According to the Centers for Disease Control (CDC), asthma is a leading chronic illness in children ages 5 to 17, a leading cause of school absenteeism, and the third highest cause of hospitalizations in children younger than 15 (2011). The costs associated with treating this chronic illness are high.
A number of randomized control trials have examined the effect of instituting a home management program for treating asthma in combination with pharmaceuticals. These studies found that, by implementing a structured home management program, the morbidity, severity, and frequency of asthmatic episodes were reduced (Agrawl, Singh, Mathew, & Malhi, 2005). Recent research is also exploring how and when to cut back on levels of medication as asthma episodes become controlled, further reducing the cost of this chronic illness; however, controversy remains over the long-term effects of reducing levels of medication due to the disparateness of asthma (Rogers & Reiberman, 2012).
For this Discussion, you are asked to identify an example of an experimental study design in the popular literature and consider the ethical implications of the randomized control trial design.
To prepare:
- Search the Internet and credible websites to locate a news piece or article that features a randomized trial study design. The article should be from a widely distributed news source, accessible to and written for a lay audience. Possible sources include, but are not limited to, online magazines, online newspapers, and health news websites. Be sure to include a link to the article in your posting. You may not select an article already posted by one of your colleagues for this Discussion.
- Critically analyze the following aspects of the research study:
- Purpose
- Study population
- Length of the trial
- Data collection methods
- Outcome measures
- Results and conclusions
- Ethical issues associated with the study
- Ask yourself: How did this research study benefit from its randomized design? What was discovered by randomization that might not otherwise have been demonstrated?
By tomorrow 03/20/2018 , write a minimum of 550 words in APA format with at least 3 scholarly references from the list of required readings below. Include the level one headings as numbered below”
Post a cohesive scholarly response that addresses the following:
1) Summarize the research study addressing the aspects bulleted above. In your posting, provide a link to the article you selected.
2) Identify and discuss the ethical issues associated with this study.
Required Readings
Friis, R. H., & Sellers, T. A. (2014). Epidemiology for public health practice (5th ed.). Sudbury, MA: Jones & Bartlett.
Chapter 8, “Experimental Study Designs”
This chapter examines experimental and quasi-experimental study designs.
Johnson, T. S. (2010). A brief review of pharmacotherapeutic treatment options in smoking cessation: Bupropion versus varenicline. Journal of the American Academy of Nurse Practitioners, 22(10), 557–563.
The authors of this article explored treatment options for smoking cessation by examining the research literature, including looking at the results of randomized control trials. This article provides an example of how such a literature review can influence practice demonstrate the use and benefits of randomized control trial study designs.
Milligan, K., Niccols, A., Sword, W., Thabane, L., Henderson, J., Smith, A., & Liu, J. (2010). Maternal substance use and integrated treatment programs for women with substance abuse issues and their children: A meta-analysis. Substance Abuse Treatment, Prevention & Policy, 5, 21–34.
This article examines programs that integrate substance abuse treatment and pregnancy, parenting, or child services. The authors conclude that there is a need for funding of high-quality randomized control trial and improved reporting practices. This article also demonstrates the application of analytic research designs to explore a population health problem.
Talaat, M., Afifi, S., Dueger, E., El-Ashry, N., Marfin, A., Kandeel, A., Mohareb, E., & El-Sayed, N. (2011). Effects of hand hygiene campaigns on incidence of laboratory-confirmed influenza and absenteeism in schoolchildren, Cairo, Egypt. Emerging Infectious Diseases, 17(4), 619–625.
This research study used a randomized control trial to examine the association between hand washing and reducing influenza. As you review this article, notice how they structured the research study and how they measured the association between hand washing and absenteeism.
Physicians’ Health Study (2010). Retrieved from http://phs.bwh.harvard.edu
This large-scale, randomized clinical trial that began in 1982 was designed to test the effectiveness of aspirin and beta carotene in preventing heart attacks (myocardial infarctions, or MIs) in male physicians aged 40–84. The first phase of the trial, which included more than 22,000 study subjects, demonstrated that low-dose aspirin does, in fact, reduce the risk of a first MI by 44%. This article provides a good example of the types of large-scale studies conducted using epidemiologic principles that lead to improved population health.
Required Media
Laureate Education (Producer). (2012). Epidemiology and population health: Experimental studies [Video file]. Baltimore, MD: Author.
Note: The approximate length of this media piece is 5 minutes.
In this program, the presenters discuss experimental studies, including the effect of randomization and blinding on study results.
