
company has four IBM 3592 Tape Drives Model J1A in an IBM System
Storage TS3500 Tape Library. Your company wants to upgrade the four
drives to IBM TS1120 tape drives. After the upgrade, which of the
following actions will increase capacity, with a minimum investment of
time and money?
- Replace existing cartridges with new "JL" cartridges
- Copy the existing 384-track cartridges to new 512-track cartridges
- Run a job to re-format the existing cartridges to 256-track format
- Use existing scratch cartridges
Answer: D
QUESTION: 204
An
IBM TotalStorage Enterprise Automated Tape library (3494) can be shared
between a number of operating systems on a wide variety of platforms.
Which of the following functions explains how the IBM 3494 can perform
this function?
- Each host system catalog contains entries for all tape cartridges in the 3494 library
- The IBM 3494 Library Manager maintains a complete inventory of each cartridges contents
- The tape cartridges are assigned to media categories associated with different platforms
- The IBM 3494 Library Manager maintains a complete inventory of cartridges by system
Answer: C
QUESTION: 205
Which of the following is the purpose of using track following servos?
- Align read/write heads
- Correct take-up real threading
- Record read/write correctly
- Provide Back-hitching ability
Answer: A
QUESTION: 206
Your
company utilizes DFSMShsm Migration Level 2 and has 10,000 IBM 3490E
Enhanced Capacity Cartridges. How many IBM 3592 JA Tape Cartridge are
required for this amount of data if the cartridges are written in EFMT1
format?
- 27
- 17
- 37
- 57
Answer: A
QUESTION: 207
Which construct is used to control the selective dual copy function?
- Management Class
- Data Class
- Storage Class
- Storage Group
Answer: A
QUESTION: 208
Which of the following does NOT support non-disruptive firmware upgrades?
- IBM System Storage TS3500 Tape Library
- IBM System Storage TS3200 Tape Library
- IBM System Storage TS1120 Tape Drives
- IBM LTO Generation 2 tape drives
Answer: D
QUESTION: 209
Your
company currently has two single cluster TS7700 Virtualization Engines
at the same site. They want to move one to a remote site and set up a
Grid configuration with the two clusters. They have fibre between the
two sistes. Which of the following is the most important factor to
consider when planning the new configuration?
- Operator training
- Cache sizes of the two clusters
- Number of stacking tape drives attached to each cluster
- Fibre bandwidth capability between the sites
Answer: D
QUESTION: 210
Which
of the following cache management options allow the TS7700 to
maximize performance through efficient utilization of the cache?
- Assign frequently accessed volumes to PG1
- Assign additional back-end tape drives to pre-migration
- Assign a higher reclamation threshold to the common pool
- Assign frequently accessed volumes to PG0
Answer: A
QUESTION: 211
An
OS/390 customer wants to automate the current IBM 3490 manual tape
operation and to improve DR tape operation. The current tape
applications consist of
- Application file backup
- Volume Dump
- DFSMShsm ML2 and Dump
The
customer can only afford to have an IBM Tape library with an IBM TS7700
Virtualization Engine and IBM TS1120 Tape drives at the local
production site and rack- mounted IBM TS1120 Tape drives in the DR site.
Which application should be implemented to provide the most
comprehensive offsite tape vaulting solution?
- VDR
- TMM
- ICEGENER
- Import/Export functions
Answer: A
QUESTION: 212
What
is the maximum number of fibre channel attached 3592 drives that can be
installed in the largest IBM system storage TS3500 Tape Library?
- 192
- 76
- 184
- 124
Answer: A
QUESTION: 213
What is used to identify LTO Ultrium 3 WORM-capable drives?
- serial number of the drive
- logo at the front of the drive
- label on the back of the drive
- level of code the drive contains
Answer: D
QUESTION: 214
A
customer using a TS3500 Tape Library wants to add a z/OS application to
his tape environment. What is the best resource to find the supported
TS3500 firmware level?
- FTS specialist
- z/OS Support Web site
- TS3500 Support Web site
- Tape Library Specialist Web interface
Answer: C
QUESTION: 215
When migrating workload from a 3592-J1A to an IBM TS1120 in a z/OS environment, what must be checked for device support?
