what percentage of missed workdays are due to a medical condition caused by musculoskeletal problems?

Answers

Answer 1

More than a quarter of lost workdays can be attributed to musculoskeletal problems.

Muscles, tendons, ligaments, joints, and bones can all be affected by musculoskeletal problems. A fracture, for example, might result in immediate, excruciating pain. Pain may also be brought on by a chronic illness like arthritis. Consult a healthcare professional if your normal activities are affected by musculoskeletal problems.

Osteoarthritis, rheumatoid arthritis, psoriatic arthritis, gout, spondyloarthritis, osteoporosis, osteopenia and related fragility fractures, traumatic fractures, and sarcopenia are only a few examples of disorders that impact the musculoskeletal system.

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Related Questions

Which breed is promoted for small-scale operations?


Bourbon


Black Turkey


Bronze


Slate

Answers

The most commonly promoted breed for small-scale operations is the Bronze turkey.

What are the advantages of promoting a specific breed for small-scale operations?

1. Increased Efficiency: Keeping the same breed makes it easier to predict production, feed needs, and other factors that can help small-scale operations maximize efficiency.

2. Improved Genetics: By selecting and promoting a specific breed, small-scale operations can have access to improved genetics, which can lead to better health and higher production levels.

3. Reduced Labor Costs: By using a specific breed, small-scale operations can reduce labor costs by eliminating the need to learn and manage multiple breeds.

4. Reduced Feed Costs: By using a specific breed, small-scale operations can reduce feed costs by having a better understanding of the breed’s nutritional requirements.

5. Increased Revenues: By promoting a specific breed, small-scale operations can increase revenues by establishing a reputation for quality and consistency.

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What does
5ml sind. 4/7 mean?

Answers

Answer:
5 ml = 1 teaspoon
Explanation:

which change in the musculoskeletal system would the nurse mention when teaching a group of pregnant women about the physiologic changes of pregnancy?

Answers

When teaching a group of pregnant women about the physiologic changes of pregnancy, the change in the musculoskeletal system that can be mentioned is increased lordosis.

Lordosis is a curving inward that occurs on the lower back.

In the case of pregnancy, lordosis is an occurrence that can be considered normal to happen. The curvature tends to be accentuated during pregnancy because of the growing belly and the relaxing of the ligaments in the pelvis. Besides that, the curving of the spine also helps the body to adjust and realign its center of gravity.

Attached below is an image that shows an X-ray of lumbar hyperlordosis.

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which change in the musculoskeletal system would the nurse mention when teaching a group of pregnant

"It appears that the increasing trend of overweight and obesity will likely overtake tobacco as the leading preventable cause of mortality in the United States" What are the primary diseases associated with poor diet and lifestyle?

Answers

Answer:

The primary diseases associated with poor diet and lifestyle are:

-Type 2 diabetes

-Obesity

-A stroke

-Hypertension

-Cancer

-Osteoporosis

-Heart problems

Explanation:

A poor diet and sedentary lifestyle impact our health. The lack of nutrients and the excess of chemicals, fat, or carbohydrates in our diets causes chronic diseases, that is to say, diseases that are not produced by a virus or bacteria. A person with an unhealthy diet and a lack of physical activity to help the body process and expel the toxins in our body have a higher probability of having one or more chronic diseases such as obesity, hypertension, diabetes type 2, cancer, osteoporosis, or strokes.

