What goes up but never comes down?

Astudy shows that an influenza vaccine is 71.4% effective in preventing a particular type of influenza. if 15,422 people receive the vaccine, how many would not be protected and would be likely to get infulenza?

Thinking about and listing ones options in the process of decision-making include all of the following except a. identifying possible alternative outcomes b. predicting what friends will think c. determining what is most important d. thinking about what choices could be made

A62-year-old man is being treated for an acute myocardial infarction. he originally came to the ed with substernal chest pain and diaphoresis. given his risk factors of hypertension, diabetes, tobacco use, and family history, he is considered high risk. an ecg in the ed reveals a left-bundle branch pattern, and cardiac enzymes are elevated slightly. after a focused evaluation in the ed, the patient receives iv thrombolytics. although his bundle branch pattern never resolves, the patient is chest pain-free and haemodynamically stable after thrombolysis. two days later, however, the patient reports episodes of recurrent chest discomfort and shortness of breath overnight. in evaluating for potential myocardial reinfarction, which of the following is the most appropriate diagnostic test? - creatinine kinase- dynamic ecg changes- lactate dehydrogenase- myoglobin levels- troponin i level