Optional Resources
Groopman, J. (2006, December 18) Medical dispatch—The right to a trial: Should dying patients have access to experimental drugs? New Yorker, 82(42), 40–47.
Dorak, M. T. (2006). Epidemiologic study designs [PowerPoint presentation]. Retrieved from http://www.dorak.info/epi/design.ppt
Ibrahim, M., Alexander, L., Shy, C., & Farr, S. (2000). Randomized trials. ERIC Notebook, 10, 1–4. Retrieved from http://cphp.sph.unc.edu/trainingpackages/ERIC/eric_notebook_10.pdf
Public heath epidemiology journal club style critique
Nursing HomeworksPublic heath epidemiology journal club style critique
ARTICLE: Aberg, A. et al. (2010). Exposure assessment at a PCDD/F contaminated site in Sweden–field measurements of exposure media and blood serum analysis.Environmental Science and Pollution Research International. 17(1):26-39. (IS ATTACHED) Answer questions below. Public heath epidemiology journal club style critique.
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Discussion of journal articles is important to the development of critical thinking and evaluation skills. You are provided with citations for two different articles to discuss with your colleagues, in a “journal club” style. A journal club typically refers to a group of individuals who meet to critically evaluate journal articles in their academic field. You will participate in a journal club style critique in this module’s Discussion. This type of evaluation is very useful to broaden your knowledge of the field and practice critical thinking skills. Your discussion must be relevant to the journal article and must provide a scholarly critique of the contents.
Answer these questions from Article
Exposure_assessment_at_a_PCDD
What do you think the public health significance of the research question in this study was? Is it mostly of local significance or is there a global impact? Explain. Does the study fill an important gap, in your opinion? Why or why not? Critique the methodology. Why do you think the authors chose this methodology and what would you have done differently? Explain. Interpret the results in your own words and then discuss with your colleagues whether you agree or disagree with the author’s interpretations and why. Public heath epidemiology journal club style critique
Discussion: Mr. Smith brings his 4-year-old to your office with chief complaints of right ear pain, sneezing, mild cough, and low-grade fever of 100 degrees for the last 72 hours
Nursing HomeworksNursing Homework Help
Question description
Discussion: Mr. Smith brings his 4-year-old to your office with chief complaints of right ear pain, sneezing, mild cough, and low-grade fever of 100 degrees for the last 72 hours. Today, the child is alert, cooperative, and well hydrated. You note a mildly erythemic throat with no exudate, both ears mild pink tympanic membrane with good movement, lungs clear. You diagnose an acute upper respiratory infection, probably viral in nature. Mr. Smith is states that the family is planning a trip out of town starting tomorrow and would like an antibiotic just in case.
Create a communication plan for Mr. Smith and/or families for both prescriptive and non-prescriptive drug therapies. Describe what you would tell Mr. Smith and the child. Provide resources that Mr. Smith could access which would provide information concerning your decision.
Assignment Requirements:
*****This Assignment may be submitted in a PowerPoint presentation with at least 10 slides or as an APA formatted paper of no more than five (5) pages excluding title page and references.
Before finalizing your work, you should:
Applied Sciences homework help
UncategorizedA large number of the inmates incarcerated in American’s jails and prisons are detained because of drug and alcohol related crimes. Most of these inmates receive little or no substance abuse treatment while incarcerated and after serving their sentences are released back into society expected to be “model citizens” to never use drugs again, to be great parents and hold stable jobs. Is this realistic and if not, what should be done?
OR
Evaluate the impact of the internet on your everyday life. Discuss how your life would change if the internet disappeared today. What would they miss the most? Why? Consider how life is different for individuals who live on the other side of the digital divide?
UR-531: NURSING INFORMATICS
Nursing HomeworksUR-531: NURSING INFORMATICS: CONCEPTS AND ISSUESFINAL PROJECT STUDENTS PLEASE NOT
Epidemiology in the News: Randomized Trials
UncategorizedAccording to the Centers for Disease Control (CDC), asthma is a leading chronic illness in children ages 5 to 17, a leading cause of school absenteeism, and the third highest cause of hospitalizations in children younger than 15 (2011). The costs associated with treating this chronic illness are high.
A number of randomized control trials have examined the effect of instituting a home management program for treating asthma in combination with pharmaceuticals. These studies found that, by implementing a structured home management program, the morbidity, severity, and frequency of asthmatic episodes were reduced (Agrawl, Singh, Mathew, & Malhi, 2005). Recent research is also exploring how and when to cut back on levels of medication as asthma episodes become controlled, further reducing the cost of this chronic illness; however, controversy remains over the long-term effects of reducing levels of medication due to the disparateness of asthma (Rogers & Reiberman, 2012).
