What are your thoughts on the topic of privilege. How can we use our privilege to support cultural groups? How can we control our biases in health care and provide excellent service to our patients?

Your client is a 32 year old female who stands 5’5” tall with a body weight of 168 lbs and a waist circumference of 38”. While her father is still in good health at the age of 68 years, her mother had a stent at 62 years old. Your client used to smoke one pack of cigarettes a day until the age of 30 years, at which point she quit smoking. Her most recent physical shows her blood pressure at 138/78 mmHg with LDL of 118 mg/dL and fasting glucose at 95 mg/dL. Her resting heart rate is 72b/min. At this time she only walks a couple of times a week for about 25 minutes, and she usually covers 1.5 miles. She is interested in losing weight and getting healthier with a moderate intensity exercise training program.

Show your work and units of measure for all calculations:

8. Assuming a flat surface, calculate each for one of her walks (use the ACSM formula for estimating O₂ demands for walking)

The topic is stress in workplace

If the study is qualitative

If the study is quantitative

If the study is mixed methods

A population-based study of 451 acoustic neuroma patients and 710 age-, sex-, and region-matched individuals without neuroma was conducted in Sweden between 2002 and 2007. Cases were identified from clinical records at two specialty hospitals in Stockholm. Patients were included if they had been diagnosed with either histologically- or imaging-confirmed acoustic neuroma. Occupational exposure was based on historical measurements of occupational noise (321 job titles summarized by a job exposure matrix) and self-reported occupational noise exposure. The researchers also evaluated self-reported noise exposure during leisure activity. Conditional logistic regression was used to estimate odds ratios. There was no statistically significant association between acoustic neuroma and persistent occupational noise exposure, either with or without hearing protection. Exposure to loud noise from leisure activity without hearing protection was more common among acoustic neuroma cases (odds ratio = 1.47, 95% confidence interval: 1.06, 2.03). Statistically significant odds ratios were found for specific leisure activities including attending concerts/clubs/sporting events (odds ratio = 1.82, 95% confidence interval: 1.09, 3.04) and participating in workouts accompanied by loud music (odds ratio = 2.84, 95% confidence interval: 1.37, 5.89). The findings do not support an association between occupational exposure to loud noise and acoustic neuroma. Although they report statistically significant associations between leisure-time exposures to loud noise without hearing protection and acoustic neuroma, especially among women, recall bias cannot be ruled out as an alternative explanation.

Question 2: What type of study design was this? (2 points)

Question 3: List two advantages and two disadvantages of this type of study design. (8 points)

Question 4: What was the exposure(s) of interest? How was it measured? (4 points)

Question 5: What was the outcome(s) of interest? How was it determined? Was this method of ascertaining outcome data of this type likely to be accurate? Why or why not? (4 points)

Human Resource Management (HRM) plays a critical role in today's health care environment. Training and development is an important part of HRM in that it encourages professional growth and supports continued organizational improvement. The various forms of training and development are outlined in your e Text on p. 138. For your original post, select one form of training and development and explain your experience with this activity in the workplace. For instance, you can select and discuss "coaching" but if you have never had any experience with "coaching" you can explain how "coaching" forms of training could be implemented in a current or past place of employment.

The purpose of this study was to evaluate the effects of Matricaria recutita extract (the active ingredient in chamomile tea) on sleep quality, fatigue, and depression in postpartum women. Sleep quality is a significant issue for women after childbirth and chamomile is widely used as a folk remedy for its presumed sedative-hypnotic effects. A total of 80 Taiwanese postnatal women, aged 25-35 with poor sleep quality were recruited from November 2012-August 2013. They were randomly assigned to one of two possible groups of 40 people each. The participants in Group 1 were instructed to drink M. recutita extract (540mg/day)) daily for a period of 2 weeks. The participants in Group 2 received regular postpartum care only. The Postpartum Sleep Quality Scale (PSQS), Edinburgh Postnatal Depression Scale, and Postpartum Fatigue Scale were used to assess sleep quality, fatigue, and depression with higher scores indicating poorer outcomes. Compared with Group 2, Group 1 demonstrated significantly lower scores of physical-symptoms-related sleep inefficiency (t = -2·482, P = 0·015) and the symptoms of depression (t = -2·372, P = 0·020). Chamomile tea may be recommended to postpartum women as a supplementary approach to alleviating depression and sleep quality problems.

Question 6:

What type of study design was this? (4 points)

Question 7:

List two advantages and two disadvantages of this type of study design. (8 points)

In March 2012, two patients - a 39-year-old man (Patient 1) and a 36-year-old woman (Patient 2) - presented at a hospital in Queens, NY with symptoms of vomiting followed by dysphagia, diplopia, dysarthria, dyspnea, and difficulty walking. Neurologic examination of Patient 1 (who arrived on March 12^th) revealed bilateral cranial nerve deficits: dilated pupils minimally reactive to light, ptosis, oculomotor palsy, and facial paralysis. He was admitted to the intensive-care unit. Electromyography studies eventually were determined to be suspicious for, but not diagnostic of, botulism. Botulinum toxin type B was identified by bioassay in fecal specimens. Examination of Patient 2, (who arrived at the hospital on March 28, 2012), was conducted by the same clinicians who had cared for Patient 1, and who by this time had laboratory confirmation of botulism in patient 1. They immediately suspected botulism because of the similar clinical presentation, and admitted Patient 2 to the hospital. Electromyography studies were determined to be suspicious for, but not diagnostic of, botulism, and no botulinum toxin was detected in serum or fecal specimens for Patient 2. Both patients improved and were discharged. Further investigation by the New York City Department of Health revealed that both patients had purchased fresh tofu from the same grocery store in Queens in January 2012, and each had prepared home-fermented tofu using similar recipes. Similar fermentation practices at the two homes might have facilitated toxin production. Testing confirmed botulinum toxin type B in home-fermented tofu consumed by patient 1. Bulk tofu at the grocery in Queens was found to be sold in unrefrigerated, uncovered, water-filled bins. Traceback revealed that the grocery's fresh bulk tofu supplier at the time of the patients' purchases had gone out of business. DOHMH advised the grocery's manager of the need to properly store bulk tofu. Public health responders and clinicians should be aware of the association between botulism and fermented tofu.