Compare the two theories of color perception are they completely different

Answers

We do not see the world in black and white; neither do we see it as two-dimensional (2-D) or flat (just height and width, no depth). Let’s look at how color vision works and how we perceive three dimensions (height, width, and depth).
Color Vision
Normal-sighted individuals have three different types of cones that mediate color vision. Each of these cone types is maximally sensitive to a slightly different wavelength of light. According to the trichromatic theory of color vision, shown in Figure 1, all colors in the spectrum can be produced by combining red, green, and blue. The three types of cones are each receptive to one of the colors.
The trichromatic theory of color vision is not the only theory—another major theory of color vision is known as the opponent-process theory. According to this theory, color is coded in opponent pairs: black-white, yellow-blue, and green-red. The basic idea is that some cells of the visual system are excited by one of the opponent colors and inhibited by the other. So, a cell that was excited by wavelengths associated with green would be inhibited by wavelengths associated with red, and vice versa. One of the implications of opponent processing is that we do not experience greenish-reds or yellowish-blues as colors. Another implication is that this leads to the experience of negative afterimages. An afterimage describes the continuation of a visual sensation after removal of the stimulus. For example, when you stare briefly at the sun and then look away from it, you may still perceive a spot of light although the stimulus (the sun) has been removed. When color is involved in the stimulus, the color pairings identified in the opponent-process theory lead to a negative afterimage. You can test this concept using the flag in Figure 2.
But these two theories—the trichromatic theory of color vision and the opponent-process theory—are not mutually exclusive. Research has shown that they just apply to different levels of the nervous system. For visual processing on the retina, trichromatic theory applies: the cones are responsive to three different wavelengths that represent red, blue, and green. But once the signal moves past the retina on its way to the brain, the cells respond in a way consistent with opponent-process theory (Land, 1959; Kaiser, 1997).
Depth Perception
Our ability to perceive spatial relationships in three-dimensional (3-D) space is known as depth perception. With depth perception, we can describe things as being in front, behind, above, below, or to the side of other things.

Our world is three-dimensional, so it makes sense that our mental representation of the world has three-dimensional properties. We use a variety of cues in a visual scene to establish our sense of depth. Some of these are binocular cues, which means that they rely on the use of both eyes. One example of a binocular depth cue is binocular disparity, the slightly different view of the world that each of our eyes receives.
A 3-D movie works on the same principle: the special glasses you wear allow the two slightly different images projected onto the screen to be seen separately by your left and your right eye.
Although we rely on binocular cues to experience depth in our 3-D world, we can also perceive depth in 2-D arrays. Think about all the paintings and photographs you have seen. Generally, you pick up on depth in these images even though the visual stimulus is 2-D. When we do this, we are relying on a number of monocular cues, or cues that require only one eye. If you think you can’t see depth with one eye, note that you don’t bump into things when using only one eye while walking—and, in fact, we have more monocular cues than binocular cues.
An example of a monocular cue would be what is known as linear perspective. Linear perspective refers to the fact that we perceive depth when we see two parallel lines that seem to converge in an image (Figure 3).
Vision is not an encapsulated system. It interacts with and depends on other sensory modalities. For example, when you move your head in one direction, your eyes reflexively move in the opposite direction to compensate, allowing you to maintain your gaze on the object that you are looking at. This reflex is called the vestibulo-ocular reflex. It is achieved by integrating information from both the visual and the vestibular system (which knows about body motion and position). You can experience this compensation quite simply.
Finally, vision is also often implicated in a blending-of-sensations phenomenon known as synesthesia.

SORRY ITS A LONG ANSWER!!!

Answer:

The human eye sees physical stimuli in the form of light and is capable of complex color perception. The color perception in the human is initiated by cones present in the retina of the eye.

Cones are the specialized neurons or photoreceptors, which work best in bright light and they are responsible for the color vision. Another photoreceptor in the retina called rods is responsible for night vision

Color vision  plays an important role in the visual perception of humans. Cones contains color sensors, which responds to the color bands present in the three basic regions of red, green, and blue. In normal sighted individuals, there are three types of cones, each having greater sensitivity to different wavelength of light.

Cones distinguish different colors based on the wavelength of the light being received from the stimuli. there are two major theories of color vision that explains the color perception being carried out in the visual system.

According to the trichromatic theory of color vision, three types of cone are present in the retina each one sensitive to green, red and blue respectively. these cones are responsible for color perception and each has different peak sensitivity.

This theory does not explain some aspects of visions including afterimage. The concept of afterimage is best explained in the opponent process theory. According to the opponent process theory, the cones are linked together to form three opponent pairs, namely yellow-blue, black-white, green-red.

During color perception, cells in the visual systems are excited via one of the opponent colors and are inhibited by the other. The main drawback of this theory is the experience of negative afterimage. The afterimage continuously appearing even after the removal of stimulus.

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In evaluating the effect of nitroglycerin, Nurse Arthur should know that it reduces preload and
relieves angina by:
A. Increasing contractility and slowing heart rate
O B. Increasing AV conduction and heart rate
C. Decreasing contractility and oxygen consumption
D. Decreasing venous return through vasodilation

Answers

In evaluating the effect of nitroglycerin, Nurse Arthur should know that it reduces preload and

relieves angina by:

Answer : A

Explanation : Increasing contractility and slowing heart rate

Hope this helps you!

