Travel Registered Nurse

Thank You Congresswoman Loretta Sanchez (CA-47)

2010-09-03T14:18:00.001-07:00

Pictured: Congresswoman SanchezThank you to Congresswoman Loretta Sanchez (CA-47) for her co-sponsorship of HR 4601 The National Nurse Act of 2010. Congresswoman Sanchez proudly serves the 47th District of California. She began her career in November 1996 and is currently concluding her 7th term in the U.S. House of Representatives. The Congresswoman serves as Vice-Chair of the House Homeland Security Committee and is a member of the Subcommittees on Border, Maritime, and Global Counterterrorism and Emerging Threats, Cybersecurity, and Science and Technology. According to Congresswoman Sanchez's website, she is a firm believer that every American, and particularly every child, should have access to quality medical care. She was a proud supporter of H.R. 2, the State Children's Health Insurance Program (SCHIP) Reauthorization bill, which was signed into law by President Obama on February 4, 2009. The SCHIP law will preserve healthcare for the 7 million children who are currently covered by SCHIP and extend coverage to an additional 4 million uninsured children who have been eligible for, but not enrolled in, SCHIP and Medicaid.The National Nursing Network Organization received this statement from Congresswoman Sanchez:"America has the best health care system in the world, and part of the reason is the quality of our nurses," said Rep. Loretta Sanchez. "The National Nurse Act will help ensure our nurses receive the resources and support they need to continue to provide quality care. Nothing could be more important than recognizing these outstanding men and women."Thank You Congresswoman Loretta Sanchez (CA-47)

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Letter to the Editor Published!

2010-08-18T09:40:00.001-07:00

Reprinted from Seacoastonline.com-August 17, 2010"To the Editor:Gallup's annual survey of professions reports nurses are the most trusted profession in America for their honesty and ethical standards. When I want to learn what is happening in health care, I turn to nursing publications and research. I am thus pleased that legislation has been introduced in Congress called The National Nurse Act of 2010, which finally establishes an Office of the National Nurse within the Public Health Service.The National Nurse would provide leadership to strengthen nurses' efforts with a nationwide cultural shift to prevention. The Office of the National Nurse is needed to slow the growing epidemics of preventable chronic diseases, to promote health awareness and increase health knowledge, and to promote health careers and strengthen health infrastructures. As trusted frontline health educators and caregivers, nurses have a long history of expertise in health promotion to improve health outcomes.Nurses know that a healthy population strengthens families and communities in many positive ways. So does Congresswoman Carol Shea-Porter, as one of the earliest supporters of the The National Nurse Act of 2010. Thank you, Carol, for being a congressional sponsor of this important legislation and continuing to work on behalf of all of us in the 1st District."Laurie McCrayPortsmouth, New HampshireLetter to the Editor Published!

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'Cyberchondriacs' on the Rise?

2010-08-12T16:57:00.001-07:00

'Cyberchondriacs' on the Rise?Originally from: http://feedproxy.google.com/~r/NursezonecomNursingNews/~3/Wyy7lfye1Js/Cyberchondriacs-on-the-Rise_34874.aspx

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NSNA Recognizes Leader of Leaders

2010-08-10T12:42:00.001-07:00

NSNA Recognizes Leader of LeadersOriginally from: http://feedproxy.google.com/~r/NursezonecomNursingNews/~3/UdlnVRnP_uc/NSNA-Recognizes-Leader-of-Leaders_34842.aspx

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The Campaign for a "National Nurse"

2010-08-09T07:59:00.001-07:00

"Reprinted with permission. © 2010 HealthLeaders Media, www.healthleadersmedia.com." Rebecca Hendren, for HealthLeaders Media, August 3, 2010A grassroots campaign is underway to create an Office of the National Nurse. The initiative calls for a national nursing leader, similar in stature to the U.S. Surgeon General, who will serve as a figurehead for nurses around the country, and spearhead health prevention efforts.The movement has received much support, and there is legislation now in the U.S. House.I wondered what a national nurse would do and why supporters felt there should be one, so I spoke with Teri Mills, author of the original New York Times op-ed that first suggested the idea back in 2005.Turns out, America already sort of has a national nurse. There is a chief nurse officer at the U.S. Public Health Service, and Mills' proposal is to create an Office of the National Nurse and elevate this CNO to be officially known as "national nurse.""So few people even know the chief nursing officer exists," says Mills. "Even members of Congress do not know this position exists. We would like Congress to have this position be known as the national nurse."Mills is the president of the National Nursing Network Organization, which was founded to campaign for the national nurse initiative. She says the beauty of the position is that the framework already exists and a little effort could make the position a leader in health prevention, working with organizations such as the American Heart Association and National Kidney Association, to improve Americans' health.The chief nurse position is currently part time. Under the legislation, it would become a full time position, with a redefined focus for the bureaucracy that already exists. Mills understands the political realities she faces. "The country has a huge deficit," she says. "Now is not a time to be asking for new money or new bureaucracy. But we have a position already.""We have an incredible epidemic of chronic preventable conditions," adds Mills. Recent healthcare reform legislation includes "money for health promotion and prevention. But we need leadership. What is missing is the messenger."Mills argues that a National Nurse could provide leadership to the nation's 3.4 million nurses to deliver the message of prevention in multiple languages to every American by partnering and strengthening the work of existing groups, including the Office of the Surgeon General."Health education and promotion is the cornerstone of every nurse's practice," says Mills. "Nurses have a really good record in promoting health literacy. The national nurse could inspire and engage nurses to participate in health prevention."The grassroots campaign has been gathering momentum over the last few years. It does not employ professional lobbyists in Washington. Instead, it relies on support from nurses in the field who are slowly spreading the word and debating whether a national nurse can be a unifying voice for the profession. Mills encourages nurses to visit the website to learn more about what she believes a national nurse could accomplish.In the meantime, although the bill has 17 cosponsors, it will likely need another trip through Congress before it gets close to passing. The National Nursing Network Organization is soliciting input from across the healthcare spectrum to craft a bill with the best chance of success.Rebecca Hendren is an editor with HealthLeaders Media. She can be reached at

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Top Of The List For Dropping Out Of High School - ADHD, Conduct Disorder And Smoking

2010-07-29T17:02:00.001-07:00

Top Of The List For Dropping Out Of High School - ADHD, Conduct Disorder And SmokingOriginally from: http://www.nursinglink.monster.com/news/articles/15647-top-of-the-list-for-dropping-out-of-high-school---adhd-conduct-disorder-and-smoking

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A Man's Desperate Quest for a Kidney Hits Cyberspace

2010-07-29T11:57:00.001-07:00

July 29 - A South Tamaqua man in desperate need of a kidney donor continues to network his plea through newspapers, television and just recently the Internet.

John Nakata, 37, says he is too young to die and he wants to be around to raise his five-year-old son. But as each hour and day passes, he feels the likelihood of that happening decreases.

Nakata and his family appeared on YouTube in a video dated July 8 of this year.

The three-and-a-half-minute video shows John, his wife, Sherry, and his sister, Tina Nakata, pleading to anyone who is between the ages of 21 and 60 and in good health with type "O" blood to agree to be tested by doctors at the University of Pennsylvania Hospital in Philadelphia as a potential donor.

John has diabetes, coronary heart disease and failing kidneys. He receives hemodialysis three times a week and he has been on the donor list for years. But he feels time is running out and he believes he may have only two years to live.

Doctors at the hospital suggested that he get the word out for a stranger to step forward and donate a kidney.

"Each day about 19 people die waiting for a kidney donor. There are 80,000 people who need kidneys," Sherry said. She and her husband want to make people aware of the need for kidney and other organ donors.

Nakata's rare blood type presents another problem for donors but he and his family have been encouraged by the fact that they've heard from people in California, Cincinnati and other sections of the country.

"Four people have been tested and more are responding," Sherry said. "We're getting a lot of feedback and it's just amazing how strangers will offer to donate their kidney, but so far we haven't found a match."

The family has used just about every form of the media to get their message out for a kidney donor.

A man who identified himself as Jeremy White e-mailed the Standard-Speaker on July 22 asking for an area code number from a story published in the Standard-Speaker in June.

White said in the e-mail that he is a healthy, 37-year-old man with type "O" blood and stated he is willing to donate his kidney.

White sent a follow-up e-mail explaining his plans to contact a nephrologist to find out what else he needs to do to help Nakata. A nephrologist is a physician specializing in kidneys.

The newspaper forwarded White's e-mail to the Nakata family so they might contact him.

White wrote that he can't save everybody but it would be great to save one person.

John Nakata is hoping along with his family for just such a stranger to get tested at the University of Pennsylvania and to have a matching kidney that can be transplanted in time to save his life.

In addition to receiving hemodialysis, Nakata must take insulin and 46 pills daily.

He hopes that a donor will be found soon so he can celebrate his 15th wedding anniversary and continue to be able to spend time with his son.

To contact the Nakatas, call 570-436-5114 or e-mail them at donate2john@gmail.com.

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[widget:related_reads_flywheel_1]A Man's Desperate Quest for a Kidney Hits CyberspaceOriginally from: http://www.nursinglink.monster.com/news/articles/15600-a-mans-desperate-quest-for-a-kidney-hits-cyberspace

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States Continue Push For Extension Of Extra Medicaid Funds

2010-07-29T07:55:00.001-07:00

States Continue Push For Extension Of Extra Medicaid FundsOriginally from: http://mnt.to/f/3GKh

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Restless Legs Syndrome Appears To Occur Within Families

2010-07-29T02:47:00.001-07:00

Restless Legs Syndrome Appears To Occur Within FamiliesOriginally from: http://www.nursinglink.monster.com/news/articles/15556-restless-legs-syndrome-appears-to-occur-within-families

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CDC Confirms Dengue-Fever in Florida

2010-07-28T22:41:00.001-07:00

July 28 - The chief researcher of dengue fever at the Centers for Disease Control and Prevention says the federal agency stands by its statement that upward of 1,000 Key Westers could be infected with the disease.

However, Dr. Harold Margolis, based at the CDC's dengue lab in Puerto Rico, says that doesn't mean that 1,000 people are clinically ill with it.

"When you talk about a dengue case, you talk about someone who is clinically ill. For every case, you may have three or four people who are infected but not ill," he said Tuesday.

He likened it to HIV and AIDS. One can carry the HIV virus yet not have full-blown AIDS.

Symptoms of dengue fever include high fever, aching bones, headaches, pain behind the eyes and a rash. More than 100 million people worldwide have contracted the disease, which is endemic in some tropical areas including Puerto Rico, where Margolis is based, and Central America.

On July 13, in preparation for an Atlanta conference on infectious diseases, the CDC put out a report that said 5 percent of Key Westers could have dengue.

That was an extrapolation of 240 blood samples taken from Old Town residents after an initial outbreak of the mosquito-borne disease last June. Five percent of that group tested positive for dengue or related antibodies.

Five percent of a Key West population estimated at 20,000 people is 1,000 people.

And that has caused all kinds of headaches for tourism officials, since those numbers were reported worldwide.

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"This idea that there's an epidemic here, or that we're on the verge of an epidemic, is just false," said Andy Newman, chief marketing guru for the Monroe County Tourist Development Council.

But it's not, Margolis said.

Since 2009, 43 Key Westers have been diagnosed with having the actual dengue disease, according to the Monroe County Health Department.

