Describe the theoretical underpinnings and practice of psycho-education, motivational interviewing, Cognitive Behaviour Therapy(CBT), relaxation strategies, interpersonal therapy and narrative therapy

2015 TRIMESTER 1 HLTH423 Part1
Order Details/Description

• 2015 TRIMESTER 1 HLTH423 / part1
Assignment 1
Length: 2000 words
Weight: 40%
Learning outcomes:
This assessment task covers learning outcomes 2 and 3:
• Apply the principle of evidence-based practice to actual and simulated case studies;
• Plan brief interventions that take account of the physical, psychological, social, cultural and spiritual needs of people with mental health issues and their carers;
• Describe the theoretical underpinnings and practice of psycho-education, motivational interviewing, Cognitive Behaviour Therapy(CBT), relaxation strategies, interpersonal therapy and narrative therapy
Task
1. Interpersonal Psychotherapy, Motivational Interviewing, Narrative Therapy and Crisis Intervention describe four approaches to working with people suffering from mental health issues. Summarise these approaches in terms of:
(a) The underlying theories and important concepts related to the approach
(b) The therapeutic aims
(c) The role of the practitioner and the consumer in the therapeutic process.
(600 words, 30 marks)
2. Paul is a 22 year old, unemployed man from a Jewish background. He did well at school but has not been employed since. He lives with his mother, father and young sister in the suburbs. He studied IT at TAFE for one year but dropped out. He has recently been diagnosed with depression by his GP. He has difficulty sleeping, has lost five kilograms in the last ten weeks, feels tired all the time, and doesn’t leave his bedroom much. He doesn’t drink but he is a regular marijuana user. He has become isolated and spends a lot of his time playing computer games. He had a relationship with a girlfriend at school but has not been in a serious relationship for the last three years. He wants to become a creative writer, but finds it too hard to sit and write. He has a poor relationship with his mother who complains that he doesn’t do enough to help at home. His father is a professional musician and is disappointed that his son can’t find work. He is happy to attend counselling as he wants to feel better and doesn’t want to take anti-depressant medication. Choose two of these approaches and, for each approach, describe briefly how you would work with this consumer to create positive change for the consumer. Compare the effectiveness of each approach for working with depression, referring to the evidence-based literature to support your argument. Attach a research-based article (that you refer to in your answer) that demonstrates the efficacy of one approach for this mental health issue. Support your discussion with research-based articles wherever possible.
(1000 words, 50 marks)
3. Provide two brief examples of psycho-educational resources (no more than two pages each) that you would use with this consumer (or their carer) to educate them about two of the following in relation to their depression: their physical, psychological, social, cultural or spiritual wellbeing. Attach these examples to your assignment (and reference their source). Explain your rationale for choosing each resource and critically analyse their effectiveness, using references.
(400 words; 20 marks)
This is an academic essay and you are expected to use references throughout. You may use the first person when answering parts 2 and 3, but you still need to use references correctly in this part.
Note that students in the School of Health are required to follow the APA referencing style when presenting written work.
NOTE: The graed for this assignment is out of 100 and will be adjusted to relkect the 40% in Moodle once the assignment has been

READING
2a. what is evidence-based practice?
READ: Chapter 8 “Does therapy work” in your text: Layard, R., & Clark, D. (2014). Thrive: The Power of Evidence-Based Psychological Therapies. Leicester, UK: Penguin. This chapter goes beyond just accepting success as evidence to understanding how we can really trust the evidence.
Within the mental health field, increasing emphasis has been placed upon the need to adopt evidence-based treatment approaches when working with consumers and their carers. One need only glance at the latest mental health journals or guidelines set down by the various governing professional bodies to discover which treatment approach has become the most recently ‘endorsed’. As Charman and Barkham (2005:8) have noted, “the most consistent message has been that best practice is determined by research evidence derived from comparing contrasting treatments.”
Interestingly, however, despite the push for the adoption of an evidence-based approach to mental health care, little consensus exists on what exactly constitutes ‘evidence’ (Eliason 2007). In an effort to rectify the current confusion, a variety of hierarchical models have been offered to help practitioners ‘sift and sort’ through the ‘evidence’ to determine its scientific rigor, validity and ultimate merit.
Your Meadows et al (2009:139) textbook discusses two ways in which evidence may be categorised: a ‘five levels of evidence’ approach and the GRADE system. Levitt (2003) (cited in Eliason 2007) offers another method of categorisation, the ‘hierarchy of scientific evidence’ pyramid, in which research studies and their findings are ranked from the most to least useful, with the most rigorous (and therefore the most useful) studies situated at the top of the pyramid.
Figure: The Hierarchy of Scientific Evidence Pyramid (cited in Eliason 2007:28)
Eliason (2007:27–30) provides the following explanations of the different hierarchies contained within the pyramid:
Systematic Reviews and Meta-Analysis of Randomised Clinical Trials (RCTs)
• Systematic reviews collate all the research literature relating to a specific practice and examine it for the ‘big picture.’
• In meta-analysis, data is pooled from a number of RCTs, and a sophisticated analysis is performed to ascertain the degree of effect that the practice under investigation has on outcome measures. However, meta-analysis uses the individual studies as the unit of analysis rather than pooling all the subjects.
Warning: Both systematic reviews and meta-analysis sometimes fail to obtain relevant literature across multiple sources (thereby biasing the study) and may ‘muddy’ their results by ‘pooling’ information from studies with different client populations, treatment settings and different outcomes measures.
For an example of Reviews and Meta-Analysis of Randomised Clinical Trials (RCTs):
Read

