A 38-year-old woman presents to the office with complaints of weight loss, fatigue, and insomnia of 3-month duration. She reports that she has been feeling gradually more tired and staying up late at night because she can’t sleep. She does not feel that she is doing as well in her occupation as a secretary and states that she has trouble remembering things. She does not go outdoors as much as she used to and cannot recall the last time she went out with friends or enjoyed a social gathering. She feels tired most of the week and states she feels that she wants to go to sleep and frequently does not want to get out of bed. She denies any recent medication, illicit drug, or alcohol use. She feels intense guilt regarding past failed relationships because she perceives them as faults. She states she has never thought of suicide, but has begun to feel increasingly worthless. Her vital signs and general physical examination are normal, although she becomes tearful while talking. Her mental status examination is significant for depressed mood, psychomotor retardation, and difficulty attending to questions. Laboratory studies reveal a normal metabolic panel, normal complete blood count, and normal thyroid functions. ➤ What is the most likely diagnosis? ➤ What is your next step? ➤ What are important considerations and potential complications of management? You need to responded the answer for this case What is the most likely diagnosis? ➤ What is your next step? ➤ What are important considerations and potential complications of management?
miscellaneous expenses associated with the providing. further to these initial expenses, as a reporting organization challenge to securities laws, consisting of Sarbanes-Oxley, and alternate listing necessities, the corporation will have widespread ongoing charges associated with its operations. these costs include outdoor directors’ expenses and expenses, administrators’ and officers’ liability coverage, accounting and criminal prices, inner control costs, printing charges for stockholder reviews and proxies and prices of investor relations. The costs aren't simply monetary. The IPO system can soak up to 6 months or longer. during this period the business enterprise’s executive management group need to dedicate good sized time and electricity to the IPO. This takes far from management’s time and potential to run the corporation’s enterprise, and operations can also go through in the course of the IPO method. 2. Securities regulation Compliance: A myriad of compliance problems consequences from an IPO. The IPO technique imposes excessive regulations on the organisation’s advertising and publicity sports in the course of the ‘quiet duration’ preceding the filing of a registration statement. The registration and reporting system includes the disclosure of full-size information about the enterprise that is effectively to be had to the enterprise’s competitors. Following final touch of the IPO, the corporation could be required to file quarterly, annual and contemporary reviews detailing its operations and pronouncing main events. This disclosure includes precise facts approximately operations, government reimbursement, economic results and large clients and vendors. Proxy statements must be filed with the SEC before a stockholders meeting may be known as. The employer can't launch information on a selective basis and have to be careful to guarantee that the data it releases is accurate and whole. organisation insiders and essential stockholders also must observe the change Act necessities for reporting their inventory possession and prohibitions on quick swing trading. sooner or later, the exchanges in which the business enterprise’s stock is traded have diverse list requirements that impose extra governance and disclosure necessities. . three. trade in corporate Governance shape: A listing requirement of the fundamental inventory exchanges is that the company’s board be made from a majority of unbiased directors. independent administrators cannot be officers, personnel, main stockholders or outdoor provider vendors. independent administrators must include the audit, repayment and company governance committees. which means that the duties of selection and oversight of auditors, putting executive repayment and determining board applicants and litigation issues are taken faraway from control and given to ‘strangers’ which could have little beyond experience with the corporation’s operations. another list requirement is conserving annual stockholder conferences. matters including calling meetings and offering proposals to stockholders need to now be achieved in compliance with SEC rules. a major change introduced approximately by Sarbanes-Oxley turned into empowerment of the independent directors. preceding ‘excellent practices’ of getting a majority of independent administrators are now mandated by way of alternate list requirements. The independent directors are charged with oversight of the corporation’s management and auditors.>GET ANSWER