"We've never said there are 1,000 people walking around with dengue," Margolis said. But he also said the 43 cases of those with the actual disease are "by definition ... an epidemic."

"I think we've been very clear from a technical standpoint," he said. "Yes, it has gotten to the public that you've got this large number of people who are ill, which is not the case."

He added, "I understand the message has gotten mixed, but we never said don't travel to this area. We're saying take precautions."

Florida Keys Mosquito Control District Director Ed Fussell is trying to sell his board on raising the agency's annual budget from $9.48 million to $12.16 million; that includes $931,000 to fight the spread of dengue.

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[widget:related_reads_flywheel_1]CDC Confirms Dengue-Fever in FloridaOriginally from: http://www.nursinglink.monster.com/news/articles/15565-cdc-confirms-dengue-fever-in-florida

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Stimulus Money Funding Medical Training Courses for the Unemployed

2010-07-28T17:33:00.001-07:00

Passaic County Community College in New Jersey is offering health care training courses beginning Aug. 2 for the unemployed and entry-level health care workers in an attempt to fill needed positions.

In February, the college received a $4.5 million grant from the American Recovery and Reinvestment Act to fund the Healthcare Training Initiative at no cost to participants. The first session is a phlebotomy course - training in drawing blood.

Project Director Donna Stankiewicz, assistant dean of health science and nurse education, has built a faculty and staff to develop and run the three-year program.

Six courses will be offered in electronic medical records, medical coding, supervisory/front line management, pharmacy technician, customer service training and phlebotomy.

Stankiewicz said PCCC plans to train 1,150 people, 300 unemployed and the remainder from PCCC's grant partners, including St. Mary's Hospital in Passaic, St. Joseph's Regional Medical Center in Paterson and Chilton Memorial Hospital in Pequannock.

"The goal is to get participants trained now ... so they can get employed," she said. Passaic County's unemployment rate is 11.4 percent.

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A placement coordinator will help participants find jobs after they complete the programs.

Cathy Lynch-Kilic, St. Mary's Hospital vice president of human resources, said PCCC will conduct three training programs at the hospital.

"They're offering courses for cross-cultural understanding, dealing with difficult people and communication listening," she said.

"We always want to maintain a high level of skill, and it's going to bring the hospital to the next level."

Stankiewicz said about 10 people are registered for the Aug. 2 class.

PCCC President Steve Rose said the program will pay dividends by providing opportunities for those with no or low-paying jobs in a field lacking qualified people.

"I think this is what the stimulus money was meant to do," he said.

"We all know in health care the unemployment rate is much lower than anything else."

According to the Bureau of Labor Statistics, the health care industry has added about 217,000 jobs since last year.

However, Trisha McTigue, director of education at Chilton Memorial Hospital, said she has not noticed a need for health- related workers.

"In the tri-state area we've had so many hospital closures, I don't know if we see the impact of the shortage," she said.

While the hospital may not have an employee shortage, Mctigue said Chilton is looking to enroll its employees in the customer service training and leadership certificate programs.

"Customer service you can't learn enough about," she said. "It's a 24-hour certificate program.

"People are looking for ways to market themselves today. This is an actual certificate program so it also looks nice on a resume."

Fast facts

Who is eligible? Unemployed or entry-level workers at a partner organization. Applicants must have a high school diploma or GED and take the college's placement test. Passaic County residents receive first priority.

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[widget:related_reads_flywheel_1]Stimulus Money Funding Medical Training Courses for the UnemployedOriginally from: http://www.nursinglink.monster.com/news/articles/15567-stimulus-money-funding-medical-training-courses-for-the-unemployed

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Average ED Wait Times Increase; Some Facilities Make Improvements

2010-07-28T14:28:00.001-07:00

Average ED Wait Times Increase; Some Facilities Make ImprovementsOriginally from: http://feedproxy.google.com/~r/NursezonecomNursingNews/~3/8TBOCqflpmc/Average-ED-Wait-Times-Increase-Some-Facilities-Make-Improvements_34716.aspx

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Alzheimer's Foundation Of America And Second Wind Dreams Forge Strategic Partnership

2010-07-28T09:23:00.001-07:00

Alzheimer's Foundation Of America And Second Wind Dreams Forge Strategic PartnershipOriginally from: http://mnt.to/f/3GH3

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Also In Global Health News: NIH And Rare Diseases; Cold Emergency In Peru; U.S.-Russia Emergency Cooperation Pact

2010-07-28T04:18:00.001-07:00

Also In Global Health News: NIH And Rare Diseases; Cold Emergency In Peru; U.S.-Russia Emergency Cooperation PactOriginally from: http://www.nursinglink.monster.com/news/articles/15551-also-in-global-health-news-nih-and-rare-diseases-cold-emergency-in-peru-us-russia-emergency-cooperation-pact

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HHS Awards $9 Million To Train Preventive Medicine Physicians

2010-07-28T02:17:00.001-07:00

HHS Awards $9 Million To Train Preventive Medicine PhysiciansOriginally from: http://www.nursinglink.monster.com/news/articles/15552-hhs-awards-9-million-to-train-preventive-medicine-physicians

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Improving Studies Of Cardiac Muscle With New Mathematical Model

2010-07-27T21:06:00.000-07:00

Improving Studies Of Cardiac Muscle With New Mathematical ModelOriginally from: http://www.nursinglink.monster.com/news/articles/15553-improving-studies-of-cardiac-muscle-with-new-mathematical-model

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New Study Shows That U.S. Nurses Believe They Considerably Influence Patient Health Decisions and Behavior

2010-07-27T18:02:00.001-07:00

New Study Shows That U.S. Nurses Believe They Considerably Influence Patient Health Decisions and BehaviorOriginally from: http://feedproxy.google.com/~r/NursezonecomNursingNews/~3/jvJdH9ZkDyo/New-Study-Shows-That-US-Nurses-Believe-They-Considerably-Influence-Patient-Health-Decisions-and-Behavior_34714.aspx

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Cancer On the Run But Not Conquered

2010-07-27T11:55:00.001-07:00

The American Cancer Society recently reported some good news: Cancer is still on the run.

Although men and women continue to get the disease in large numbers, the big change is found in cancer deaths. For men, death rates from cancer fell 21 percent between 1990 and 2006. Death rates for women fell 12.3 percent during that time. In all, some 767,000 deaths from cancer were avoided.

Now the sobering news: An estimated 569,490 people in the U.S. will die from cancer this year.

It's easy to get swept up in conflicting advice on how to avoid cancer. Some of the recommendations you hear are absolutely sound. Some ideas are tomfoolery.

There's at least one cause-and-effect that's plain as day and completely controlled by the individual. As smoking in the U.S. has plunged, so has the rate of lung cancer. Not smoking substantially reduces the chances that you will succumb to one of the greatest threats to public health. The national campaign against smoking has been a resounding success. Thousands of people walking around are living proof.

There are troubling signs, though, that we've hit a roadblock on this. About one in every five U.S. high school students smoke cigarettes, and that number has been stubbornly consistent, according to the Centers for Disease Control and Prevention.

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Youths aren't getting the message that smoking can kill you. Anyone who has visited an outdoor mall recently can't help but notice how many teens light up. It's painful to watch. Less obvious, but on the rise, is the use of other tobacco products such as snuff, roll-your-own tobacco, small cigars and even hookahs. They're aggressively marketed.

The vast majority of adult smokers got hooked before they reached age 21. Persuading teens not to start remains a critical public- health objective. Cost is a big deterrent for teens.

On Jan. 1, 2008, Illinois imposed a welcome ban on smoking in public places. We're glad to see a Wisconsin law went into effect earlier this month that helps level the competition for taverns and restaurants along the border with Illinois. Kansas adopted new rules on July 1. Michigan did two months before that.

Almost half the states, though, have yet to ban smoking in food and drink establishments, and a few states allow it in private workplaces and public spaces. Want to guess where cancer rates tend to be stubbornly high?

Lung cancer still accounts for more deaths than any other kind of cancer. The numbers are going in the right direction - cancer is indeed on the run. But let's make sure the kids know the story.

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Cancer On the Run But Not ConqueredOriginally from: http://www.nursinglink.monster.com/news/articles/15499-cancer-on-the-run-but-not-conquered

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Health Care Industry And Professionals Respond To Seniors' Growing Health Needs

2010-07-27T06:50:00.001-07:00

Health Care Industry And Professionals Respond To Seniors' Growing Health NeedsOriginally from: http://mnt.to/f/3GCJ

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Face transplant recipient makes first public appearance

2010-07-27T02:31:00.001-07:00

Face transplant recipient makes first public appearanceOriginally from: http://www.nursinglink.monster.com/news/articles/15487-face-transplant-recipient-makes-first-public-appearance

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Lean Thinking and Healthcare

2010-07-26T22:24:00.001-07:00

Lean Thinking and HealthcareOriginally from: http://feedproxy.google.com/~r/NursingAndCareer/~3/b9lnCHuLyuQ/BlogPostDetail.aspx

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The Binky Fairy and Other Lies Parents Tell Kids

2010-07-26T18:22:00.001-07:00

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Jean Twenge knew her daughter was too old for a pacifier but liked the comfort it provided — not only for her three-year-old, but also for mom and dad. Twenge, a psychology professor at San Diego University and co-author of The Narcissism Epidemic — Living in the Age of Entitlement, knew it wouldn't be easy to part ways with the pacifier. So she did what many other modern parents have done and enlisted the Binky Fairy to take her child's pacifiers and (wink, wink) give them to babies who need them.
Pacifiers aren't all bad. Sucking calms and soothes babies. Plus, studies show a link between pacifier use during sleep and a reduced risk of sudden infant death syndrome (SIDS). But when toddlers can give a full report of their day with a pacifier clenched between their teeth, it's time to rethink the binky. In Twenge's case, a few months after her daughter's third birthday, the Fairy came late at night and left a few gifts and a note thanking her for helping the babies. "The look on her face when I read the note was a mixture of pride and fear," says Twenge. Blessedly absent was any anger toward Mommy.
Many parents today are looking for a buffer in the binky battle. And they could fill a bookshelf with pacifier-purging aids: The Binky Fairy, The Paci Fairy, The Binky Ba-ba Fairy, Goodbye Binky — the Binky Fairy Story.
In earlier generations, the Binky Fairy idea might not have flown. Parents likely just took the plug away, and that was that. "Kids wanted to make their parents happy, but today's parents want to make the children happy," says Twenge. Parents who let their kids hang on to pacifiers as long as they want tend to follow the permissive parenting style, which is linked to children growing up to be more narcissistic than their peers, according to Twenge.
There are other reasons to break the binky habit sooner rather than later. Pacifier use in the toddler and preschool years can lead to dental issues, speech problems, and middle ear infections, not to mention becoming the dreaded binky addict. Children should not be walking around with a pacifier at age 2, says Jonathan D. Shenkin, a pediatric dentist in Augusta, Maine.
According to Claire B. Kopp, a developmental psychologist in Los Angeles, prolonged use of pacifiers into the third or fourth year may indicate a child is experiencing heightened stress levels, not unlike an anxious adult who reaches for food, coffee or a smoke. "It's best to figure out the cause of stress, such as insufficient mom or dad time, erratic sleep or boredom."
To break the habit, many parents are fine with turning to a fairy even if it means telling fibs, and these parents have plenty of company. Two recent studies published in the Journal of Moral Education found that parents regularly lie to their children. The practice has been dubbed "parenting by lying" by Gail Heyman, professor of psychology at University of California, San Diego, and her study co-author, Kang Lee, a professor at the University of Toronto. Heyman says more than 80% of parents lie to their children to try to influence their emotions or behavior. "We were surprised about the extent to which parents lied to children," says Heyman. "They seemed to justify it in terms of a goal they wanted to accomplish."
Melissa Burnett published The Paci Fairy in 2008, after her pediatrician in Encino, Calif., instructed her to banish her daughter's binky. Burnett sought a positive, tear-free way of doing so. "It's obvious that children have an addiction, but what's not obvious is that parents share in this addiction," she says.
The Binky Fairy might seem like an easy way out for parents, but so is going cold turkey. "Simply stating, 'We don't use pacifiers anymore' works pretty well," says Dr. Jennifer Shu, co-author of Heading? Home with Your Newborn: From Birth to Reality. "Parents are often afraid there will be a lot of crying, but if they're consistent, the child will probably adapt and not even miss the pacifier after a day or two."
?The Binky Fairy and Other Lies Parents Tell KidsOriginally from: http://www.nursinglink.monster.com/news/articles/15423-the-binky-fairy-and-other-lies-parents-tell-kids