Question 8:

What type of study design was this? (4 points)

Question 9:

In general, what is the primary importance of this type of study to population health science? (4 points)

Question 10:

What is the biggest limitation of this type of study design? (4 points)

Normative changes in cognitive function are expected with increasing age. Research on the relationship between normative cognitive decline and moderate-to-vigorous physical activity (MVPA) and sedentary behavior (SED) needs further investigation in Hispanic/Latinos adults. We assessed the association between accelerometer assessed MVPA and SED with cognitive function in 7,478 adults aged 45-74years from the Hispanic Community Health Study/Study of Latinos. At baseline, cognitive tests included two executive function tests (Digit Symbol Substitution Test (DSST), a test of language (Word Fluency), and a test of memory (Spanish English Verbal Learning Test). Multiple regression models were used to examine associations of time spent in MVPA and SED with cognitive function by age groups, adjusted for age, education, sex, acculturation, and field center. Mean time spent in sedentary behaviors was 12.3 hours/day in females and 11.9 hours/day in males. Higher SED, but not MVPA, was associated with lower DSST raw scores (β -0.03 with each 10-min increment in SED; P<0.05), indicating lower performance in executive function in all age groups. No associations were observed for MVPA and SED with tests of language or memory tests. Our findings suggest a distinct association of SED but not MVPA on executive functioning in middle-aged and older Latino adults. Further studies are needed to more conclusively determine causal links.

Question 11:

What type of study design was this? (2 points)

Question 12:

What was the exposure(s) of interest? How was it measured? (4 points)

Question 13:

What was the outcome(s) of interest? How was it measured? (4 points)

Question 14:

Which measure of disease frequency is most often reported for this type of study design? Why? (4 points)

Question 15:

What type of study design would better address the same research question? Briefly explain your reasoning in 1-2 sentences maximum. (4 points)

Question 22:

You previously used R to generate a contingency table for the association between bullying (anyB, i.e., at school or online) and indications of suicide risk (anyS). The table was generated as follows:

> table(anyB,anyS)

anyS

anyB 0 1

   0 649 108

   1 165 78

1. Use these data to compute the odds ratio for the crude association between bullying and indications of suicide risk. (2 points)
2. Interpret the odds ratio that you calculate in a sentence. (2 points)

1)

Which of the following(s) is/are dimension(s) of wellness?

Group of answer choices

Emotional

Physical

Intellectual

2)

During this stage of change, people already know they have a problem and intend to take an action within 6 months

Group of answer choices

Termination

Contemplation

Precontemplation

Maintainance

All of the above

3)

A planned, structured, repetitive movement intended specifically to improve or maintain physical fitness is called

Group of answer choices

Physical activity

Exercise

Driving a car

Walking to your car

4)

This is an example of vigorous physical activity

Group of answer choices

Running

Lap swimming

Hiking

All of the above

5)

When the left ventricle of the heart contracts, where does it pump the blood?

Group of answer choices

Lungs

Left atrium

Through the body

Left atrium

6)

Which of the following is a normal blood pressure reading?

Group of answer choices

130/80

120/80

150/100

80/120

7)

An increase in muscle fiber size is called

Group of answer choices

Muscle hypertrophy

Muscle atrophy

Megally

Buffed

8)

Tissue that connects bone to bone is called

Group of answer choices

Tendon

Ligament

Meniscus

Cartilage

9)

The joint structure consists of

Group of answer choices

Ligaments

Joint capsule

Cartilage

All of the above

10)

A technique in which muscles are stretched by force applied from an outside source is called

Group of answer choices

Ballistic stretching

Dynamic stretching

Static stretching

Passive stretching

11)

According to Federal Physical Activity Guidelines, people are recommended to perform 150 minutes or more per week of moderate aerobic exercise or 75 minutes per week of vigorous aerobic exercise

Group of answer choices

True

False

12)

Muscular strength is the amount of force a muscle can produce with a single maximum effort. It depends on such factors as the size of muscle fibers and the ability of nerves to activate muscle fibers

Group of answer choices

True

False

13)

To check your hydration status, if your urine color is dark orange, it means you are properly hydrated

Group of answer choices

True

False

14)

Isometric muscle contraction is when muscle contracts and shortens

Group of answer choices

True

False

15)

Static stretching is a technique when muscles are slowly and gently stretched and then held in the stretched position

Group of answer choices

True

False

What are you curious about regarding infectious diseases or environmental health and safety?

Rx

age: 30 years

Gender: female

Diagnosis: HTN in pregnancy

methyldopa T 500 mg bid

lasix T 40 mg, 1/2 tab od

valsartan 80 mg, 160 mg od

ferrous sulphate 200 mg , tid

Note: patient cannot tolerate ferrous sulphate.

according to this prescription find the mistakes, the interaction, dose of each medication , the toxicity level , antidotes and the counselling  for all medication

Why are standards of care essential to nursing practice?