Murphy, Kylie and Mathews, Rebecca. Evidence-Based Psychological Interventions: What Measures Up? . InPsych: The Bulletin of the Australian Psychological Society Ltd, 32 (3), 28-29.
(Available in e-reserve)

Randomised Clinical Trials
• In this type of research, clinical treatment agencies (rather than controlled laboratory settings) are used and study participants are selected according to clearly defined inclusion and/or exclusion criteria.
• Participants are randomly assigned to treatment conditions(s) or ‘treatment as usual’ groups.
• Participants’ progress is charted for a minimum of six months after the conclusion of treatment.
Cohort Studies (also called prospective, incidence or follow-up studies)
• The most common type of research studies undertaken.
• Involves an experimental group and a control (or comparison) group.
• Participants’ progress is followed before, during and after treatment.
Warning: Participants might not be randomly assigned and may be drawn from convenience samples (such as individuals already in treatment rather than recruited specifically for the research).
Case-Control Studies
• Participants are selected on the basis of an already achieved outcome (for example: remained in or dropped out of a 12-step programme) and the researcher engages in retrospective analysis (for example, looking at the participants’ intake records, therapy case notes etc to discover what factors may have contributed to this outcome).
Warning: The quality of past record keeping and recall of information can contribute to biased results.
Cross-Sectional Surveys (also called prevalence or epidemiological studies)
• This type of research examines a specific group of participants at one point in time to give a ‘snapshot’ of the area under investigation (for example, household studies of pain-killer consumption).
Warning: These studies can demonstrate associations but cannot examine cause and effect relationships.
Case Reports
• These are published studies of new approaches, unusual or unexpected events or specific agency changes (for example, reports about the adverse effects of a new anti-depressant medication).
Warning: Whilst these reports provide interesting new information they do not constitute solid ‘evidence’.
Perspective or Theoretical Reports
• The focus of these reports is upon personal opinion or commentary, clinical experiences and the proposition of new theoretical frameworks to be examined.
• They may be useful in identifying prevailing attitudes and viewpoints in the profession.
Warning: No scientific evidence is offered to back up the claims being made.
A cautionary note
While taking an evidence-based approach to practice is something to be encouraged within the mental health field, it is important not to become too blinkered or tunnel-visioned in our quest to provide only the ‘most clinically proven’ treatment available. As practitioners we must not lose sight of the psychosocial factors that also come into play in any therapeutic relationship and intervention we engage in, as well as the past clinical experience and wisdom of the practitioner. As Williams and Garner (2002:8) observe, “too great an emphasis on evidence-based medicine oversimplifies the complex and interpersonal nature of clinical care.”
In the following reading, these authors provide a different perspective, a counter-balance if you like, to the evidence-based argument. In doing so, they highlight the need for the ‘heart’ of therapy to remain firmly within every approach to client treatment and care.
Read
Williams and Gardner (2002) “The Case Against ‘the evidence’: A different perspective on evidence-based medicine.”

Reflect
• Write 3 points in favour of a strict evidence-based approach to clinical practice.
• Write 3 points against.
• Look at the limitations (warnings) listed under the different sorts of evidence in the hierarchy above. Which (if any) of these had you not considered before?
• Post your thoughts on the discussion board for us all to discuss.
Last modified: Thursday, 26 February 2015, 1:03 PM

2b. Principles of evidence-based practice
Translating evidence-based practice into practice
It seems logical to assume that once a practice has been demonstrated to be more effective than ‘treatment as usual’, that it will be adopted quickly and successfully within the field. This, however, is not always the case.
As Eliason (2007:30) notes, in some instances, despite having an excellent research track record (for example, thorough and extensive randomised clinical trials, applicability across a wide range of client groups in controlled research studies, a comprehensive treatment manual), it may not have practical translatability within the field.
Staff training costs, competing agendas, time constraints, resistance within the organisation to change, complicated or excessively priced treatment manuals, prohibitive treatment fees and lack of access to relevant client populations, for example, may prove the death knell for even the most rigorously investigated, scientifically-based, practice.
In the following reading, Deane et al (2006) explore some of the challenges in implementing evidence-based practice into mental health services:
Read
Deane et al (2006) ‘Challenges in Implementing Evidence-based Practice into Mental Health Services’ originally published Australian Health Review, vol. 30, no. 3, pp. 305 – 309.