In evaluating the effect of nitroglycerin, Nurse Arthur should know that it reduces preload and relieves angina by increasing contractility and slowing the heart rate, which are present in Option A.

What is the heart rate?

The heart is an organ that pumps blood to different body parts, and any harm to the heart would lead to a cardiac imbalance, such as a high or low heart rate. When the heart rate increases, so will the blood pressure, and a low heart contraction rate will lead to low blood pressure. When the heart rate rises, various drugs are administered to bring it back to normal.

Hence, in evaluating the effect of nitroglycerin, Nurse Arthur should know that it reduces preload and relieves angina by increasing contractility and slowing the heart rate, which are present in Option A.

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the concentration of a drug t hours after being injected is given by c ( t ) = 0.4 t 2 62 c(t)=0.4t t2 62 . find the time when the concentration is at a maximum.

Answers

The time when the concentration is at a maximum is 88.5 hours.

The concentration of a drug t hours after being injected is given by c ( t ) = 0.4 t 2 62 c(t)=0.4t t2 62 and we are to find the time when the concentration is at a maximum.

We can obtain the required information by differentiating the expression c(t) with respect to t and equating to zero. Therefore, we have

c(t) = 0.4t t2 62

Differentiating both sides w.r.t t, we obtain;

{d}/{dt}(c(t)) = {d}/{dt}(0.4t t2 62 )

= 0.4{d}/{dt}(t t2 62 )

= 0.4[ t {d}/{dt}(t2 62 ) + {d}/{dt}(t) × t2 62 ]

= 0.4[ t × 2 × 62t + 1 × t2 62 ]

= 0.4[ 124t2 + t2 62 ] = 0.4t2(124 + t2 62 )

Equating the derivative to zero, we have 0.4t2(124 + t2 62 ) = 0

Solving the equation, we obtain t = √(62×124) or t = -√(62×124)

The negative value of t is extraneous since time cannot be negative, therefore;

t = √(62×124)t = 88.5 hr

Thus, the time when the concentration is at a maximum is 88.5 hours.

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Long-term care services often interface with what type of care?

A. Primary care
B. Rehabilitation
C. Secondary care
D. Various non-long-term care services

Answers

Long-term care services often interface with various non-long-term care services. The correct answer is D.

This is because long-term care services are typically required for individuals who have chronic conditions or disabilities that require ongoing assistance with activities of daily living. As a result, these individuals may require care from a range of healthcare providers, including primary care physicians, rehabilitation specialists, and secondary care providers.Primary care providers, such as family physicians and general practitioners, are often the first point of contact for individuals seeking medical care. They may refer patients to long-term care services if they have chronic conditions that require ongoing management or if they are no longer able to perform activities of daily living on their own.Rehabilitation specialists, such as physical therapists and occupational therapists, may also interface with long-term care services. These providers can help individuals recover from injuries or illnesses and improve their physical function, which can help them maintain their independence and reduce their need for long-term care services.Secondary care providers, such as specialists and hospital-based providers, may also interface with long-term care services. These providers may be called upon to manage complex medical conditions or provide advanced medical interventions for individuals who require specialized care.In summary, long-term care services often interface with a range of healthcare providers, including primary care physicians, rehabilitation specialists, and secondary care providers. This collaboration helps to ensure that individuals receive the appropriate care and support they need to maintain their health and independence over the long term.

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all of the following medical conditions are considered contraindications for air polishing except for one. which is the exception?

Answers

All of the following medical conditions are considered contraindications for air polishing except for hypoglycemia. The correct answer is option a.

Air polishing is a dental procedure that uses a jet of air, water, and abrasive particles to remove stains and plaque from the teeth.

While it is generally safe and effective, there are certain situations or systemic conditions where air polishing may not be recommended.

Hypoglycemia, or low blood sugar, is not directly related to the safety or suitability of air polishing.

Hypoglycemia is a condition characterized by a decrease in blood glucose levels, and it primarily affects the body's energy metabolism.

It does not have a direct impact on the respiratory system, lung function, or the risk of infection.

On the other hand, conditions such as emphysema, active tuberculosis, and asthma can be contraindications for air polishing.

Emphysema is a chronic lung disease that affects the air sacs in the lungs, impairing breathing and increasing the risk of lung complications.

Active tuberculosis is an infectious disease that primarily affects the lungs, and air polishing may increase the risk of spreading the infection.

Asthma is a chronic respiratory condition characterized by airway inflammation and increased sensitivity, and the use of air polishing may trigger asthma symptoms or cause respiratory distress in some individuals.

So, the correct answer is option a. Hypoglycemia.

The complete question is -

All of the following medical conditions are considered contraindications for air polishing except for one. which is the exception?

a. Hypoglycemia

b. Emphysema

c. Active tuberculosis

d. Asthma

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Final Exam
OSHA requires that employers make medical and training records available upon request for
examination and copying to the subject employee, their representatives, and to government
regulators under OSHA.
A. True
B. False

Answers

A. True

. The standard also requires employers to make those records accessible and available to employees or their legal representatives, and to OSHA.

The statement is True. Employers are required by OSHA (Occupational Safety and Health Administration) to keep and make available to employees, their representatives, and government regulators specific medical and training records. This is consistent with OSHA's dedication to protecting employee health and safety at work.

Employers are required to maintain records of employee training as well as records of illnesses, injuries, and exposure to hazardous substances that occur on the job. To check for compliance with safety requirements and to address issues relating to occupational health and safety, employees, their authorized representatives, and government regulators have the right to seek access to these records for examination and copying.

Although OSHA requires access to these documents, it's crucial to remember that employers must respect employees' privacy and confidentiality when granting access to medical records. Private health information of individuals should be protected while also enabling the required supervision and accountability with the access.

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a client is experiencing chest pain that radiates to the left arm and neck. the nurse would interpret this pain as:

Answers

The nurse would interpret the pain as Referred pain in case of the chest pain radiating to left arm.

Chest pain can be caused due to many reasons. They may be external or internal. Any injury caused on the chest are can cause pain in the chest. any chest surgery is not doe properly may also be the reason of chest pain. Heavy chest exercise may also be the reason of the chest pain. Referred pain is the pain that originates at some point in the body and is transferred to the other points in the body. It is one of the main types of pain that occur in the body and is the cause of many acute pains in the human body. The same is the case of the client who is experiencing chest pain and is transferred to the left arm and neck.

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1)What happens if you mix ammonia free Windex with bleach? Will is still create toxic fumes? 10pts

Answers

Yes because it produces a chemical vapor

a nurse is asked to auscultate the fetal heart sounds in a pregnant client. which equipment is most appropriate when auscultating fetal heart sounds at the 12th week?

Answers

Doppler most likely

2. Referring to Procedures Completed on the Eyeball (65091-65290):
Match the following medical term with the corresponding definition
3
A. Evisceration
B. Enucleation
C. Exenteration
The removal of the eye, leaving the muscles and remaining orbital contents intact.
The removal of the eyeball and the surrounding tissues, including the eyelids.
The removal of the eye's contents, leaving the scleral shell and extraocular
muscles intact.
3. Referring to Procedures Completed on they Eyeball (65091-65290):

2. Referring to Procedures Completed on the Eyeball (65091-65290):Match the following medical term with

Answers

Answer:

The answer is A.

A patient is trapped in a car where only his head and arm are available for you to assess. How should you properly apply the patient
assessment process?
A. Perform the primary and secondary assessments only
B. Perform all of the parts of each assessment that you can physically perform
C. Perform the scene size-up, primary assessment, and then wait for extrication to perform the rest.
D. Perform the scene size-up, primary assessment, and then only perform reassessments skipping the secondary assessment until after extrication

Answers

Answer:

D

Explanation:

D is the correct answer

What is the root word for eardrum

Answers

Answer:

Hope it help you

Stayhomestaysafe

Plz mark my answer brainliest✍️✍️

Explanation:

Tympan/o. Eardrum, middle ear. Strangely, there really aren't any ear-related prefixes to discuss.

REAL NAME - SHRESTH DUBEY

Which form of personal protective equipment (PPE) should ideally be worn when a nurse treats a patient who has
tuberculosis which can be passed by a cough?

Answers

Face mask mostly
Preferable 2 or 3
And of course if available gloves to prevent contact with droplets

Answer:

N95 or N100 face mask is the ideal ppe

Explanation:

This prevents cough droplets from being inhaled by the nurse, as hospital acquired Tb could be MRDS,

W H A T S A PP +254729369756

retrospective studies show that HIV was present in humans as early as
a.) 1981
b.)1970's
c.)1959
d.)1937

Answers

1959 ..................

