...Unit 3 Case Study 5454 unread replies.5454 replies. Bellow you will find a clinical case study. The case study starts with a description of a patients’ medical history, followed by discussion question/s. First, you have to analyze the medical history of the patient. As you read the patient’s information: * Highlight any risk factors that might exist, existing medical conditions, present signs and symptoms or complains that the patient is suffering from. * Analyze the results of any diagnostic tests that were performed. Diagnostic tests include, physical exams, blood test, radiologic tests (x-ray, CT scans, etc.), and other functional tests. * Relate the medical treatment used to the underlying pathology. * Propose clinical management plan for the patient’s condition, and possible prognosis. You are encouraged to discuss the cases with other students and in groups, however, each student should submit the analysis of the case study in their own words through discussions. Students should submit their case study through the “Discussion” link AND the “Turnitin Dropbox” link for that case study available on the course’s main page. If you fail to submit your case study through both links your case study will not be graded. Turnitin is an automated system which instructors can use to quickly and easily compare each student's assignment with billions of web sites, as well as an enormous database of student papers that grows with each submission.Accordingly, you...
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...Answers to case study questions Chapter 5 Case Study 5.1 We find a 50-year-old woman with long-term Crohn’s disease, on various treatments and with an abdominal surgical history. Her blood tests were requested following a routine GP visit, when she complained of some lethargy, fever and diarrhoea. (p. 125) 1 The results outside the reference range are haemoglobin, MCV and ESR. This result, along with the history, is sufficient to confer the diagnosis of anaemia. With the MCV below the bottom of the reference range, we can extend the diagnosis to microcytic anaemia. The abnormal ESR adds little to the diagnosis as it is the likely consequence of the anaemia. 2 Having given the patient a diagnosis, a treatment must be initiated. However, this is not yet possible as the basis of the microcytic anaemia must be defined. As the two major causes of microcytic anaemia are iron deficiency and haemoglobinopathy, the blood is tested for iron. A level below the bottom of reference range extends the diagnosis to iron-deficient microcytic anaemia. The reason for the vitamin B12 request is unclear, but as the result is within the reference range, then malnutrition as a cause seems unlikely. The diagnosis is not entirely unexpected given the history— Crohn’s disease being an inflammatory disorder of the intestines known to lead to malabsorption. Indeed, the inflammation may well contribute to the abnormal ESR. The referral to surgery may well have been to remove a section of diseased intestine. 3 The next...
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...encyclopedic tone used on Wikipedia. (January 2012) In the social sciences and life sciences, a case study (or case report) is a descriptive, exploratory or explanatory analysis of a person, group or event. An explanatory case study is used to explore causation in order to find underlying principles.[1][2] Case studies may be prospective (in which criteria are established and cases fitting the criteria are included as they become available) or retrospective (in which criteria are established for selecting cases from historical records for inclusion in the study). Thomas[3] offers the following definition of case study: "Case studies are analyses of persons, events, decisions, periods, projects, policies, institutions, or other systems that are studied holistically by one or more methods. The case that is the subject of the inquiry will be an instance of a class of phenomena that provides an analytical frame — an object — within which the study is conducted and which the case illuminates and explicates." Another suggestion is that case study should be defined as a research strategy, an empirical inquiry that investigates a phenomenon within its real-life context. Case study research can mean single and multiple case studies, can include quantitative evidence, relies on multiple sources of evidence, and benefits from the prior development of theoretical propositions. Case studies should not be confused with qualitative research and they can be based on any mix of quantitative...
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...Disciplined Nurses ABSTRACT in Six States A link between a history of criminal conviction and a risk of professional misconduct highlights the importance of criminal background checks. O BJECTIVE : The researchers sought to determine what factors might affect the outcomes of remediation, including the likelihood of recidivism, among nurses who had been the subject of disciplinary action and had been put on probation by a state board of nursing. M ETHODS : Boards of nursing in six states, Arizona, Maryland, Massachusetts, Minnesota, Nebraska, and North Carolina, chose to participate in this exploratory study. A 29-item questionnaire was used to investigate the records of 207 RNs, LPNs, and advanced practice RNs (APRNs) who were disciplined and put on probation by a state nursing board in 2001, as well as to collect data on their employment settings, the boards’ actions, and remediation outcomes (the presence or absence of recidivism); 491 nurses who had not been disciplined served as controls. RESULTS: Among the disciplined nurses studied, 57% were RNs, 36% were LPNs, 3% held both RN and LPN licenses, and 3% were APRNs. Of the disciplined group, 39% recidivated between 2001 and 2005. Three factors were shown to influence the recidivism rate: having a history of criminal conviction, having committed more than one violation before the 2001 probation, and changing employers during the probationary period. Data on history of criminal conviction prior to state board disciplinary action...