Reflect
• Think about an organisation in which you have worked where an initiative was implemented, unsuccessfully, in an effort to change workplace practice.
• What barriers were present during this process?
• How were they addressed?
• On reflection, what might you, or management, have needed to do differently to increase the chances of a more successful outcome?
2c.
Readiness for change and co-morbidity
Readiness to change and the Stages of Change model
In the previous sections, we examined the importance of adopting an evidence-based practice approach when working with consumers experiencing mental health issues. It is vital to remember, however, that the success of an intervention is not based solely upon how much evidence exists to substantiate its effectiveness. Rather, success is determined by a number of inter-related factors, including the consumer’s readiness to change.
Prochaska and DiClemente (1982), as part of their ‘Transtheoretical Model of Behaviour Change’, developed the ‘Stages of Change Model’ to describe the five stages that an individual goes through as part of his/her change process. In its day, this model was theoretically ‘revolutionary’, since rather than regarding change as an ‘event’ (for example, ‘quitting smoking’), it conceptualised it as a ‘process’, thereby adding a temporal dimension.
While the tasks within each stage must be accomplished by every individual before they can to move on to the next phase of the change process, the timeframe for completion of these tasks remains flexible and open to individual difference.
Initially the Stages of Change Model was developed during a smoking cessation study; however, it has since been successfully applied to addictive behaviours, weight loss and biosocial issues such as domestic violence and child abuse. The table below provides an overview of the different stages of the model as well as the mental health practitioner’s role in the change process.
You will notice that the final category ‘relapse’ is not considered to be an actual ‘stage’ in the model. However, as relapse is a common change process experience, its inclusion within the table both acknowledges and normalises its existence. As mental health practitioners, it is important to provide consumers with the ‘warts and all’ reality of the change process they are engaging in, as this will reduce the risk of any unrealistically high expectations leading to a sense of demoralisation at having ‘failed’ if relapse occurs.

Source: www.med.unsw.edu.au/NDARCWeb.nsf/resources/Guidelines4/…/Ch6.pdf
Co-morbidity factors
While the Stages of Change model provides a useful framework for assessing an individual’s level of motivation to change, it is also critical for mental health practitioners to identify any co-morbid mental health issues that the individual is dealing with as these can have a significant impact on the change process. For example, whilst an individual may be highly motivated to quit smoking marijuana, he/she may be less keen to either experience the PTSD symptoms that the marijuana has been ‘masking’ or to explore the traumatic event that initially evoked these symptoms.
Using the Transtheoretical Model, including the Stages of Change Model, this article explores African American women’s readiness to change in relation to abusive relationships:
Read
Bliss et al 2008, ‘African American Women’s Readiness to Change Abusive Relationships’, Journal of Family Violence, vol. 23, pp. 161-171.
(also available in e-reserve)
Other useful resources
Prochaska, J.O. & DiClemente, C.C. 1982, ‘Transtheoretical therapy: Toward a more integrative model of change’, Psychotherapy Research and Practice, 20, pp. 161 – 173.
• Motivational interviewing
• Narrative therapy
• Interpersonal psychotherapy
• Crisis intervention

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

Review the three scenarios, as well as Chapter 26 and Chapter 27 in the Huether and McCance text. Select one of the scenarios and consider the respiratory disorder and underlying alteration associated with the type of cough described.

Nurs6APathophysiology
Assignment Requirements

Readings (you need to have the book or find the info online)
Huether, S. E., & McCance, K. L. (2012). Understanding pathophysiology (Laureate custom ed.). St. Louis, MO: Mosby.
Chapter 25, “Structure and Function of the Pulmonary System”

This chapter provides information relating to the structure and function of the pulmonary system to illustrate normal pulmonary function. It focuses on gas transport to build the foundation for examining alterations of pulmonary function.
Chapter 26, “Alterations of Pulmonary Function”

This chapter examines clinical manifestations of pulmonary alterations and disorders of the chest wall and pleura. It covers the pathophysiology, clinical manifestations, evaluation, and treatment of obstructive lung diseases such as asthma, chronic obstructive pulmonary disease (COPD), chronic bronchitis, and emphysema.
Chapter 27, “Alterations of Pulmonary Function in Children”