- DFSMShsm and EREP only
- DFSMShsm and DFSMSdss only
- DFSMShsm, DFSMSdss and EREP
- DFSMShsm, DFSMSdss and ICKDSF
Answer: C
QUESTION: 216
What will NOT prevent an existing B20 VTS from being directly upgraded to an IBM TS7700 Virtualization Engine?
- The B20 only has 3592 family back-end drives.
- The B20 has 3590 cartridges in its inventory.
- The B20 only has 3590 family back-end tape drives.
- The B20 has both 3590 and 3592 family back-end drives.
Answer: A
QUESTION: 217
A
System z customer has installed a new TS3500 Tape Library and wants to
integrate it into the existing Tivoli Storage Manager environment. Which
resource provides the most comprehensive information about implementing
this solution?
Answer: C
QUESTION: 218
Which IBM tape interface architecture has the best performance and distance characteristics?
- SCSI
- ESCON
- FireWire
- Fibre Channel
Answer: D
IBM 000-207 Exam (High End Taps Solutions Version 5) Detailed Information
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Assessing Disparities in grownup Vaccination the use of Multimodal procedures in basic Care places of work: Methodology abstract
Racial disparities in invasive
pneumococcal sickness and pneumococcal polysaccharide vaccination (PPV)
persist despite colossal progress. One purpose may well be that minority
patients acquire fundamental care at practices with fewer materials,
less efficient workplace systems, and diverse priorities. The
applications of this paper are: (1) to describe the recruitment of a
diverse array of simple care practices in Pittsburgh, Pennsylvania
serving white and minority patient populations, and the multimodal
statistics assortment technique that included surveys of key office
personnel, observations of follow operations and scientific checklist
studies for making a choice on PPV vaccination charges; and (2) to file
the effects of the sampling method. all the way through 2005, 18
practices participated within the analyze, six with a predominantly
minority affected person population, 9 with a predominantly white
patient population, and three with a racial distribution similar to that
of this locality. Eight have been solo practices and 10 have been
multiprovider practices; they protected federally qualified health
centers, privately owned practices and faculty and tuition of Pittsburgh
medical middle community practices. providers represented a few racial
and ethnic corporations, as did workplace staffs. PPV prices determined
from 2,314 sufferers’ medical statistics averaged 60.three ± 22.6% and
ranged from eleven% to ninety seven%. Recruitment of practices with
attention to area, affected person demographics, and provider varieties
consequences in a various sample of practices and sufferers. Multimodal
information collection from these practices should still deliver a
wealthy statistics supply for examining the complicated interaction of
components affecting immunization disparities amongst older adults.
key phrases: Pneumococcal polysaccharide vaccine, Adults, Immunization, simple care.INTRODUCTION
Racial disparities were stated for years
in pneumococcal polysaccharide vaccination (PPV) rates, regardless of
coverage by Medicare and country wide strategies to guide PPV use.
Nationally, 57.1% of all adults over age sixty five years have ever got a
pneumococcal polysaccharide vaccine (PPV), with sixty two% of
non-Hispanic whites, 35.6% of non-Hispanic blacks, and 33.2% of
Hispanics reporting vaccination.1,2 furthermore, incidence of invasive
pneumococcal disorder is drastically higher among black adults over age
65 years than white adults, even if in shape or with underlying
persistent conditions.3 in view that the introduction of pneumococcal
conjugate vaccine for children, the incidence of invasive pneumococcal
sickness, especially amongst older adults, has declined,four as has the
disparity in incidence between blacks and whites.5 however, blacks and
those with comorbid situations proceed to have a much better possibility
of invasive pneumococcal sickness.4,5
recent research suggests that blacks and
whites are generally handled by means of distinctive scientific
providers and that these suppliers differ in practicing and in resources
obtainable to them.6 accordingly, we designed a examine to investigate
the extent to which practice-stage ameliorations within the managing of
grownup immunizations and the attributes of the clinical practice make a
contribution to racial disparities at the population stage. via
multimodal information collection that blanketed surveys of suppliers,
medical listing evaluation, and commentary of workplace firm and way of
life, we examined transformations among practices serving basically
black patients, those serving primarily white patients, and people with
racially mixed populations. particular goals had been to: (1) identify
innovations used with the aid of the medical practices to facilitate
immunizations, including standing orders, affected person reminders,
express vaccination clinics, stream sheets or registries for tracking
immunizations, and company prompts; (2) represent the practices to take
note present firm and patterns of affected person care and demanding
pathways for potential change; (three) calculate PPV vaccination quotes
for the various practices; and, (4) using hierarchical regression
analyses, calculate the determinants of those charges from the above
thoughts and traits of the practices. The aim of this paper is to
explain the complicated data collection strategies, styles of outcomes
predicted for this examine, and preliminary outcomes of the follow
recruitment approach.