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...Yin (2005) suggested that researchers should decide whether to do single-case or multiple-case studies and chose to keep the case holistic or have embedded sub-cases. This two-by-two combination can produce four basic designs for case studies. When selecting a case for a case study, researchers often use information-oriented sampling , as opposed to random sampling [3]. This is because an average case is often not the richest in information. Extreme or atypical cases reveal more information because they activate more basic mechanisms and more actors in the situation studied. In addition, from both an understanding-oriented and an action-oriented perspective, it is often more important to clarify the deeper causes behind a given problem and its consequences than to describe the symptoms of the problem and how frequently they occur. Random samples emphasizing representativeness will seldom be able to produce this kind of insight; it is more appropriate to select some few cases chosen for their validity. But this isnt always the case. Three types of information-oriented cases may be distinguished: Extreme or deviant cases Critical cases Paradigmatic cases. [edit]Critical case A critical case can be defined as having strategic importance in relation to the general problem. For example, an occupational medicine clinic wanted to investigate whether people working with organic solvents suffered brain damage. Instead of choosing a representative sample among all those enterprises...
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...This work is licensed under a Creative Commons Attribution-NonCommercial-ShareAlike License. Your use of this material constitutes acceptance of that license and the conditions of use of materials on this site. Copyright 2008, The Johns Hopkins University and Sukon Kanchanaraksa. All rights reserved. Use of these materials permitted only in accordance with license rights granted. Materials provided “AS IS”; no representations or warranties provided. User assumes all responsibility for use, and all liability related thereto, and must independently review all materials for accuracy and efficacy. May contain materials owned by others. User is responsible for obtaining permissions for use from third parties as needed. Estimating Risk Sukon Kanchanaraksa, PhD Johns Hopkins University Section A Relative Risk Risk Incidence of Disease = Absolute Risk (Attack Rate) 4 Attack Rates from Food-Borne Outbreak Exercise Attack Rate (%) Food (1) Ate (2) Not Ate Egg salad 83 30 Macaroni 76 67 Cottage cheese 71 69 Tuna salad 78 50 Ice cream 78 64 Other 72 50 5 Attack Rates from Food-Borne Outbreak Exercise Attack Rate (%) Difference of Attack Rates Food (1) Ate (2) Not Ate (1)–(2) Egg salad 83 30 53 Macaroni 76 67 9 Cottage cheese 71 69 2 Tuna salad 78 50 28 Ice cream 78 64 14 Other 72 50 22 6 Attack...
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...RESEARCH PROPOSAL Module: Research Methodology Module Leader: Malcolm Bennison Program: MSc (ITM) Submitted by: Student ID: Table of Contents Working Title……………………………………………………………………………………..3 Introduction………………………………………………………………………………………..3 Background of the Study………………………………………………………………...……3 Purpose of the Study…………………………………………………………………………..3 Rationale for the Topic………………………………………………………………………..4 Statement of the Problem……………………………………………………………………..4 Research Objectives…………………………………………………………………………...5 Research Questions……………………………………………………………………………5 Literature Review…………………………………………………………………………………6 Cultural Tourism………………………………………………………………………………6 The Importance of Cultural Tourism………………………………………………………….7 Tourism Development………………………………………………………………………...7 Case Study: Natural History Museum………………………………………………………...8 Economic Impact……………………………………………………………………………...8 Employees and Services………………………………………………………………………9 Tourists’ Behavior…………………………………………………………………………...9 The NHM as Visitor Attraction……………………………………………………………….9 Research Methodology…………………………………………………………………………..10 Research Philosophy………………………………………………………………………….10 Research Approach and Design………………………………………………………………11 Data Collection…………………………………………………………………………….....11 Data Analysis Method………………………………………………………………………..12 Sampling Technique………………………………………………………………………….12 Ethical Consideration……………………………………………………………………………...
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...Results were expressed in mean ± SD. Probability values of P < 0.05 were considered to be statistically significant. R2 value represents the correlation between the biological parameters. VI. RESULTS The study was conducted on acute myocardial infarction patients admitted to the ICCU of MGM Hospital, Warangal. Sample Description The study groups included 50 patients of acute myocardial infarction in which 32 patients are AMI, 4 patients are AMI with Diabetes mellitus, 8 patients are AMI with Hypertension and 6 patients are AMI with Diabetes and Hypertension respectively. Hence AMI patients (n=32) with no co morbidities were included in the study with a mean age of 54.03 ±13.30 years. The gender distribution was found to be 24 males and 8 females. The control group consisted of 27 males and 5 females with a mean age 52.28 ± 14.14 years. Blood Pressure Systolic (‘p’ value 0.0875) and diastolic blood pressure (‘p’ value 0.1247) was significantly high in AMI as compared with control. The age and gender distribution are presented in Table 1. Age in years Control (n=32) AMI (n=32) Male Female Male...