This chapter focuses on alterations of pulmonary function that affect children. These alterations include disorders of the upper and lower airways.
McPhee, S. J., & Hammer, G. D. (2012). Pathophysiology of disease: An introduction to clinical medicine (Laureate Education, Inc., custom ed.). New York, NY: McGraw-Hill Medical.
Chapter 9, “Pulmonary Disease”

This chapter begins with an overview of normal structure and function of the lungs to provide a foundation for examining various lung diseases such as asthma and chronic obstructive pulmonary disease (COPD).
Iannuzzi, M. C., Rybicki, B. A., & Teirstein, A. S. (2007). Sarcoidosis. The New England Journal of Medicine, 357(21), 2153–2165.
Retrieved from the Walden Library databases.

This article provides information relating to the epidemiology, genetic features, clinical presentation, and diagnosis of sarcoidosis. It also examines how several body systems are impacted by organ involvement.
================================================================================================================
Consider the following three scenarios:
Scenario 1:
Ms. Teel brings in her 7-month-old infant for evaluation. She is afraid that the baby might have respiratory syncytial virus (RSV) because she seems to be coughing a lot, and Ms. Teel heard that RSV is a common condition for infants. A detailed patient history reveals that the infant has been coughing consistently for several months. It’s never seemed all that bad. Ms. Teel thought it was just a normal thing, but then she read about RSV. Closer evaluation indicates that the infant coughs mostly at night; and, in fact, most nights the baby coughs to some extent. Additionally, Ms. Teel confirms that the infant seems to cough more when she cries. Physical examination reveals an apparently healthy age- and weight-appropriate, 7-month-old infant with breath sounds that are clear to auscultation. The infant’s medical history is significant only for eczema that was actually quite bad a few months back. Otherwise, the only remarkable history is an allergic reaction to amoxicillin that she experienced 3 months ago when she had an ear infection.
Scenario 2:
Kevin is a 6-year-old boy who is brought in for evaluation by his parents. The parents are concerned that he has a really deep cough that he just can’t seem to get over. The history reveals that he was in his usual state of good health until approximately 1 week ago when he developed a profound cough. His parents say that it is deep and sounds like he is barking. He coughs so hard that sometimes he actually vomits. The cough is productive for mucus, but there is no blood in it. Kevin has had a low-grade temperature but nothing really high. His parents do not have a thermometer and don’t know for sure how high it got. His past medical history is negative. He has never had childhood asthma or RSV. His mother says that they moved around a lot in his first 2 years and she is not sure that his immunizations are up to date. She does not have a current vaccination record.
Scenario 3:
Maria is a 36-year-old who presents for evaluation of a cough. She is normally a healthy young lady with no significant medical history. She takes no medications and does not smoke. She reports that she was in her usual state of good health until approximately 3 weeks ago when she developed a “really bad cold.” The cold is characterized by a profound, deep, mucus-producing cough. She denies any rhinorrhea or rhinitis—the primary problem is the cough. She develops these coughing fits that are prolonged, very deep, and productive of a lot of green sputum. She hasn’t had any fever but does have a scratchy throat. Maria has tried over-the-counter cough medicines but has not had much relief. The cough keeps her awake at night and sometimes gets so bad that she gags and dry heaves.
================================================================================================================
To prepare:
Review the three scenarios, as well as Chapter 26 and Chapter 27 in the Huether and McCance text.
Select one of the scenarios and consider the respiratory disorder and underlying alteration associated with the type of cough described.
Identify the pathophysiology of the alteration that you associated with the cough.
Select two of the following factors: genetics, gender, ethnicity, age, or behavior. Reflect on how the factors you selected might impact the disorder.
================================================================================================================
Post a description of the disorder and underlying respiratory alteration associated with the type of cough in your selected scenario. Then, explain the pathophysiology of the respiratory alteration. Finally, explain how the factors you selected might impact the disorder.

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

Discuss the symbolism, and use of metaphor in The Tale of the Shipwrecked Sailor. How reflective is the story of archetypal literature of the Ancient World?

History
Paper, Order, or Assignment Requirements

Ancient Egypt Exam One 2015

PART I (20 pts)

Essays Topic Choices from Simpson: The Literature of Ancient Egypt

Choose ONE from the three choices below. Your essay response can be in the first person for this exam. Your response should AT LEAST 1 ½ -2 typed pages.

