Emerging Global Health Issues

Topic 1: Malnutrition

Because of the diversity of cultures, and an expanding migratory global population, you as an advanced practice nurse may be challenged with patients who are suffering from malnutrition. How would you address the issue of malnutrition with immigrant clients? What sort of strategies could you utilize to help you incorporate the client’s cultural preferences within the nutritional plan you are designing?

Required Reading

In Health Promotion Throughout the Lifespan in Nursing Practice, read:

  • Chapter 25: “Emerging Global Health Issues”

Required Reading

Bryant, R.A., Ekasawin, S., Chakrabhand,S., Suwanmitri,S., Duangchun, O., & Chantaluckwong T. (2011). A randomized controlled effectiveness trial of cognitive behavior therapy for post-traumatic stress disorder in terrorist-affected people in Thailand. World Psychiatry. 10(3), 205–209.

Fekete, T. (2007). Emerging infections: What you need to know, Part 1. Consultant. 47(12), 1013–1016. (Note: This article is not available through the Kaplan Library. It can be found using Google Scholar.)

Amirkhanian, Y.A. (2010) et al.: Male labor migrants in Russia: HIV risk behavior levels, contextual factors, and prevention needs. Journal of Immigrant Minority Health. 13, 918–928.

Web Resources

Centers for Disease Control and Prevention: Protect yourself from MRSA https://www.health.ny.gov/publications/0212.pdf.

Centers for Disease Control and Prevention: 10 essentials of public health services. 2010 Retrieved from www.cdc.gov/nphpsp/essentialservices.html.

Centers for Disease Control and Prevention: Bioterrorism rapid response information Retrieved from: http://emergency.cdc.gov/bioterrorism/

International Micronutrient Malnutrition Prevention and Control Program (IMMPaCT): Centers for Disease Control and Prevention: Global health programs. Retrieved from www.cdc.gov/globalhealth/programs/IMMPaCT.htm.

Division of Global Migration and Quarantine: Centers for Disease Control and Prevention. Retrieved from http://www.cdc.gov/ncezid/dgmq/

Sex Ratio Assignment help

The normal male to female live birth sex ratio ranges from about 1.03 to 1.07. The sex ratio is defined as the ratio of male births to female births. You might expect boy and girl births to be equally likely, but in fact, baby boys are somewhat more common than baby girls.

Higher sex ratios are thought to reflect prenatal sex selection, especially among cultures where sons are prized more heavily than daughters. We will review sex ratios in the United States as a whole, as well as in individual states, to determine whether sex ratios vary significantly among various ethnic and racial groups.

To do this analysis, we will utilize natality data for the United States, provided by the Centers for Disease Control.

In the first part of the assignment, we will look at sex ratios for your home state, over the time period 1995 to 2002, by race. To obtain this information:

  • Go the CDC Wonder website,
  • Click on Births under the WONDER Online Databases to bring you to the Natality Information screen
  • On this screen, click Natality for 1995-2002.
  • On the following screen, click I Agree in order to agree to abide by the government rules for data use (primarily, concerning confidentiality).
    • This will bring us to the Natality, 1995-2002 Request screen.
    • In the block 1. Organize table layout, group results by year, followed by race, and then gender.
    • In the block 2. Select maternal residence, choose your state.
    • You can leave blocks 3 through 6 at their default values (i.e., All).
    • Click Send.
  • A new screen will open, with data (births) tabulated by Year, Race, and Gender.
  • Click Export, click Save, and a text file named Natality, _1995-2002 .txt or something similar will be downloaded onto your computer.

We can now process the downloaded data in Excel.

