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Evaluate $\sin^{-1}\!\left(\dfrac{12}{13}\right)-\sin^{-1}\!\left(\dfrac{3}{5}\right)$.
Let $A=\sin^{-1}(12/13)$: $\sin A=12/13,\ \cos A=5/13$.
Let $B=\sin^{-1}(3/5)$: $\sin B=3/5,\ \cos B=4/5$.
$\sin(A-B)=\sin A\cos B-\cos A\sin B=\dfrac{12}{13}\cdot\dfrac{4}{5}-\dfrac{5}{13}\cdot\dfrac{3}{5}=\dfrac{48}{65}-\dfrac{15}{65}=\dfrac{33}{65}$... Hmm, but let me check $\cos(A-B)$: $=\cos A\cos B+\sin A\sin B=\dfrac{5}{13}\cdot\dfrac{4}{5}+\dfrac{12}{13}\cdot\dfrac{3}{5}=\dfrac{20+36}{65}=\dfrac{56}{65}$.
So $A-B=\cos^{-1}(56/65)=\pi/2-\sin^{-1}(56/65)$. Answer: $\dfrac{\pi}{2}-\sin^{-1}\!\left(\dfrac{56}{65}\right)$.
PPROM = Rupture of membranes before 37 weeks gestation without labor.
Evidence-based management bundle (ACOG/RCOG):
| Intervention | Rationale | Drug/Dose |
|---|---|---|
| Hospitalization | Monitor for chorioamnionitis, cord prolapse | โ |
| Antibiotics | Prolong latency period, reduce chorioamnionitis | Erythromycin 250 mg QID ร 10 days (avoid amoxicillin-clavulanate โ associated with NEC) |
| Antenatal corticosteroids | Fetal lung maturity (if 24โ34 weeks) | Betamethasone 12 mg IM ร 2 doses, 24 hr apart |
| MgSOโ neuroprotection | If <32 weeks, reduces cerebral palsy | \(4\,\text{g}\) IV loading dose |
| GBS prophylaxis | If GBS status unknown | Penicillin G IV |
Tocolysis: Short-term tocolysis (48 hr) to allow steroids to act, but not for prolonged tocolysis as it may mask infection signs. Nifedipine or indomethacin used.
Chorioamnionitis signs (mandate delivery regardless of GA): fever, uterine tenderness, fetal tachycardia, maternal tachycardia, foul-smelling liquor, elevated CRP/WBC.
Which item results in a credit entry in the statement of profit or loss?
Option A is correct.
When the allowance is reduced, the previously charged expense is released: Debit allowance account; Credit statement of profit or loss โ effectively increasing profit.
Options B, C, D all result in debit entries (expenses) that reduce profit.
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