Maintaining Ma’at, or balance, is crucial to Egyptian society. How does the literature address this aspect of Egyptian life in the areas of justice, and responsibility and as Wisdom literature? Consider The Tale of the Eloquent Peasant and The Instructions of Onchsheshonqy
Discuss the symbolism, and use of metaphor in The Tale of the Shipwrecked Sailor. How reflective is the story of archetypal literature of the Ancient World?
Utilizing both Wilkinson and Simpson discuss the use of the Tale of Sinuhe as both literary achievement and a great piece of ‘be loyal to your monarch’.

PART II 3 pts each

Define: (each response should be at least 2-3 complete sentences)

Ma’at

Narmer Palette

Manetho

Ideogram

Name and define the units of measure

Akhit

Coffin Texts

Encirclement

Khnumhotep

Hikau khasut

PART III – 5 pts EACH

Identify each image and discuss importance!

4.

5.

6.

Short Answer Essays: Choose any TWO from the topics below (10 pts EACH)

For EACH answer must be at least ½ to ¾ of a page (typewritten) 11 pt. font. – Use both lecture and text in your response.

Discuss the evolution of writing in Egypt from the earliest known stages.
Discuss the transition from the Pyramid texts to the Coffin texts in relationship to changes in access to the afterlife and political structure.
What is the significance of the tale of Osiris, Isis and Horus? How do they rise to be among the most powerful, and popular deities among all classes in Egypt.
Discuss the role of magic in Egyptian daily life and in the afterlife. What do you find most interesting about magic in Ancient Egypt and why?
What is the source of Heka’s power? How does the change in magic practices and expression change from the Old Kingdom, First Intermediate Period and on into the Middle Kingdom?
Discuss the evolution and unique nature of Egyptian medicine. How was it interwoven with spells and common sense in your opinion?
Considering that maintaining Ma’at, or balance, is crucial to Egyptian society, how did the rulers respond to the climatic challenges and what was the outcome?
Discuss the legacy of the Twelfth Dynasty (Amenemhats and Senuserts, Queen Sobekneferu) how do they leave the door open to invasions from Nubia and the Asiatics despite all their efforts to enclose themselves behind fortresses?

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

Draw the supply and demand curves on the same graphic. What does a supply curve show us? What does a demand curve show us? (explain)

Microeconomics
Paper, Order, or Assignment Requirements

its a 9 question assignment. details are given in the attached doc file

Draw the supply and demand curves on the same graphic. What does a supply curve show us? What does a demand curve show us? (explain)
Find the equilibrium price and its amount in the graphic you’ve drawn. Tell us why this point is a equilibrium point.
Assume that authorities fixed the price as $5.00. Tell us what would happen according to your graph.

Draw a graphic fort the each situation. Show us the initial equilibrium and its cost and amount. Then, Show us the changes of cost and amount as you shift the supply and/or demand. For each situation, expain the reasons that can cause such changes.

Potato market P*↑ Q*↑
Automobile market P *↓ Q*↓
Greyfruit market P*↑ Q*↓
Computer market P*↓ Q*↑

According to a market research, here are some data for the chocolate product. The equation that shows us the demand curve is 1,600 – 300P, P and is the amount that is demanded, the equation that shows us the supply curve is = 1400 + 700P, is the amount that is supplied.

What is the equilibrium price? What is the amount of chocolate produced and chocolate consumed?

Demand curve fort he salted peanuts is = 20000 – 5 P, in tons, P is the cost given for per tons. Find the price flexibility for the point of P = $800 .

Tell us if these statements are true or false, with a couple of sentences. Please avoid repetitions.

The demand curve for “Pepsi” is steeper than the demand curve for “all other soda brands”
The (short term) demand curve for “Apple” is steeper than the (long term).
If the %10 discount for pencil causes an increase of %1 demand for pencil, then the demand for pencil is elastic.
If the demand is perfectly inelastic for the medicine called AZT, the increase fort he cost would increase the total revenue.

Jennifer has mild choices. According to this, sort the baskets given in an order of choice. Explain.

Some people supports minimum wage implementation. Assume that, the labor demand is . is amount of labor (the number of people in million), and w is the wage (the hourly money given). The demand for labor is

What can be the level of employment and level of wage in free market?
Assume that the minimum wage is $4 hourly. What could be the condition of employment? Could it cause a rise in unemployment? And how much it could be if it was so.

People produce tea in Khazakstan for living. The supply and demand curves are given as (in tons) = 10 – (0.5)P and

Its election time in Khazakstan. Government offers $10 for each ton of tea in order to collect votes. In that case, how much tea should govenment buy?
Examine the effects over social welfare. (how wins and who looses?)

What is the opportunity cost of completing this homework?

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

Which groups are involved in the regulation of nuclear material?