  • Load the text file into Excel. This will probably open the Text Import Wizard.
    • Accept the defaults, and you should have a spreadsheet with the natality data entered.
  • We will need to edit the data slightly before calculating sex ratios and drawing graphs of the sex ratios. To do this:
    • Scroll down to the end of the spreadsheet, and delete the rows with the extraneous information about the dataset. (This starts on or about row 203.)
    • You may also delete the columns with headings Year CodeRace Code, and Gender Code since we will not be using them, however this is not necessary.
    • Next, sort the data, in order to delete some extraneous rows. Select the remaining columns, choose Data > Sort, then sort by Race in ascending order.
    • Scroll down to the end of the worksheet, and delete all rows with blanks for Race.
    • We will now add a new column to the worksheet for ratios.
      • Go to the first blank column in the worksheet: this column should be immediately to the right of a column labeled Births.
      • In the first row of this column, type Ratios.
    • Now, we will calculate different proportions of births, using formulas in excel. It is important to use excel to do the calculation, because it will allow you to quickly complete all of the ratios.
      • First, calculate the ratio of female births to total births for the American Indian race (female births/total births).
      • Next, calculate the ratio of male births to total births for the American Indian race (male births/total births).
      • Finally, calculate the ratio of male births to female births (male births/total births)
      • If you don’t know how to do this calculation easily in Excel, please check out the screencast, which reviews this.
      • Once you have completed the first three cells in the ratio column, you can select them and copy them.
      • Select the remaining cells in the column and paste.
      • You have now completed calculating all of the ratios, however, you may wish to double check to ensure that the formulas have adjusted for each cell.    
    • Once you have the Ratio column filled out, select that column, then Copy.
    • With the column still selected you want to select, click Paste Special and then Values. This will convert the formulas you entered to numbers, so they do not change when you do the next sort.
  • Select all the columns, then Data>Sort>Notes in ascending order. We will be graphing the sex ratios for the years 1995 to 2002, by race.
    • Feel free to drop the two to four races that have the fewest numbers of births in your state.
  • Draw a line chart with markers with the year along the X-axis (we are looking at 1995 through 2002) and sex ratio along the Y-axis (with sex ratios typically between 1 and 1.1, though this may vary in your state).
    • If your version of excel has the Chart Wizard:
      • In step two of the Chart Wizard, choose the Series tab; in this window you’ll be adding all the information for the various plots.
      • Under category (X) axis labels, drag your mouse over the cells 1995, 1996… 2002.
      • For values, draw your mouse over the seven successive sex ratios for the particular racial group you chose; in the name box, enter the racial group; do this for each of the groups you want to display.
      • Select Next when you have finished with all the racial groups, and you will be brought to the Chart Options screen.
      • Here, you can customize your graph, with a title and X and Y axis labels (i.e., your state births, year, and sex ratio respectively).
      • Continue with Next, and finish the graph.
    • If your version of excel does not have the Chart Wizard, you will need to do some reformatting of your data before you can create a line chart. It is good practice to create a new worksheet in order to preserve your original data.
      • Your data should mimic the way you want your line chart to look. In this case, you want to create horizontal labels for each of the years (1995 through 2002) and vertical labels for each of the races. It should follow this format:

  Year 1 Year 2 Year 3
Race A Ratio for Race A in Year 1 Ratio for Race A in Year 2 Ratio for Race A in Year 3
Race B Ratio for Race B in Year 1 Ratio for Race B in Year 2 Ratio for Race B in Year 3

      • After you have reformatted your data, select all of the data, then select Insert, then Line, then Line with Markers.
      • You should now have a line chart with each race having its own line, the ratios on the Y-axis, and the years on the X-axis.
      • You may wish to modify the Y-axis by right-clicking on it. Your upper and lower values on the axis should be just above and below your highest and lowest ratio values.
  • In a Word document, paste the graph you created (or, alternatively, submit your Excel workbook along with the Word document) and describe your findings, making sure to:
    • Summarize the sex ratios for each of the racial groups.
    • Explain whether the sex ratios are relatively constant through the 1995 to 2002 period for all of the racial groups or if there are trends?
    • Explain any racial groups that have noticeably higher or lower sex ratios than other groups.
    • Explain the conclusions you are drawing from your graph.