methods
time-honored information
some of the requirements of the request
for applications that funded the undertaking became that the
investigators compare practices within a geographically described
enviornment. The environment is the Pittsburgh region, which contains
the second most aged metropolitan group within the united states and,
among the many aged, a far better proportion of blacks than is their
share nationally. a couple of factors determined the selection of
practices, including to the extent possible, practices that: (1) served a
large percentage of elderly sufferers; (2) were of distinctive
varieties, e.g., inner medicine, household medication, solo
practitioner, multiphysician; (three) had white and minority providers;
(4) can be prone to participate; and (5) used electronic scientific
statistics. as a consequence, we deliberately sampled practices based on
these factors and the favored racial and socioeconomic traits of humans
within the census tracts surrounding the observe place.
In designing the apply recruitment
approach and different features of the analyze, we also sought the
counsel of the community research Advisory Board (CRAB) based by the
center for Minority fitness on the university of Pittsburgh. The CRAB
includes representatives of many sectors of the minority neighborhood
together with religious leaders, public safeguard people, community
activists, health care laborers, and other opinion leaders. earlier than
submission, investigators offered the proposed examine design to the
CRAB who provided input into the design and made guidance for recruiting
medical practices serving essentially black patient populations.
practice Sampling/Recruitment
Allegheny County and its surrounding
counties have been mapped using 2000 Census data for revenue and for %
minority inhabitants. follow websites have been recognized on these
maps. In picking practices, we tried to healthy a (solo or
multiprovider) observe serving essentially minority patients with the
same follow serving essentially white sufferers in socioeconomically
related neighborhoods. We started recruitment of practices with the
school of Pittsburgh medical core (UPMC) neighborhood drugs Inc., (CMI) a
large, multispecialty community composed of different, up to now
unbiased, nonacademic practices that had been purchased by way of UPMC.
approximately 50 practices/workplaces present basic care and all use a
typical electronic billing equipment. a couple of of the practices use
an digital clinical checklist, which comprises software for monitoring
preventive services equivalent to immunizations.
The 12 UPMC community practices have been supplemented with
four community practices, two of which are federally certified fitness
facilities (FQHCs). UPMC practices bought a letter from the scientific
Director of CMI requesting their participation. All practices had been
recruited by way of direct contact from the investigators by way of
telephone, letter, and e mail to the practice managers, office managers,
and/or lead medical professional. 5 practices (three UPMC and two
deepest, solo practitioners) didn't reply to requests to consider
participation or refused requests to participate.
as soon as a convention had agreed to
participate, the undertaking coordinator scheduled a consult with with
the office or follow manager. The purpose of this visit become to
introduce the analyze team, explain the entire elements of the analyze,
answer questions, and depart consent kinds, surveys, and a brochure in
regards to the look at.
Clinician and office manager preference
widespread 000-207 internists,
family unit physicians, health care provider assistants, and nurse
practitioners with their own affected person case hundreds, seeing aged
sufferers from the collaborating websites have been eligible for
inclusion. Exclusion criteria for clinicians encompass seeing <50%
primary care patients. The workplace or apply manager and the lead nurse
or affected person care assistant from each and every observe have been
also asked to finished questionnaires. As described below, these
surveys had been designed to triangulate information collection.
Survey development
Separate questionnaires were developed
for the physicians, nurses, and the workplace managers. The
questionnaires have been designed to describe current clinical practices
and investigate obstacles and facilitators to firm trade that could
lead to future adoption of immunization improvement innovations. The
PRECEDE-PROCEED framework (determine ) became used to increase the
surveys. Constructs from this framework included predisposing factors
(health practitioner practising, attention-to-Adherence mannequin);
reinforcing factors (incentives, office subculture); enabling factors
(express vaccine clinics, company prompts); general practitioner conduct
(recommendation to sufferers, personal vaccination fame); environmental
components (place of fridge relative to exam rooms, staffing ratios,
skills). a whole lot of immunization innovations derived from
facts-based mostly reviews through the assignment drive on community
Preventive capabilities in the book to group Preventive features and
through Gyorkos et al.,7,eight have been assessed, together with use of
affected person reminders, company prompts, standing orders, and
stroll-in vaccination. Mission, workplace company, and staffing have
been decided in each the clinician and workplace supervisor surveys.
office firm blanketed leadership, financing, length of visits, clinical
listing management, and pleasant development methods. a printed
questionnaire9 became used to investigate practice tradition, company,
and management trend using the Competing Values Framework.10,11
PRECEDE–PROCEED framework.
