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Managerial accounting Dr. J. Stephen Kroger was the first president elected to serve on the COLA Board of Directors and continued to serve as the Chief Executive Officer. COLA was endorsed by 29 national and state medical organizations. It operated from two offices: the headquarters office in Columbia, Maryland (a suburban town halfway between Washington, D.C. and Baltimore) where the COO and the five divisions were located; and one office in Denver,Colorado, where the CEO and part of the technical staff were located. Exhibit 1 shows that the organizational structure included four operating divisions and one administrative division. Each division was organized into departments in charge of specific functions. For example, the corporate communications & marketing division included four departments: sales, communications, marketing, and the Information Resource Center. The operations division included internet-based products, human resources, production, education, training, and information systems.

31 What investigations are necessary to exclude secondary polycythaemia?

32 What is the management plan in a patient with secondary polycythaemia presenting with transient ischaemic attacks (TIA)?

33 Why do patients with polycythaemia vera have a tendency to bleed, even though 50% of them have an elevated platelet count?

34 In hyposplenic patients, what precautions are necessary for patients who intend to travel to Saudi Arabia for the Haj?

35 What is the mechanism of development of splenomegaly in chronic leukaemia?

36 In idiopathic thrombocytopenic purpura (ITP), thrombocytes are mainly destroyed in the spleen owing to an immune mechanism. Why, therefore, is there no splenic enlargement as there is with other diseases?

37 Where exactly is the Traub's space? How exact is the percussion of the Traub's space as a sign indicating the size of the spleen?

38 Can you please tell me the indications and complications of blood transfusion.

39 Several times I have read the phrase 'white blood cells elevated with a left shift'. I am wondering what 'left shift' or 'left deviation' stands for.

40 What is the clear definition of 'bleeding time' and 'clotting time'? And what are the applied differences between them?

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