The bacterium, E. coli, can cause food poisoning. To the chain of infection you drew, add notes to show how E. coli can spread from a reservoir (such as contaminated beef) to a susceptible host. Is this type of transmission direct or indirect?

Answers

this type of transmission is direct

1. What is an example of an illness that is transmitted by droplet transmission?

Answers

Answer: Easy. A few would be influenza, colds, and organisms causing pneumonia.

Explanation:

Answer: Conora is transmitted by droplets and so is influenza

Asking the woman to close the introitus during a pelvic examination is a test for:_____.
a. endometriosis.
b. rectocele.
c. cervical polyps.
d. sphincter tone.

Answers

B) Rectocele

a rectocele can be seen as a bulge on the posterior wall

has there been medicine to cure types of cancer?
15 points

Answers

Answer: Yes there has been experimental drugs to help cure cancer.

Explanation:

the nurse is preparing to discharge a cinet who presented to the emergency room for an acute asthma attack

Answers

The nurse will teach the client to take medications at a specific time prescribed.

What is asthama?

Lung damage is a side effect of asthma. Repeated episodes of coughing, dyspnea, chest tightness, and wheezing are also brought on by it. By taking medication and avoiding the triggers that might set off an attack, asthma can be managed.

Even mild cases of asthma can make it difficult to carry out regular tasks. It could occasionally result in a potentially fatal attack.

Rescue inhalers, which relieve symptoms, and controller inhalers, which prevent symptoms, are often used to manage asthma. Oral steroids and longer-acting inhalers that keep the airways open may be necessary in severe instances.

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I understand that the question you're looking for is " The nurse is preparing to discharge a client who presented to the emergency room for an acute asthma attack. The nurse notes that upon discharge the healthcare provider has prescribed theophylline 300 mg orally to be taken daily at 9:00 AM. The nurse will teach the client to take the medication on which schedule? "

What variable can be changed or manipulated?

A. Dependent variable
B. Experimental variable
C. Independent variable
D. Uncontrolled variable​

Answers

Answer:

C. Independent variable

Explanation:

Hope this helps! :)

A kitten is being spayed at a clinic. She is 4 pounds 4 ounces. The DVM orders the following medication Acepromazine(1mg/mL) at 0.025 mg/kg. What is the dose in milligrams?​

Answers

Please mark me as Brainliest

To calculate the dose in milligrams, we need to convert the weight of the kitten to kilograms:

4 pounds = 1.81 kilograms
4 ounces = 0.11 kilograms
Total weight = 1.81 + 0.11 = 1.92 kilograms

Now we can calculate the dose in milligrams:

Dose = 0.025 mg/kg x 1.92 kg = 0.048 mg

Therefore, the dose of Acepromazine for the kitten is 0.048 milligrams.

Which observation might indicate that timolol is achieving the desired effect in a client?
temperature decreases
blood pressure increases
heart rate increases
intraocular pressure decreases

Answers

The observation that might indicate that timolol is achieving the desired effect in a client is: intraocular pressure decreases. Timolol is commonly used to treat glaucoma, and its desired effect is to reduce intraocular pressure, which helps protect the optic nerve.

The observation that might indicate that timolol is achieving the desired effect in a client is that the intraocular pressure decreases.

This is because timolol is a medication used to treat high intraocular pressure in the eyes. Changes in temperature, blood pressure, and heart rate are not directly related to the desired effect of timolol in treating high intraocular pressure.

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Who is a member of the healthcare team? Check all that apply.

A. administrator
B. board of directors
C. licensed nurses
D. patients
E. pharmacist

Answers

The answer is C. licensed nurses
this correct answer is C. :))

You have been performing multiple-provider CPR on a
patient in cardiac arrest. The patient is now showing signs of return
of spontaneous circulation (ROSC). Which action(s) would the team
perform?
Select all correct options that apply.
Continue compressions for another minute.
Stop CPR
Check for breathing and pulse.
Give 2 ventilations
Remove the AED pads.

Answers

Answer:

they would preform a miracle

Explanation:

Answer:stop CPR/AED.

Check for breathing and carotid or femoral pulse.

Monitor the patient until the advanced cardiac life support team takes over.

Explanation:

All these are what you should do.