The questionnaires differed among physicians, nurses, and
workplace managers, however some questions were requested of more than
one classification of respondent to permit comparisons among them. The
surveys have been developed and revised via an iterative method by way
of a multidisciplinary crew who examined them for face and content
material validity.12 They have been pilot demonstrated earlier than use
and revised hence.
participants were provided $50.00 charge
in the kind of a check or reward certificate. Survey records have been
entered twice into an electronic statistics base, outcomes have been in
comparison electronically, and discrepancies have been reconciled to in
the reduction of keystroke entry error.
patient Sampling
Two-stage stratified sampling became
used to determine the influence of practice and clinician factors on
immunization popularity. the primary stage became an intentional sample
of distinctive practices, as discussed above, that become stratified via
race. within the 2nd stage, random sampling of affected person data in
the practices became carried out, resulting in a clustered, random
sample of sufferers. because of this hierarchical structure, we used a
hierarchical linear modeling pattern measurement estimation in line with
Byrk and Raudenbush.13 in response to an alpha of 0.05 and power of
0.eighty, to notice at least a 10% difference between practices and
between races, for 10 practices with three clinicians per apply, a total
of 165 affected person information have been crucial per follow. As a
affirmation of the estimated pattern dimension from the hierarchical
linear modeling and for analysis of the subgroup analyses, an additional
system to calculate sample dimension changed into cluster randomization
the use of a t test, as calculated by using NCSS/pass utility in
response to an alpha of 0.05 and energy 0.eighty. For 5 practices in
each and every stratum, with vaccination quotes ranging from 39% to 75%,
the variety of patients per observe required can be 88–121. for that
reason, a complete of 10 practices with 880 to 1210 affected person
facts would be satisfactory in keeping with cluster randomization. To be
conservative, the number of practices become increased to 18, the usage
of a hundred sixty five sufferers per observe, with a aim of 2310 data
for review.
For each and every office, the
significant billing system, billing laptop, or electronic medical list
became used to create a listing of eligible patients for sampling.
because of HIPAA regulations, list retrieval changed into carried out
through a certified sincere broker.14 This particular person then
selected patients who had been born earlier than 1/1/1940, who have been
residing and who had an office talk over with within the final
12 months, indicating that they have been active patients of the apply.
This list become randomized following an algorithm designed to pattern
at least 15 patients per physician in a tradition and to proportionally
distribute the sufferers with the aid of their most familiar fundamental
care issuer. (See Appendix.)
clinical record evaluation
The licensed honest broking service
scheduled visits to review clinical facts and signed a confidentiality
settlement with those practices soliciting for one. the use of the
randomized list generated by way of the sampling scheme above, the
sincere broking service first reviewed charts to examine eligibility,
that is, the patient become born earlier than 1/1/1940 and had as a
minimum one talk over with in 2001 and in 2005. This step become to be
certain continuity of care at that apply. If eligible, the affected
person’s PPV vaccination status and demographic information together
with race and address (to examine census tract) have been extracted from
the finished scientific listing including stream sheets, paper charts,
and digital scientific facts (EMR). medical statistics were reviewed way
back to purchasable for documentation of PPV receipt. The information
have been entered into an electronic spread 000-207sheet on a desktop
computing device. The sincere broker continued to evaluation clinical
statistics from the sampling checklist at a given apply until a ample
number (150–a hundred seventy five) have been accrued or unless all
eligible charts in the practice (for smaller practices) have been
reviewed.