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...of the various study designs. Compare and contrast the advantages and disadvantages of case control and cohort study designs (15 marks). Comment: In this case, we give advantages and disadvantages of cohort and case control study designs and offer a summary table to bring out their strengths and shortcomings. Cohort studies Advantages 1. Allow complete information on the subject’s exposure, including quality control of data, and experience thereafter. 2. Provide a clear temporal sequence of exposure and disease. 3. Give an opportunity to study multiple outcomes related to a specific exposure. 4. Permit calculation of incidence rates (absolute risk) as well as relative risk. 5. Enable the study of relatively rare exposures. Disadvantages 1. Not suited for the study of rare diseases because a large number of subjects is required. 2. Not suited when the time between exposure and disease manifestation is very long, although this can be overcome in historical cohort studies. 3. Exposure patterns, for example the composition of oral contraceptives, may change during the course of the study and make the results irrelevant. 4. Maintaining high rates of follow-up can be difficult. 5. Expensive to carry out because a large number of subjects is usually required. 6. Baseline data may be sparse because the large number of subjects does not allow for long interviews. Case-control studies Advantages 1. Permit the study of rare diseases. 2. Permit the study of diseases with...
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...Case Study Method by Saul McLeod email icon published 2008 Case studies are in-depth investigations of a single person, group, event or community. Typically data are gathered from a variety of sources and by using several different methods (e.g. observations & interviews). The case study research method originated in clinical medicine (the case history, i.e. the patient’s personal history). The case study method often involves simply observing what happens to, or reconstructing ‘the case history’ of a single participant or group of individuals (such as a school class or a specific social group), i.e. the idiographic approach. Case studies allow a researcher to investigate a topic in far more detail than might be possible if they were trying to deal with a large number of research participants (nomothetic approach) with the aim of ‘averaging’. The case study is not itself a research method, but researchers select methods of data collection and analysis that will generate material suitable for case studies such as qualitative techniques (unstructured interviews, participant observation, diaries), personal notes (e.g. letters, photographs, notes) or official document (e.g. case notes, clinical notes, appraisal reports). The data collected can be analyzed using different theories (e.g. grounded theory, interpretative phenomenological analysis, text interpretation (e.g. thematic coding) etc. All the approaches mentioned here use preconceived categories in the...
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...HR587 Weeks 3 and 5 Assignments * Write a 2-3 page analysis on the change management concept as it applies to an organization or a case study of choice from the text. * Use the numbered items for each assignment as main headings. The lettered items may be used as subheadings. This approach will help insure assignment criteria are included. Week 3 Assignment: Images Paper The Images paper focuses on the six different images of managing change. These images of change represent the various ways managers view the most effective strategy to bring about change. Each one represents a mindset that is unique to a manager as they try to summarize the key components of change. This paper should focus on evidence that demonstrates how the management of the organization integrated one or more of the Six Images of managing change. Then, what management could have done differently to increase the probability of a more successful change? 1. Introduction a. Briefly explain the change management initiative. b. Briefly explain the importance of the Images concepts and application to the change management initiative 2. Application Analysis a. Provide a history of information from your organization or case study that supports the change management initiative. Provide a review of the change management process related to your chosen topic. b. After providing this review of the change, based on how the change was managed, how would you assess...
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...A DEPRESSED ECONOMY” 1. Background of the study 2. History background of the case study 3. Statement of the problem 4. Objective of the study 5. Significance of the study 6. Formulation of hypothesis 7. The scope of the study 8. Limitations of the study 9. Definition of terms CHAPTER TWO 1. Meaning and history of entrepreneurship development in Nigeria 2. History of entrepreneurship development in Nigeria 3. Meaning and functions of an entrepreneur 4. Functions of an entrepreneur 5. Activities of the Nigeria Association of Small-scale Industrialists (NASSI) in the development of entrepreneurship 6. Problem of NASSI in the discharge of entrepreneurship development in Enugu 7. Comments 8. Reference CHAPTER THREE 0. DATA COLLECTION AND ANALYSIS OF “THE NEED FOR THE DEVELOPMENT OF ENTREPRENEURSHIP IN A DEPRESSED ECONOMY” 1. Method of data collection 2. Population of the study 3. Sample and sample techniques 4. Research instruments 5. Method of data analysis CHAPTER FOUR 0. DATA PRESENTATION AND ANALYSIS OF “THE NEED FOR THE DEVELOPMENT OF ENTREPRENEURSHIP IN A DEPRESSED ECONOMY” 1. Test of hypothesis CHAPTER FIVE 0. DISCUSSION OF FINDINGS AND RECOMMENDATION OF “THE NEED FOR THE DEVELOPMENT OF ENTREPRENEURSHIP IN A DEPRESSED ECONOMY” 1. Discussion of findings 2. Summary and conclusion 3. Recommendation 4. Suggestion for further studies *** Read the following instructions carefully...
