Women’s and Men’s Health, Infections, and Hematologic Disorders

Case study

A 14-year-old female is brought to the urgent care by her mother, who states that the girl has had an abnormal number of bruises and “funny looking red splotches” on her legs. These bruises were first noticed about 2 weeks ago and are not related to trauma. PMH not remarkable and she takes no medications. The mother does state the girl is recovering from a “bad case of mono” and was on bedrest at home for the past 3 weeks. The girl noticed that her gums were slightly bleeding when she brushed her teeth that morning.

Labs at urgent care demonstrated normal hgb and hct with normal WBC differential. Platelet count of 100,000/mm3 was the only abnormal finding. The staff also noticed that the venipuncture site oozed for a few minutes after pressure was released. The doctor at urgent care referred the patient and her mother to the ED for a complete work-up of the low platelet count, including a peripheral blood smear for suspected immune thrombocytopenia purpura.

Assignment (2- to 3-page case study analysis)

In your Case Study Analysis related to the scenario provided, explain the following:

· The factors that affect fertility (STDs).

· Why inflammatory markers rise in STD/PID.

· Why prostatitis and infection happens. Also explain the causes of systemic reaction.

· Why a patient would need a splenectomy after a diagnosis of ITP.

· Anemia and the different kinds of anemia (i.e., micro and macrocytic).

I need these questions answered in 180-200 words. Please answer questions as asked and no omissions and please attach each question with references

MODULE 1

DQ1

Statistics is an important component of public health. Explain the relevance of statistics in the planning, implementation, and evaluation of a health promotion intervention. How do you envision using statistics in your current or future career?

DQ2

Describe the difference between quantitative and qualitative methods. Explain how each are used in public health.

RESOURCES

Read Chapter 1 in Using and Interpreting Statistics: A Practical Text for the Behavioral, Social, and Health Sciences.

View “The Human Insights Missing From Big Data,” by Wang (2016), located on the TED website.

URL: https://www.ted.com/talks/tricia_wang_the_human_insights_missing_from_big_data

Read “Statistics and Public Health at CDC,” by Sieber, Green, and Williamson (2006), located on the Center for Disease Control and Prevention (CDC) website.

URL:https://www.cdc.gov/mmwr/preview/mmwrhtml/su5502a9.htm

View “Why You Should Love Statistics,” by Smith (2017), located on the YouTube website.

URL: https://www.youtube.com/watch?v=ogeGJS0GEF4&feature=youtu.be

View the following terms in The Visual Learner: Statistics media.

1. Statistics
2. Data
3. Continuous Data
4. Discrete Data
5. Interval Level
6. Ordinal Data
7. Nominal Data
8. Population
9. Sample
10. Parameter
11. Statistic

URL: http://lc.gcumedia.com/hlt362v/the-visual-learner/the-visual-learner-v2.1.html

Read “Integrating Quantitative and Qualitative Data in Mixed Methods Research – Challenges and Benefits,” by Almalki, from Journal of Education and Learning (2016).

URL: http://files.eric.ed.gov/fulltext/EJ1110464.pdf

SPSS Statistics will be used to complete some of the case study assignments for this course. Refer to “Using Citrix Workspace” in the GCU Technical Support Help Center for assistance with installing the Citrix Workspace App and preparing for SPSS files.

URL: https://support.gcu.edu/hc/en-us/articles/201144000-Using-Citrix-Workspace

After Citrix has been installed on your computer, you may access SPSS Statistics at https://myapps.gcu.edu.

Read “Quantitative and Qualitative Methods for Public Health,” from PH717 Module 1B – Descriptive Tools: Descriptive Epidemiology and Descriptive Statistics, located on the Boston University Medical Campus, School of Public Health website (2019).

URL: https://sphweb.bumc.bu.edu/otlt/MPH-Modules/PH717-QuantCore/PH717-Module1B-DescriptiveStudies_and_Statistics/PH717-Module1B-DescriptiveStudies_and_Statistics9.html

MODULE 2

DQ1

Frequency distributions can be graphed with bar charts, histograms or polygons. Choose one variable from the “Health Behavior Data Set” and discuss which type of graph is appropriate and why. Refer to section 2.3 in the Using and Interpreting Statistics: A Practical Text for the Behavioral, Social, and Health Sciences textbook as needed for assistance.

