by admin | Nov 26, 2022 | Medicine
will be provided later
Dissertation – Systematic Review – 12.000 words
My research question is this.. “Is McKenzie effective for treating the neck in elderly individuals?”
– If, after investigating, you are unable to locate 8–12 primary studies that could be incorporated into this systematic review, feel free to revise my research topic.-
Qualitative review (thematic analysis, narrative synthesis) OR quantitative review (metanalysis), explaining why you didn’t / Did utilise it. For this review, stick to a single methodology and don’t combine any. Choose one option only: quantitative review or qualitative evaluation.
Limitation and strengths
– Discuss bias under “limitations and strengths” ( it must be acknowledged the risck of bias, limitation e.g. not being able to work in a group and strength e.g. being able to have a supervisor, another limitation is that the narrative synthesis lacks precision, there is no excepted or form of techniques with the narrative synthesis, )
Academic writing level 7
Review Design
In this systematic review, the PICO model suited to quantitative research
The results of PICO analysis are shown below:
Population
Intervention
Comparison
Outcome
Data Extraction Form
Key Elements
Data Extraction Form Template (2017)
https://epoc.cochrane.org/sites/epoc.cochrane.org/files/public/uploads/Resources-for-authors2017/good_practice_data_extraction_form.doc
– For each study needs to be done a table
6. Data analysis
7. Timetable
8. References (including 8-12 primary research studies)
https://www.prisma-statement.org//PRISMAStatemtnt/flowDiagram
Appendix A: Search string
Appendix B: Databases/ search engines
Appendix C: preliminary search history from
Appendix D:Trials identified during preliminary searching
Appendix E: Critical appraisal tool
Appendix F: Data extraction form
USE Prisma (PRISMA is an evidence-based minimum set of items for reporting in systematic reviews and meta-analyses)
https://www.prisma-statement.org//PRISMAStatement/FlowDiagram
Data Extraction Form Template (2017) – https://epoc.cochrane.org/sites/epoc.cochrane.org/files/public/uploads/Resources-for-authors2017/good_practice_data_extraction_form.doc
Adapted From Cornell University Library (2022)
https://guides.library.cornell.edu/evidence-synthesis/data-extraction
We were given the following link as an illustration of a systematic review.
https://paahjournal.com/articles/10.5334/paah.190
www.casp-uk.net (critical appraisal skills programme (CASP)
https://casp-uk.net/casp-tools-checklists/ (to evaluate the literature)
http://jbi.global/critical-appraisal-tools (to assist in evaluating trust Worthing)
https://training.cochrane.org/sites/training.cochrane.org/files/public/iploads/resources/Hanbook5_1/Chapter_8_Handbook_5_2_8pdf – ( Quality & Risk of Bias?)
by admin | Nov 26, 2022 | Medicine
As an attending at Banner University Medical Center, my clinical responsibilities include the following:
• Inpatient stroke services for 14-16 weeks
• Stroke clinic at north campus 2 times/week
• Staffing residents & fellows stroke clinic
• Providing education to students, residents, and fellows during either rounds or lectures
As leadership:
– Nominated as a program associate in 9/2022 . Since then,
I helped resident and fellow to create the schedule and create a backup plan for resident coverage in case of emergency. Also, I’m working to create a new model for the resident evaluation. The goal of this model to improve the quality of the evaluation system for the residents. In addition, it will help the mentors the guide the resident for their future.
-I’m also a member of stroke committee: our most recent joint commission review yielded a full 2 years accreditation cycle and we were commended for our significant compliance with the guidelines. In addition I’m coaching 2 stroke fellows that joined the stroke program each year.
