A 4-year-old boy with Down syndrome is brought by his mother to the office for increasing fatigue, intermittent fever, and decreasing appetite for three weeks. He is previously healthy. Physical examination reveals pallor and hepatosplenomegaly. What is the best next step in the management of this child?

In the united states, the percentage of children and adolescents affected by obesity has more than tripled since the data from 2015-2016 show that nearly 20% (1 in 5) school age children and young people (6 to 19 years) in the united states has obesity. this is do in part to the fact that younger people consume beverages containing high levels of sugar and products containing high levels of fat. consuming too many calories and not enough exercise are also issues. as a well known industry consultant you know many of the beverage industry executives. you are approached by a coke executive who tells you that someone from coke is unofficially willing to sell pepsi the coke formula and the coke marketing plan for $25 million. the individual has access to both the vault and the bottling equipment so they can get the formula and marketing documents with nobody at the coca cola company knowing. imagine you are a marketing consultant. discuss fully your concerns. what is the ethical dilemma? is it illegal to purchase the coke formula and marketing plan? explain fully your point of view. furthermore, what would you tell the executives regarding childhood obesity?

In a response to public outcry over the internal revenue service's (irs) extent and abuse of power, the federal government has decided to disband the irs in favor of creating a new administrative agency to oversee taxation. as a business owner, what steps might you be able to take to ensure there are control's and limits to the agency's power? how does this compare with the controls available to branches of the government?

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