Management of ankle fracture Essay Example | Topics and Well Written Essays - 1500 words

Management of ankle fracture - Essay Example According to most epidemiologists, ankle fractures have quite an extensive occurrence and the groups at high risk include adults, especially the elderly. For instance, Egol et al (2013) imply that that broken ankles have an incidence of approximately 174 cases per 100 000 adults yearly. While Parekh, Patel and Parekh (2012) assert that, the new occurrences could amount to approximately 187 fractures per 100,000 individuals every year. Nevertheless, the approximations seem to be much closer. Generally, according to Egol et al (2013) the correct treatment and categorization normally provides a decisive significance for clinical outcome. Since the mid-1900s, the rate of ankle fractures occurrences has significantly augmented in most of the industrialized states, most probably due to the growth in the number of individuals who get involved in athletics as well as the size of the aging population. Further, Parekh, Patel and Parekh (2012) indicate that the malleolar fractures (a type ankle fracture) has a vast prevalence, whereby the percentage for unimalleolar ranges from 60% to 70%. On the other hand, other fractures like bimalleolar fractures occur at a rate of 15% to 20% while the occurrence of trimalleolar fractures range at 7% to 12%. The overall rate of occurrence of the fractures especially between the genders, according to Maxey and Magnusson (2012), has a similarity. Despite this, the rate of occurrences is much higher in men especially when they are at a younger age. While higher rates of the fractures occurrence in women happens between the age group of the 50 to 70 years. Additionally, a heightened BMI and smoking have been associated with an augmented likelihood of the occurrence of broken ankle. In contrast to the radius’ fractures and other ankle fractures widespread among postmenopausal and premenopausal females, the density of the bone has not complete ly shown evidently as a key risk

Mergers Essay Example | Topics and Well Written Essays - 500 words - 1

Mergers - Essay Example Specifically, an analysis of the market would be conducted. This entails understanding if the market is growing, or if the competitors are cannibalizing each others’ members. Additionally, reviewing ease of entry into the market is done. This is achieved through reviewing the growth of new competitors in the market. Assessment would be conducted to understand if the new competitors have taken significant market share or if the market is locked in among the current players. Reputation in the market: Conduct an assessment of the image, brand, and the member service reputation of the merging credit union. Reputation can be effectively assessed by using the Better Business Bureau, industry associations, and social media sites. Viability of membership groups: Viability of membership groups would be investigated. This is through review of the major SEG and garnering the stability of the industry. Review is also conducted on the membership opportunity and geography of the membership. Major contracts: Review all employment agreements, major supplier, equipment leases, and legal agreements. Determine what line of business or products have been outsourced. Due to the size of the merging credit union they may have third parties perform multiple activities including engaging directly with members. Review the contracts to determine termination timelines and that the contracts clearly define expectations and responsibilities of the third party to help ensure the contacts enforceability, limit the credit unions liability, and mitigate disputes about performance. Leased: If the branch is leased, then review the lease and any amendments. If the lease term is under 18 months, analyze the cost of a move. If the term is over 18 months; financial analysis would be done based on location, accessibility, easements, adequate space, and the cost of renovations. Assets: Cash, securities, and loans. Assess asset classes in real