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AHRQ State Snapshots Expanded to Include New Data on Health Insurance Coverage

2010-07-26T15:14:00.001-07:00

AHRQ State Snapshots Expanded to Include New Data on Health Insurance CoverageOriginally from: http://feedproxy.google.com/~r/NursezonecomNursingNews/~3/QuLo8TtyHq8/AHRQ-State-Snapshots-Expanded-to-Include-New-Data-on-Health-Insurance-Coverage_34710.aspx

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The Obesity Crisis Continues

2010-07-26T12:25:00.001-07:00

If nurses and the public are not yet convinced it is time to take action to combat obesity, the latest report posted online by the Trust for America's Health and Robert Wood Johnson Foundation is another sobering wake up call. The timely report "F as in Fat: How Obesity Threatens America's Future 2010" reflects data for both adults and children, includes color maps to indicate obesity rates in each state, and provides links to more specific data for each state. Included are statistics that highlight the ethnic, racial, regional and income disparities in this growing epidemic. The article provides more excellent data to support the premise of HR 4601 - creation of a National Nurse to raise awareness and prompt nurses in every community to take action to combat obesity and other costly preventable diseases. Although some progress is reported, the disparities continue according to Jeffrey Levi, PhD, executive director of Trust for America's Health. Levi states "This report shows that the country has taken bold steps to address the obesity crisis in recent years, but the nation's response has yet to fully match the magnitude of the problem." More can and must be done to raise awareness and motivate behavioral changes. The report acknowledges that more than 12 million children are obese, and sites survey data indicating 84% of parents believe their children are at a healthy weight, even when research shows nearly one-third of children and teens are obese or overweight. "Obesity rates among the current generation of young people are unacceptably high and a very serious problem," said Risa Lavizzo-Mourey, M.D., M.B.A., RWJF president and CEO. "To reverse this national epidemic, we have to make every community a healthy community. Americans are increasingly ready and willing to make that investment." This readiness and willingness are obvious to supporters of HR 4601, and serve to drive the campaign for a National Nurse to help spearhead community action. This report also discusses ways some of the new Patient Protection and Affordable Care Act of 2010 sets policy and provides a number of prevention and wellness provisions to help address the issue. Community Transformation grants and the National Diabetes Prevention program are mentioned as having potential to help leverage the success of existing evidence based programs in more communities. Such funding will be a key resource, as the National Nurse role is developed to mobilize nurses, students and retirees to become active supporters and participants in their community's efforts. The NNNO Board encourages all supporters to review this key report online. Be prepared to reference this pertinent report whenever you encourage support for a National Nurse and/or visit your legislators to request they become co-sponsors of HR 4601 The National Nurse Act of 2010.The Obesity Crisis Continues

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Survey Shows Need For Horse Safety Campaign

2010-07-26T08:09:00.001-07:00

Survey Shows Need For Horse Safety CampaignOriginally from: http://www.nursinglink.monster.com/news/articles/15401-survey-shows-need-for-horse-safety-campaign

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HHS Awards States $88M For Home Visits Programs

2010-07-26T05:04:00.001-07:00

HHS Awards States $88M For Home Visits ProgramsOriginally from: http://mnt.to/f/3GyB

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NPS Pharmaceuticals Announces Completion Of Patient Randomization In Phase 3 STEPS Study Of GATTEX(R) In Short Bowel Syndrome

2010-07-26T02:00:00.001-07:00

NPS Pharmaceuticals Announces Completion Of Patient Randomization In Phase 3 STEPS Study Of GATTEX(R) In Short Bowel SyndromeOriginally from: http://www.nursinglink.monster.com/news/articles/15405-nps-pharmaceuticals-announces-completion-of-patient-randomization-in-phase-3-steps-study-of-gattexr-in-short-bowel-syndrome

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Repros Therapeutics Receives Investigational Review Board Approval To Commence Low Dose For Proellex(R) Study At ICON Site

2010-07-25T21:54:00.001-07:00

Repros Therapeutics Receives Investigational Review Board Approval To Commence Low Dose For Proellex(R) Study At ICON SiteOriginally from: http://www.nursinglink.monster.com/news/articles/15407-repros-therapeutics-receives-investigational-review-board-approval-to-commence-low-dose-for-proellexr-study-at-icon-site

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Hospital School Program Helps Demystify Cancer For Classmates Of Young Patients

2010-07-25T16:46:00.000-07:00

Hospital School Program Helps Demystify Cancer For Classmates Of Young PatientsOriginally from: http://www.nursinglink.monster.com/news/articles/15383-hospital-school-program-helps-demystify-cancer-for-classmates-of-young-patients

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California's Whooping Cough Outbreak Worst in Half-Century

2010-07-25T12:54:00.001-07:00

July 23- SAN ANDREAS - Calaveras County health officials Thursday announced they have now documented three cases of pertussis -- known as whooping cough - so far this year. The announcement comes as California is in the grip of its worst whooping cough outbreak in 50 years, according to state officials.

Calaveras County Health Officer Dr. Dean Kelaita urged adults and youths who have infants or expectant mothers in their households to get immunized against the disease. So far this year, at least six people have died of whooping cough in California, all of them infants.

"The Health Department is also investigating several other cases which are likely to also be confirmed as cases of pertussis," Kelaita said.

Kelaita declined to identify the age, sex or town of residence of those infected, saying that in the county's small communities it would be easy for such information to violate the privacy of patients. But he said that both adults and children have been affected, and that no one in Calaveras County has died or been hospitalized because of the disease.

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Kelaita said that anyone in the county should assume they are at risk for exposure.

Meanwhile, San Joaquin County as of Tuesday this week had received 28 reports of pertussis cases so far this year, said County Health Officer Dr. Karen Furst. Not all of those cases have yet been formally investigated and reported to the state government, she said.

Furst said it is important for people to be vaccinated well before a pregnant relative is expected to give birth. That way they will develop immunity before a new baby comes into the household and will be less likely to pass the disease on to the infant.

Before the current epidemic, in the first six months of 2009, Calaveras County had the highest rate of pertussis in California - a rate of 14.83 cases per 100,000 population. According to the California Department of Public Health, that figure came from seven actual cases divided by the county population of less than 50,000.

Kelaita said there may be two explanations for the high rate last year: 1. the current epidemic began earlier in the Mother Lode and 2. the county has a relatively low rate of vaccination against the disease compared with the state as a whole.

The Tdap (Tetanus, diphtheria and pertussis) vaccine gives immunity to the disease but that immunity does not last forever. Middle-school age children, for example, need a booster if they have not received the Tdap since they were in kindergarten, Kelaita said.

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Career Profiles
[widget:related_reads_flywheel_2]California's Whooping Cough Outbreak Worst in Half-CenturyOriginally from: http://www.nursinglink.monster.com/news/articles/15353-californias-whooping-cough-outbreak-worst-in-half-century

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Back pain? Alternative therapies may help

2010-07-25T07:36:00.000-07:00

Back pain? Alternative therapies may helpOriginally from: http://www.nursinglink.monster.com/news/articles/15368-back-pain-alternative-therapies-may-help

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New therapies slow vision loss in diabetics

2010-07-25T03:37:00.000-07:00

New therapies slow vision loss in diabeticsOriginally from: http://www.nursinglink.monster.com/news/articles/15369-new-therapies-slow-vision-loss-in-diabetics

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Contextual Errors Often Complicate Medical Care

2010-07-24T22:37:00.001-07:00

?July 21, 2010 — Physicians' lack of attention to patient's contextual information, such as transportation needs, finances, literacy, or caregiving, can lead to contextual errors complicating medical care, according to the results of an incomplete randomized block design study published in the July 19 issue of?Annals of Internal Medicine.
"A contextual error occurs when a physician overlooks elements of a patient's environment or behavior that are essential to planning appropriate care," write Saul J. Weiner, MD, from Veterans Affairs Center for the Management of Complex Chronic Care, University of Illinois at Chicago, and colleagues. "In contrast to biomedical errors, which are not patient-specific, contextual errors represent a failure to individualize care."
The study goal was to evaluate how often and under what circumstances physicians examine contextual and biomedical red flags and how well they use what they learn to avoid medical errors. Of 14 practices included in the study, 2 were academic clinics, 1 was a core safety net provider, and 3 were US Department of Veterans Affairs facilities, and the remaining sites came from 2 community-based primary care networks.
Between April 2007 and April 2009, unannounced, standardized patients (actors following scripts) visited 111 attending physicians in internal medicine and presented variants of 4 scenarios. Each variant of the case scenarios was either uncomplicated or included a contextual red flag, a biomedical red flag, or both providing hints to complicating factors. When physicians asked about these red flags, responses of the standardized patients varied in whether they revealed an underlying complicating biomedical and/or contextual factor that could cause management errors.
The main study endpoints were the proportion of visits in which physicians asked about contextual and biomedical factors in response to hints or red flags, and the proportion of visits in which physicians designed error-free treatment plans.
Ninety-six (86.5%) of the physicians completed the study. Some physicians moved or closed their practice following initiation of the study. The total number of patient encounters coded was 399. Coding was based predominately on audio recordings of the encounter, but also on actor checklists and physician notes.
Compared with biomedical red flags, physicians were less likely to ask about contextual red flags (63% vs 51%). For the treatment plan to be error-free, probing for contextual or biomedical information in response to red flags was generally necessary but was not sufficient. Error-free care was provided in 73% of the uncomplicated encounters, 38% of the biomedically complicated encounters, 22% of the contextually complicated encounters, and 9% of the combined biomedically and contextually complicated encounters. Of the 191 biomedically complicated encounters, physicians planned appropriate treatment 31% of the time when elicitation occurred but only 6% of the time when it did not. Of the 185 contextually complicated encounters, physicians planned appropriate treatment 20% of the time when elicitation occurred and only 3% of the time when it did not.
"Inattention to contextual information, such as a patient's transportation needs, economic situation, or caretaker responsibilities, can lead to contextual error, which is not currently measured in assessments of physician performance," the study authors write.
In addition, the authors describe earlier research in which evidence-based medicine has been defined as "conscientious, explicit, and judicious use of current best evidence in making decisions about the care of individual patients." Therefore, the authors explain, "a conscientious and judicious approach requires that physicians investigate indicators of clinically important patient contextual factors and adapt their care plan accordingly."
Limitations of this study include that it used only 4 case scenarios, that there were some missing data, and that there was an inability to measure actual rates of contextual errors occurring in primary care settings or during return visits. In addition, the hints provided by the actors regarding underlying contextual issues may have been too subtle.
"Although tracking physician adherence to guidelines as a quality indicator is straightforward, determining whether physicians are appropriately individualizing care is not," the study authors conclude. "Broadening the assessment of physician performance to include this metric unmasks serious performance problems. Strategies that address the challenge of individualizing clinical decisions through both provider education and new measures of performance are urgently needed."
Contextual Errors Often Complicate Medical CareOriginally from: http://www.nursinglink.monster.com/news/articles/15358-contextual-errors-often-complicate-medical-care

