Assignment 4: CorrelationsThis week, you explore key statistical concepts related to data and problem solving through the completion of the following exercises using SPSS and the information found in your Statistics and Data Analysis for Nursing Research textbook. The focus of this assignment will be on correlation coefficients, tools that can help to determine the strength of the relationship between variables. Because multiple factors influence health care variables, it is important for you to understand how to calculate and interpret correlation coefficients.To prepare:· Review the Statistics and Data Analysis for Nursing Research chapters that you read as a part of the Week 6 Learning Resources. As you do so, pay close attention to the examples presented—they provide information that will be useful for you to recall when completing the software exercises.You may also wish to review the Research Methods for Evidence-Based Practice video resources.· Refer to the Week 6 Correlations Exercises and follow the directions to calculate correlational statistics using Polit2SetB.sav data set (see attached file)· Compare your data output against the tables presented in the Week 6 Correlations Exercises SPSS Output document (see attached file)· Formulate an initial interpretation of the meaning or implication of your calculations.To complete:· Complete the Part I and Part II steps and Assignments as outlined in the Week 6 Correlations Exercises page (see attached file). Due Thursday 10/05/17 by 6pmThis assignment requires the use ofSPSS SoftwareRequired MediaWalden University. (n.d.). Correlations. Retrieved August 1, 2011, from http://streaming.waldenu.edu/hdp/researchtutorials/educ8106_player/educ8106_correlations.htmlRequired ReadingsGray, J.R., Grove, S.K., & Sutherland, S. (2017). Burns and Grove’s the practice of nursing research: Appraisal, synthesis, and generation of evidence (8th ed.). St. Louis, MO: Saunders Elsevier.Chapter      23, “Using Statistics to Examine Relationships”Chapter 23 explains how to use statistics to examine relationships between groups using correlational analyses, scatter diagrams, Spearman rank-order correlation coefficient, and Kendall’s tau.Statistics and Data Analysis for Nursing ResearchChapter      4, “Bivariate Description: Crosstabulation, Risk Indexes, and Correlation”      (pp. 59–61 and 68–78)This chapter describes components of bivariate descriptive statistics, including crosstabulation, risk indexes, and correlation. The chapter also discusses the concepts of absolute risk, relative risk, odds ratio, and correlation matrices.Chapter      9, “Correlation and Simple Regression” (pp. 197–209)This portion of Chapter 9 continues the discussion of inferential statistics and explores correlation and simple linear regression.

I need 1 reply comment to each post with a credible sources, citation and years above 2013 in APA format.Post 1CHIEF COMPLAINT: Shortness of Breath and coughSubjective:  Pt presents with complaints of shortness of breath and productive cough.  Pt relates he is coughing up thick green sputum with occasional bloody sputum. Pt relates that he has increased shortness of breath with walking.  Patient relates that he is also short of breath at rest. Pt also relates that he has had some chills and sweats and felt like he may have a fever.  He states that he has taken Tylenol for those symptoms.Objective: Temperature 100.9, Respiratory rate 20, Heart rate 82, Blood pressure right arm 128/70, Oxygen saturation 89% on room air, Weight 210 pounds, EKG shows normal sinus rhythm, Chest radiographAssessment:  Skin is warm and moist. Thorax is symmetrical with diminished breath sounds with rales and expiratory wheezes throughout, negative for rhonchi. Wet productive cough noted during exam. Heart is regular sinus rhythm with rate of 82. Good S1, S2; negative S3 or S4 and negative for murmur. Abdomen protuberant with normoactive bowel sounds auscultated in all four quadrants. No pedal edema noted. 2+ dorsalis pedis pulses bilaterally. Neurologic: Patient is awake, alert and oriented to person, place and time. Chest radiograph shows infiltrate in the right middle lobe.Priority diagnosis includes 1. Pneumonia 2. Myocardial Infarction 3. Pulmonary embolism   4. Congestive Heart Failure 5. Asthma1. Pneumonia: The patient presents with productive cough and shortness of breath with exertion.  Patient has elevated temperature and low oxygen saturations along with diminished breath sounds, rales and expiratory wheezes which are all consistent symptoms with community acquired pneumonia. (Lynn, 2017).  Chest radiograph shows right middle lobe infiltrate which is also consistent with pneumonia. (Kaysin and Viera, 2016).2. Myocardial Infarction: The patient presents with shortness of breath and low oxygen saturations.  