DQ2

The mean, median, and mode are measures of central tendency. Explain why these measures are crucial to public health data analysis.

STUDY MATERIALS

Read Chapters 2, 3, and 5 (section 5.1) in Using and Interpreting Statistics: A Practical Text for the Behavioral, Social, and Health Sciences. URL: 

http://www.gcumedia.com/digital-resources/macmillan-learning/2016/using-and-interpreting-statistics_a-practical-text-for-the-behavioral-social-and-health-sciences_ebook_3e.php

Read “Data Collection for Program Evaluation,” located on the Northwest Center for Public Health Practice website (2019).  URL: https://www.nwcphp.org/docs/data_collection/data_collection_toolkit.pdf

Read “Statistical Methods Used in the Public Health Literature and Implications for Training of Public Health Professionals,” by Hayat, Powell, Johnson, and Cadwell, from PLoS One (2017). URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5462407/

View the following tutorials from the SPSS Tutorials media.

1. Frequency Tables and Histograms
2. Descriptive Statistics

URL:https://www.gcumedia.com/lms-resources/student-success-center/v3.1/#/media-element/CHSS;CONHCP/1DF486B2-8C58-E811-B595-005056BDD6DE

View the following terms in The Visual Learner: Statistics media.

1. Confounding
2. Histogram

View the following calculations in The Visual Learner: Statistics media.

1. Frequency Distribution
2. Measure of Center      “Mean”
3. Measure of Center      “Median”
4. Measure of Center      “Mode”
5. Range and Standard Deviation
6. Variance

URL: http://lc.gcumedia.com/hlt362v/the-visual-learner/the-visual-learner-v2.1.html

You will use Microsoft Excel for your assignment, and you will need to enable to Data Analysis ToolPak add-in. The “Enabling Data Analysis ToolPak” guide located on the GCU Technical Support website, contains instructions for the add-in for both PC and Mac.

URL: https://support.gcu.edu/hc/en-us/articles/360039768454-Excel-Add-ins

You will use Microsoft Excel for your assignment, and you will need to enable to Data Analysis ToolPak add-in. The “Enabling Data Analysis ToolPak” guide located on the GCU Technical Support website, contains instructions for the add-in for both PC and Mac. URL: https://support.gcu.edu/hc/en-us/articles/360039768454-Excel-Add-ins

View “The Beginner’s Guide to Excel – Excel Basics Tutorial,” by Technology for Teachers and Students (2017), located on the YouTube website. URL: https://www.youtube.com/watch?v=rwbho0CgEAE&feature=youtu.be

MODULE 3

DQ1

Summarize the six steps of hypothesis testing. Propose a scenario in which hypothesis testing is applied to public health data.

DQ2

Compare and contrast descriptive and inferential statistics. Discuss why both descriptive and inferential statistics are used in the analysis of public health data.

STUDY MATERIALS

Read Chapters 6 in Using and Interpreting Statistics: A Practical Text for the Behavioral, Social, and Health Sciences.

URL:http://www.gcumedia.com/digital-resources/macmillan-learning/2016/using-and-interpreting-statistics_a-practical-text-for-the-behavioral-social-and-health-sciences_ebook_3e.php.

Read “Significance,” by Frey, from The SAGE Encyclopedia of Educational Research, Measurement, and Evaluation (2018).

URL: https://methods.sagepub.com/reference/the-sage-encyclopedia-of-educational-research-measurement-and-evaluation/i18904.xml

Read “Chapter 12 Descriptive Statistics,” by McGregor, from Understanding and Evaluating Research: A Critical Guide (2018).

URL: https://methods-sagepub-com.lopes.idm.oclc.org/book/understanding-and-evaluating-research/i2843.xml

View “Statistical Significance, the Null Hypothesis and P-Values Defined and Explained in One Minute,” by One Minute Economics (2018), located on the YouTube website.