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Study Links Zinc Nose Sprays, Loss of Smell

2010-07-24T17:31:00.001-07:00

?July 20, 2010 — Just over a year ago, the FDA warned that zinc-containing intranasal cold remedies might cause loss of sense of smell.
Now a researcher who has long argued that the sprays were harmful says he has scientific evidence to back up the claim.
Last summer, the FDA warned consumers to stop using three zinc-containing Zicam products: Zicam Cold Remedy Nasal Gel, Zicam Cold Remedy Swabs, and Zicam Cold Remedy Swabs for kids. The federal regulators cited 130 reports of loss of sense of smell among users of the products.
Zicam manufacturer Matrixx Initiatives pulled the three products from the shelves, but the company maintains that there is no link between their use and loss of smell.
In the newly reported analysis, researchers applied a statistical method used to establish a cause-and-effect link between an environmental exposure and development of a disease in an effort to confirm that zinc-containing nasal products can cause loss of sense of smell, known medically as anosmia.
University of California, San Diego professor Terence M. Davidson, MD, says the analysis supports the hypothesis.
He adds that the effectiveness of zinc-containing products for preventing or shortening the duration of colds has never been proven.
“Given that they do absolutely no good for colds and given that there is potential for harm, I see no point in putting any zinc gluconate products in the nose,” Davidson tells WebMD.
Zinc Sprays and Smell Loss
The analysis included 25 patients treated at the University of California, San Diego Nasal Dysfunction Clinic, which Davidson directs, who experienced loss of smell after using zinc nasal sprays or swabs to prevent or treat colds.
Along with colleague Wendy M. Smith, MD, Davidson applied the nine-point Bradford Hill causation environmental exposure statistical measure to assess the probability that the cold-remedy use caused the loss of sense of smell.
In lawsuits brought by Zicam users, Matrixx has maintained that loss of smell resulted from colds or sinus conditions and not use of the zinc-based nasal products.
Upper respiratory infections and nasal and sinus disease are major causes of both temporary and permanent loss of smell and diminished sense of smell.
Davidson says many of his patients and others with suspected zinc-induced smell loss reported intensely painful burning in the nose when they used the products. This was followed by loss of smell within several hours.
“This is a pain that brings people to their knees,” he says. “And soon after they get over the pain, they realize they can’t smell their coffee. This is very different from viral-induced anosmia.”
Study Links Zinc Nose Sprays, Loss of SmellOriginally from: http://www.nursinglink.monster.com/news/articles/15359-study-links-zinc-nose-sprays-loss-of-smell

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New Method for Predicting IVF Success

2010-07-24T13:25:00.001-07:00

?July 20, 2010 — A new method for predicting IVF success that takes 52 variables into account works better overall than the commonly used age model, according to a new report.
In IVF (in vitro fertilization), eggs and sperm are brought together in a lab dish to fertilize an egg.
''Our model is more than 1,000 times more predictive than the age-based model," researcher Mylene Yao, MD,? an assistant professor of obstetrics and gynecology at Stanford University School of Medicine, tells WebMD.
"We are pinpointing patients more specifically, using [more than] 50 variables rather than one, " she says.
The model estimates the likelihood of a live birth with future IVF cycles for women who have already gone through one cycle.
Eventually, Yao hopes the method will be available for commercial use. The report is published online in theProceedings of the National Academy of Sciences.
Predicting IVF Success: The Model
Nearly 75% of IVF treatments don't produce a live birth, Yao writes. When deciding whether to try another IVF cycle, patients are guided mostly by age considerations, with estimates based on that.
Yao and her colleagues wanted to develop a more personalized way to estimate future success. So they evaluated data from 1,676 first IVF cycles done at Stanford Hospital & Clinics between 2003 and 2006. They found 52 factors, including age but also hormone levels, quality of eggs, and embryo characteristics, that had an effect on the chances of having a live baby.
"It's basic information," Yao tells WebMD. "We stuck to information that is freely available in people's medical records."
Next, they put together a computer model that classified patients into subgroups based on their clinical characteristics, a method called ''deep phenotyping."
They validated the model by testing it on 634 first IVF cycles and 230 second IVF cycles done at the facility from 2007-2008.
The findings? The new model wasn't perfect, but was often more accurate than using age alone, Yao says. "For every patient for whom the age test was more predictive, there were more than 1,000 for whom our test was more predictive."
Yao and another co-author have founded a company, Univfy Inc., a start-up that will focus on refining the model and bringing it to market. Stanford holds the patent on the test.
Predicting IVF Success: Second Opinion
The new model is termed an improvement by Andrew R. La Barbera, PhD, scientific director of the American Society for Reproductive Medicine in Birmingham, Ala., who reviewed the report for WebMD.
''This model certainly improves the ability to inform patients of the likelihood of them conceiving after IVF," he says. Further research is needed, he says, to make the predictions more reliable.
And he has this caveat about the new model: "It does not provide an accurate prediction in all cases. This model correctly predicts outcome more frequently than the test based on age."
The new model, La Barbera says, takes variables and data that experts often discuss as playing a role in IVF success and plugs them into the prediction.
IVF in the U.S.
About 1% of newborns born in the U.S. annually are IVF babies, according to Yao.
If fertility problems exist, she writes, IVF treatment ''offers the highest live birth rate per treatment cycle."
Even so, she says, the decision to pursue more treatment after the initial attempt fails is a difficult one due to high costs and an ''uncertain prognosis."
Her model, she says, aims to provide a tool that can provide both an evidence-based and personalized prediction of the chances of a live birth from an IVF cycle.
New Method for Predicting IVF SuccessOriginally from: http://www.nursinglink.monster.com/news/articles/15360-new-method-for-predicting-ivf-success

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WHO Guidelines Call for Prompt HIV Testing and Treatment of Newborns

2010-07-24T09:21:00.001-07:00

?July 22, 2010 (Vienna, Austria) — Infants born to mothers who are HIV-positive should have their HIV status determined at birth or soon after, with a diagnosis of HIV infection confirmed within 4 to 6 weeks of age, so that treatment can be initiated as early as possible, according to new guidelines issued by the World Health Organization (WHO). The guidelines are available at on the WHOWeb site.
As many as one third of HIV-infected infants die before their first birthday, WHO officials said here at AIDS 2010: XVIII International AIDS Conference, in announcing the new treatment guidelines. By age 2 years, mortality is roughly 50%. Prompt diagnosis and treatment improve survival dramatically. "Compelling data show unequivocally that early initiation of treatment reduces mortality 5-fold," Shaffiq Essajee, MD, medical officer, pediatrics and family care, in the HIV Department of WHO, told?Medscape Medical News.
WHO is trying to eliminate mother-to-child transmission of HIV completely, perhaps as early as 2015.

Dr. Shaffiq Essajee

"We are expanding significantly the recommendation to identify potentially infected children," Dr. Essajee said. "Previously, we advocated for testing sick children in hospital care settings and children known to be exposed through mother-to-child transmission. Now we're going one step further, saying that every child should have their exposure status ascertained as soon as possible. That's the only way we can then link that child to the appropriate care, testing, and treatment services that they need to prevent the morbidity and mortality that occurs in [HIV-positive] children."
Officials in regions with a high burden of HIV disease, defined as prevalence of more than 1% in the general population, are urged to adopt a strategy of ascertaining a neonate's HIV exposure status and beginning treatment as soon as possible. The very high mortality rates among infected children during their first 2 years of life "makes infants and children the most vulnerable of all people living with HIV," Dr. Essajee said.
WHO has done a good job of closing the treatment gap between children and adults, Dr. Essajee said. By the end of 2008, 276,000 children were receiving treatment; by the following year, that number was up to 355,000. However, until now, most of those efforts have been directed at older children, with distressing consequences. "By the time a child reaches 5 years of age, only 1 in 5 has survived," Dr. Essajee added.
"In the recommendations launched today, we're saying any child under the age of 2 should be treated, because mortality in this age group is so high," said Chewe Luo, MD, PhD, senior advisor for HIV-AIDS in the program division of the United Nations Children's Fund.
Many children are still going undiagnosed, Dr. Luo told?Medscape Medical News. "What's critical about these guidelines is that they call for screening these babies as early as 6 weeks, and once you've made the diagnosis, you refer them for treatment."
Infants in impoverished, high-risk regions can have their blood samples dried on filter paper and sent to laboratories for analysis. "This works very well in field conditions," Dr. Luo said. Treatment can begin as soon as the diagnosis is confirmed.
Treatment for HIV-infected children basically is the same as it is for adults — lifelong triple therapy using several different classes of drugs — Dr. Essajee said. Management becomes more complicated if the mother has been on the antiretroviral drug nevirapine during pregnancy, as children exposed to nevirapine in utero may develop resistance to it, so pediatric regimens ideally should include protease inhibitors, as well as triple therapy.
However, Dr. Essajee acknowledges that protease inhibitors can be pricey. "So we tell clinicians that if you don't have access to these expensive and hard-to-get protease inhibitors, treat anyway with the nevirapine you have available, because it's not inevitable that every child will develop a resistance mutation, and even if they do, it's not inevitable that the clinical impact of that resistance mutation will be treatment failure for the child."
WHO Guidelines Call for Prompt HIV Testing and Treatment of NewbornsOriginally from: http://www.nursinglink.monster.com/news/articles/15362-who-guidelines-call-for-prompt-hiv-testing-and-treatment-of-newborns

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Low Vitamin D Levels Associated With Increased Risk for Cognitive Impairment

2010-07-24T06:17:00.001-07:00

?July 13, 2010 (Honolulu, Hawaii) — Results of a new analysis using data from the Third National Health and Nutrition Survey (NHANES III) show that vitamin D deficiency is associated with an increased risk for cognitive impairment in older Americans.
The findings echo those from a second report from the same group in a different cohort showing that low levels of vitamin D were associated with subsequent cognitive decline during 6 years of follow-up.
Taken together, it appears that, "low levels of vitamin D are just genuinely bad for the brain," lead author David J. Llewellyn, PhD, from the University of Exeter Peninsula Medical School in the United Kingdom, told?Medscape Medical News. "That's why we're so excited, because vitamin D supplements are such an obvious thing that we can do something about now."