Pt states that his shortness of breath is worse with exertion but is present at rest also.  Dyspnea is a frequent associated symptom with MI. (Lawesson, Thylen, Ericsson, Swahn, Isaksson and Angerud, 2018). The patient did have an EKG completed that revealed a normal sinus rhythm at a rate of 80 with no obvious signs of ectopy.  Evaluation of troponin level would assist in ruling out MI as a diagnosis for this patient. (Berliner, Schneider, Welte and Bauersachs, 2016).3. Pulmonary Embolism: Dyspnea is the primary symptom for patients with PE. (Garcia-Sanz, Pena-Alvarez, Lopez-Landeiro, Bermo-Dominguez, Fonturbel and Gonzalex-Barcala, 2014). Onset of dyspnea with PE is typically sudden and further history for this patient related to onset of symptoms.  Evaluation of any extremity pain and swelling, D-dimer or chest angiography would also assist in determining if this was a more likely diagnosis. (Berliner, Schneider, Welte and Bauersachs, 2016).4. Congestive Heart Failure: Dyspnea is also a common symptom with congestive heart failure.  Fatigue, diminished exercise tolerance and fluid retention are also common symptoms of CHF. (Berliner, Schneider, Welte and Bauersachs, 2016). The patient has rales noted upon auscultation which could be consistent with congestive heart failure however coupled with the remainder of the exam including productive cough with thick green sputum and fever, CHF would not be the primary diagnosis. Further evaluation of extremities of abdomen and extremities for signs of fluid retention would be indicated as well as labs such as BNP.5. Asthma: The patient has expiratory wheezes and shortness of breath which are both consistent with asthma; however the patient also has fever and productive cough which are not consistent asthma symptoms. (Huether and McCance, 2017).Plan: Not indicatedReferencesArcangelo, V. P., Peterson, A. M., Wilbur, V. & Reinhold, J. A.  (Eds.). (2017). Pharmacotherapeutics for advanced practice: A practical approach (4th ed.). Ambler, PA: Lippincott Williams & Wilkins.Ball, J. W., Dains, J. E., Flynn, J. A., Solomon, B. S., & Stewart, R. W. (2015). Seidel’s guide to physical examination (8th ed.). St. Louis, MO: Elsevier Mosby.Berliner, D., Schneider, N., Welte, T., & Bauersachs, J. (2016). The Differential Diagnosis of Dyspnea. Deutsches Aerzteblatt International, 113(49), 834. doi:10.3238/arztebl.2016.0834Debasis, D., & David C., H. (2009). Chest X-ray manifestations of pneumonia. Surgery Oxford, (10), 453. doi:10.1016/j.mpsur.2009.08.006Dains, J. E., Baumann, L. C., & Scheibel, P. (2016). Advanced health assessment and clinical diagnosis in primary care (5th ed.). St. Louis, MO: Elsevier Mosby.García-Sanz, M., Pena-Álvarez, C., López-Landeiro, P., Bermo-Domínguez, A., Fontúrbel, T., & González-Barcala, F. (2014). Original article: Symptoms, location and prognosis of pulmonary embolism. Revista Portuguesa De Pneumologia, 20194-199. doi:10.1016/j.rppneu.2013.09.006Post  2S:Chief Complaint: “I am having chest pain at this time”History of Present Illness: Pleasant, Caucasian male experiencing an acute onset of sharp, constant chest pain when taking a deep breath.  Denies any alleviating factors. Yesterday his wife noticed his RT leg was edematous with erythema, denies any injury. Recently he returned from a vacation with an 8-hour plane ride. The patient was not asked if his pain radiated or if he had nausea or dizziness.Past Medical History: Denies taking any medications. Allergies, surgeries, past medical conditions “not provided.” History of cancer or deep vein thrombosis not provided.Social History: MarriedReview of symptoms:General: Feels short of breath when taking a deep breath, also having sharp lower RT rib pain.Cardiovascular: Experiencing tachycardia. Peripheral edema started yesterday in RT lower leg.Pulmonary: Reports having sharp pain when taking a deep breath with no relief measures noted. Complains of dyspnea with productive hemoptysis cough this morning.Gastrointestinal: “not provided.”O:VS: BP 148/88 RT arm; P 112 and irregular; R 32 and labored; T 97.9 orally; Pulse Ox 90% on RA; His current weight is stable at 210 pounds.General: Well-nourished, a well developed Caucasian male who is alert and cooperative. He is a good historian and answers questions appropriately. Patient sitting upright at the side of the cot appears anxious with labored breathing. Guarding noted in the anterior, distal RT rib area.Cardiovascular: Skin is pallor, cool and diaphoretic. Heart rate is tachycardic. S1 and S2 irregular with no S3, S4, or murmur auscultated. RT calf with erythema, 2+ edema, warmth, and tender with palpation. LT leg with no edema, tenderness, or erythema noted. Bilateral 2+ dorsalis pedis pulse. Telemetry showing a sinus arrhythmia.Gastrointestinal: Protuberant abdomen