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November 24, 2016

1. What are the burden of disease for respiratory and cardiovascular mortality due to outdoor air quality in the year 2000, 2008 and 2013 in Malaysia?

2. What is the trend of environmental burden of disease for respiratory and cardiovascular due to outdoor air quality in the year 2000, 2008 and 2013 in Malaysia? Study objectives – General objective:

o To determine the outdoor air pollution burden of disease from selected cardiovascular and respiratory disease mortality using 2000, 2008 and 2013 burden of disease data – Specific objectives: o To determine outdoor air quality in Malaysia in 2000, 2008 and 2013

o To determine the burden of disease of selected cardiovascular and respiratory disease mortality in Malaysia for year 2000, 2008 and 2013

o To determine the attributable fraction of outdoor air quality to the above burden of disease o To calculate the cardiovascular and respiratory burden of disease from air quality The methodology must describe the use of below to calculate the environmental burden of disease:

1. Disability Adjusted Life Years (DALY)

2. Attributable Fraction/Impact Fraction Data are derived from: 1. Air quality data (PM 10) 2. Mortality and Morbidity from Ministry of Health Assumptions: 1. Air quality data represents the nation air quality

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The Case of the Nurse Addict Judy Boise and Claire Temple have been colleagues for a long time—they have worked together at the same hospital for 6 years. Since obtaining a divorce, however, Ms. Temple’s personality has changed. She often makes silly comments or giggles at inappropriate times. At other times, Ms. Temple is very irritable and resorts to taking medication for her “nerves.” Ms. Boise suspects that her friend is developing a drug dependency. Her suspicion is confirmed one day when Ms. Temple asks Ms. Boise to work for her while she sleeps off the effects of some medication. Ms. Boise confronts her friend with her suspicions. Ms. Temple acknowledges that she has been taking cocaine but asks Ms. Boise not to tell other nurses about the nature of her problem. Ms. Boise promises not to tell. The next day, however, Ms. Boise finds Ms. Temple asleep in a chair in an empty room when she should be taking care of a patient. Does Ms. Boise have an obligation to break the promise she made to Ms. Temple in order to protect their patients from unsatisfactory levels of nursing care? How much respect for confidentiality can one expect from a fellow nurse?

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