Dr. David J. Llewellyn

The expected epidemic of dementia with the aging population is already starting to appear, he said, and although long-term strategies are needed, trials that may have a short- to medium-term payoff are urgently required immediately. In that setting, trials of vitamin D for prevention may be a promising strategy, he said.
The results from NHANES III were presented here at the Alzheimer's Association International Conference on Alzheimer's Disease 2010. The results from the Invecchiare in Chianti (InCHIANTI) study appear in the July 12 issue of the?Archives of Internal Medicine.
NHANES Findings
Vitamin D was once just of interest in bone health, but recent work has suggested low vitamin D levels may be a risk factor for a wide range of age-associated diseases, Dr. Llewellyn said, including cancer, hypertension, stroke, and more recently, cognitive decline.
It is known that vitamin D crosses the blood–brain barrier and that receptors for vitamin D are found across the brain, but its precise role is still not known, Dr. Llewellyn noted. It does seem to play a role in processes that may be important for dementia risk, including vascular health and amyloid clearance from the brain. Given these associations, he noted, it seems "biologically plausible" that there might be an association of low vitamin D levels with dementia risk and cognitive performance in the general population.
It is estimated that about a billion people worldwide have vitamin D levels considered insufficient (

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Drinking Alcohol Temporarily Heightens Stroke Risk

2010-07-24T03:13:00.001-07:00

?July 22, 2010 — Drinking even small amounts of alcohol increases the risk for ischemic stroke, a controversial new study suggests. Results from the Stroke Onset Study show double the risk for stroke an hour after consuming as little as a single serving of wine, beer, or hard liquor.
Previous research has suggested that regular heavy drinking increases the risk for ischemic stroke, but other studies have linked light to moderate alcohol intake to a decreased risk.

Alcohol recommendations

"The evidence on heavy drinking is consistent," senior investigator Murray Mittleman, MD, from Harvard Medical School in Boston, Massachusetts, said in a news release. "Both in the long and short term it raises stroke risk, but we're finding it's more complicated with light to moderate drinking," he said.
The preliminary findings are published online July 15 in?Stroke.
In this multicenter study, investigators interviewed 390 stroke patients about 3 days after hospitalization. The researchers used a case-crossover approach to compare alcohol consumption in the hour before stroke symptoms with the frequency of use during the past year.
They found that 64% of patients drank alcohol the year before their stroke. Some of these patients (27%) drank within 24 hours of their symptoms, and some patients (3.6%) had had a drink within 1 hour of stroke.
The researchers, led by Elizabeth Mostofsky, MPH, also at Harvard, report that the relative risk for stroke in the hour after drinking was 2.3 (95% confidence interval, 1.4 - 4.0;?P?= .002). They report that the relative risks were similar for different types of alcoholic beverages.
Drinking Alcohol Temporarily Heightens Stroke RiskOriginally from: http://www.nursinglink.monster.com/news/articles/15367-drinking-alcohol-temporarily-heightens-stroke-risk

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Mental Disorders, Substance Abuse Linked to Increased Emergency Department Visits

2010-07-24T00:21:00.000-07:00

?July 20, 2010 — Almost 12 million of the 95 million total emergency department (ED) visits (1 in 8) made by adults in the United States in 2007 were due to a mental health and/or substance abuse (MHSA) problem, according to a new report from the Agency for Healthcare Research and Quality (AHRQ).
The findings also found that the most common MHSA-related reason for these visits was a mood disorder (42.7%), followed by anxiety disorders (26.1%), alcohol-related problems (22.9%), and drug disorders (17.6%). Nearly 41% of the total MHSA visits led to hospitalization.
"The number of patients with [MHSA] conditions treated in EDs has been on the rise for more than a decade," write lead study author Pamela L. Owens, PhD, from the AHRQ in Rockville, Maryland, and colleagues.
"Not only is this of concern to members of the mental health community but also to the members of the emergency medicine community who are concerned that ED overcrowding results in decreased quality of care and increased likelihood of medical error," they add.
The findings were reported July 2010 in a Healthcare Cost and Utilization Project (HCUP) statistical brief from the AHRQ.
Increased MHSA-Related Visits
For this project, data were examined from the HCUP 2007 Nationwide ED Sample, an AHRQ database of community hospitals in the United States.
Results showed that 12.5% of all ED visits during that year were related to an MHSA condition. These visits were also "2? times more likely to result in hospital admission than ED visits related to non-MHSA conditions," write the study authors.
In addition, 63.7% of all MHSA-related visits were due to mental health conditions, 24.4% were for substance abuse conditions, and 11.9% were for co-occurring conditions.
Women had more of the overall MHSA visits (at 53.9%) and more of the visits due to mental health conditions (65.4%), whereas men had more of the visits related to substance abuse (29.3%) and co-occurring MHSA conditions (43%).
When looking at age range, adults between 18 and 44 years old had the largest percentage of overall MHSA-related ED visits (at 46.6%), followed by those between 45 and 64 years old (34.5%) and those older than 65 years (18.9%).
The patients 18 to 44 years of age were more likely to have visits due to co-occurring MHSA conditions (58.8% vs 42.7% and 50.7% for mental conditions only and substance abuse only, respectively), whereas those older than 65 years were more likely to have mental health conditions only (25.3% vs 9.1% for substance abuse and 5.2% for co-occurring conditions).
Finally, hospital admissions were most related to co-occurring MHSA conditions (57.1%), followed by mental health conditions only (39.3%) and substance abuse (36.6%). The group most likely to be admitted to the hospital was patients 65 years and older with co-occurring conditions, and those least likely to be admitted were between the ages of 18 and 44 years with mental health problems only.
Mental Disorders, Substance Abuse Linked to Increased Emergency Department VisitsOriginally from: http://www.nursinglink.monster.com/news/articles/15363-mental-disorders-substance-abuse-linked-to-increased-emergency-department-visits

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HIV-Positive Women Who Want to Conceive Feel Stigma: Survey

2010-07-23T20:52:00.001-07:00

HIV-Positive Women Who Want to Conceive Feel Stigma: SurveyOriginally from: http://www.nursinglink.monster.com/news/articles/15356-hiv-positive-women-who-want-to-conceive-feel-stigma-survey

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Online University Schools in Nursing: South University

2010-07-23T15:44:00.001-07:00

Online University Schools in Nursing: South UniversityOriginally from: http://blog.thenursingschool.com/2010/03/18/online-university-schools-in-nursing-south-university/

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What It Takes to Make the Honor Roll of US News' Best Hospitals

2010-07-23T11:29:00.001-07:00

What It Takes to Make the Honor Roll of US News' Best HospitalsOriginally from: http://feedproxy.google.com/~r/NursezonecomNursingNews/~3/GRA1ML3CLw8/What-It-Takes-to-Make-the-Honor-Roll-of-US-News-Best-Hospitals_34644.aspx

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Six Key Tips For Caregivers Navigating The System On Behalf Of Their Parents, Grandparents And Others

2010-07-23T07:42:00.001-07:00

Six Key Tips For Caregivers Navigating The System On Behalf Of Their Parents, Grandparents And OthersOriginally from: http://mnt.to/f/3GvD

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No Link Between Moderate Caffeine Consumption And Miscarriage

2010-07-23T02:57:00.001-07:00

No Link Between Moderate Caffeine Consumption And MiscarriageOriginally from: http://www.nursinglink.monster.com/news/articles/15344-no-link-between-moderate-caffeine-consumption-and-miscarriage

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Ob-Gyns Issue Less Restrictive VBAC Guidelines

2010-07-22T23:20:00.000-07:00

Ob-Gyns Issue Less Restrictive VBAC GuidelinesOriginally from: http://www.nursinglink.monster.com/news/articles/15346-ob-gyns-issue-less-restrictive-vbac-guidelines

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Vaginal births after C-section usually OK, docs say

2010-07-22T16:04:00.000-07:00

Vaginal births after C-section usually OK, docs sayOriginally from: http://www.nursinglink.monster.com/news/articles/15307-vaginal-births-after-c-section-usually-ok-docs-say

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La Jolla Institute Teams With Dana-Farber And Washington University On Sickle Cell Clinical Trial

2010-07-22T13:39:00.001-07:00

La Jolla Institute Teams With Dana-Farber And Washington University On Sickle Cell Clinical TrialOriginally from: http://www.nursinglink.monster.com/news/articles/15292-la-jolla-institute-teams-with-dana-farber-and-washington-university-on-sickle-cell-clinical-trial

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La Jolla Institute Teams With Dana-Farber And Washington University On Sickle Cell Clinical Trial

2010-07-22T13:39:00.000-07:00

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Black Parents Shocked to Give Birth to White Baby Girl

2010-07-22T08:37:00.001-07:00

Black Parents Shocked to Give Birth to White Baby GirlOriginally from: http://www.nursinglink.monster.com/news/articles/15303-black-parents-shocked-to-give-birth-to-white-baby-girl

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Senate Panel To Focus On Problems At Continuing Care Retirement Communities With Large Fees

2010-07-22T08:37:00.000-07:00

Senate Panel To Focus On Problems At Continuing Care Retirement Communities With Large FeesOriginally from: http://mnt.to/f/3Gsf

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Ear Mites: How To Get Rid Of Them

2010-07-22T04:02:00.000-07:00

Right now we are planning to talk about soiled ears and ear mites. So here's this fantastic feline and he has quite a few dust in his ears. Anytime you turn the ear back you can see that there's some brownish, crumbly wax within. Therefore the best way to tidy this out and inspect it for ear mites, just simply put a small amount of cleaner on the cloth and more or less soak a small q tip inside and scoop a few of that nasty material out of there. You are able to see that his ears are extremely itchy. This is really assisting with the progression and that coarse wax. It's pretty indicative of ear mites.

This particular form of mite wax is often crumbly and heavy like that. The ear mites are actually microscopic so you are not able to look at them with no magnifying, yet they're tiny white bugs that spider around their ear. Thus make certain to grant this pussy-cat some cure for his ear mites to deal with that itching that he's suffering from disappears. If it turns out your pussy-cat goes out routinely or if it really is an enclosed out of doors pussy-cat, or in the event that you come across a run-a-way cat that you choose to make your own, you could notice that these pussies acquire conditions with their ears and their epidermis and generally ear mites are extremely frequent.

Fleas and ticks are additionally completely widespread and so is a ring worm which is really a fungus of the epidermis. These have triggered sizable harm on your dearest pussy or canine. The ear mites are the most typical reason behind ear illness in pet cats. An ear infection will arise in a couple of ways: one you certainly will see black particles within the kitten's ears and secondly, one could see the kitty really batting at his ears, shaking his head off and then one would see the dust after wards.

They may just be inflammed, yet in nearly all circumstances, those felines have ear mites. You can find over-the-counter products and solutions for ear mites that are little bottles of things that one can place in the pet's ears. The thing is, felines never enjoy it! Pussies loathe getting moist and they detest getting stuff in their ears and you commonly have to do it a couple weeks on, two weeks off, a couple weeks on so that you can get the eggs. This is primarily because it'll only stop the adults, it will likely not kill the eggs and you will have to wait until the eggs hatch out and you may have to do this for a couple of months. So managing them non-prescription is cheaper, yet can be extremely difficult.

Therefore bringing them to the animal medical practitioner, you may well find that you can get a great deal of things that are a lot less complicated: drops that go on their back, or perhaps drops that go inside the ears. This is specially a one time remedy and it really is just a great deal, the office call is well worth every penny in comparison with what you go through aiming to handle it in your house.

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Nurses Are Important To The Health Care Industry

2010-07-22T03:44:00.000-07:00

Nurses are a very important part of the health care industry. Doctors do not have the time to do everything for their patients and that is where the nurse comes in. When a doctor has something more pressing to attend to then the nurse can handle the problems that are not life threatening. Not all nurses have the same duties. The duties of the nurse will depend on where she or he works.

