![]() ![]() It is widely believed that VED therapy is more acceptable among elderly patients with occasional sexual intimacy, as younger patients may show limited acceptance because of its perceived “unnatural” erection. It is used when pharmacotherapies have failed and in patients with stable relationship. The vacuum erectile device (VED) uses negative pressure to increase blood inflow into the corpora cavernosum, with a ring at the base of the penis to maintain erection for intercourse or without a ring for penile rehabilitation. When first line therapy with phosphodiesterase type 5 (PDE5) inhibitors is ineffective or contraindicated, patients should be offered other non-surgical treatment choices such as intracavernous injection therapy, intraurethral alprostadil and vacuum constriction devices. There is no special protocol for treatment of ED in diabetic patients other than in the treatment of ED in general population. It is clear that microangiopathy of the cavernosal artery, corporal veno-occlusive dysfunction and autonomic neuropathy are the primary pathophysiological pathways for ED. The primary mechanism that links increased risk of ED to diabetes is suggested to be vascular and neural. It is already known that diabetes mellitus (DM) is a well-established risk factor for ED and that ED affects 50% overall and 30% of treated diabetics. It should not be regarded only as a quality of life (QoL) issue, but also as a potential warning sign of cardiovascular disease. VED could be a good alternative therapy for patients who denied peroral therapy.Įrectile dysfunction (ED) is defined as the consistent or recurrent inability to attain and maintain a penile erection sufficient for sexual intercourse. Patients with DM type I had more serious risk for development of arteriogenic ED. There was significant improvement in three items of IIEF after six months of treatment among both groups of examinees. Also, DCA showed significant difference between two groups of patients. ![]() Significantly higher values of PSV were obtained in patients with DM type II. Alprostadil injection test was also used, with Doppler color flow imaging system, to evaluate the peak systolic velocity (PSV) and diameter of cavernosal artery (DCA). The International Index of Erectile Function (IIEF) was used to quantify erectile dysfunction. Patients were using VED and six months later were assessed for therapy results. Study enrolled 50 males with DM, aged from 35 to 67 years, who have attended the urologic clinic due to inability to attain and maintain an erection of the penis sufficient to permit satisfactory sexual intercourse. The aim of this study is to investigate changes in the vascular system and hemodynamics between patients with organic erectile dysfunction (ED) (DM type I and II), as well as to compare the quality of sexual life between those two groups after the treatment with vacuum erection device (VED).
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![]() The Days Sales Outstanding ratio measures the efficiency of a company in recovering its receivables. Receivables Turnover = Sales / Accounts Receivable 7) Days Sales Outstanding A higher Receivables Turnover ratio means the company collects its credits promptly. This ratio depends on the credit policies of a company. Receivables Turnover is a ratio that measures how many times a company collects its accounts receivable balances. Related article How to Calculate Activity Ratios? Advertisementsĭays Sales in Inventory = Inventory / Cost of Goods Sold x 365 days 6) Receivables Turnover For this ratio, the lower the number of days, the better it is.ĭays Sales in Inventory = 365 (days) / Inventory turnoverĪnother formula to calculate the ratio is as follows. Simply put, it shows how much time it takes the company to convert stock into sales. It calculates the time it takes a company to sell off all its inventory. Inventory Turnover Ratio = Net Sales / Inventory 5) Days Sale in InventoryĪnother inventory-related asset management ratio is the Days Sale in Inventory. A low ratio, on the other hand, may indicate slow-moving inventory. While a higher Inventory Turnover Ratio is preferable, it can also indicate a risk of stockouts if it is too high. It shows how many times the company has sold and restocked its inventory within the accounting period under consideration. Net Working Capital Turnover = Sales / Net working capital 4) Inventory Turnover RatioĪnother asset management ratio that is considered critical is the Inventory Turnover Ratio. The higher this ratio is for a company, the better it uses its working capital to generate revenues. However, this ratio is usually a better indicator of a company’s operations than using total assets. It is also a type of asset turnover ratio. The Net Working Capital Turnover is a ratio that signifies the efficiency of a company in using its working capital. AdvertisementsĪsset turnover = Sales / Fixed Assets 3) Net Working Capital Turnover While it is a type of asset turnover ratio, some stakeholders prefer only to consider the company’s fixed assets to evaluate its efficiency. This ratio only considers the use of long-term assets as compared to short-term. The Fixed Asset Turnover is a ratio that measures the efficiency of a company in the use of only its fixed assets to produce sales. The higher the company’s asset turnover ratio is, the better and more efficient it is considered by stakeholders.