URL: https://www.youtube.com/watch?v=nb75_GFPD9A&feature=youtu.be

View “SPSS for Beginners 1: Introduction,” by Research Design (2011), located on the YouTube website.

URL: https://www.youtube.com/watch?v=ADDR3_Ng5CA&feature=youtu.be

View the following tutorials from the SPSS Tutorials media.

1. Frequency Tables and Histograms
2. Descriptive Statistics

URL: https://www.gcumedia.com/lms-resources/student-success-center/v3.1/#/media-element/CHSS;CONHCP/1DF486B2-8C58-E811-B595-005056BDD6DE

SPSS Statistics will be used to complete some of the case study assignments for this course. Refer to “Using Citrix Workspace” in the GCU Technical Support Help Center for assistance with installing the Citrix Workspace App and preparing for SPSS files.

URL: https://support.gcu.edu/hc/en-us/articles/201144000-Using-Citrix-Workspace

After Citrix has been installed on your computer, you may access SPSS Statistics at https://myapps.gcu.edu.

View “Introduction to SPSS,” by GCU Academics – Nursing (2020). Use this resource to assist you in completing the topic assignment.

URL: https://www.gcumedia.com/lms-resources/student-success-center/v3.1/#/media-element/CONHCP/62DF3BAF-5A03-EB11-9111-005056BDE9D6

MODULE 4

DQ1

Correlation is a common statistic to measure a general linear relationship between two variables. Explain why correlation does not equal causation.

DQ2

Explain the differences between parametric and nonparametric tests. How do you determine if a parametric or nonparametric test should be used when analyzing data?

STUDY MATERIALS

Read Chapters 13 and 15in Using and Interpreting Statistics: A Practical Text for the Behavioral, Social, and Health Sciences.

URL: http://www.gcumedia.com/digital-resources/macmillan-learning/2016/using-and-interpreting-statistics_a-practical-text-for-the-behavioral-social-and-health-sciences_ebook_3e.php

Read “Correlation of Sleep Quality With Physical Activity and Memory Among Young Adults,” by Dubey, Tiwari, and Siddiqui, from Indian Journal of Physiotherapy and Occupational Therapy (2019).

URL:https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=ccm&AN=135203343&site=ehost-live&scope=site&custid=s8333196&groupid=main&profile=ehost

Read “The Role of Community-Wide Wearing of Face Mask for Control of Coronavirus Disease 2019 (COVID-19) Epidemic Due to SARS-CoV-2,” by Cheng et al., from Journal of Infection (2020).

URL: https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S0163445320302358?via%3Dihub

Explore the “Adolescent and School Health” page located on the Centers for Disease Control and Prevention website.

URL: https://www.cdc.gov/healthyyouth/

Utilize topics from the Loom Help Center website for assistance on installing Loom software and software usage.

URL: https://www.gcumedia.com/digital-resources/opentest-inc/2018/loom_1e.php

View “Conducting a Pearson Correlation and Chi-Square Test in SPSS,” by GCU Academics – Nursing (2020). Use this resource to assist you in completing the topic assignment.

URL: https://www.gcumedia.com/lms-resources/student-success-center/?mediaElement=210EADEC-5A03-EB11-9111-005056BDE9D6

MODULE 5

DQ1

Compare the various types of ANOVA by discussing when each is most appropriate for use. Include specific examples to illustrate the appropriate use of each test and how interaction is assessed using ANOVA.

DQ2 

When analyzing public health data, describe the steps you would take to determine what statistical test to conduct. Discuss the impact of data type on test selection.

STUDY MATERIALS

Read Chapters 7-12 in Using and Interpreting Statistics: A Practical Text for the Behavioral, Social, and Health Sciences.

URL:http://www.gcumedia.com/digital-resources/macmillan-learning/2016/using-and-interpreting-statistics_a-practical-text-for-the-behavioral-social-and-health-sciences_ebook_3e.php

View the following tutorials from the SPSS Tutorials media.