Following manual list assessment, for
UPMC practices handiest, an extra search for the same time length became
conducted the use of UPMC’s electronic depository of medical records
known as the scientific Archival listing device (MARS) and the billing
database; besides the fact that children, notably few vaccines had been
discovered that had been no longer in the workplace checklist. These two
records sets have been combined and the facts have been deidentified. A
analysis assistant identified census tracts for each and every
patient’s address, and the corresponding per capita profits for that
tract turned into introduced to the information.
scientific apply Observations
A field commentary ebook utilized in a
previous study 000-20715,sixteen changed into tailored as a tool to
collect records about scientific practice features. This book outlined a
variety of aspects and features of scientific practices that observers
had been to pay special consideration to, such as physical condition and
layout of the office, staff apparel, and first-class of interpersonal
interactions. It protected open- and closed-ended questions and prompts
for field notes to compile selected suggestions about processes and
routines of scientific practices that facilitate vaccinations,
corresponding to use of standing orders, cell reminders, and posted
advice involving vaccinations, and literacy level and cultural
appropriateness of educational and study 000-207ing materials in the
workplace. They additionally referred to practice elements that may
inhibit vaccination, and elements of the physical atmosphere and
environment of each practice, including transportation routes.
The observation group consisted of 4
expert observers, any two of whom performed observations at every
office. Observers individually organized and coded their box notes.
These notes had been then shared with the lead member of the group for
verification of relevant and consistent use of the codebook, with
ameliorations reconciled with the aid of consensus. All three members
systematically reviewed the data to enhance models of practice
subculture. Written descriptions of every follow have been developed,
using information from each the collection sheets and from field notes.
collection of Timing information
A timing records collection sheet
was developed to facilitate collection of statistics related to the time
patients spent in quite a lot of segments of the seek advice from from
registration to take a look at.15,sixteen To assemble timing data given
privateness restrictions, one observer became stationed within the
waiting room and an extra in a location the place patients getting into
the examination room area may well be followed. The read 000-207y room
observer noted the time that every adult entered and left the read
000-207y room and the outline of the clothing he or she became donning
to aid with collation of time followed by way of the returned workplace
observer. The returned workplace observer recorded the time that every
grownup entered the exam room area, entered and left the examination
room, and when scientific group of workers, including the PCP, entered
and left the examination room. This strategy became selected since it
become compliant with HIPAA because the observers don't engage at once
with sufferers whereas they are receiving medical care. 5 discuss with
instances will be analyzed: length of time in the waiting room, within
the returned workplace enviornment, (together with time at a nursing
station for essential signals if a separate station is used), in the
examination room, time the clinician is within the examination room and
the entire talk over with.
Quantitative records analysis
As an preliminary step, descriptive
facts were generated for every of the variables and the indispensable
assumptions for the planned statistical assessments investigated.
Statistical value become set at P ≤ 0.05.
scientific record overview data have been
used to calculate vaccination quotes for PPV. a practice’s PPV
vaccination fee changed into calculated because the quantity vaccinated
divided by using the quantity in the sample.
evaluation of Predictors of affected person Immunization repute
Hierarchical linear modeling (HLM),
which money owed for the concomitant effects of the nested structure,
can be used to mannequin multivariable outcomes of variables in
predicting binary effects (i.e., got or did not receive PPV
vaccination). First, viable associations between vaccination repute and
selected key variables of hobby might be demonstrated; these variables
encompass selected objects from the surveys and observe description
variables. 2nd, variables found to be regarding vaccination repute or to
reduced variance might be entered as knowledge variables in these
multivariable fashions. Race and revenue according to census tract
should be compelled into the models as stage-one variables to examine
race while accounting for socioeconomic repute (SES).
results
Eighteen practices were recruited into
the examine with 37 providers, 18 office managers, and 18 head nursing
team of workers finishing surveys. The sampling scheme was a success in
producing a variety of apply forms (table ). there have been eight solo
practitioner workplaces, three with predominantly minority elderly
populations (minority), 4 with white elderly populations (white), and
one with a racial combine near the elderly population during this
geographic area (combined). The ten multi-provider practices had been in
a similar way dispensed. This resulted in 20% of sufferers being from
minority practices, 22% of patients being from blended practices, and
fifty eight% of patients being from white practices. Per capita salary
of the census tract through which the practices had been discovered
ranged from $7,453 to $24,486/yr. The racial illustration of physicians
and office group of workers diverse as neatly, with distinct combos of
race amongst physicians, staff, and sufferers. workplace constitution of
the practices included FQHCs, privately owned non-FQHCs, school, and
UPMC community practices.