For this Discussion, you are asked to identify an example of an experimental study design in the popular literature and consider the ethical implications of the randomized control trial design.
To prepare:
By tomorrow 03/20/2018 , write a minimum of 550 words in APA format with at least 3 scholarly references from the list of required readings below. Include the level one headings as numbered below”
Post a cohesive scholarly response that addresses the following:
1) Summarize the research study addressing the aspects bulleted above. In your posting, provide a link to the article you selected.
2) Identify and discuss the ethical issues associated with this study.
Required Readings
Friis, R. H., & Sellers, T. A. (2014). Epidemiology for public health practice (5th ed.). Sudbury, MA: Jones & Bartlett.
Chapter 8, “Experimental Study Designs”
This chapter examines experimental and quasi-experimental study designs.
Johnson, T. S. (2010). A brief review of pharmacotherapeutic treatment options in smoking cessation: Bupropion versus varenicline. Journal of the American Academy of Nurse Practitioners, 22(10), 557–563.
The authors of this article explored treatment options for smoking cessation by examining the research literature, including looking at the results of randomized control trials. This article provides an example of how such a literature review can influence practice demonstrate the use and benefits of randomized control trial study designs.
Milligan, K., Niccols, A., Sword, W., Thabane, L., Henderson, J., Smith, A., & Liu, J. (2010). Maternal substance use and integrated treatment programs for women with substance abuse issues and their children: A meta-analysis. Substance Abuse Treatment, Prevention & Policy, 5, 21–34.
This article examines programs that integrate substance abuse treatment and pregnancy, parenting, or child services. The authors conclude that there is a need for funding of high-quality randomized control trial and improved reporting practices. This article also demonstrates the application of analytic research designs to explore a population health problem.
Talaat, M., Afifi, S., Dueger, E., El-Ashry, N., Marfin, A., Kandeel, A., Mohareb, E., & El-Sayed, N. (2011). Effects of hand hygiene campaigns on incidence of laboratory-confirmed influenza and absenteeism in schoolchildren, Cairo, Egypt. Emerging Infectious Diseases, 17(4), 619–625.
This research study used a randomized control trial to examine the association between hand washing and reducing influenza. As you review this article, notice how they structured the research study and how they measured the association between hand washing and absenteeism.
Physicians’ Health Study (2010). Retrieved from http://phs.bwh.harvard.edu
This large-scale, randomized clinical trial that began in 1982 was designed to test the effectiveness of aspirin and beta carotene in preventing heart attacks (myocardial infarctions, or MIs) in male physicians aged 40–84. The first phase of the trial, which included more than 22,000 study subjects, demonstrated that low-dose aspirin does, in fact, reduce the risk of a first MI by 44%. This article provides a good example of the types of large-scale studies conducted using epidemiologic principles that lead to improved population health.
Required Media
Laureate Education (Producer). (2012). Epidemiology and population health: Experimental studies [Video file]. Baltimore, MD: Author.
Note: The approximate length of this media piece is 5 minutes.
In this program, the presenters discuss experimental studies, including the effect of randomization and blinding on study results.
Optional Resources
Groopman, J. (2006, December 18) Medical dispatch—The right to a trial: Should dying patients have access to experimental drugs? New Yorker, 82(42), 40–47.
Dorak, M. T. (2006). Epidemiologic study designs [PowerPoint presentation]. Retrieved from http://www.dorak.info/epi/design.ppt
Ibrahim, M., Alexander, L., Shy, C., & Farr, S. (2000). Randomized trials. ERIC Notebook, 10, 1–4. Retrieved from http://cphp.sph.unc.edu/trainingpackages/ERIC/eric_notebook_10.pdf
What roles do nursing homes play in providing rehabilitation and extended care for functionally disabled persons?
UncategorizedWEEK 4 Policy: Week four has your second class conference of the semester, focused on the nursing home industry. Please respond to the following questions in the class conference created for this purpose. 1. What roles do nursing homes play in providing rehabilitation and extended care for functionally disabled persons? 2. Under what circumstances is it appropriate to consider nursing home placement for an elderly parent or guardian? Is placement in assisted living or in home care always a superior choice? WEEK 5 Policy: Week five has your third class conference of the semester, focused on the hospice and palliative care. Please respond to the following questions in the class conference created for this purpose. 1. How does hospice and palliative care differ from the traditional medical model of health care delivery? What are the benefits to patients who elect these services in lieu of traditional medical care? 2. What the benefits of interdisciplinary team management of patient care as practiced in hospice and palliative care? Are there potential lessons learned for improving the quality of traditional medical care?
