UNIVERSITY)
WEEK 3 DISCUSSION
Discussion Part One (graded)
Risk and Cohort Study Design
As an Advanced Practice Nurse, you will care for patients who are at risk for specific
diseases. Please pick one chronic or infectious disease specific to a population in your
geographic area and provide evidence of risk, relative risk, and odds ratio in relation to
that disease, and specific risks in the population you identified.
Dr. Bethel and class,
In 2015, there was an estimated 6,006,401 individuals throughout the state of Maryland.
In addition, this appraisal includes 621,849 people living in the metropolitan city of
Baltimore, Maryland (United States Census Bureau, 2016). The Center for Disease Control
and Preventionranks Maryland as the second highest in lifetime risk for being infected with
human immunodeficiency virus (HIV). It is important to realize, that HIV, progresses to the
fatal acquired immunodeficiency syndrome (AIDS). Therefore, it is a lethal virus, which
attacks the body's immune system specifically, CD4 cells or T-cells. For this reason, if HIV
continues untreated, the body will eventually be unable to fight infection and disease. Not
to mention, over time the damage to the immune system will make it harder for the body to
fight off diseases and opportunistic infections. In summary, untreated individuals will die
(National Center for HIV/AIDS, Viral Hepatitis, STD, and TB Prevention, 2016). In fact, if the
current infection rate continues for HIV diagnosis, 1in 49 persons in the state of Maryland
will contract HIV sometime during their lifetime (HIV and AIDS in the United States by
geographic distribution, 2016). In 2012, there were 31,067 individuals living with HIV
infection in the state of Maryland (Centers for Disease Control and Prevention, 2015). On
year later in 2013, Maryland ranked seventh among the 50 states having 47,165 estimated