with active bowels x 4 quadrants.Pulmonary: LT Lung clear to auscultation, RT middle and lower lobes with diminished breath sounds. No rales, rhonchi, or wheezing auscultated. Respirations labored. Respiratory excursion symmetrical.Diagnostic results: CXR, ECG, venous doppler studies and ultrasound for DVT, V/Q scan, CT of the chest, labs- sputum culture, cardiac enzymes. Telemetry.A:Differential Diagnosis:1.) Pulmonary Embolism2.) Pneumonia3.) Lung Cancer4.) Myocardial Infarction5.) Cardiac ArrythmiaP:“not required”Evidence and Justification of Differential Diagnosis and Diagnostic TestsGruettner J. et al. (2015) report the Wells risk score assesses the history of a previousDVT or PE in a patient. Assessment of tachycardia, recent surgeries or immobilization,observation of DVT signs, an alternative diagnosis less likely than pulmonary embolism,hemoptysis, and cancer are gathered.  Each area is assigned a score and the calculated total scoreinterprets the probability of having a pulmonary embolism. The patient calculated scoreindicated a pulmonary embolism even though the history of cancer was unknown.The diagnostic test of a CT angiography was found to be successful in the diagnosis of apulmonary embolism with Gruettner J. et al. (2015) research. The D-dimer, ABG, EKG, andcomputed tomography showed little value in the diagnosis (Gruettner J. et al., 2015).Dains, J. E., Baumann, L. C., & Scheibel, P. (2016) indicate pneumonia causes the

No plagiarism will be checked with turnitin.APA style formatting, font 12, double spaced with headers.Will need Title page, content 3 full double spaced  pages in length, plus a minimum of 3 peered reviewed references in the Reference page.  (Total of 5 pages).Assignment: Analysis of Current Evidence Based Practice Guidelines for the Treatment of Otitis MediaThis Assignment requires a current, evidence based practice guideline that is specific to the child in the following scenario. Once you find the appropriate guideline, you will be ready for analysis and evaluation.First, carefully review the case. Then, using the Internet, find a current (no older than 4 years old 2014-2018) relevant evidence based practice guideline for the treatment of otitis media for this particular pediatric patient.There should be a minimum of three current (within the last 5 years) peer-reviewed references including the authors of the guideline.Make sure to address the following in your paper:Use below headings while answering questionsBriefly explain your search strategy. For example, how did you find the correct guideline?Who developed the guideline?Is this a revision of a previous guideline or an original? What is the date of publication?Explain the concept of “systematic review of current best evidence.”How was conflict of interest managed in the development of these guidelines?How is quality of evidence defined?Explain differences among strong recommendation, recommendation, and optionWhat are “key Action statements?”For this particular child, what are the specific treatment recommendations including any diagnostics, medications (include exact dosage, frequency, length of treatment), follow-up, referral, prevention, and pain control.Case:A 5-year-old male is brought to the primary care clinic by his mother with a chief complaint of bilateral ear pain for the last three days. The mother states that the child has been crying frequently due to the pain. Ibuprofen has provided minimal relief. This morning, the child refused breakfast and appeared to be “getting worse.”Vital signs at the clinic reveal HR 110 bpm, 28 respiratory rate, and tympanic temperature of 103.2 degrees F. The mother reports no known allergies. The child has not been on antibiotics for the last year. The child does not have history of OM. The child is otherwise healthy without any other known health problems.After your questioning and examination, you diagnose this child with bilateral Acute Otitis Media.

In a 5- to 10-slide PowerPoint presentation, address the following:· Provide an overview of the article you selected, including answers to the following questions:What type of group was discussed?Who were the participants in the group? Why were they selected?What was the setting of the group?How often did the group meet?What was the duration of the group therapy?What curative factors might be important for this group and why?What “exclusion criteria” did the authors mention?· Explain the findings/outcomes of the study in the article. Include whether this will translate into practice with your own client groups. If so, how? If not, why?· Explain whether the limitations of the study might impact your ability to use the findings/outcomes presented in the article.Note: The presentation should be 5–10 slides, not including the title and reference slides.