Īsset turnover = Sales / Total Assets 2) Fixed Asset Turnover It gives a summary of all the asset management turnover ratios. The Total Asset Turnover is a ratio that measures the efficiency of a company in the use of all its assets to produce sales. Some of the most commonly used asset management ratios are as below. Therefore, asset management ratios can help with all these aspects and much more. Similarly, just because companies can make profits doesn’t mean they are using their assets effectively. However, judging companies by the amount of their profit is not suitable for comparisons. Usually, stakeholders prefer companies with higher profits. Usually, the better these ratios are, the higher the chances of investors and shareholders investing in the company.įurthermore, these ratios allow stakeholders to analyze the financial performance of a company from multiple aspects. Through these ratios, they can calculate the efficiency and effectiveness of their investments. ![]() Usually, asset management ratios are crucial for investors and shareholders. The purpose of why stakeholders calculate asset management ratios depends on the type of stakeholder. Some of the most commonly used asset management ratios include inventory turnover, accounts payable turnover, days sales outstanding, days inventory outstanding, fixed asset turnover, receivable turnover ratios, and cash conversion cycle. ![]() Since companies have various types and classes of assets, there are also different ratios for different assets. As the name suggests, these ratios usually consider only two factors, a company’s assets and revenues. Through these ratios, the company’s stakeholders can determine the efficiency and effectiveness of the company’s assets management.ĭue to this, they are also called turnover or efficiency ratios. ![]() Asset management ratios are a group of metrics that show how a company has used or managed its assets in generating revenues. 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We are pleased to present pottery made traditionally, but stretching the envelope artistically and blending these two attributes into some of the most exquisite contemporary pottery made today. The voids were intermittently filled with hot water forced up from intrusions below, dissolving the quartzite and re-depositing it as crystal quartz. A t 4peaks gallery we have developed a unique and contemporary website showcasing the finest in handmade Native American pottery. The amethyst of this deposit occurs in linings of voids in faults of the 1.6 billion year old Mazatzal quartzite. The Four Peaks Mine is located on the only private land in the Four Peaks Wilderness. ![]() When code I48.92 is part of the patient's diagnoses the following Quality Measures apply and affect reimbursement. Convert to ICD-9 Code Source ICD-10 Code Target ICD-9 Code I48.92 427.32 - Atrial flutter Approximate Flag - The approximate mapping means there is not an exact match between the ICD-10 and ICD-9 codes and the mapped code is not a precise representation of the original code. The relative weight of a diagnostic related group determines the reimbursement rate based on the severity of a patient's illness and the associated cost of care during hospitalization. MS-DRG MS-DRG Title MCD Relative Weight 308 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH MCC 05 1.1726 309 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITH CC 05 0.7376 310 CARDIAC ARRHYTHMIA AND CONDUCTION DISORDERS WITHOUT CC/MCC 05 0.5512 The DRGs divides all possible principal diagnoses into mutually exclusive principal diagnosis areas referred to as Major Diagnostic Categories (MDC). The Diagnostic Related Groups (DRGs) are a patient classification scheme which provides a means of relating the type of patients a hospital treats. The is diagnosis code is grouped in the following groups for version MS-DRG V40.0 What are Diagnostic Related Groups? - atrial or auricular - I48.92 Diagnostic Related Groups - MS-DRG Mapping.The following references for this diagnosis code are found in the injuries and diseases index: The Index to Diseases and Injuries is an alphabetical listing of medical terms, with each term mapped to one or more ICD-10 code(s). Index to Diseases and Injuries References as in atrial fibrillation, patients with atrial flutter cannot effectively pump blood into the lower chambers of the heart (heart ventricles). unlike atrial fibrillation which is caused by abnormal impulse