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... and Autistic disorder (autism). Autistic disorder will be the focus of this study (CDC, 2012). Children develop autism before the age of three years and struggle with it throughout their lives (CDC, 2012). “Autism creates many challenges in the child’s life and it negatively impacts; intellectual disabilities, language delays, social and communication difficulties and unexpected behaviour and interests” (CDC, 2012). Autism does not segregate between racial and ethnic groups, nor does it relate to socioeconomic status; however it has been proven to occur more often in males than in females (CDC, 2012). Over the past decade there has been a significant increase in the number of autistic diagnoses (CDC, 2012). Evidence has shown that the development of autism occurs during the pregnancy phase (Schmidt, 2011); which leads this study to analyze the association between intake of iron, and zinc during pregnancy and preventing autism in the offspring. Specific Aims The proposed study will be focused on whether women who take iron and zinc supplements during the three trimesters of the pregnancy will reduce the risk of autism in their offspring. The goal of this study is to develop an association between vitamin exposures and the outcome of prevented risk of autism. The proposal can potentially establish correlations that will help identify, and prevent risk factors of autism. Two objectives for this study are: to measure the prevalence of autism among young children in Canada, and...
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... and Autistic disorder (autism). Autistic disorder will be the focus of this study (CDC, 2012). Children develop autism before the age of three years and struggle with it throughout their lives (CDC, 2012). “Autism creates many challenges in the child’s life and it negatively impacts; intellectual disabilities, language delays, social and communication difficulties and unexpected behaviour and interests” (CDC, 2012). Autism does not segregate between racial and ethnic groups, nor does it relate to socioeconomic status; however it has been proven to occur more often in males than in females (CDC, 2012). Over the past decade there has been a significant increase in the number of autistic diagnoses (CDC, 2012). Evidence has shown that the development of autism occurs during the pregnancy phase (Schmidt, 2011); which leads this study to analyze the association between intake of iron, and zinc during pregnancy and preventing autism in the offspring. Specific Aims The proposed study will be focused on whether women who take iron and zinc supplements during the three trimesters of the pregnancy will reduce the risk of autism in their offspring. The goal of this study is to develop an association between vitamin exposures and the outcome of prevented risk of autism. The proposal can potentially establish correlations that will help identify, and prevent risk factors of autism. Two objectives for this study are: to measure the prevalence of autism among young children in Canada, and...
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...Neurology (2001) 1:3 http://www.biomedcentral.com/1471-2377/1/3 BMC Neurology (2001) 1:3 Research article Traumatic brain injury as a risk factor for Alzheimer disease. Comparison of two retrospective autopsy cohorts with evaluation of ApoE genotype Address: 1L.Boltzmann Institute of Clinical Neurobiology, Baumgartner Hoehe 1, B-Bldg., A-1140 Vienna, Austria, 2Department of Neuropathology, University of Munster School of Medicine, Munster, Germany and 3Cognitive Neuropharmacology Unit, H.M. Jackson Foundation, Bethesda, Md, USA E-mail: Kurt A Jellinger* - kurt.jellinger@univie.ac.at; Werner Paulus - werner.paulus@uni-muenster.de; Christian Wrocklage - christian.wrocklage@uni-muenster.de; Irene Litvan - ilitvan@dvhip.org *Corresponding author Kurt A Jellinger*1, Werner Paulus2, Christian Wrocklage2 and Irene Litvan3 Published: 30 July 2001 BMC Neurology 2001, 1:3 This article is available from: http://www.biomedcentral.com/1471-2377/1/3 Received: 29 June 2001 Accepted: 30 July 2001 © 2001 Jellinger et al; licensee BioMed Central Ltd. Verbatim copying and redistribution of this article are permitted in any medium for any non-commercial purpose, provided this notice is preserved along with the article's original URL. For commercial use, contact info@biomedcentral.com Abstract Background and Purpose: The impact of traumatic brain injury (TBI) on the pathogenesis of Alzheimer disease (AD) is still controversial. The aim of our retrospective autopsy study was to assess...
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