1. One-Sample t-Test
2. Matched Pairs t-Test
3. Independent Samples t-Test
4. One-Way ANOVA
5. Two-Way ANOVA-Between Groups

URL:https://www.gcumedia.com/lms-resources/student-success-center/v3.1/#/media-element/CHSS;CONHCP/1DF486B2-8C58-E811-B595-005056BDD6DE

View the following calculations in The Visual Learner: Statistics media.

1. Introduction to t-test
2. One Sample t-Test
3. Two Sample t-Test
4. One Way ANOVA
5. Effect Size One Way ANOVA
6. Two Way ANOVA
7. Effect Size Two Way ANOVA

URL: http://lc.gcumedia.com/hlt362v/the-visual-learner/the-visual-learner-v2.1.html

Read “Changing the Face of Health Education via Health Interventions: Social Ecological Perspectives on New Media Technologies and Elementary Nutrition Education,” by Bissell, Baker, Pember, Zhang, and Yang, from Health Communication (2019).

URL: https://doi-org.lopes.idm.oclc.org/10.1080/10410236.2018.1507659

Read “Can a Community-Led Intervention Offering Social Support and Health Education Improve Maternal Health? A Repeated Measures Evaluation of the PACT Project Run in a Socially Deprived London Borough,” from Brown, Luderowski, Namusisi-Riley, Moore-Shelley, and Bolton, from International Journal of Environmental and Public Health (2020).

URL: https://search-proquest-com.lopes.idm.oclc.org/docview/2393647115?accountid=7374

Read “Choosing the Correct Statistical Test in SAS, STATA, SPSS and R,” by Leeper, from Choosing the Right Statistic, located on the UCLA Institute for Digital Research and Education Statistical Consulting website.

URL: https://stats.idre.ucla.edu/other/mult-pkg/whatstat/

Read “Variables Associated With Job Satisfaction Among Mental Health Professionals,” by Fleur, Grenier, Bamvita, and Farand, from PLoS ONE (2018).

URL: https://lopes.idm.oclc.org/login?url=https://www-proquest-com.lopes.idm.oclc.org/docview/2122532147?accountid=7374

Examine the general information about the “Youth Risk Behavior Surveillance System” survey, located on the Adolescent and School Health (2018) page of the Centers for Disease Control and Prevention (CDC) website.

URL: https://www.cdc.gov/healthyYouth/data/yrbs/index.htm

Review the documentation and questionnaires provided in “YRBSS Data and Documentation” (2018), located on the National YRBS Datasets and Documentation page on the Centers for Disease Control and Prevention (CDC) website.

URL: https://www.cdc.gov/healthyyouth/data/yrbs/data.htm

Read “2015 YRBS Data User’s Guide” (2016), located on the Adolescent and School Health page of the Centers for Disease Control and Prevention (CDC) website.

URL: https://www.cdc.gov/healthyyouth/data/yrbs/pdf/2015/2015_yrbs-data-users_guide_smy_combined.pdf

Read the “2015 State and Local Youth Risk Behavior Survey” (YRBS), located on the Adolescent and School Health page of the Centers for Disease Control and Prevention (CDC) website.

URL: https://www.cdc.gov/healthyyouth/data/yrbs/questionnaires.htm

Utilize topics from the Loom Help Center website for assistance on installing Loom software and software usage.

URL: https://www.gcumedia.com/digital-resources/opentest-inc/2018/loom_1e.php

View “Conducting a t-Test and ANOVA in SPSS,” by GCU Academics – Nursing (2020). Use this resource to assist you in completing the topic assignment.

URL: https://www.gcumedia.com/lms-resources/student-success-center/?mediaElement=6616F929-5B03-EB11-9111-005056BDE9D6

MODULE 6

DQ1

Given the limited amount of statistical calculations required by some public health positions, explain why it is important for you to know how to utilize appropriate software to analyze public health data. Support your ideas with reasons, facts, and examples.

DQ2

Discuss three strengths of the linear regression? Identify a peer-reviewed study that uses linear regression in its analysis. Explain why linear regression was used and discuss one challenge in interpreting the results. Include the permalink with your citation.