Nurses who work in the emergency room have to help doctors with their patients. When someone goes to the emergency room it is up to the nurse to get the medical information that the doctor needs. When the doctor looks at the medical information and speaks with the patient the nurse is the one that gives the medicine that the doctor orders to the patient.

There are a lot of people that come into the emergency room every day and the doctor may not have time to give the medication to each patient. Patients can get their medication and be on their way much faster with a doctor helping them. Without a nurse helping the doctor the patient could be at the emergency room for a long time. No one wants to sit for hours at an emergency room when they are not feeling well.

A nurse that works for a doctor in a private office usually has standard duties such as checking temperatures, and blood pressure along with weighing patients. Sometimes the nurse has to draw blood or collect a urine sample.

If you are planning to become a nurse then you will need to decide which type of work would fit you best. If you work for a doctor in his office then you will have a regular schedule usually from 9 to 5 with weekends off. If you work at a hospital your hours could change from one week to the next and you may be asked to work weekends and holidays.

There are upsides as well as downsides to any working environment. Working in an emergency room means that you will get the chance to save lives. Working in a doctors office means you will not see many emergencies but you will have the chance to help keep the patients healthy.

If you are working in an emergency room you may also have to see people die. This is something that some people just can not handle. Working in a private doctors office you are much less likely to see someone die than in the emergency room.

You know yourself better than anyone else does so you are the only person that can decide what working environment is best for you. If you think an emergency room is too much for you then you could try sending your resume out to all the local doctors offices. In the end it really wont matter where you work because you will still be helping others and doing a good thing.

Having trouble filling in nurse staffing shortage at your hospital? As one of the largest healthcare staffing companies in the country, they help connect highly qualified physicians and pharmacists with your hospital's physician job and pharmacist jobs.

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Dust Mites: Tips On How To Get Rid Of Them

2010-07-22T03:37:00.000-07:00

They are the primary bug on earth and they might be living at your residence at the present time but you won't be able to see these. How's that for a thought? In case you have got major allergy or asthma, dust mites might be really terminal and serious. These types of dust mites can be the principal reason for precisely why allergic reaction and bronchial asthma attacks come about. A milestone investigation on dust mite treatment done wrapped up and the final results unraveled, which includes data to resolve your monstrous mite difficulty permanently.

On the outside, individuals residence seems to be perfectly nice and clean but what is under the surface is what is actually helping to make plenty of people sick. These very little nasties, incredibly small spider like bugs called dust mites roam around our properties, perhaps resting with us. Dust mites are microscopic animals that stay quite possibly in the cleanest of households. House dust mites are closely related to spiders. It's the waste materials applied by live mites and the body fragments of dead mites that contain the specific allergy substance liable for home dust hypersensitivity. These types of mites are photophobic, dwelling deep in cushions, beds, padded pieces of furniture, rugs and several other soft materials.

When the houses were closed up, men and women often say that they wake up with sinusitus strain and have lots of severe headaches. During the day, they frequently grumble about that "itchy feeling" on their nasal. Any time folks who experience these signs or symptoms had the possibility to drive away the critters on their rugs, they subsequently responded to distinct ads on the newspapers talking about participating in a research to research dangerous mites on some people's properties. A staff of scientists placed a solution of a dust mite solution product on the floor covering and after six months would come back to the home and examine to watch if the mites gone away or remain on. The results confirmed very effectively that this natural mite cure which is reliable to be applied inside your home and outside the house lessens the number of these mites fairly drastically in the household and the results lasts for around six months.

Persons then stated that the effects were impressive. They started to inhale so significantly better. They learned that in the beginning of their dust mite challenge, most people involved in the research had triple the quantity of mites. Finally, many if not all had Absolutely no sums in their households simply because of these natural mite treatments. Each week, individuals lose nearly 5 grams of skin, enough to fill a little spoon and that is what these tiny creatures really live on.

Virtually millions of termites might live in a single mattress. The alarming part about it is that there may be no way of totally eradicating these very perilous mites, but you can find very successful strategies and cures to manage them via the use of natural and organically produced dust mite treatments that people don't have an idea actually exist. People need to be advised and intelligent about what these mites are effective at doing and harming and how they can eliminate them well before its too delayed.

Wondercide has devoted themselves to knowing the key to best quality natural pet products. Right now, this firm happily gives you professional tactics and help on how you can eliminate stinging, flying, and burrowing pesky insects by making use of only the best dust mites treatment.

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Mites Control: How To Put Them Out

2010-07-22T03:34:00.000-07:00

Sadly, people who suspect they have mites are normally brushed off by the medical related neighborhood as "insane". Organic pest control companies know that individuals expounding on the disappointment and horror of oozing lesions and sensations of parasites stinging and crawling beneath their epidermis is just not a delusion, rather the infiltration of a microscopic mite predator.

Considering they may be both outside and airborne, mites are an arduous pest to learn and deal with, above all when they strike people. An individual may or might certainly not know you can find a number of species of mites. Some humans are worried by all of them and quite a few thankfully are not. Many termites live on plant life and harm farming crops. Even while dust mites can cause terrible allergies for folks and impact their respiratory system. Other individuals have a problem with skin mites and bed mites, which in turn might all be the identical mites. These natural pest control companies never declare to be authorities on each variety of mite inhabiting planet Earth, but have progressively been exposed to many different problems constructed by mites. By way of laboratory, field tests, and consumer comments of personal experiences, it's recognized that many of these organic ear mite treatment will destroy and handle a lengthy number of mites with out using poisonous chemicals, which often have no results regardless. Every day applications of these to the body appear to be especially powerful and are 100% safe. The formulation is restricted to puncture of the epidermal layer of skin and will never move into the blood stream that will cause a sick stomach or other health and wellness troubles.

In addition, they will not make no explicit claims as to success of their mite control, but will bring up to any person that right after years of on-going field working experience and testing, it is found that there are quite a few Mite treatment products and solutions that will get rid of termites of many kinds with out harming you, your youngsters, domestic pets or home with dangerous neuro-toxic chemical substances.

Fogging with this ear mite remedy has brought help to hundreds of residences plagued by mite harmful attacks. A good number of industry professionals would suggest the same remedy would reward them. Though authorities don't possess all the solutions, they think that they may be getting closer to obtaining almost all of them. Because it is extremely hard to distinguish all of the distinct kinds of mites, it really is to some degree challenging to make promises of one hundred percent control. They nonetheless continue ongoing findings and compile comments from their buyers to pass the results on to absolutely everyone.

Regarding the all-inclusive lab tests performed by Iowa State for the USDA, the effects will never be released until finally the discourse and objection time period has been came to the conclusion. The understanding is that written and published information will be forth-coming by middle 2010, susceptible to the objections of the Chemical Businesses that regularly refer to lobbying in opposition to Chemical Free and Organic items. They could simply provide you the statistical consequences that they received verbally and those that are naturally validated by users of the product.

Wondercide has committed themselves to identifying the key to high quality ear mite treatment. Currently, this company proudly gives expert techniques and suggestions on how you can eradicate stinging, flying, and burrowing insects by utilizing only the most beneficial mites treatment.

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Tips For Nurses Who Care For Elderly In The Home

2010-07-22T03:09:00.000-07:00

If you are a nurse who cares for an elderly person in their home you know how great your job can be. If you are one of the nurses that takes care of an elderly in their home, there are a few suggestions that will make you more able to administer the best possible care. If there is something you can do to make the experience better for you and the patient then you may want to consider trying it.

When caring for an elderly person you want to know as much information as possible about the patient. You need to meet with family members or anyone that is close with the person you will be taking care of. Any information you can get about their personality, likes, dislikes, will help you know how better to care for the patient.

It is important to know everything about your patient. You should know all the conditions your elderly patient has so that you can better treat your patient. You will also need to know who the condition can affect the patient. If you know everything your patient has to go through in a day then you can develop and proper car plan for them.

You should also know all the medications your patient will be taking everyday. You have to know the medications names, what time they should be given, and how you should administer them. It may be helpful to make a list of the medications as well as the times you have to give them and keep that list with you at all times.

You may want to do some research on all the medications you will be giving your patient. This will give you an idea of what to expect from the side effects from medicine. This will help you to be prepared in case of a medication reaction. It is best to have the information and not need it than to need it and then not have it.

The next thing you want to do is build a personal relationship with the patient. This person is putting their care in your hands and they need to know that you can be trusted. Sit and talk with you patient. Make sure that the patient knows just as much about you as you know about them. If you have their trust you will have an easier time caring for them.

Patience is mandatory when dealing with the elderly. Some can be head strong and kind of testy at times. You need to check you patience level every time you walk into the house. There is no way that you can know what your patient is going through and you need to consider this when caring for an elderly person.

It can be a rewarding job to care for the elderly. It is also a very hard job to do. You have to be a special kind of person to take care of the sick and elderly. From speech pathologists to traveling nurses, there is a great deal of skill required to care for the elderly. You have to be able to show your patient the same kind of love that you would show your own parents. You would not want someone to mistreat your parents so be sure that you show lots of love to your elderly patient.

Career opportunities in the medical industry are constantly growing - from nurse staffing jobs all the way to travel nursing jobs, there is always something opening up!

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Doctors And Patients Both Victimized By Hmos?

2010-07-22T02:48:00.000-07:00

One associate professor from a very prestigious university was shocked upon receiving a letter which stated that he will be removed from the provider network of a US health care firm. This huge HMO from the east coast did not give him any reason for making him leave, but this doctor knew well enough that it had something to do with his public denigration about HMOs. He had disputed that this particular HMO along with other for profit HMOs clearly put their clients? lives at risk by gratifying physicians for not granting their patients their desired care and even forcing these people to sign the fixed gag clauses in the standard contract of this HMO.

The contract is very particular in making sure that the doctor will not pursue any action or communication that will turn away any potential or current enrollees, their superiors, their company union groups or the extent of the coverage and that all these things must be kept in paramount confidentiality. In other words, a doctor can easily be terminated upon saying some things to his patient that an HMO won?t approve of.

In the current culture of health service, where their only concern is to maximize earnings, these HMOs tailor fit these policies to keep doctors from letting their patients know the truth on their treatment options, prognoses and diagnoses. Because they silence these doctors, the following horrendous scenarios could become real.

In the mammogram results of a 49-year-old woman, a mysterious shadow appears. the negative finding troubled the woman's doctor and so, he would want to order another test to make sure that the result was just because of a machine error, as to disregard the cancer- positive result. The problem is that the HMO won't pay for it. Advising the patient to pay for a second mammogram herself could be a sign of criticism against the quality of care her HMO provides. So the doctor minimizes the findings and advises his patient to come back in six months for another check up. Unfortunately, the six months could be very dangerous for the woman if she really has breast cancer.

An action should be made to a 60-year-old man to lessen an obstruction caused an enlarged prostate. His surgeon would like to consider using a new laser technique that produces less blood loss, pain and risk of infection or impotence. The truth is that the HMO of the patient will only be used for invasive operation that holds many more consequences. Spilling the new discovery in surgery and suggesting an appeal for the HMO usage of a surgeon to his patient could be the reason of his termination from work.