Health Care
Paper, Order, or Assignment Requirements

Radiation Safety in Nuclear Medicine

Please type your answers below the questions and the space will expand.
Please include a reference with the sources that you used to find the information.

Which groups are involved in the regulation of nuclear material? Visit http://www.nrc.gov/reading-rm/doc-collections/cfr/part020/ and skim through the subparts of 10 CFR 20. This is where you will find the “original” copy of many of the regulations we discuss in class.
What is an “agreement state?” Which of the New England states are agreement states? Which are not? (HINT: you’ll need to do some online research)
Who determines which labels need be placed on packages containing radioactive materials? Based on the label in the image below, what is the maximum radiation level at any point on the external surface of the package? What is the transport index for this package (a bit hard to read)?

Please fill in the following table, which will help you outline and start to put to memory the NRC radiation exposure limits. Be sure that you understand the acronyms listed.
U.S. Nuclear Regulatory Commission Radiation Exposure Limits
Occupational Exposures Rem (mSv)
Whole-Body TEDE
Lens of Eye LDE
Any organ or tissue TEDE
Skin or any extremity SDE
Member of the General Public TEDE
Embryo/fetus of Occupationally Exposed Worker

What is the difference between a “restricted” and “unrestricted” area? Next to each sign below, please indicate how much exposure an individual could expect by entering.
Intended Use/Where to Post

What are the various ways of disposing radioactive waste (dry/liquid/gaseous)?
You walk into an imaging room in the Regis General Hospital Nuclear Medicine Department and realize that you’ve stepped in an unidentified “puddle” just inside the doorway. You also notice “drops” leading away from the puddle toward the imaging table, where a patient with a bladder catheter is having a bone scan. What should you do? (HINT: radioactive spill emergency procedure)
A patient is ordered for an I-131 sodium iodide treatment for hyperthyroidism. What document must be completed prior to administration? Who completes the document? What information does the document contain? What happens to this document after administration?
If the patient above receives 20 mCi of I-131 sodium iodide instead of the prescribed 15 mCi, which of the following individuals/agencies must be notified and why?
B. NRC and FDA C. Referring physician D. NRC and referring physician
How do time, distance, and shielding play into radiation protection in the clinical setting? What should be minimized? What should be maximized? Are there times when we can’t employ the ideal combination of time, distance and shielding (think of examples from clinical)?

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

Do the myths that he puts forth apply to regional disasters in the United States or other developed countries or only national-level disasters in third world countries?

PH Wk 1
Paper, Order, or Assignment Requirements

The purpose of this course is to develop an understanding of the concepts of public health as they relate to disaster management. The student will apply Noji’s five phases of a disaster to actual public health disaster events during the last 25 years. The course will focus on what preparedness actions are necessary to safeguard the health of citizens and emergency personnel during a disaster event, as well as public health disaster response and investigation. Public health issues in disaster management that are covered include water and food supply disruption and contamination, waste disposal, environmental pollution and infectious disease outbreaks. The basic principles of epidemiology and health surveillance will also be reviewed. Statistical epidemiology will not be covered in this course due to the limited time allotted to give a taste of material which, in its full form does fill an entire master’s of its own.

– The required Textbooks for this course (please see the syllabus): Required:
Textbooks:
1. Ciottone, Gregory – Disaster Medicine, (2015) .
2. Landesman, Linda – Public Health Management of Disasters – The Practice Guide, 3rd Edition (2012)
3. Wisner, B and Adams, J. – Environmental Health in Emergencies and Disasters – A Practical Guide, (2003) World Health Organization
4. Koenig and Schultz—Disaster Medicine: Comprehensive Principles and Practice, (2011)
The topic of this week, Wk 1: Introduction to Public Health

– THE RESOURCES (Reading Assignments) OF THIS WEEK: (PLEASE USE SOME OF THEM WHEN DOIN G THE ASSIGNMENT OF THIS WEEK):
Textbook Assignments
1. Koenig and Schultz, Chapter 9: Public Health and Emergency Management Systems
2. Landesman chapter 1: Types of Disasters and Their Consequences
3. Landesman chapter 2: Role and Responsibility of Public Health
4. Wisner chapter 2: The nature of emergencies and disasters.