generation, typical atrial flutter is caused by abnormal impulse conduction. rapid, irregular atrial contractions caused by a block of electrical impulse conduction in the right atrium and a reentrant wave front traveling up the inter-atrial septum and down the right atrial free wall or vice versa. Paroxysmal atrial flutter Clinical Information.The following clinical terms are approximate synonyms or lay terms that might be used to identify the correct diagnosis code: When this code is used as part of a patient's medical record the following Quality Measures might apply: Atrial Fibrillation And Atrial Flutter: Chronic Anticoagulation Therapy. The code is linked to some Quality Measures as part of Medicare's Quality Payment Program (QPP). Specific diagnosis codes should not be used if not supported by the patient's medical record. Although a more specific code is preferable, unspecified codes should be used when such codes most accurately reflect what is known about a patient's condition. Unspecified diagnosis codes like I48.92 are acceptable when clinical information is unknown or not available about a particular condition. The code is commonly used in cardiology medical specialties to specify clinical concepts such as atrial fibrillation and flutter. The code is valid during the fiscal year 2023 from Octothrough Septemfor the submission of HIPAA-covered transactions. 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![]() Adab of the True Seeker (Adab Al Murid Al Sadiq) By Al-Buzaydi 10. Realities of Sufism By Shaykh Abd Al-Qadir Isa / Suraqah Ab Aziz 9. ![]() Finding Inner Peace (Qurrat al-'Uyun) By Abu Layth al-Samarqandi 8. Revival of the Religious Sciences An Abridgement (NEW) 7. Sending Prayers upon the Prophet : Rulings, Virtues & Benefits 6. Man And The Universe By Mostafa Badawi, Revised & Expanded Editi 4. Surah Yassin & Ayatul Kursi Arabic-English & Transliteration R92 3. Burda With Mudariyya & Muhammadiya, ARB-ENG & Transliteration 2. Surah Ya-sin (Pack of 10) Arabic English & Transliteration, P/Sīestsellers 1. Surah Ya-sin, Arabic English & Transliteration, Pocket Sizeĥ, Five Surah's Arabic - English, P/Size (Yasin, Rahman, Waqiah, Mulk & Muzzammil) ![]() This booklet a revised edition is printed in 4 colour on Art Paper and has a unique style of its self.It contains the Arabic text, line by line English Translation & Transliteration which will help the readers to read and memorize the Arabic text at the same time.A specially designed for the purpose of helping people who are unable to read and understand the Arabic text.Surah Yassin and Ayatul Kursi are in a small book set up specially designed to carry it along 'Arabic with English Translation & Transliteration' He replied, 'The verse of the Throne (Ayatul Kursi) and the last part of Surrah Al Baqara came down from under the Throne'. He was then asked 'Which part of that Surah?'. He replied, ' The Surah in which the Baqara (cow) is mentioned'. Prophet Mohammad (PBUH) was asked, 'Which part of the Qur'an is the best?'. ' Whoever recited Surrah Yassin at night seeking Allah's pleasure, Allah would forgive him'. Read MoreĪccording to a narration, the name of Allah is called Ism e Azam meaning the greatest name is present in this verse and the characteristic of the Greatest Name is that when supplication is made to Allah through it, Allah Almighty accepts it, so make it a part of your prayers.Surah Yassin & Ayatul Kursi Arabic-English & Transliteration R92Īrabic Text With English Translation and Transliteration At the end of it Allah mentioned the throne. In this verse, the Oneness of Allah, the Lord of Glory, is beautifully described and there is mention of the Essence of Allah and attributes. Ayat-ul-Kursi is the longest and highest verse of the Holy Qur'an. We claim that you will make it a habit to recite Ayatul Kursi after knowing these miracles. You may have heard only one or two virtues of Ayat-ul-Kursi, some of the miracles of Ayat-ul-Kursi which are mentioned by Prophet Muhammad (peace be upon him) in his various hadiths. This is probably the most famous verse of the Noble Qur'an. Ayat-ul-Kursi is verse number two hundred and fifty-five (255) of Surah Al-Baqarah, which is commonly called Ayat-ul-Kursi. Therefore, every Muslim should try his best to adopt it as a wazifa to get the blessings of this verse. This is the verse of the Qur'an which has been recited by the Prophet (peace and blessings of Allah be upon him) frequently and has repeatedly emphasized the Companions and the Muslim Ummah to recite it. For example, after five prayers, at night before sleeping, Prophet Muhammad said to recite the Ayatul kursi for protection. Numerous hadiths prove that Ayatul kursi is the greatest verse of the Holy Qur'an because in it the monotheism of the Almighty is described as the greatness and attributes of Allah. Ayatul kursi transliteration | Ayatul kursi Urdu Translation | Ayatul kursi English Translation | Arabic Text complete. |