A woman who is 35 years old was reported to be suffering from extreme depression. Since the doctor wanted the best for the patient, he wanted to prescribe her something that has very little side effects and without risk of death from an overdose. However, an agreement entered by the HMO calls for the pushing of a medicine with high death rates due to overdose as well as tons of side effects. The doctor would prescribed his patient to buy the better brand by her own. But sadly, he signed a contract that won't allow him to say a word. If patients then are clearly informed about the health care, they could possibly build a better decisions on this.

Although the rapid advancements in medical knowledge is available, many consumers, even the smartest ones still depend on their doctors due to its complexity. Health care fates of the patients could fail if the physicians will not be honest with their patients. Patients in this situation would be considered foolish if they were to believe everything their doctors are telling them.

California's nurses association and consumer watchdogs team up for a ballot initiative that would end these unjust gag orders. With the help of public education, legislation and aid of professional organizations, many patients under HMO rule can now get the consultation from doctors they need. Other doctors must learn to be like this bold man who spoke against the unfair laws of HMOs even if it means getting sacked like him. After crossing out the gag clause in his contract, he sent it back to the health care company.

Gag stipulations found in HMO contracts cancel out what the Hippocratic Oath stands for, that physicians must never cause harm on another and that he must work to his capability and judgment to ensure the patient?s health. It is simply abhorrent how many doctors who swore to the Hippocratic Oath break it by getting into another one that jeopardizes their patients? well-being

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Genders Of Alcohol-Dependent Parents And Children Influence Psychopathology In The Children

2010-07-22T01:58:00.001-07:00

Genders Of Alcohol-Dependent Parents And Children Influence Psychopathology In The ChildrenOriginally from: http://www.nursinglink.monster.com/news/articles/15299-genders-of-alcohol-dependent-parents-and-children-influence-psychopathology-in-the-children

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Genders Of Alcohol-Dependent Parents And Children Influence Psychopathology In The Children

2010-07-22T01:58:00.000-07:00

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Nurses: Giving Excellent Care To Their Patients

2010-07-22T01:43:00.000-07:00

From the moment you were born, there was a nurse there to help care for you. Since then, whenever you have been ill or hurt and needed to see a doctor, she has been there for you. Even as important as nurses are to our health, they seldom get the credit they deserve. Without quality professionals in this profession, we would all suffer.

They work very hard, and many must work on holidays and other special occasions when others are on holiday. Their salaries are starting to get a little better because the demand for them has become so great. Hospitals and doctors has started to realize just how valuable a good nurse is to their work.

The field of nursing has many levels. Probably the three best known are nursing assistant, licensed practical nurse, and registered nurse. As the levels progress, she needs more education and has more job responsibilities. At any level, a professional nurse gives her all for the benefit of the patients. There are many openings in this profession, as there is a shortage of qualified professionals.

They, like doctors, can choose to specialize. They may work exclusively in emergency rooms or for a private practice. Some work in specialties like neonatal care, cancer centers, or many other areas. Every area of medicine needs nursing professionals to be successful.

All persons in this profession strive to provide excellent patient care. If you go to see your primary doctor, a nurse is always there to find out about your visit and to get needed information. They get your vitals so that the process is expedited for the doctor. If a doctor has an excellent nurse, he knows his job will be much easier.

Unfortunately, at some point in our life we will probably have to visit a hospital emergency room. When that time comes, a nurse will be there getting your information and making you as comfortable as possible until the doctor arrives. Once the doctor asks for specific tests or x-rays, she will supervise to be certain the right tests are done.

Upon admission to a hospital, a nurse will be there to get your information and make sure you are comfortable. You will see your doctor only a few minutes per day, but she will be there at all times. If you have a need, she will quickly be there to help you. She will help no matter how large or small your need. If you need surgery, she will be there when you wake up. She is there for you in case you have any medical needs.

Travel nurse jobs provide so many people with excellent medical care. We often forget just how valuable they are to our health. If you have one who gives you excellent care, let her know how grateful you are for the work she and so many others like her do. Although they do not do their jobs to get praise, it is the least we can do for these medical heroes.

Find freedom in your career aspirations by filling one of many travel nurse jobs available. Our website offers the tools and resources you need to find, occupational therapy jobs and nurse practitioner jobs.

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Doctors Feel Like Glorified Receptionists Between Patient To Specialist

2010-07-22T01:16:00.000-07:00

In California, one doctor suddenly exchanged his shingle on a thriving group practice for a nameplate on the door of a corporation. Many report that the practice of private medicine has just become too boring and routine. He was tired of just listening to patients and then telling them which specialist to go to. His group practice was forced to abandon the very things he enjoyed about medicine, from complex medical problems to obstetrics and surgery, due to the high cost of malpractice insurance. The medical field is now dominated by the specialists and traditional general practitioners feel their position is largely redundant.

New positions such as those in companies that manufacture pharmaceuticals pay much more and don't carry the risk factors that push malpractice insurance through the roof. He is among the increasing ranks of doctors who have transitioned into the corporate realm. The corporate world offers medical research, support and development jobs that free the doctor from the complications of insurance and the worries over funding and research grants. There is even a city that wants to hire these doctors in hopes of improving employee health and safety. The majority are still employed in the medical realm, some in occupational health advisory roles, some in pharmaceutical research, though business has emerged has having more appeal for some than medicine does.

The financial rewards for those working for the city can equal what a doctor made in private practice. Physicians employed by corporate entities generally work 8-hour days, are provided with paid malpractice coverage, receive time off for educational purposes, and are compensated at levels that are comparable to those who remain in private practice.

The percentage of individuals practicing medicine full time in the United States corporate world is roughly 2 percent of the total population. In addition, thousands more physicians work in occupational medicine, meaning that they provide advice and guidance in the areas of employee wellness, industrial safety and product development. There are another 10,000 physicians who work part time in roles such as these. Certain doctors are employed in the pharmaceutical industry and thousands more are employed by insurance carriers as underwriters and claims consultants.

The chief medical director's career track for a large insurance agency is not rare amongst corporate physicians. One doctor seeking a change from his already established private practice, accepted an available part-time job with a restaurant chain; this position began his exit from private practice. Sometimes examining up to 60 food handlers in an hour, the doctor worked at an exhausting pace. Eventually he landed a job to be the medical director of a couple of movie studios and said goodbye to his private practice for good. This position offered him greater opportunities; the patient wasn't responsible for paying so he could treat them without limit and he could practice preventative medicine.

Many private physicians see themselves as automatons faced with ever-increasing obstacles in their quest for a viable business. The perception was that of a physician who handed out pills, wrapped bandages and provided care to those who were not really in need of medical attention. However, a shift in opinion and regulations regarding occupational and product safety have rendered corporate doctors newly powerful and worthy of admiration. A major New York telecommunications company's medical director says that it is rather refreshing to be actually "practicing" medicine again.

The younger generation of doctors are able to work just as well (or even better) than they would be able to anywhere else. Older doctors can usually afford to sacrifice gross and net income for the benefits of corporate medicine. Some corporate physicians are saying that in terms of quality of lifestyle and career earnings, the change from private practice is well worth it. Taking a job in occupational medicine was thought of as a silly choice by most every physician at one point in time. Now it seems that these people who thought this way are becoming envious.

The potential for bigger salaries and better benefits make these jobs popular. Possibly the most famous is a 78 year old doctor who made millions without ever practicing medicine. He made his first million while still in medical school by bringing new life to his father's failing drug company. After he graduated from medical school he bought and set up a surplus army field hospital in the famine stricken Ural Mountain region of the Soviet Union. Once there, he discovered that food was needed more than medicine, and so he imported grain, making trade contracts in the process which became stepping stones to a new career.

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A UQ academic's research into whether nature or nurture influences the development of gut flora has been published in Nature and may hold the key to understanding obesity.

2010-07-21T23:58:00.001-07:00

A UQ academic's research into whether nature or nurture influences the development of gut flora has been published in Nature and may hold the key to understanding obesity.Originally from: http://www.nursinglink.monster.com/news/articles/15301-a-uq-academics-research-into-whether-nature-or-nurture-influences-the-development-of-gut-flora-has-been-published-in-nature-and-may-hold-the-key-to-understanding-obesity

View this post on my blog: http://travelnursesuccess.com/a-uq-academics-research-into-whether-nature-or-nurture-influences-the-development-of-gut-flora-has-been-published-in-nature-and-may-hold-the-key-to-understanding-obesity

A UQ academic's research into whether nature or nurture influences the development of gut flora has been published in Nature and may hold the key to understanding obesity.

2010-07-21T23:58:00.000-07:00

How One Nurse Uses a Clown Act to Ease Suffering

2010-07-21T19:03:00.000-07:00

CHARLOTTESVILLE - Charlottesville resident Tim Cunningham, and the international entertainment troupe Clowns Without Borders, had just finished goofing around with sick and hungry children and blowing bubbles over a malnourished baby in a remote part of impoverished Haiti. "They had nothing at that hospital. The kids were dying of disease and malnutrition and AIDS and we just went bed- to-bed blowing bubbles and juggling and trying to give them a laugh," Cunningham recalled.

"At first, the doctors and staff wanted us to be quiet, but then they'd tell us to come over to this bed or that bed. In the end, we had a dance party going. I mean, we had doctors and nurses and kids dancing and singing. It was a very successful performance."

It was successful up to the bitter end.

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"As we walked out, we saw doctors and nurses gathered around a little bed," he said. "It was the 2-month-old we had blown bubbles for."

She had died. "I came home pretty traumatized," he said. "That's when I decided what to do."

Cunningham, 32, a Waynesboro native and a College of William and Mary graduate, became a registered nurse and went to work in emergency medicine. He now plies his trade in the University of Virginia Medical Center's emergency department.

"I love the fact that I can make a difference, that I can help people at a difficult time in their lives," he said. "My experience with Clowns Without Borders comes in handy because people in the emergency room are in stressful situations and, sometimes, a little bit of clowning will help them get through it. You can help people medically and emotionally."

Dianne Hahn, director of Clowns Without Borders, does not clown but respects Cunningham's serious and silly sides.

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"He's probably one of the best people I've met as far as being able to turn on the persona and turn it off," Hahn said. "He carries through with what he decides to do, both as president of this organization and in his life. He decided he wanted to go into medicine and he did."

"Tim brings an intense playfulness to every moment on the road," said Sarah Liane Foster, a fellow performer. "He has a way of making each person he's performing for, or just talking to, feel personally connected to him. I haven't seen him in action as a nurse per se, but I bet he brings this same joy and connection to that work as well."

Clowns Without Borders aims to ease with laughter the tension and suffering of daily life in refugee camps, war zones and impoverished regions of the world. Without the big feet, fright wigs, grease paint and balloon animals of birthday party clowns - and facing language barriers - the international clowns focus on street theater and physical skills such as magic, acrobatics, juggling and skits.

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The volunteer outfit has no political motive. It does not educate, pontificate or indoctrinate. It operates on private donations and goes where invited by communities and relief agencies.

Cunningham has traveled with the troupe to a variety of places, including Africa, Mexico and Haiti. When he joined the organization in 2000, it was for the joy of performing.

Since then, he has had many adventures, from balloon funerals in South Africa to a performance in Chiapas, Mexico.

Cunningham recently returned to Haiti on a medical mission. "It was weird adjusting. The hardest part was getting to the clinic early in the morning and seeing 100 people who had been waiting for medical treatment for who knows how long. My first tendency was to go entertain them," he said. "My colleagues would have to come and get me and get me back to medicine."