Journal Articles-required reading

1. Erik Noji. Public Health Issues in Disasters.Noji public health issues in disasters.pdf (I WILL UPLOAD IT AS “FILE 1”)

2. James Blessman et al. Barriers to At-Home-Preparedness in Public Health Employees: Implications for Disaster Preparedness Training. At home preparedness.pdf (I WILL UPLOAD IT AS “FILE 2”)

The assignment of this week, Week 1, is as follows:
1. Read the article and complete the survey instrument which Dr. Blessman and colleagues administered to employees of a local health department prior to a training event (last two pages of the Blessman article linked in Topics of Study). Most of you will walk away from this exercise dismayed that you have not performed better. That’s part of the solution to the problem–enlightenment. Briefly discuss how you did on the survey, why you think you performed well or poorly, and what you think you can and will do to improve. There is no correct answer here, but the results will generate their own discussion.
2. Read the Noji article on public health and disasters. Do the myths that he puts forth apply to regional disasters in the United States or other developed countries or only national-level disasters in third world countries? Support your opinions with some examples from history. Include references.
– Please follow ALL the previous instructions AND USE THE REFERENCES MENTIONED IN THE QUESTION, PLEASE. – and I don’t know what to do regarding the last part f the question which says: Also find one peer-reviewed journal article which helps to back up your or your expert’s opinions.
NOTE: Take care to cover both questions regardless of number of pages. Please also use the number of references appropriate for the nature of both questions but if it is possible and the nature of questions allows, use at least 3 references.

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

Describe how a local, county or state public health department organizes itself according to the incident management system so that it may deliver effective services during disaster operations.

PRES. 1 PH
Paper, Order, or Assignment Requirements

. These two courses are: Public Health Implications of Disater (core requirement) & Homeland Security (elective course).
Please remember that I will upload both the syllabus (which I’ve sent you before) and the organizer of this course to used them as a reference regarding what you should do and the materials that will be covered until then TO USE THE COURSE MATERIALS IN THE PRESENTATION NOT FROM YOU GENERAL SEARCH!
This order is to do 25-slide presentation for the course of Public Health Implications of Disasters ACCORDING TO THE GUIDELINES OF PRESENTATION of how to do it from the professor, which can be found in the third file called, Guidelines of Presentation. Please remember that remember that any slides without these guidelines means nothing according to the professor.

This presentation is due in week 3 (the week of presentation) and the content of this week taken from the organizer is, please see the organizer:
Incident Management System for Public Health Emergencies

1. Describe how a local, county or state public health department organizes itself according to the incident management system so that it may deliver effective services during disaster operations.
2. Summarize the Health and Medical Incident Management System.
3. Explain what is meant by the term “functional incident management system” and how this differs from a traditional ICS structure.

NOTE:
The required Texts for this course are, see the syllabus:
Textbooks:
1. Ciottone, Gregory – Disaster Medicine, (2015) ISBN – available on line through library.
2. Landesman, Linda – Public Health Management of Disasters – The Practice Guide, 3rd Edition (2012) ISBN #0-87553-004-4
3. Wisner, B and Adams, J. – Environmental Health in Emergencies and Disasters – A Practical Guide, (2003) World Health Organization ISBN #9789241545419
4. Koenig and Schultz—Disaster Medicine: Comprehensive Principles and Practice, (2011) Cambridge University Press

And the required reading assignments for week 3, the week of presentation, are:
1. Landesman chapters 3 and 5
2. Selected journal readings
3. Public Health ICS document

*PLEASE MAKE THE PRESENTATION HAS A RELATIONSHIP TO THE MATERIALS COVERED UNTIL NOW IN THIS COURSE, ESPECIALLY WEEK 3 MATERIALS (VERY IMPORTANT).

NOTE: This order is to do 25-slide presentation but I put it as a 1-page order but after you finish this important 25-slide presentation we can together coordinate everything with the support team but please work now according to a 25-slide presentation order and we will be together to the end. Slide 26th will be for references.

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

Hypothesis Testing and Confidence Intervals:Test to determine if the antisense drug lowered the cholesterol using α = 0.01 and the prob-value approach.

Hypothesis Testing and Confidence Intervals
Paper, Order, or Assignment Requirements

Show all work, answer all questions.

Hypothesis Testing and Confidence Intervals

A pharmaceutical company is testing a new cold medicine to determine if the drug has side affects. To test the drug, 7 patients are given the drug and 8 patients are given a placebo (sugar pill). The change in pulse rate (beats per minute) after taking the pill was as follows:
Given drug: 3 5 2 8 1 4 5
Given placebo: 2 3 1 1 2 0 2 4

Test to determine if the drug raises patients’ pulse rate more than the placebo using α = 0.05

Corn plants grow to a mean height of 6.44 feet with a standard deviation of 0.12 feet. A new genetically modified corn plant is being developed. A researcher grew a group of 37 genetically modified corn plants and found that their mean height was 6.48 feet. Test to determine if the genetically modified plants are taller using α = 01.

A recent poll of 2350 U.S. voters found that 1034 of them currently approve of Obama’s performance as president. Make a 99% confidence interval for the proportion of all U.S. voters that approve of Obama’s performance. Describe the meaning of the interval you found.