Joan Seap lives at home, has COPD and ASHD, and is functionally declining. Dr. Smith has revised her comprehensive care plan. Thirty minutes was spent this month completing these services. The code to report is

Answers

Answer:

99490

Explanation:

Knowledge and attitude of women towards pre menopausal syndrome

Answers

Answer:

Irritability and feelings of sadness are the most common emotional symptoms of menopause. Often, they can be managed through lifestyle changes, such as learning ways to relax and reduce stress. Here are some tips that may make it easier for you to handle your fluctuating emotions: Exercise and eat healthy.

Other Questions
Consider the following code segment.int num1 = 0;int num2 = 3;while ((num2 != 0) && ((num1 / num2) >= 0)){num1 = num1 + 2;num2 = num2 - 1;}What are the values of num1 and num2 after the while loop completes its execution?Question 18 options:The loop will never complete its execution because a division by zero will generate an ArithmeticException.num1 = 6, num2 = 0num1 = 4, num2 = 1num1 = 8, num2 = -1num1 = 0, num2 = 3 Demonstrate that 11 is not prime in . Make sure to use thedefinition of a prime element in an integral domain for fullcredit. Use the method of reduction of order to find a second solution of the differential equation t^2y''-t(t+2)y'+(t+2)y=0, t>0; y1(t)=t 3^x-3^-x = 10help me solve this please what is problem solving? describe activities during each process (or step) of problem solving The thermite reactionFe2O3+2Al(s) 2 Fe(s) + Al2O3(s)used in some welding applications has thefollowing enthalpy and entropy changes at298.15 K:AH = -807.1 kJ/molAS = -0.0373 kJ/mol - KAssuming AS and AH are constant, calculateAG at 447 K.Answer in units of kJ/mol. Carpenter is having 4.3 meters of wood in a stock he requested to make some tables for the new senior one students each table needs 0.8 meters of wood to complete how many complete tables will the carpenter make out of the 4.3 meters of wood this is the easiest question if you know the difference..WHICH ONE DO I USE "EFFECT" OR "AFFECT" ?" Not only did it affect/effect our water " (talking about pollution affecting/effecting our water)id k the difference .. At the end of gemmas presentation, the audience had a clear understanding of her topic. what did gemma most likely do to deliver such an effective presentation? HELP FAST PLEASE QuestionDoes each equation represent exponential decay or exponential growth?Drag and drop the choices into the boxes to correctly complete the table.Note: If an equation is neither exponential growth nor exponential decay, do not drag it to the table.All choices that have numbers like a/b are fractions.Choices: A= (0.97)^ty= 3.7 (0.2)^ty= 9/11 (4)^tP= 7/9 (5/4)^tV= 0.8 (9)^tP= 0.9 (8.3)^tg(x)= 2.1(x) What is the volume of a sphere with a radius of 3 m, rounded to the nearest tenth I need help please i really need it Devin has an ear for quality music and can tell if someone would be a good studio musician within just a few notes. What type of career would be ideal for Devin? Suppose that your bank's reserve ratio is 0.2, and you deposit $50,000 into the bank. Assume that the bank loans out the maximum amount it can, and people deposit all their money. What is the maximum deposit expansion that can occur as a result of your deposit?a. $10,000b. $20,000c. $40,000d. $250,000 Find the slope. Name the unit rate What is the kinetic energy of a toy truck with a mass of 0.75 kg and a velocity of 4 m/s Project specifications require a relative compaction of 90% (modified Proctor). Construction of a building pad requires 5,000yd 3 of fill. The borrow soil has an in-situ wet density of 128-PCF and an in-situ water content of 6.5% and a laboratory maximum dry density of 122.5-PCF. The total volume of soil that must be excavated from the borrow area is most nearly: a. 4,500yd 3 b. 5,000yd 3 c. 5,250-yd d. 5,500yd 3 use phasors to add the 12cos(100t 15) 5cos(100t - 25) In the Kerberos protocol, once a user authenticates to the Authentication server the user receives a TGS _____ that can be used to authenticate with the Ticket Granting Server.Select one:a. service ticketb. Ticket Granting Ticketc. KDCd. session key Jeremiah wants to send some of his shirts to a dry cleaner. he usually takes his clothes to Spot-Less Dry cleaners, where he pays $4.50 per shirt. He sees a sign at No Mess or Stress Dry Cleaners that says it's $21.00 to have 4 shirts cleaned. Which is the better deal?