Many people have never even heard of the metabolic syndrome, also known as Syndrome X. Until recently, most physicians had never heard of the metabolic syndrome either. Yet this condition a combination of blood lipid abnormalities, high blood pressure, and elevated blood sugar affects almost one-quarter of the adult population in the United States. The major underlying cause of the metabolic syndrome is obesity, in particular, increased abdominal fat. Five different conditions make up the metabolic syndrome: 1. High blood triglycerides 2. Low HDL cholesterol 3. High blood pressure 4. Elevated blood sugar 5. Increased waist circumference (as mentioned earlier in this chapter, greater than 40 inches in men and greater than 35 inches in women) The metabolic syndrome is rapidly becoming a signi cant medical problem because it increases so many risk factors for heart disease and diabetes. Weight loss is the only effective treatment for this condition.
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Table 13.3: The Committee of European Postal and Telephone (CEPT) Hierarchy SIGNAL E0 CAPACITY 64 kbps NUMBER OF EIS N/A
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Simply stated, the escrow holder impartially carries out the written instructions given by the people buying and selling the property. This includes receiving funds and documents necessary to comply with those instructions, completing or obtaining the required forms, and handling the final delivery at all times to the proper parties upon the successful completion of the escrow. When all of the instructions in the escrow have been carried out, the closing can take place. At this time, all outstanding funds are collected and fees/charge are paid. Payment of funds at the close of escrow should be in the form acceptable to the escrow, because out-of-town and personal checks can cause days of delay in processing the transaction. Even though the closing process may be called something different in your area, the basic procedures are the same. When your offer has been accepted, it is time to open escrow. Information you will need when opening escrow:
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ample, if a process starts every time an insurance claim is made, you need to specify the frequency of claims. The frequency may be different at different times of day. It can be different during the weekends. A good modeling tool will help you capture these subtleties.  For each resource type, you need to tell the system how many resources you have on hand. Resource content happens when trigger events are ring and new process instances are starting at a rapid rate and you do not have enough resources to get involved in all process instances. For example, at around 11 A.M., you may have 134 insurance claims led over the phone. If you have only 35 insurance adjusters, some of the process instances will have to wait. Alternatively, you can say that you have an unlimited number of resources. When the simulation is run, none of the process instances will have to wait to procure enough resources. This will help you to determine the peak demand for resources. In the previous example, if every insurance claim needs to be looked at by an adjuster, you will need approximately 134 of them. This type of analysis is great when you have a budget available to procure more resources but you are not sure how much of which resources you need.  How long will the simulation run You can set the value in hours, days, or weeks. The tool will actually compress time. For example, it will start a day s worth of process instances in a few seconds. It will proportionately scale down the duration for the activities. You should run the simulation long enough to get enough sample data. After the simulation run ends, you will be able to view a number of result data items. The most important ones are shown in Exhibit 2.9.
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Ensuring that payment occurs is critical for organizations. Now that items have been ordered, shipped, or delivered in some fashion, it is critical for the enterprise to make sure that it requests payments; this is often done through invoices. It is important to send out correct invoices that correspond to the appropriate orders, shipments, or work efforts. The enterprise needs to set up systems that facilitate getting paid, and this could involve setting up appropriate billing accounts; matching invoices to orders, billing for shipments, invoicing for work efforts; sending out invoices; tracking payments against invoices; recording deposits, and issuing statements. Questions that enterprises need to know about invoicing include the following: How does each invoice relate to orders, shipments, and/or work efforts What are the products, features, and other charges for which payments are due Who owes how much to whom What is the status of each invoice What is the payment history of each party
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