Diagnosis
Uncategorizedthis course prepares the student to identify common symptoms for the diagnosis and management of common health issues. The criteria for diagnosis, including diagnostic studies, will be discussed. This course will place an emphasis on health promotion, disease prevention, and health screenings across the lifespan, and providing culturally competent care. Professional, ethical, and legal issues are addressed.
L.N. is a 49-year-old white woman with a history of type 2 diabetes, obesity, hypertension, and migraine headaches. The patient was diagnosed with type 2 diabetes 9 years ago when she presented with mild polyuria and polydipsia. L.N. is 5′4″ and has always been on the large side, with her weight fluctuating between 165 and 185 lb. Initial treatment for her diabetes consisted of an oral sulfonylurea with the rapid addition of metformin. Her diabetes has been under fair control with a most recent hemoglobin A1c of 7.4%. Hypertension was diagnosed 5 years ago when blood pressure (BP) measured in the office was noted to be consistently elevated in the range of 160/90 mmHg on three occasions. L.N. was initially treated with lisinopril, starting at 10 mg daily and increasing to 20 mg daily, yet her BP control has fluctuated. One year ago, microalbuminuria was detected on an annual urine screen, with 1,943 mg/dl of microalbumin identified on a spot urine sample. L.N. comes into the office today for her usual follow-up visit for diabetes. Physical examination reveals an obese woman with a BP of 154/86 mmHg and a pulse of 78 bpm. Questions 1.What are the effects of controlling BP in people with diabetes? 2.What is the target BP for patients with diabetes and hypertension? 3.Which antihypertensive agents are recommended for patients with diabetes?
Social Science homework help
UncategorizedOne of the references should be “Stinging Like Tabasco” by Imani Perry
Be sure to listen to all of the songs and choose ones that you feel that you may have a lot to say about, and remember, you’re comparing the songs not how you feel about the songs.
Rubrik
Starting Points
You do what’s asked –2 songs from the lists, 3 pages long, bibliography, both compare and contrast the songs, offer equal opinion and insight into both songs, offer proper support for info=15 pts before deductions.
Miss major elements –only one song, songs are from the same list or are not on the list, no bibliography, 1.5 pages or less. –7.5 points before deductions.
Deductions at the discretion of the TA, but examples include unsupported/wrong information, incorrect citations, obviously poor effort, didn’t compare songs but wrote about how one feels about the songs, skate.
Cheat = 0 and a report to AI
Song lists for the assignment
List One
De La Soul –Me, Myself and I
Roxanne Shante – Roxanne’s Revenge
Grandmaster Flash –The Message
Public Enemy –Don’t Believe the Hype
List Two
Kurtis Blow –The Breaks
Snoop Dogg –Who Am I ?
ODB – Brooklyn Zoo
2 Live Crew – Me So Horny
Some content ideas:
Use Imani Perry’s “Stinging Like Tabasco” to compare the types of flow.
Compare the way that the beat is created
Compare the use of “Signifyin” in the lyrics.
Compare the environments that the songs came from and how we hear them.
Compare the intention of the lyrics.
Compare anything else that you hear and that you feel is important to understanding the songs !
PAPER EXPECTATIONS
HELPFUL LINKS
Writing a short essay:
https://www.wikihow.com/Write-a-Short-Essay
Bibliography MLA Format guide:
https://www.sciencebuddies.org/science-fair-projects/science-fair/writing-a-bibliography-mla-format
Discuss how evidence-based practice (EBP) can be used in the student’s current position or organization to improve the financial status and patient health
Uncategorized250 WORDS 2 REFERENCES WITHIN 5 YEARS (NURSING JOURNALS ONLY!! IN TEXT CITATIONS ARE A MUST!!
Select a peer-reviewed journal article [not provided in the course readings] that provides information related to evidence supporting nursing’s value in quality initiatives such as nursing-sensitive value-based purchasing (NSVBP) and/or Pay for Performance regulation.
Diagnosis and Treatment
UncategorizedExamine Case 1: You will be asked to make three decisions concerning the diagnosis and treatment for this client. Be sure to consider co-morbid physical as well as mental factors that might impact the client’s diagnosis and treatment.
At each Decision Point, stop to complete the following: