Risk factors for cerebrovascular accidents

Neurological Risk factors for cerebrovascular accidents 

 

  • List the risk factors for cerebrovascular accidents and why?
  • What cultures are at higher risk and why?
  • Describe the 0 to 4+ scale for scoring deep tendon reflexes.
  • What would you expect to find in a patient with diabetic peripheral neuropathy?
  • Share any experience you have encountered and elaborate.

Submission Instructions:

  • Your initial post should be at least 500 words, formatted and cited in proper current APA style with support from at least 2 academic sources.

Write a proposal plan based on picot question

  • Based on the PICOT question below please write a proposal plan for Assignment 3 (data collection and analysis plan). Assignment 3 describes “Methods” for your proposal.

PICOT question: “In elder adults over 65 years of age(P), diagnosed with Multiple Sclerosis, what is the difference between the use of medical marijuana (I) and the use of gabapentin (C) on alleviating pain (O) over 6 months (T)”?

  • See below for an example of the outline for the original post.

Sample, Setting

  1. Population – participants in the study, including their age, gender, number of participants you would like to recruit, diagnosis, and any other relevant background information.
  2. Inclusion and exclusion criteria

Data Collection

  1. How will data be collected?
  2. Measures/instruments/questionnaires/surveys
  3. Audio recorders (qualitative studies)

Procedures

Procedures that will be followed to conduct study

 

Analysis

What variables will be measured? (Quantitative studies)

How will data be analyzed?

  • Additional instructions:
  • Articles must be no older than 2018
  • No less than 600 words
  • Please distinguish among the different sessions

 

1. Health care initiative

Health care initiative

From the textbook:  Go to the County Health Rankings Website (www.countyhealthrankings.org Links to an external site.) and explore the health outcomes and health factors data for the county where you reside.  There are rankings on how your county compares to other counties in your state, as well as graphs that show how your county compares to your state and the country.

Give a brief overview of your county.  Then describe one health care initiative that could improve outcomes or reduce factors that affect health outcomes in your county.

1. Theory of attachment

Discussion to be answered: Based on the theory of attachment, what behaviors would a nurse attempt to stimulate when working with parent to promote health attachment?
400 words. APA. 2 references within 5 years.

WITH THIS ASSIGNMENT TWO (2) DIFFERENT DISCUSSION POST REPLIES ARE ALSO REQUESTED. 200 WORDS WITH 1-2 DIFFERENT REFERENCES EACH.

Nursing Care of Physiologic & Psychologic Disorders

Nursing Care of Physiologic & Psychologic Disorders PowerPoint Presentation

 

Discuss the Nursing care of age-related Physiologic or Psychologic Disorder.

  1. Present the age-related Physiologic or Psychologic Disorder
    Choose from one: Integumentary function, Urinary function, Musculoskeletal function or Endocrine function.
  2. Describe the age-related changes and common problems and conditions.
  3. Summarize the nursing management appropriate for your Physiologic or Psychologic Disorder chosen

Submission Instructions:

  • Presentation is original work and logically organized.
  • Followed current APA format including citation of references.
  • Power point presentation with 4-6 slides were clear and easy to read. Speaker notes expanded upon and clarified content on the slides.
  • Incorporate a minimum of 4 current (published within last five years) scholarly journal articles or primary legal sources (statutes, court opinions) within your work.
  • Journal articles and books should be referenced according to current APA style.

1. Biostatistics Practice Quiz

Biostatistics Practice Quiz

Question 1

Researchers study the relationship between interpersonal violence and health in college age women. The researchers report an OR for psychological distress among abused versus non-abused women (OR 1.37 95% CI 1.03-2.21). Based on this information, you know:

  1. Abused women are significantly more likely to have psychological distress.

This is a clinically significant result

In this study women who were abuse were 37 times more likely to report psychological distress.

There is no significant difference in psychological distress for abused and non-abused women

 

Question 2

Researchers study the relationship between interpersonal violence and health in college age women. The researchers report an OR for somatic symptoms among abused versus non-abused women (OR 1.03 95% CI 0.79-1.71). Based on this information, you know:

There is no significant difference in somatic symptoms for abused and non-abused women.

Abused women are significantly more likely to have somatic sypmtoms

This is a clinically significant result

No answer text provided.

 

Question 3

A study examined the relationship between having a baccalaureate degree and passing a cultural competency exam among a group of 987 randomly selected registered nurses at your hospital. The researchers report that more registered nurses with a baccalaureate degree passed the cultural competency exam (OR 1.54, 95% CI 0.98-1.79). Interpret this information.

More nurses with a baccalaureate degree passed the exam but this was not a significant difference

Nurses with a baccalaureate degree were significantly more likely to pass the exam.

98% of the nurses passed the exam and the 2% that didn’t did not have a baccalaureate degree.

  1. This is an example of a type II error.

 

Question 4

A study examined the relationship between having a baccalaureate degree and passing a cultural competency exam among a group of 87 randomly selected registered nurses at your hospital. They report an OR of 1.73 (95% CI 0.44-2.79) for passing rates among nurses with vs. without a baccalaureate degree. If the results of the study were incorrect it would be an example of:

A type II error

A type I error

Sampling bias

Sampling error

 

Question 5

A nurse at Lakeside hospital conducts a study that reports a when there is ice on the road the risk of traumatic injuries is higher (RR=5.3, 95% CI= 2.3-8.1). You know this measure means:

Ice on the road is a significant risk factor for traumatic injuries

It is time to buy snow tires

Ice on the road is a clinically significant risk factor for traumatic injuries

Ice on the road appears to be a risk factor but it is not significant

 

Question 6

An emergency room nurse at Rochester Regional Health conducts a study that reports if an emergency travel advisory is issued during a storm the risk of traumatic injuries is impacted (RR=0.89, 95% CI=0.74-0.98). You know this means:

An emergency travel advisory is a significant protective factor decreasing traumatic injuries.

An emergency travel ban means the storm is worse and traumatic injuries increase 95%

There is no relationship between an emergency travel ban and traumatic injuires

About 89% of traumatic injuries occur when an emergency travel ban is in place

 

Question 71 pts

Your study reports that among sexually active female patients those who do not take birth control pills  (BCPs) every day are more likely to get pregnant than those who take birth control pills every day (RR=8.4, p<0.05). You know this means:

Those who don’t take BCPs each day are more than eight times as likely to get pregnant when compared to those who do take BCPs QD

The results are insignificant so you reject the null

A type I error was made

If patients do not use OCPs they will be 8x as likely to get pregnant

 

Question 81 pts

A study that examines the relationship between eating citrus fruit and getting cold sores finds a relative risk of 1.89 with a p value of 0.047. The results indicate:

Individuals who eat citrus fruit are significantly more likely to develop cold sores

There is not a significant relationship from eating citrus fruit and developing cold sores

Eating citrus fruit is a significant protective factor for developing a cold sore

If individuals have a cold sore and eat citrus fruit they can get better significantly faster

 

Question 91 pts

Within 10 days after attending a June wedding, an outbreak of cyclosporiasis occurred among attendees. Of the 83 guests and wedding party members, 79 were interviewed; 54 of the 79 met the case definition. The following two-by-two table shows consumption of wedding cake (that had raspberry filling) and illness status.

Ill Well Total
Total 54 25 79
Ate wedding cake? Yes 50 3 53
No 4 22 26

 

The best estimate of the association to use for these data is a/an:

Risk ratio

Food specific attack rate

Odds ratio

Rate ratio

 

Question 101 pts

Within 10 days after attending a June wedding, an outbreak of cyclosporiasis occurred among attendees. Of the 83 guests and wedding party members, 79 were interviewed; 54 of the 79 met the case definition. The following two-by-two table shows consumption of wedding cake (that had raspberry filling) and illness status.

Ill Well Total
Total 54 25 79
Ate wedding cake? Yes 50 3 53
No 4 22 26

Source: Ho AY, Lopez AS, Eberhart MG, et al. Outbreak of cyclosporiasis associated with imported raspberries, Philadelphia, Pennsylvania, 2000. Emerg Infect Dis

2002;l8:783–6.

The best estimate of the association between wedding cake and illness is:

6.1

7.7

91.7

94.3

 

Question 111 pts

You randomly select 120 healthy individuals and randomize them into a group given a daily multivitamin and a group who does not take a daily multivitamin. You follow the sample for ten years and identify all cases of pernicious anemia which develop. Which statement is true?

You can determine the Risk Ratio (or relative risk) for developing pernicious anemia from this data

You should not determine a relative risk since this is a cross sectional design

Your exposure of interest is retrospective

You can only determine the odds ratio for pernicious anemia

 

Question 121 pts

You conduct a study of 1,000 people and determine that 137 have a virus and test positive with your screen. Twenty one have the virus and test negative with your screen. Twenty one have the virus and test negative with your screen. What is the prevalence rate of the disease?

15.8%

13.7%

2.1%

Unable to determine because this is incidence data

 

Question 131 pts

If utilizing a wearable fitness tracker is a statistically significant protective factor related to weight gain, identify which of the following 95% Confidence Interval (CI) for a relative risk would be appropriate.

0.37 – 0.87

6.12-12.14

0.45-12.75

0.98-2.35

 

Question 14

You conduct a case control study and determine that five people with Guinea Worm were exposed to water from river A. One person with the disease had no exposure to water from river A. You also determine that ten people without the disease drank from river A and eighty-nine were healthy and did not drink from river A. Calculate the appropriate Odds ratio.

44.5

14.3

5

14.3

 

Question 15

  1. A health department investigation determines that the following during an outbreak:
Exposure OR p value
Meatballs 4.5 0.07
Ice cream 2.0 0.04
Salad 0.78 0.09
Soup 1.03 0.12

 

What exposure was a significant risk factor?

Just the ice cream

Meatballs and ice cream

Just the meatballs

Meatballs, ice cream and soup

 

Question 16

  1. A health department investigation determines the following after an outbreak:
Exposure OR 95% CI
Meatballs 4.5 1.25-6.74
Ice cream 2.0 0.98-4.71
Salad 0.78 0.50-1.78
Soup 1.03 0.23-2.94

 

What exposure was a significant risk factor?

Just the meatballs

Meatballs and ice cream

Meatballs, ice cream and soup

Just the ice cream

 

Question 17

Which of the following describes a prospective design that analyzes a group of individuals over time to see who develops the outcome of interest?

Cohort study

Case control study

Cross sectional study

Case report

 

Question 181 pts

Any time you have a significant relative risk less than 1.0 you have a(n):

Protective effect

Correlation

Carryover effect

Attributable risk

 

1. Therapeutic communication

  • How would you use therapeutic communication and principles of cognitive behavioral therapy with the client?
  • Describe your assessment process. What are some likely co-morbid conditions? List one nursing diagnosis and an appropriate nursing intervention.
  • What interdisciplinary referrals migh t beappropriate?

n

Inspector General Reform Act

INSTRUCTIONS

 

Read the Inspector General Reform Act of 2008 and prepare a brief argument for or against the Act.

In Clojure, implement Quicksort.

1. (5 points) In Clojure, implement Quicksort. Do so in a function called quicksort with one argument, a vector of numbers. The function returns a sequence of sorted numbers. For example (quicksort [2 6 1 9 1]) returns (1 1 2 6 9).

2. (5 points) In Clojure, implement Mergesort. Do so in a function called mergesort with one argument, a vector of numbers. The function returns a sequence of sorted numbers. For example (mergesort [2 6 1 9 1]) returns (1 1 2 6 9).

3. (5 points) Test the two functions to ensure they sort correctly.

4. (5 points) Implement Quicksort and Mergesort in any other language and make sure they sort correctly. 5. (5 points) In both languages, time your quicksort and merge sort functions on a sorted list of 1,000,000 numbers. Time them on a reverse sorted list of 1,000,000 numbers. If 1,000,000 numbers are not enough to see a difference between the two algorithms, increase the input size.

6. (15 points) Evaluate your results. Which program was faster on the sorted input? Was it also faster on the input that was in reverse sorted order? Is the result the same in both languages? Explain your results. Were the results as expected? Can you say anything about the languages used for sorting in terms of performance and ease of implementation?

7. (Extra Credit 5 points) Compare the performance of your implementations in both languages with the performance of the built-in sort function in each language. Explain the result.

1. Visualizing data

This week navigate to the Visualizing Data (https://www.visualisingdata.com/)click on resources and then click on the colour tab.  This site is managed by the author of the textbook.  Pick one option and note it by the name in the website.  For example “ HTML Color Picker”.  Then note what it is, when you would use it.  Next, find a website that uses the method or should use the method.  Explain why.

300 Words in APA Format