In the second part of this assignment, you will undertake some formal statistical procedures with the natality data. We will repeat the previous steps, with some slight modifications.

  • Return to the CDC Wonder website.
  • Click on Births under the WONDER Online Databases to get to the Natality Information screen.
  • Select Natality for 2007 – 2012.
  • On the next screen, click I Agree in order to agree to abide by the government rules for data use (primarily, concerning confidentiality).
  • This will bring us to the Natality, 2007-2012 Request screen.
    • In block 1. Organize table layout, group results by race and then gender (not year).
    • In block 2. Select maternal residence, choose your state.
    • You can leave block 3 at its default values (typically, All).
    • In block 4. Select birth characteristics; select All Years under Year, and 1st child born alive to mother under Live Birth Order.
    • Blocks 5 and 6 can be left at their default values.
  • Click Send. A new screen will open, with data (births) tabulated by race and gender.
  • Click Export, click Save, and a text file named Natality 2007-2012.txt (or something similar) will be downloaded onto your computer.

We have only four racial groups in this dataset: American Indians or Alaska Natives, Asian or Pacific Islanders, Black or African Americans, and Whites.

Using the normal approximation to the binomial distribution (without continuity correction), calculate z statistics for assessing whether the proportion of boys is .51 in each of the 4 racial groups, where n is the total number of births in a particular cohort,
p = .51,
q = 1 –
p = .49, and
x is the number of boy births;
z = ((x – np) / sqrt(npq) ).

Under the null hypothesis that the proportion of boys should be 0.51, and under the normal approximation to the binomial distribution, the z statistics should have (approximately) standard normal distributions, (mean 0, standard deviation 1). Do any of the z statistics suggest that the proportion of boy births in any particular racial group differs significantly from .51?

Comment on your findings in your written report. Describe whether you think your results would change if we hadn’t limited consideration to the first-born.  Assignment  should be at least 250-500 words in APA format supported by scholarly sources.

https://www.dropbox.com/s/4ri74sol1rja4jd/MHA610_assignment2_part1.mp4?dl=0

https://www.dropbox.com/s/xcacux1b600z3bz/MHA610_assignment2_part2.mp4?dl=0

The Nervous System

Based on your research and understanding, respond to the following:

  • Evaluate and distinguish among the divisions and functions of the ANS and the importance of dual innervations.
  • Categorize the exteroceptors and interoceptors and provide examples of each.
  • Summarize the sensory pathways to the brain for gustatory and olfactory sensations.
  • Analyze and describe the process of hearing from the external to inner ear.
  • Analyze and describe how the ear provides equilibrium and balance for the body.

in-text citations, page numbers, credible references and one page and a half in length.

thanks!

Employment planning is an integral part of the HR leader’s job responsibilities, assignment help

  1. Employment planning is an integral part of the HR leader’s job responsibilities. The environment and culture of the organization can be negatively impacted by improper staffing levels that create sudden changes in shift assignments and work hours. Describe how you, as HR leader for your EMS organization, would utilize employment planning to avoid these negative impacts. Provide specific details on how you would assess the present and future personnel needs of the organization. Discuss at least five methods of recruitment; include both advantages and disadvantages of these methods.

    Your response must be at least 400 words in length.>

Critical Decision Making for Providers

View the scenario called “Critical Decision Making for Provider

Mike is running late again. The last time he spoke with his supervisor, he promised he would be on time. Mike even left his home 20 minutes earlier than usual, but there was an accident on his commute. The job is very important to Mike. He is the sole provider for his wife and newborn baby, but his supervisor told him that if he continued to be late he might face termination. Upon arriving, Mike observes a spill on the floor. He must make a decision: stop and make sure the spill is cleaned up or ignore it all together. If he safeguards the spill, surely he will be late clocking in and could face losing his job. Anyway, the spill is in another work area, and perhaps it will be cleaned up while he is clocking in. What decision should he make?