Patient Centered Service
• As a part of a practical community-centered approach, our stroke clinic provides a support group for stroke survivors and their loved ones. I have served as a facilitator for this organized support group
• My patient care philosophy: treat every patient as if they are family or friends. I dedicated my time and effort to listening and answering all patient’s concerns and questions. As a treating physician, I understand that a stroke patient is a complex individual with emotions, lifestyle, family, and other factors that I must evaluate carefully as a part of the diagnosis and treatment to achieve the best result. Never forget that a patient is a person; I usually pay attention to patient’s and family need and provide the best answer to comfort family and the patient. In addition, I usually uptodate with the treatment guideline, however, I examine many factors before making treatment recommendations. While a “by-the-numbers” approach is faster and more efficient for many practitioners, it rarely yields optimal results for you.
by admin | Nov 25, 2022 | Medicine
* I don’t need a research paper yet. What I need is a specific AIMS page for now.
I was asked to read the Tourrete Syndrome Protocol ( I will send it to you) After reading the protocol I have to identify the research approach, develop a research question/ hypothesis and then ‘COMPLETE RESEARCH SPECIFIC AIMS PAGE’. I need from the Tourrete Syndrome Protocol to come up with a specific AIMS PAGE: It should consist of an introduction paragraph, your aims and a closing statement.
by admin | Nov 24, 2022 | Medicine
Please discuss one thing that you learned from lab this week.
1-2 paragraphs in length
In APA format
by admin | Nov 21, 2022 | Medicine
0. This order is extremely time-limited! If you cannot finish the order on time, do NOT assign this order pls! 1. The major is Medicine. 2. This is a Literature Review. 3. I will upload an instruction, you must read it thoroughly before you start writing the paper. 4. Keep the plagiarism rate no more than 15% pls, I will check it when I get the paper. 5. Write more your own original analysis and explanation instead of descriiption. 6. If you have any problem, do not hesitate to contact me asap, thank you so much!
by admin | Nov 21, 2022 | Medicine
Textbook: https://www.qcc.cuny.edu/SocialSciences/ppecorino/MEDICAL_ETHICS_TEXT/index.html
Written Assignment for MODULE 10 CARE OF THE DYING
From: Munson, Ronald. INTERVENTION AND REFLECTION.6th ED.,Belmont, California: Wadsworth Publishing Company,2000 . Page 243 Scenario #3
On April 8th, 1984, William Bartling was admitted to the Glendale Adventist Medical Center in Los Angeles. He was twenty-seven years old and suffered from five ordinarily fatal diseases: emphysema, diffuse arteriosclerosis, coronary arteriosclerosis, an abdominal aneurysm, and inoperable lung cancer. During the performance of a biopsy to diagnose the lung cancer, Mr. Bartling’s left lung collapsed. He was placed in ICU, and a chest tube and mechanical respirator were used to assist his breathing.
Mr. Bartling complained about the pain the respirator caused him, and he repeatedly asked to have it removed. When his physician refused, he pulled out the chest tube himself. This happened so often that eventually Mr. Bartling’s hands were tied to the bed to keep him from doing it. He had signed a living will in attempt to avoid such a situation.
Although after discussions with Richard Scott, Mr. Bartling’s attorney, Mr. Bartling’s physician in the hospital administration agreed to disconnect the respirator, the hospital’s attorney refused to permit it. He argued that, since Mr. Bartling was not terminally ill, brain dead, or in a persistent vegetative state, the hospital might be open to legal action.
Mr. Scott took the case to Los Angeles Superior Court. He argued that Mr. Bartling was legally competent to make a decision about his welfare and that, although he did not want to die, he understood that disconnecting the respirator might lead to his death. The hospital’s attorney took the position that Mr. Bartling was ambivalent on the question of his death. His statements “I don’t want to die” and “I don’t want to live on the respirator” were taken as inconsistent and so as evidence of ambivalence. Removing the respirator, the attorney argued, would be tantamount to aiding suicide or even committing homicide.
The court refused to either allow the respirator to be removed or to order that Mr. Bartling’s hands be freed. To do so, the court ruled, would be to take a positive step to end treatment, and the only precedents for doing os were in cases in which the patients were comatose, brain dead, or in a chronic state of vegetative state.