STUDY MATERIALS

Read Chapter 14 and 16 in Using and Interpreting Statistics: A Practical Text for the Behavioral, Social, and Health Sciences.

URL: http://www.gcumedia.com/digital-resources/macmillan-learning/2016/using-and-interpreting-statistics_a-practical-text-for-the-behavioral-social-and-health-sciences_ebook_3e.php

View the Linear Correlation tutorial in the SPSS Tutorials media.

URL: https://www.gcumedia.com/lms-resources/student-success-center/v3.1/#/media-element/CHSS;CONHCP/1DF486B2-8C58-E811-B595-005056BDD6DE

View the calculations for “Linear Regression” in The Visual Learner: Statistics media.

URL: http://lc.gcumedia.com/hlt362v/the-visual-learner/the-visual-learner-v2.1.html

Read “How to Control Confounding Effects by Statistical Analysis,” by Pourhoseingholi, Baghestani, and Vahedi, from Gastroenterology and Hepatology From Bed to Bench (2012).

URL: https://www-ncbi-nlm-nih-gov.lopes.idm.oclc.org/pmc/articles/PMC4017459/

Read “Variables Associated With Job Satisfaction Among Mental Health Professionals,” by Fleury, Grenier, Bamvita and Farand, from PLoS ONE (2018).

URL: https://lopes.idm.oclc.org/login?url=https://www-proquest-com.lopes.idm.oclc.org/docview/2122532147?accountid=7374

MODULE 7

DQ1

Describe three methods for qualitative data collection and discuss an example of when each method would be used.

DQ2

Describe the process of coding qualitative data. Identify the distinguishing factors between inductive and deductive coding.

STUDY MATERIALS

Read “Comparison Between Qualitative Research and Quantitative Research,” in Chapter 6 and read Chapter 8 in GCU Doctoral Research: Quantitative and Qualitative Research Concepts.

This textbook references an assigned dissertation. You are not required to complete a dissertation for this course.

URL: http://www.gcumedia.com/digital-resources/grand-canyon-university/2015/gcu-doctoral-research_quantitative-and-qualitative-research-concepts_ebook_1e.php

Read “A Review of Qualitative Data Analysis Practices in Health Education and Health Behavior Research,” by Raskind et al., from Health Education and Behavior (2019), available as authors manuscript from PubMed Central (PMC), located on the National Center for Biotechnology Information (NCBI) website.

URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6386595/pdf/nihms-990092.pdf.

Review “Quantitative and Qualitative Methods for Public Health,” from PH717 Module 1B – Descriptive Tools: Descriptive Epidemiology and Descriptive Statistics, located on the Boston University Medical Campus, School of Public Health website (2019).

URL: https://sphweb.bumc.bu.edu/otlt/MPH-Modules/PH717-QuantCore/PH717-Module1B-DescriptiveStudies_and_Statistics/PH717-Module1B-DescriptiveStudies_and_Statistics9.html

Read “Lessons Learned in Promoting Evidence-Based Public Health: Perspectives From Managers in State Public Health Departments,” by Allen et al., from Journal of Community Health (2018).

URL: https://lopes.idm.oclc.org/login?url=https://www-proquest-com.lopes.idm.oclc.org/docview/2009849333?accountid=7374

Read “Section 15: Qualitative Methods to Assess Community Issues,” from “Chapter 3: Assessing Community Needs and Resources,” of the Community Assessment toolkit, located on the Community Tool Box website.

URL: https://ctb.ku.edu/en/table-of-contents/assessment/assessing-community-needs-and

Read “Focus Groups Inform a Mobile Health Intervention to Promote Adherence to a Mediterranean Diet and Engagement in Physical Activity Among People Living With HIV,” by Henry, Quintana, Moore, Garcia, and Montoya, from BMC Public Health (2019).

URL: https://bmcpublichealth.biomedcentral.com/articles/10.1186/s12889-018-6386-5

MODULE 8

DQ1

Refer back to your response to Topic 1 DQ 1: “Statistics is an important component of public health. Explain the relevance of statistics in the planning, implementation and evaluation of a health promotion intervention. How do you envision using statistics in your current or future career?” After completing the course, how has your vision changed regarding the role statistics will have in your current or future career?

