ow does the application help the user? Listed below are application examples. You are not limited to this selection: DxPlain®, QMR®, Prodigy®, Diagnosis Pro®, Iliad®, and Problem Knowledge Couplers®

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Investigate clinical decision support applications and provide a summary of at least two of the applications that you find. Please provide facts about each of the applications and answer the following questions:

1. What does the application do?

2. How does the application help the user? Listed below are application examples. You are not limited to this selection: DxPlain®, QMR®, Prodigy®, Diagnosis Pro®, Iliad®, and Problem Knowledge Couplers®

Please do not duplicate your fellow classmates’ responses. If you use the same application, you must give new information about the application.

Discussion responses should be on topic, original, and contribute to the quality of the discussion by making frequent informed references to lesson material. Initial discussion responses should be around 200 words.

On two diferent paragraph Give your Opinion to

Gabriela Berrios

 

I have chosen IBM Micromedex and DxPlain as the clinical decision support applications.

IBM Micromedex:

What does it do?

  1. It accelerates access to evidence. (IBM, 2018).
  2. You can ask questions naturally; the way clinicians ask clinicians. (IBM, 2018).
  3. It delivers quick clinical responses, supporting faster patient care. (IBM, 2018).
  4. It has optional access from within the EHR. (IBM, 2018).

How does it help the user?

IBM Micromedex can answer many drug information questions from specific content with in Micromedex, including quick answers for drug classes, dosing and administration, medication safety, mechanism of action, pharmacokinetics and drug interactions. (IBM, 2018).

DxPlain:

What does it do?

  1. It collects clinical information and makes use of a modified form of Bayesian logic to derive clinical interpretations. (DxPlain, n.d.).
  2. It accepts a set of clinical findings like symptoms, signs, and laboratory data to produce a ranked list of diagnoses which might explain the clinical manifestations. (DxPlain, n.d.).
  3. It does not offer definitive medical consultation and should not be used as a substitute for physician diagnostic decision making. (DxPlain, n.d.).

How does it help the user?

  1. It has over 2,400 diseases and over 5,000 clinical findings like symptoms, signs, epidemiologic data and laboratory, endoscopic and radiologic findings. (DxPlain, n.d.).
  2. The average disease description includes 53 findings with a range from 10 to over 100. (DxPlain, n.d.).
  3. It has a wide spread use for over 25 years, and it has grown and evolved over that time. (DxPlain, n.d.).
  4. It provides justification for why each of these diseases might be considered, suggests what further clinical information would be useful to collect for each disease and lists what clinical manifestations would be unusual or atypical for each of the specific diseases. (DxPlain, n.d.).

References:

IBM Micromedex: Clinical knowledge with the power of Watson. (2018, August 24). Retrieved from https://www-01.ibm.com/common/ssi/cgi-bin/ssialias?htmlfid=56018856USEN&&cm_mmc=Search_Google-_-WatsonHealth_Watson%20Health_WW_US_clinicaldecisionsupportapplications_Exact_&cm_mmca1=000031BB&cm_mmca2=10007858

DXplain. (n.d.). Retrieved from http://www.mghlcs.org/projects/dxplain

and  Jonathan Paine

The two applications I have chosen are Dxplain and Quick Medical reference.  Dxplain is a clinical decision support system which, allows systems to be inputted and able to generate a diagnosis based on what was entered into the system. It was designed by the laboratory of computer science in Massachusetts general hospital in 1984.  Quick medical reference was developed to help physicians diagnose adult diseases.   It provides electronic access to more than 750 diseases representing most of the disorders seen by internists in daily practice as well a compendium of less common diseases.  Quick medical reference uses over 5,000 clinical finding to describe diseases features.

Thomson, R. (n.d.). Retrieved from http://www.openclinical.org/aisp_qmr.html

Thomson, R. (n.d.). Retrieved from http://www.openclinical.org/dm_dxplain.html

for a total of two pages

 Discuss the standards applicable to possible sources. Include several recommendations you would make to the manager to help solve the problem based on your research into documented best practices for similar situations.

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Safety Plan Consider the following scenario. You are the safety and occupational health professional for your city’s health department. You received a call from a major food-distribution warehouse about some employees who are complaining of dizziness and feeling sick.

The scene is a very large warehouse; a significant portion is refrigerated. The illnesses are being reported from a refrigerated section (about 40 degrees F), where workers are blister packing food products on a production line. The warehouse has 20 loading docks, two railroad car lines that end directly inside the warehouse (in close proximity to the production area), a dozen or so gas powered forklifts, and no sensors or environmental monitors of any kind except those associated with the refrigeration systems. The warehouse manager is cooperative, but he points out that he is in the middle of contract negotiations with the union. He is also very proud of the fact that they have special seals on the loading dock doors and throughout the warehouse to keep the cold in and the heat out.

You cannot identify any discernible odors other than the exhaust from the forklifts when they move by you. There are four women waiting for you in the break room complaining of dizziness and lightheadedness. They are all comparing and complaining about their symptoms. There are 14 employees who work in this area of the warehouse: 12 women and 2 men.

Instructions: Based on the given scenario, develop a plan of action that includes how you would conduct the investigation, how you would identify possible sources of the problem, and your opinion on the likely source.

Discuss the standards applicable to possible sources. Include several recommendations you would make to the manager to help solve the problem based on your research into documented best practices for similar situations.

 

Note: You may make assumptions about the scenario in order to propose solutions (be certain to state your assumptions clearly).

Your Case Study must be four to six pages in length, double spaced. All sources used,  must be referenced; paraphrased and quoted material must have accompanying citations.

Analyze why Reconstruction ended.