From the population of all Americans with high cholesterol, which has a mean cholesterol level of 265 mg/dL with a standard deviation of 42, Isis Pharmaceuticals chose 38 patients for treatment with its new antisense drug. After treatment, the patients in the study had a mean cholesterol level of 249. Test to determine if the antisense drug lowered the cholesterol using α = 0.01 and the prob-value approach.

The IRS claims that it takes 87 minutes to prepare a tax form. You believe it takes longer than 87 minutes. You ask 19 tax filers and find the following preparation times:
61, 74, 78, 79, 87, 89, 96, 97, 98, 98, 99, 100, 100, 105, 108, 110, 117, 120, 121

Determine if the preparation time is significantly longer than 87 minutes. Use α = .025.

Given below are the birth weights of babies born to mothers who took special vitamin supplements while pregnant:
3.13 4.57 3.93 4.33 3.39 3.68 4.68 3.52

3.02 4.29 2.47 4.13 4.47 3.22 3.43 2.54

Make a 99% confidence interval for the mean weight of babies whose mothers take vitamin supplements.
Do a hypothesis test to determine if these babies weight is more than the mean weight for the population of all babies which is 3.39 kg using α = .005
In a short paragraph, describe the relationship between your answer to part (a) and your answer to part (b).

A student wanted to study the ages of couples applying for marriage licenses in his county. He studied a sample of 94 marriage licenses and found that in 67 cases the husband was older than the wife. Do the sample data provide evidence that the husband is usually older than the wife among couples applying for marriage licenses in that county? Explain briefly and justify your answer using the methods studied in this course. Use α= 0.05 as the level of significance.

The national standard for salinity (salt content) in drinking water is 500 parts per million. A government inspector tests the drinking water at 10 locations around a certain city and finds the following levels of salinity (in parts per million of course):
532 560 506 452 425 531 582 376 529 629
Make a 95% confidence interval for the mean salinity level in this city.
Is this city’s salinity level above the national standard? (Use α = 0.025 and the result from part (a))

A researcher studied whether pregnant women who consumed more than 800 mg of caffeine per day had babies with a lower birth weight (in lbs). The results are in the table below:
Caffeinated women’s babies weights 7.5 6.7 5.2 6.8 7.4 7.7 5.6 6.9
Non-caffeinated women’s babies weights 7.8 7.6 8.1 7.5 7.1 7.2 7.9

Test to determine if the use of caffeine lowered birth weights using α = 0.05.

You intend to poll students in order to determine the proportion of all students who will vote in an upcoming election. What sample size do you need to choose to ensure that the margin of error is less than 3% assuming a 99% level of confidence? Hint: “To ensure” means that, even in the worst case scenario which is when the variation is largest, your confidence interval would still have a 99% chance of containing the true proportion of all students.

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

Describe and evaluate the ethical issues involved in Medicare-funded organ transplants.

Management
Paper, Order, or Assignment Requirements

Describe and evaluate the ethical issues involved in Medicare-funded organ transplants.
Assess the intent and impact of publicity-oriented legal challenges to physician-assisted suicide.
Identify the potential impact of genetic engineering on the future course of a selected chronic disease or group of diseases.
Evaluate the changes in clinical research protocols that have been promoted by AIDS activists, and identify the potential implications of these changes.
Develop a position paper on which to base a public policy imposing restrictive criteria upon publicly funded renal dialysis cases.
Analyze the effectiveness of society’s delegation of ethical standards and the supervision of professional conduct to the professions of medicine and nursing.
Assess the medical profession’s compliance in honoring patients’ living wills and durable powers of attorney.
Evaluate the relative merits of the traditional indemnity insurance system versus the managed care system with regard to quality of care and efficiency.
Assess the pros and cons of our acceptance of entrepreneurial and for-profit organizational structures for the provision of healthcare in the United States, with special attention to the characteristics of access and quality.
Describe the current healthcare cost milieu and evaluate the need to ration the availability of healthcare services.
Analyze the effectiveness of the Adverse and Sentinel Events reporting program developed by the Joint Commission on the Accreditation of Healthcare Organizations to provide a safe, effective, and efficient environment of care.
Analyze the recent legislation outlining minimum safe staffing standards for healthcare organizations; suggest follow-up strategies.
Develop a position paper on the Institute of Medicine’s recommendation for the establishment of a centralized system for tracking medical errors; suggest follow-up strategies.
Choose one particular form of complementary medicine and describe an ethical or legal issue regarding its use in treatment and what it brings to healthcare providers.
Analyze the legal and ethical impacts that managed care practices have had on quality and access to patient care.

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"