traits of collaborating practices and PPV vaccination charges
The intention of reviewing 2310 scientific
information was reached as 2314 (one hundred.2%) have been really
reviewed. PPV vaccination expense diverse from a low of eleven% to a
high of 97%, with a mean of 60.3 ± 22.6%, and just one follow exceeding
national desires of ninety% set by means of match americans 2010.17
assessment of guide and electronic records collection
electronic scientific information had
been accessible to confirm manual listing stories for 14 practices. The
difference between PPV immunization rates determined from guide
checklist assessment handiest and those determined from a mix of both
strategies ranged from 0% to 14.8%, with an average difference of
3.4 ± 3.8%. Three practices had 0% change, seven practices had 1.1–3.0%
difference, and three practices had 4.6–5.2% change. The one practice
with a 14.8% difference became unable to find older charts for 17 of its
patients, and, therefore, manual overview was much less finished than
at other sites and money owed for the huge change between manual
evaluate and mixed effects for that web site.
As this is a methods paper, statistical
checking out has no longer been accomplished. however, as table
suggests, practices serving excessive proportions of minority aged
sufferers are typically discovered in neighborhoods with reduce per
capita incomes. appreciable variation in vaccination quotes via follow
class became discovered. each the bottom and highest vaccination prices
have been found in solo practices; vaccination quotes did not differ
between solo and multiprovider websites (P = .138). however PPV
vaccination price didn't fluctuate throughout apply companies divided
into white practices (0–5.8% minority aged patients), combined practices
(13.7–20.three% minority elderly patients), and minority practices
(36.4–97.0% minority elderly sufferers), there became a big inverse
correlation between p.c minority elderly sufferers and PPV vaccination
price (r = −.619; P = .006).
dialogue
The interaction between patient race,
profits, and scientific elements is a vital determinant of immunization
reputation. Our information are advanced and have yet to be formally
analyzed, however alread 000-207y they indicate that patient race,
profits, and follow category could be correlated. Others have noted the
correlation between race and revenue.18 Given the documented racial
disparities in immunization, the logical next step is to make clear the
determinants of racial disparities. moreover, it is standard that we
establish tips on how to boost immunizations in minority sufferers in
mild of the greater attack fees of Streptococcus pneumoniae in definite
minority groups. We plan extra analyses together with hierarchical
linear modeling to determine the most useful practices to maximize adult
immunization fees and eliminate racial disparities in this crucial
health advertising measure.
Strengths and barriers
among strengths, we agree with the
benefits of applying a variety of underlying models to be aware
clinician habits, workplace way of life, and practices that boost or
inhibit vaccination. second, our questionnaires and observations are 2nd
era, building on our old work. Third, we now have delivered accessories
not present in our previous work, including the competing values
framework.
a possible hindrance is conducting this study 000-207 in
one place of the nation; despite the fact, this area has the second
oldest inhabitants of any metropolitan area within the nation with a
excessive percentage of aged blacks. unluckily, the low variety of
elderly Hispanic patients prohibits the examination of elements
concerning their traditionally low charges of PPV receipt.
Secondly, in some practices it became now not feasible to
evaluate a hundred sixty five medical records for a number of reasons
including: (1) some physicians had been with the apply for fewer than
5 years; (2) some sufferers didn't have a history with the apply for
5 years; (three) in some practices EMR turned into carried out within
the past 5 years devoid of digitizing prior paper charts; and (4) some
older paper charts were in storage and not accessible. a third
difficulty is that vaccines may also be given in nontraditional settings
corresponding to pharmacies, and may now not be recorded in the
scientific checklist. Some immunizations given somewhere else
(professional places of work, the hospital, and the emergency branch)
were captured with UPMC’s digital records bases. youngsters, the variety
of vaccines discovered that have been not within the workplace list
become small (3.four% standard). however we were unable to similarly
trap out-of-office immunizations in non-UPMC practices, a low degree of
differential assessment took place, however we agree with this
difference to have a minimal effect.
Practices had been cautiously chosen to
make sure that they mirror distinctive populations, namely, practices
that serve excessive proportions of aged minority patients, practices
that serve high proportions of aged whites, and a few with combined
populations. besides the fact that children, we cannot assume that they
signify all types of practices throughout the nation, chiefly those that
serve huge numbers of aged Hispanics and different racial and ethnic
corporations.
Conclusions
Recruitment of practices with
attention to region, affected person demographics, and company forms
consequences in a diverse pattern of practices and sufferers. Multimodal
records assortment from these practices may still give a prosperous
information supply for inspecting the complicated interplay of
components affecting immunization disparities among older adults.
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theme 5 Sols - topic 2 counseled solutions workouts recreation...
Unformatted textual
content preview: subject matter 2 advised answers workouts exercise 5.1
PV = (four%, 18, 40 000) PV = $506 372 pastime 5.2 statistics area
Opening balance 100 000 true expense of return 4.00% rate of
contribution 29 850 Working section yr Opening balance true profits
expense of contribution 2007 Closing balance 100 000 2008 one hundred
000 four 000 29 850 133 850 2009 133 850 5 354 29 850 169 054 2010 169
054 6 762 29 850 205 666 2011 205 666 eight 227 29 850 243 743 2012 243
743 9 750 29 850 283 343 2013 283 343 eleven 334 29 850 324 526 2014 324
526 12 981 29 850 367 357 2015 367 357 14 694 29 850 411 902 2016 411
902 sixteen 476 29 850 458 228 2017 458 228 18 329 29 850 506 407 ©
Deakin college 2 theme 5 advised solutions SUPERANNUATION PLANNING
pastime 5.3 PV = (three%, 17.seventy six, 30 000) PV = $408 424 exercise
5.4 PV = (5%, 17.seventy six, 30 000) PV = $347 751 a stronger funding
fee means much less must be amassed. recreation 5.5 PV = (5%, 14.seventy
six, 30 000) PV = $307 990 A shorter life expectancy potential less has
to be accumulated. exercise 5.6 PV = (5%, 14.76, 25 000) PV = $256 659 A
decrease required retirement profits means less has to be gathered.
recreation 5.7 PV = (3%, 20.76, 30 000) PV = $458 624 examine the answer
of exercise 2.7 with pastime 2.3. The longer existence expectancy of a
66 year historical feminine skill, all else being equal, that a larger
volume ought to be accumulated. pastime 5.eight PV = (3%, 25.seventy
six, 30 000) PV = $533 004 The longer the retirement salary is required
the greater that have to be gathered. endeavor 5.9 The answer is
dependent upon when the client must entry the inheritance. If we expect
that she would wish to entry it at life expectancy then we need to
enable for the real increase within the funding throughout the
retirement duration. for instance $54 138 invested at a real price of
return of three% for 20.seventy six years will develop to $a hundred 000
in precise phrases by the time of retirement. © Deakin college
SUPERANNUATION PLANNING suggested answers PV = one hundred 000 *
1/(1+3%)^20.seventy six PV = $54 138 PV = (three%, 25.76, 30 000) +
$fifty four 138 PV = $587 142 undertaking 5.10 records section Opening
steadiness a hundred 000 actual cost of return 3.765% cost of
contribution 10 000 Working part Opening stability real earnings cost of
contribution Closing stability 1 one hundred 000 3 765 10 000 113 765 2
113 765 four 283 10 000 128 048 three 128 048 4 821 10 000 142 869 4
142 869 5 379 10 000 158 248 5 158 248 5 958 10 000 174 206 6 174 206 6
559 10 000 190 765 7 one hundred ninety 765 7 182 10 000 207 948 eight
207 948 7 829 10 000 225 777 9 225 777 eight 500 10 000 244 277 10 244
277 9 197 10 000 263 474 eleven 263 474 9 920 10 000 283 394 12 283 394
10 670 10 000 304 064 13 304 064 11 448 10 000 325 512 14 325 512 12 256
10 000 347 767 15 347 767 13 093 10 000 370 861 16 370 861 13 963 10
000 394 824 17 394 824 14 865 10 000 419 689 18 419 689 15 801 10 000
445 490 19 445 490 sixteen 773 10 000 472 263 20 472 263 17 781 10 000
500 044 © Deakin college topic 2 3 four subject matter 5 cautioned
answers SUPERANNUATION PLANNING pastime 5.eleven 3.21% The larger the
outlet balance the decrease the funding price to obtain the identical
target. exercise 5.12 2.45% The larger the contribution cost the lessen
the funding cost to achieve the identical target. recreation 5.13 1.83%
The longer the time period the reduce the investment expense to achieve
the equal target. exercise 5.14 PMT = (four%, 19.08, 600 000) PMT =
$forty five 554 © Deakin school ...View Full doc
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