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Saint HCM530 midterm exam




Question;Compare and contrast;clinical health services to public health and epidemiology in terms of a) how;they are defined, b) goals, c) their target focus and d) functions.;(Points: 10)Q2Managerial epidemiology is integrated through general management;functions. Explain each of the management functions in terms of the;managerial epidemiology, i.e., what are the;a. Planning functions, example(s)?;b. Directing functions, example(s)?;c. Controlling functions, example(s)?;d. Organizing functions, example(s)?;e. Financing function, example(s)?;(Points: 10)Q3Describe the ?natural;history of disease? and disease progression from its inception to its;resolution. (Points: 10)Q4;What are some of the many epidemiologic contributions to;quality assurance in healthcare and public health? (Points: 10);Answer;Question 5 of 7;December 31, 2009: A 48 year old male computer technician with;hypertension, smoker, sedentary lifestyle, who does not do any aerobic exercise;enjoys fast food, eating it three times per day, with a family history of;coronary artery disease (CAD), and a personal history of high cholesterol has;a stressful deadline at work, which requires him to travel 17 hours on a plan;to go on location in Australia. Unfortunately, he suffers an acute;myocardial infarction in route to location and dies. He is now part of;our epidemiology population mortality statistics. Calculate the U.S.;Mortality Rates, which includes our computer technician in terms of crude;rate of mortality, adjusted mortality rates and cause-Specific mortality rate;using the 2009 statistics.;Input Data for Calculations;-2009;U.S. Census: 305,529,237 Total;-2009 U.S. Census: Males 148,094,000;-2009 U.S. Census: Females 153,388,000;Population;by Age and Sex: 2009;Age;Both sexes;Male;Female;Number;Percent;Number;Percent;Number;Percent;.35 to 39;20,445;6.8;10,169;6.9;10,275;6.7;.40 to 44;20,877;6.9;10,322;7.0;10,556;6.9;.45 to 49;22,712;7.5;11,162;7.5;11,550;7.5;.50 to 54;21,654;7.2;10,611;7.2;11,043;7.2;.55 to 59;18,755;6.2;9,083;6.1;9,671;6.3;-2009 U.S. Deaths: 2,436,682;-2009 U.S. Male Deaths 1,217,047;-2009 U.S. Female Deaths 1,219,635;2009 Deaths By Gender/Age All races, male;All ages?????1,217,047;1-4 years??????14,872;5-14 years??????2,507;15-24 years??.???3,244;25-34 years?..???22,294;35-44 years?????29,150;45-54 years?????46,498;55-64 years??.??114,615;65-74 years??.??183,945;75-74 years??.??225,740;75-84 years??.??311,135;>=85 years??.??262,839;Not stated????????206;2009 CVD/ Heart Attack;Mortality;Male/Age;Age (All);186,464;35-44;55,957;45-54;115,615;55-64;276,844;65-74;677,598;Source;CDC (2009);Case;Questions;a. Calculate;the Crude mortality rate for the entire U.S. in 2009.;b. Calculate;a total adjusted mortality rates by gender for all men (males-only).;c.;Calculate an age/sex adjusted mortality rate using the demographics of the;diseased computer technician.;d.;Compare b) morality rate calculated with c) mortality rate;calculated. Is the adjusted mortality rate for males, age 45-54 years;of age higher or lower than for all males, all ages?;e. Calculate;a Cause-Specific mortality rate for deaths related to Cardiovascular;Disease (Heart Attacks), using the demographics of our computer technician.;Answer;Q;250 words;Case Study #1;2.1. Food poisoning outbreak at Bluegrass Hospital;An outbreak of food poisoning occurred among the 400 staff and patients at;Bluegrass Hospital a few hours after eating dinner. Among the 60 people who;became ill, the Symptoms were mainly nausea, vomiting and diarrhea. The;infection control nurse investigated the outbreak and reported results in;Table 2.5 Below;Questions: 5 pts each;1. What is the ?crude? attack rate?;2. What are the food-specific attack rates for those who consumed, and did not;consume each food item?;3. How many times more likely are people who consumed specific food items to;get sick compared to those who did not consume each item?;4. Which food item is the most likely cause of this ?common source? outbreak?;5. What are the incubation period and most likely cause of the outbreak?;(Points: 25);250 words;Question 7 of 7Case Study;#2: Osteoporosis Marketing Plan;You are the Director of Community Relations, reporting to the Chief;Operating Officer (COO) at Allright Memorial Hospital, Anywhere, USA.;You have been asked by your COO to spearhead a community council with local;public health officials, who will be focused on women over 50 for the;prevention of osteoporosis. Your committee?s strategic plan SWOT;analyses revealed the following information.;Background;The purpose of this project is to create an intervention prevention program;that minimizes osteoporosis in women over 50 and with the health risks;associated with the condition for Anywhere, USA. Per the Centers for;Medicare and Medicaid (CMS), abstracted from medical claims data, ?an;estimated 10 million Americans have osteoporosis and 34 million Americans;have low bone mass, placing them at an increased risk for osteoporosis. An;analysis, using the Anywhere, USA state hospital database shows a slightly;higher rate of risk than the national average. The report shows that;osteoporosis is responsible for more than 1.5 million fractures annually;including 300,000 hip fractures, 700,000 vertebral fractures, 250,000 wrist;fractures, and more than 300,000 fractures of other sites. Osteoporosis can;be prevented. Early diagnosis and treatment can reduce or prevent fractures;from occurring?. (CMS 2007);The;Committee Objectives;1. To research and identify best community partners and interventions;for prevention of high risk osteoporosis residents in Anywhere, USA.;2. To use create a health promotion marketing plan for early bone;density screening targeted throughout the Anywhere, USA communities.;Targets: At Risk Population for Osteoporosis;Age: Postmenopausal woman;over >= 50 years of age;Race: Caucasian, Asian;African-American and Hispanic women;History: Women who have a;family or personal history of fractures after age 50;Health Conditions: Women who have;menopause before the age of 45 due to a medical condition or unknown;cause.;Healh Behaviors: Women who have;premature menopause due to anorexia, bulimia, tabacco and alcohol use;or excessive exercise.;Nutrient Deficiencies: Calcium and/or vitamin;D deficiency;Lifestyle: Sedentary, inactive;lifestyle;Medical Treatements: Steroid;(corticosteroids), radiation and/or chemotherapy treatments;Source;NIH 2010, Chart: Meyer 2010;________________Case Questions;1. Using reliable primary resources do research and determine who the;best community partners, and the most effective interventions for;prevention promotion for high risk osteoporosis residents in Anywhere;USA. Your own hospital is one community partner, and it radiology services;(bone density machines) are a resource. What other and resources;within the community would be appropriate?;2. Create a health promotion marketing plan for early bone density;screening targeted throughout the Anywhere, USA communities using the 4-Ps.;Your marketing plan also needs a mission statement, a statement of purpose;objectives and timelines of how you will implement the program.


Paper#58635 | Written in 18-Jul-2015

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