Mike decides to clock in so he does not face losing his job. He is making every effort to keep his job and cannot afford to be terminated. Besides, he has a list of things he needs to accomplish from yesterday in addition to his assignment for the day. Certainly someone else who is responsible for the area will take care of the spill soon.

Later, Mike is asked to go to a patient’s room to gather some patient information. He learns the patient was admitted to the hospital after falling in the lobby this morning. The patient is in a lot of pain and appears to have a broken hip from the injury. The patient goes on to describe the incident and asks him why this would happen in the hospital. She states, “I thought the hospital was a safe place. Don’t they have programs to prevent these things?”

A wave of guilt floods over Mike. He questions himself, “Could I have prevented this from happening?” Mike is now faced with a new dilemma. Should he admit to his supervisor what occurred upon his arrival to work this morning? What if by his admission, he is terminated anyway?

In a 750-1,200 word paper, describe the scenario involving Mike, the lab technician, and answer the following questions:

  1. What were the consequences of a failure to report?
  2. What impact did his decision have on patient safety, on the risk for litigation, on the organization’s quality metrics, and on the workload of other hospital departments?
  3. As Mike’s manager, what will you do to address the issue with him and ensure other staff members do not repeat the same mistakes?

A minimum of three academic references from credible sources are required for this assignment.

Prepare this assignment according to the APA guidelines found in the APA Style Guide,

please apa need perfect work on this

COLOUR

(1). FORENSIC DESIGN ASSESSMENTS

This task relates to a sequence of assessments that will be repeated across Chapters 6, 7, 8, 9 and 10. Select any example of a visualisation or infographic, maybe your own work or that of others. The task is to undertake a deep, detailed ‘forensic’ like assessment of the design choices made across each of the five layers of the chosen visualisation’s anatomy. In each case your assessment is only concerned with one design layer at a time.

For this task, take a close look at the colour choices:

Start by identifying all the applications of colour deployed, listing them under the headers of 1) data legibility, 2) editorial salience, and 3) functional harmony.

How suitable are the choices and deployment of these colours? If they are not, what do you think they should have been?

Go through the set of ‘Influencing factors’ from the latter section of the book’s chapter to help shape your assessment and to possibly inform how you might tackle this design layer differently

Also, considering the range of potential applications of colour, what would you do differently or additionally?

my professor comment for my last submission:

Please review the assignment3 directions again and rework your assignment to apply your discussion to ONE specific visualization or infographic that you select. Include a screenshot of your visualization, follow the assignment directions carefully, and resubmit for grading

Adult Clients With Childhood Diseases ,Writing homework help

  • develop a 15 slide PowerPoint presentation that addresses a childhood disease or illness (infectious, noncontiguous, or congenital) seen in the adult population.
  • Take Juvenile rheumatoid arthritis.
  • Include the following in the presentation:
    • A clinical description and definition of the disease or illness.
    • Pathophysiology and history of the disease or illness.
    • An explanation of the impact of this disease/condition on adults to the health care system and nursing practice.
    • A description of the impact of this disease or illness during childhood.
    • A description of the impact of this disease in adults. Explain why adults live into adulthood with this childhood condition or why adults would contract this childhood illness during adulthood.
    • A validation of the health problem with demographic and health statistics, including citations of sources.
  • Evaluate how this disease or illness impacts the adult client in the following areas:
    • Mentally and emotionally.
    • Physically.
    • Sexually.
    • Economically, specifically as it relates to the ability to access health insurance and health care.
    • Susceptibility to engage in substance abuse.
    • Prenatal care and childbearing.
    • Occupational considerations and hazards.
    • Ability to cope with stress.
  • Develop a care plan that addresses the following:
    • Identify expected outcomes for an adult client living with this childhood condition.
    • Develop health screening, health promotion, health interventions, and education for adults with this condition.
    • Identify a comprehensive set of relevant resources, both community and national, for adults with this condition. Provide description of resources.

risk management , health and medical assignment help

You will research risk management programs for health care facilities or organizations. Review the criteria below in order to select an exemplar that applies to your current or anticipated professional arena. (Note: Select an example plan with sufficient data to be able to complete the assignment successfully.)