The case was then taken to the California court of Appeal, which ruled: “If the right of a patient to self-determination as to his own medical treatment is to have any meaning at all, it must be paramount to the right of a competent adult patient to refuse medical treatment is a constitutionally guaranteed right which must not be abridged.”
The rule came too late for Mr. Bartling. He died twenty-three hours before the court heard his appeal.
ASSIGNMENT MODULE 10
PART 1. Reading Comprehension
State what the Rule Utilitarian and Natural Law positions would be in this case above involving William Bartling and why you think so for each position.
PART 2. Critical Thinking
Using the DIALECTICAL PROCESS state what your ethical position would be on the case of William Bartling and why. You are to take a position and defend it. You should use some ethical principle to decide what you think is the morally correct thing to do. You must state those principles and explain how they have been applied to the situation. You should indicate that you have rejected alternative positions to your own and the reasons why you have done so. In so doing you need to enunciate clearly the values and ethical principle(s) you are using to both reject the alternative positions and to defend or support your own. The ethical principles were presented in Module/Chapter 2 and include Egoism, Utility, Natural Law, Categorical Imperative, Maxi-Min Principle, Existentialism, Feminism. Refer to one or more of these as ethical principles when answering assignments. Do not use the Moral Principles of Health Care as Ethical Principles. The Moral Principles involved in Health Care include: Autonomy, Informed Consent, Truth Telling, Confidentiality, Privacy. These are NOT the basic ethical principles such as include Egoism, Utility, Natural Law, Categorical Imperative, Maxi-Min Principle, Existentialism, Feminism. The moral principles are popular and recognized in several ways in health care including in “codes” and in statements of “rights” because there are so many of the Basic Ethical Principles that support the moral judgment that these MORAL Principles of Health Care are a MORALLY GOOD THING.
Use this template or form to make certain that you include each part of the process-parts a to e
Label your parts with the letters a to e to make very clear that you have done each part.
Dialectical thinking: the 5 parts
a. Take a position on this question or issue Be as exact as you can be. Be precise in your use of language (ethical principles and values).
b. Provide the reasons why you think this position is better defended by reason and evidence than are the alternative positions Position defended using reasoning (ethical principles and values) in support of the judgment (conclusion of the argument). You state the reasons why the position you take makes sense and has evidence and reasons (ethical principles and values) to support it other than your feelings or personal preference or your opinion or what you were brought up to believe or what just about everyone you know thinks or believes. Philosophers have offered such reasons (ethical principles and values). and evidence for the positions they have taken and you should consider them and if you agree you can and should so state them in support of your own position.
c. State the reasons why you found the other positions that use other (ethical principles and values). flawed or less defensible than the one you are defending
d. State the criticisms of your position from those who use other (ethical principles and values).
e. Respond to those criticisms from those using other (ethical principles and values).-a rebuttal- how do you defend your position in light of those criticisms?
_____VIDEO on Dialectical Process http://www.youtube.com/user/PhilipPecorino#play/uploads/21/zziTWJPbYyU_________________
NOTE: A Case Study is due for this module at the same time the written assignment is due!
Communicate clearly the values and ethical principle(s) you are using to both reject the alternative positions and to defend or support your own. The ethical principles were presented in Module/Chapter 2 and include Egoism, Utility, Natural Law, Categorical Imperative, Maxi-Min Principle, Existentialism, Feminism. Refer to one or more of these as ethical principles when answering assignments.
Do not use the Moral Principles of Health Care as Ethical Principles. The Moral Principles involved in Health Care include: Autonomy, Informed Consent, Truth Telling, Confidentiality, Privacy. These are NOT the basic ethical principles such as include Egoism, Utility, Natural Law, Categorical Imperative, Maxi-Min Principle, Existentialism, Feminism. The moral principles are popular and recognized in several ways in health care including in “codes” and in statements of “rights” because there are so many of the Basic Ethical Principles that support the moral judgment that these MORAL Principles of Health Care are a MORALLY GOOD THING.