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First watch the PBS video:

Reconstruction: A Moment In The Sun :     www.pbs.org/video/2365472571/

Choose one of the below for your main post. Respond to at least one student who answered a different question from you. The answers should come from your textbook, the lectures, videos, and the research you conducted in the Library.

 

1) Give detailed, analytical examples of how the ex-slave society tried to stop the advancement of African Americans after the Civil War.

2) How did African Americans respond to the end of slavery and the realities of freedom? How did southern whites respond to the loss of their slaves and the slave-based economy?

3) Analytically describe the debate in Congress over Reconstruction. What was the result? How did the laws and policies passed affect the South?

4) Analyze why Reconstruction ended.

5) What role did the KKK and the Red Shirt militias play in southern politics during the 1860s and 1870s?

 

Last part: At the end of your post please comment in one paragraph on what you have learned that was new, surprising, and interesting. .

Coll300

250 words minimum

Attachment below

Week 7 Forum: Conclusion of Paper and Traits of Academic Writing

This forum has two parts.

Part 1:  Conclusion (with introduction for context):   First, using the information from this week’s required readings, draft and post the conclusion to your research paper. While there is no set word limit for this assignment, your conclusion should provide adequate closure for your paper. You are encouraged to try one of the techniques outlined in the lecture notes to create a memorable conclusion.

Post your introduction (or a revised version) from last week as well.  Be sure to respond to the postings of at least 2 of your classmates, providing them constructive feedback on the effectiveness of their conclusions.

Part 2:  Traits of Academic Writing:  Referring back to the traits of academic writing identified by Thonney in the forum for week 4 (and pasted in below), write a paragraph reflecting on how you tried to ensure your paper reflected those traits.

In her recent article in Teaching English in the Two Year College, Teresa Thonney outlines six standard features of academic writing:

Writers respond to what others have said about their topic.

Writers state the value of their work and announce the plan for their papers.

Writers acknowledge that others might disagree with the position they’ve taken.

Writers adopt a voice of authority.

Writers use academic and discipline specific vocabulary.

Writers emphasize evidence, often in tables, graphs, and images. (348)

In your responses to others, offer your views of their conclusions as well as their reflections about the traits of academic writing.

Posting Instructions

Your initial post is due no later than 11:55 pm ET Thursday and should be between 250 and 300 words; you

 

Transportation Logistics Management

Topics:

Globally Optimized Operations

International Logistics

Forum –  You may pick out one topic or several topics to discuss.    Each week the initial post will include a reflection and conclude with a question for the other students to ponder.

To be considered substantive, your reply should add significantly to the discussion by building on others’ comments, pointing out similarities or differences in your backgrounds or course expectations, etc.  One or two sentence responses such as “Hi, welcome to the course!” or “I feel the same way” are not acceptable.

Instructions:  Your initial post should be at least 250 words.

Define case-control study (provide your source)

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It is a Tuesday evening at 4:59pm and you are leaving the local health department where you serve as the lead epidemiologist. The phone rings, when you answer, it is the Health Services director at a local, residential college. The students arrived on Campus on Saturday, by today, several dozen students have reported to the college health clinic with nausea, vomiting, stomach cramps and diarrhea. The first student reported to the clinic at 8:15am, by 4:30, the clinic had seen 3 dozen cases. There are 3001 students at the college.

 

Question 2: What is the current attack rate of the disease? (show your work)

 

UPDATE: Wednesday, August 22nd 5pm

Since this afternoon, 75 additional students have reported ill to the clinic, an additional seven went to the local hospital due to advanced symptoms. In addition, you have learned that at least one parent, who was dropping their child off at the college, has reported to their local hospital with similar symptoms.

You call the local hospital to get information regarding the seven students who went there and learn that all seven were admitted and are being treated with fluids. The hospital tells you it has collected stool samples and sent them to the lab for analysis.

Question 5: Provide a case definition

 

Question 6: Provide an updated attack rate (show your work)

Question 8: Create an epi curve based on what you know at this point.

If you need additional assistance with how to create an epi curve, use this resource: https://www.cdc.gov/training/quicklearns/createepi/

 

Question 9: Does the shape of the epi curve indicate a point source outbreak or a propagated outbreak?

 

Question 10: Now that you know the agent involved (Staph), how will you identify the specific source of the outbreak?

Question 11: Provide an updated case definition based on what you now know.

 

UPDATE, Thursday, August 23rd, 1pm

You receive a complete list of the names, addresses, phone numbers and email addresses for all 3,001 students at the college. After reviewing the data further, you notice that 58 of those that are sick, are freshmen. There are 307 incoming Freshmen.

Question 12: Other than the students, who else should you test/interview for possible exposure?

Question 13: Define case-control study (provide your source)

Question 14: Define cohort study (provide your source)

Question 15: would a case-control or cohort study be more appropriate for this outbreak? Explain your rationale.

Question 16: calculate the risk ratio for freshmen. (show your work)

 

UPDATE, Thursday, August 23rd, 3pm

You have learned that there was a special “Back to School” event for Freshmen and their families. The event was held outside, and included a buffet, people passing by could have eaten it, but it was specifically for Freshmen and their families. You have decided to send a survey to all those who are at risk.

Question 17: What is the best method for communicating with all those at risk?

Question 18: What population would you start with? (i.e. who is your highest risk group?)

Question 19: Draft an email and questionnaire to send to those at risk for the outbreak.

(You will have TWO work products for this question: 1-email to your target population and 2-a questionnaire/survey

EMAIL: (type your email below, do NOT attach it in a separate document)

SURVEY: (type your survey questions below, do NOT attach them as a separate document)