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Concepts statements can provide helpful guidance in resolving knotty practice problems involving liabilities and other matters. Consult them as you would other sources of established accounting principles. You may be surprised to find that these basic statements will provide the help you need.6

There are significant costs and technical challenges associated with development of clinical decision-support systems that provide foundational basis to evidence-based practice. This is further complicated by the invisibility of nursings contributions and consumer choices, which largely are not captured in computerized records and clinical and administrative databases. For the implementation to be successful, there must be a commitment at the systemic level to providing necessary resources for guideline implementation. This may include

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seizure control. In 10% of patients, exercise appeared to be a seizure precipitant and this applied particularly to those with symptomatic partial epilepsy (i.e. underlying structural brain lesion). There are a number of important considerations when counseling the individual who has epilepsy and wishes to exercise. Patients having frequent seizures must be discouraged from activities such as scuba diving, cycling, horseback riding, or rock climbing. Sports where any impairment in splitsecond neuromuscular timing is dangerous (e.g. motor-racing or downhill ski racing) should also be avoided. Patients with epilepsy will not be affected adversely by indulging in contact sport provided the normal safeguards for participation are followed. The frequency of seizures is important when considering activities such as swimming, where the potential for serious injury exists if a seizure were to occur. Generally, swimming is allowed under supervision (e.g. with a buddy ). Swimming with a companion is a sensible rule for all swimmers, not just those with epilepsy. The physical and psychologic well-being of the individual also requires attention. In children, particularly adolescents, participation in activities is important in establishing a good self-image and gaining peer group acceptance. Therefore, it is important to allow the child with epilepsy to pursue many activities. Absolute and relative contraindications to sporting activities are shown in Table 14.6. Management of a seizure Observing a seizure can be a frightening experience. For an observer, there is often an overwhelming

Patagonia, John says. I went y- shing in Alaska and South America. Dolores and I are really having a fun time. No question, it takes a lot of dough to spin off that kind of income. By our estimates, a 65-year-old retiree should have $1.6 million in savings right now to count on $100,000 a year in spending money for the rest of his life. (We re assuming he or she would live to 90 and receive Social Security, in ation would average 3 percent a year over the rest of his life, he would average a 10 percent annual return on his investments, and he would spend his nest egg by his death.) A retiree who wants to live on $200,000 a year would need $4.7 million in today s dollars. Think those numbers are out of your reach Don t be so sure. If you ve been taking advantage of the more aggressive choices offered by your 401(k) or other retirement plans, you probably have a decent head start. But even if you ve put off saving until now, you can still get there. And we ll prove it. Your rst step is to gure out where you are nancially. Worksheet 2.1 will help you calculate how much you need to save and what kind of return you must get in order to reach whichever goal you set to retire either comfortably or really rich. Though our worksheet may look complex, you ought to be able to ll it out in about half an hour.

Kevin Mitnick published on July 4, 1994 All the story really said was that Mitnick was a fugitive being sought by the FBI Hardly the kind of thing normally printed on the front page Even then suspicions were raised Markoff, in publishing such pieces, was becoming the Mitnick expert, despite his lack of firsthand knowledge When Markoff published another front page story in January of 1995 that detailed how the security on Shimomura s computer system had been defeated (again, hardly a front page item), he neglected to mention that the two of them were friends When Mitnick was captured the following month, Markoff published yet another front page story claiming that he was the prime suspect in the Shimomura incident Again, an important detail was omitted: Markoff had played an active role in helping Shimomura track down Mitnick in North Carolina.

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