In a 1,000-1,250 word paper, provide an analysis that includes the following:

  1. Brief summary description of the type of risk management plan you selected (new employee, specific audience, community-focused, etc.) and your rationale for selecting that example.
  2. Description of the recommended administrative steps and processes in a typical health care organization risk management program contrasted with the administrative steps and processes you can identify in your selected example plan.
  3. Analyze the key agencies and organizations that regulate the administration of safe health care and the roles each play in the risk management oversight process.
  4. Evaluation of the selected exemplar risk management plan regarding compliance with the American Society of Healthcare Risk Management (ASHRM) standards relevant to privacy, health care worker safety, and patient safety.
  5. Proposed recommendations or changes you would make to your selected risk management program example to enhance, improve, or to secure compliance standards.

references

APA Style Guide,

Prevalence and Correlates of Emotional, science homework help

SCOTT RESPONSE

“Prevalence and Correlates of Emotional, Physical, Sexual and Financial Abuse and Potential neglect in the United States: The National Elder Mistreatment Study” (2010) was a study that examined the levels and types of abuse acted upon elders within the country. The study showed that only one in 10 respondents reported when they were abused in some fashion (Acierno, Hernandez, Amstadter, Resnick, Steve, Muzzy & Kilpatrick, 2010). Much of this lack of reporting was due to the same reasons other individuals of other age groups did not report it. Lack of support by society and previous trauma were the most consistent of the correlations of abuse types.

Regression analysis in this case was utilized to show the relationship webs between the types of abuse along with other factors such as age, race, gender and socioeconomic levels. This is a good tool to use for studies that involve various factors which can affect other factors by the relationship shared between them. Regression analysis allows the researcher to study these relationships in their own uniqueness as well as their dynamic as a whole for a broader, more defined analysis of the study.


·  Acierno, R., Hernandez, M., Amstadter, A., Resnick, H., Steve, K., Muzzy, W., & Kilpatrick, D. (2010). Prevalence and correlates of emotional, physical, sexual, and financial abuse and potential neglect in the United States: The National Elder Mistreatment Study. American Journal of Public Health, 100(2), 292–297. Retrieved from the Walden Library using the Education Research Complete database.


Respond to the bold paragraph ABOVE by using one of the option below… in APA format with At least one reference…..

·  Ask a probing question.

·  Share an insight from having read your colleague’s posting.

·  Offer and support an opinion.

·  Validate an idea with your own experience.

·  Make a suggestion.

·  Expand on your colleague’s posting.

Competiveness and Performance Effectiveness for Health Care IT Systems

write a six to eight (6-8) page paper in which you:

  1. Define the fundamental responsibilities and key characteristics of the Chief Information Officer (CIO) and Chief Technology Officer (CTO) within health care organizations. Make one (1) recommendation where they can utilize their expertise to assist with employee and patient satisfaction. Support your response with related examples of such expertise in use.
  2. Suggest two (2) developing technologies that health care systems should use in order to improve health care processes and thus increase the quality and lower the cost of health services. Provide a rationale to support your response.
  3. Determine two (2) significant methods that health care systems should use in order to prevent misuse of information and protect data privacy and thus achieve a high level of security of health information. Provide a rationale to support your response.
  4. Suggest one (1) strategy for health care organizations to train providers in using technology in health care. Provide a rationale to support your response.
  5. Provide three (3) best practices for effective IT alignment and strategic planning initiatives. Justify your response.
  6. Use at least three (3) quality academic resources in this assignment. Note: Wikipedia and similar type Websites do not qualify as academic resources.

Your assignment must follow these formatting guidelines:

  • Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; references must follow APA or school-specific format. Check with your professor for any additional instructions.
  • Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required page length.