DQ2

Discuss an ethical challenge you might face as a researcher when collecting and analyzing data from human subjects. What is an IRB and why is it necessary?

STUDY MATERIALS

Review Chapter 16 in Using and Interpreting Statistics: A Practical Text for the Behavioral, Social, and Health Sciences.

URL:http://www.gcumedia.com/digital-resources/macmillan-learning/2016/using-and-interpreting-statistics_a-practical-text-for-the-behavioral-social-and-health-sciences_ebook_3e.php

View “Talk Nerdy to Me,” by Marshall (2012), located on the TED website.

URL: https://www.ted.com/talks/melissa_marshall_talk_nerdy_to_me

Read “Conducting High-Value Secondary Dataset Analysis: An Introductory Guide and Resources,” by Smith et al., from Journal of General Internal Medicine (2011).

URL: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3138974/

Read “Successful Scientific Writing and Publishing: A Step-by-Step Approach,” By Iskander, Wolicki, Leeb, and Siegel, from Tools and Techniques (2018), located on the Centers for Disease Control and Prevention (CDC) website.

URL: https://www.cdc.gov/pcd/issues/2018/18_0085.htm

Read “The Belmont Report,” by the Department of Health, Education, and Welfare (1979), located on the U.S. Department of Health and Human Services (HHS) website.

URL: https://www.hhs.gov/ohrp/sites/default/files/the-belmont-report-508c_FINAL.pdf

Read “IRB FAQs” on the IRB Institutional Review Board, located on the Grand Canyon University website.

URL: https://cirt.gcu.edu/irb_documents/irbstudentresearchersfaqsdocx

  

The Assessment Tool: This assignment involves design of a new assessment tool to evaluate a community facility or online program that focuses on the management of obesity through weight loss. The assessment tool should be flexible enough to evaluate any program dealing with weight-related issues. As you are designing the tool, you must consider the complete physical, psychological, intellectual, social, and spiritual well-being of program participants to determine if a program is adequately meeting a participant’s needs. In addition, the assessment tool must address co-morbidities and sensitivity to diversity. Develop a meaningful set of criteria to evaluate the services provided by the facility that you will be evaluating. These criteria will form the foundation of your assessment tool. You are encouraged to review the assessment tool grading rubrics and the Program Evaluation 2 instructions before completing this assignment. 

Several resources are included in the Reference section below. You may find it helpful to review these resources and others as you develop the assessment tool. It is important to know the comorbidities that are often associated with obesity, as well as factors that contribute to program adherence and successful weight loss. 

  

References:

1. Thomas, PR, ed. Weighing the Options: Criteria for Evaluating Weight-Management Programs. Washington D.C., Institute of Medicine/National Academy Press; 1995. 

2. Aim for a healthy weight. National Institute of Health: National Heart, Lung, and Blood Institute. https://www.nhlbi.nih.gov/health/educational/lose_wt/recommen.htm Accessed August 3, 2020. 

3. Choosing a safe and successful weight-loss program. National Institute of Health: National Institute of Diabetes and Digestive and Kidney Disease. https://www.niddk.nih.gov/health-information/weight-management/choosing-a-safe-successful-weight-loss-program. Published July 2017. Accessed August 3, 2020. 

     

     

Assessment   Tool Section Due

 

Physical:   addresses energy needs and comorbidities  

 

Psychological:   addresses mental illness and eating disorders 

 

Intellectual: addresses   nutrition education and comorbidity education  

 

Social/Spiritual:   addresses social support and spiritual needs 

  

In the article, “Evidence-Based Practice: Critical Appraisal of Qualitative Evidence,” the author asserts that all qualitative critical appraisals base their criteria on three primary questions: 1) Are the study findings valid? 2) What were the results of the study? and 3) Will the results help me in caring for my patients? Each of these three primary questions is addressed in its own table in the article, Tables 2, 3, and 4 respectively.

Answer the discussion using 300 words… Files are attached