Cunningham said he has not supplanted clowning with medicine and that medicine never can replace clowning. He loves both and believes they complement each other.

"The personality I have when I perform is very much like the personality I bring to the hospital," he said. "You have to be totally present and respond to whatever the situation requires and to be ready. Clowning helps a lot when you're in a stressful situation and something happens that you can laugh at and encourage others to laugh. It's important to laugh when funny happens in the midst of seriousness."

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Related Reads:
[widget:related_reads__nclex]How One Nurse Uses a Clown Act to Ease SufferingOriginally from: http://www.nursinglink.monster.com/news/articles/15255-how-one-nurse-uses-a-clown-act-to-ease-suffering

View this post on my blog: http://travelnursesuccess.com/how-one-nurse-uses-a-clown-act-to-ease-suffering

AHA/HEALTH FORUM 2010 LEADERSHIP SUMMIT Kicks Off in California

2010-07-21T16:15:00.000-07:00

AHA/HEALTH FORUM 2010 LEADERSHIP SUMMIT Kicks Off in CaliforniaOriginally from: http://feedproxy.google.com/~r/NursezonecomNursingNews/~3/oC5glaT1oVQ/HEALTH-FORUM-2010-LEADERSHIP-SUMMIT-Kicks-Off-in-California_34652.aspx

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Nursing Online Classes

2010-07-21T11:25:00.000-07:00

Right now is the best time to train for a career in nursing since there is a shortage in nurses and online classes are not hard to find. It is anticipated that by 2014 that the nursing field will grow more than 27%. Listed below are three professional levels of nursing:

* Certified Nursing Assistant (CNA)

* Licensed Practical Nurse (LPN)

* Registered Nurse (RN)

The healthcare career with the highest demand is the Registered Nurse, currently accounting for 2.4 million jobs according to the U.S. Department of Labor. Online education will let you pursue the basic or advanced degree in nursing that you want without having to quit your day job, which will let you to gain work experience while pursing a degree that can get you the job you want. The flexibility, availability and quality of online education may come as a shock to some people who've never considered online education as an option before.

How does online education work? Will it work for you? A lot of online education programs are done based on one's taste, that means the place and time you complete your work is up to you. There are always deadline and due dates, you are almost on your own to set up your own study schedule. This may work for some and difficult to grasp by the procrastinators. You will only get the opportunity to speak to your classmates and professors through online chat rooms, discussion boards and though emails. This is mandatory for most classes. Not everyone can do online classes. It takes discipline to succeed in taking online classes. The students who wait on a lecture from a professor are often have difficulty succeeding in taking online classes.

For a large portion of nursing course, there is an online portion which will take you through the basic academic parts of your classes and an additional clinical portion as well which will ask you to apply these skills in a real-life medical setting. This is usually done at local hospitals and medical settings and the length and requirements of these clinical practice sessions will vary depending on the school and the degree you're working towards.

Choose a program that will be a great fit to you based on your career goals and personal needs. More importantly, that program must complement you. There are a lot of programs out there and you'll need to carefully consider where you want to go in order to choose the one that fits you. Every school is different in what they offer and what they expect from you so it is important to research that school before deciding to attend it. I will include some of the schools that offer nursing classes online.

There are a wide range of health care and nursing related degrees available through online programs. These can range from simple degrees that let you work as a nurse to those that will prepare you to teach other nurses and work in administration. Online colleges of all kinds offer degrees both at the basic and highly advanced level, offering numerous options for future study. Here's a list of some schools that offer online classes:

1. University of Phoenix

2. Kaplan University

3. The College Network

4. Indiana State University

www.nursingschoolonlineclasses.com

Want to find out more about nursing school online classes, then visit our site on how to choose the best online nursing school for your needs.

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Taking The First Steps In Long Term Food Storage

2010-07-21T10:42:00.000-07:00

Long term food storage suggests a lot more than enough for just a few weeks. We feel it truly is a good idea to imagine more along the lines of a 12 month food stockpile. Although this may possibly seem like an awful lot, this once was a typical lifestyle not many decades ago. An individual by no means could be certain just what the harvest may possibly bring, and hence it was frequent for folks to stock up having a 1 year's stash. Several folks fail to understand the initial and most simple level of foods storage - garden seeds.

When we're discussing a one year's supply, that opens the door to growing some produce in the course of the season. Right now is a excellent time to evaluate your garden seeds supply and for starters, we must think of what sort of seed to invest in. The following are numerous crucial points to have in your thoughts.

First, the issue of GMO vs. Non GMO. Although some are touting the benefits of GMO, there are several concerns, including the problem that GMO would generally not produce viable seed. In other words, you would need to purchase more seed for the next season. On the other hand, if you purchase non GMO and non hybridized seed, you will be able to save your own seed for future planting - a much better option in terms of long term food storage. Another concern relates to health hazards of GMO garden seeds, however we won't get into that subject here.

So exactly where would we turn to discover non-hybrid and non-GMO seeds? Possibly the very best source book may be the Garden Seed Inventory. Together with assisting the gardener discover the best types suited for any particular growing area, the Garden Seed Inventory also points out types that are both non-GMO and non-hybridized, in addition to sources for buying the seeds. This excellent resource is published through the Seed Savers Exchange, a not for profit organization started in 1975 by Kent and Diane Whealy. Seed Savers now has almost eight thousand subscribers across the globe, devoted to saving top quality seed.

Seeds are compact, and fairly affordable when it comes to the foods they'll create. because of these factors, a substantial supply of seeds may be the very first place to begin in setting up a long term food supply.

Want to master long term food storage? Check out the resources at http://longtermfoodstorage.org/.

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Daily News: Study Shows CRNAs Most Cost Effective

2010-07-21T07:14:00.001-07:00

Daily News: Study Shows CRNAs Most Cost EffectiveOriginally from: http://news.nurse.com/article/20100721/ALL01/107260005

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Tampa Anesthesiologist Receives Friend of Nursing Award

2010-07-21T07:14:00.000-07:00

Tampa Anesthesiologist Receives Friend of Nursing AwardOriginally from: http://news.nurse.com/article/20100720/FL02/100720001

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Stay Injury Free: 10 Steps For Office Workers

2010-07-21T05:18:00.000-07:00

Have you ever wondered why you have little nagging aches and pains every time you do something? Or do you just think it has a lot to do with your age or the nature of your job? What if I told you it has nothing to do with your age or job? What if I told you it has everything to do with how well you train for your job?

I am aware that you probably do not have the time to go to the gym everyday, but sitting behind a desk is hard on your body. Do you have back pain when you stand up for any length of time? By sitting most of the day, the front of your thighs shorten. If you slouch in your chair or look down at your screen, you will have headaches or mid back pain. Here are the 10 most important you can do even at your office.

1. Strengthen your Rhomboids- you must asking yourself -WHAT? This area is between your shoulder blade and spine in the middle of your back. You can use either hand weights or a rubber band, then bend over at the hips, let your arms hang to their full length. Spread your arms out to your side by squeezing your shoulder blades together. Pretend you are squeezing a lemon between your shoulder blades. Now slowly release your shoulder blades and let your arms come all the way back down. As you are coming down count slowly to 5. Repeat this for 3 sets of 10 repetitions.

2. Strengthen your Chest- Lying on your back, use your hand weights or rubber band to push your hands straight up to the ceiling. Slowly bring your arms back down at a count of 5. Repeat for 3 sets of 10 repetitions.

3. Strengthen the middle chest- Lying on your back with a hand weight in each hand, spread your arms out to your sides. Lift your arms, keep them straight, all the way up until your hands touch. Now slowly lower your arms down to the floor at a count 5. Repeat this for 3 sets of 10 repetitions.

4. Abdominal exercise- Lying on your back, lift your knees up while your feet are still on the floor. This will flatten out your back. Put your hands behind your head with your elbows flat. Now lift your head as is you are trying to touch the ceiling with your nose. Do not pull with arms and keep your elbows flat. Lift with your stomach muscles on the top of your stomach just below your ribs. Slowly lower your body down at a count of 5. Repeat this for 3 sets of 10 repetitions.

5.Lower abdominal exercise- Lay on your back with your legs straight out. Place your hands under your butt with your palms facing down. Adjust your hands until you are comfortable. Keeping your feet together, lift your legs up about 6 inches off the floor. Pull with your lower abdominal muscles only. Lower your legs down at a count 5. Repeat 3 sets of 10 repetitions. If you feel any discomfort in your back adjust your hands under your butt until it stops. You can also use a pillow to help out.

6. Front Hip stretch- because you sit a lot, stretching the front of your hips will stop low back pain. Place one knee on a pillow on the floor. Stretch your other foot out in front of you with your knee bent. Keep your torso straight up and lean forward. When you lean as far as you can, your front knee should directly over your ankle. If it over your toes, then extend your foot farther out. If your knee is behind your ankle, then bring your foot back. Hold the stretch for 2 seconds and repeat 10 times. Now do the other leg.

7. Hip Stretch- this stretch will open up your hips and relieve the pressure from sitting for several hours. Lying on your back with your legs straight out. Lift your right leg, bending at the knee. Take your left hand and grab your right knee. Keep your body flat by pointing your left toe to the ceiling. Pull your right knee straight across your body and hold for 2 seconds. Repeat 10 times. You should feel the stretch in your right hip joint. If not, you are rolling your back. Lay flat and try again. Now do the other side.

8. Shoulder Stretch-Sit upright in a chair. Extend your right arm out in front of you with your thumb pointing to the ceiling. Bring you right arm across your body and grab your right elbow with your left hand. Do not bend your arm as you extend your right arm across your body. Hold for 2 seconds and repeat 10 times. Now do the other side.

9. Back of Neck Stretch- Since we lean over while looking at our computer screens, our necks fatigue out. Sitting tall in your chair, tuck your chin down to your chest. Take your hand, either hand, it doesn't matter, and place it on the crown of your head. Now pull your head down and hold for 2 seconds, then repeat it 10 times.

10. Front of Neck Stretch- lean slightly forward in your chair. Take both hands and palce the palms on each side of your chin. Push your up so you can see the ceiling. Hold for 2 seconds and repeat 10 times.

These are the basic exercises and stretches to help stop daily aches and pains. Being consistent is the key to preparing your body for any activity you do. As you do these exercises you will find they will get easier. When that happens increase the amount of sets, or repetitions to 15, or you can even increase the weight. I would suggest doing these 3 times a week. If you miss a day, don't stress, just go back and pick it up. You will be fine.For more exercises and stretches like these, along with recipes, cooking videos, and self massage tips, go to Muscle Repair Shop.com.

For more information on working injury free, check out The Muscle Repair Shop's great articles on taking care of your The Muscle Repair Shop

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Why Aren't Young Adults Screened for Heart Risk?

2010-07-21T02:14:00.001-07:00

Despite the increasing numbers of young U.S. adults with cardiac risk factors, less than 50 percent are screened for coronary heart disease, researchers say.

Dr. Elena V. Kuklina, Paula W. Yoon and Nora L. Keenan of the Centers for Disease Control and Prevention in Atlanta say although recommendations for screening young adults without cardiac risk factors differ, all guidelines recommend screening adults with coronary heart disease, or 1 or more coronary heart disease risk factors -- family history of early coronary heart disease, smoking, hypertension or obesity.

The researchers calculated their estimates using data from the 1999-2006 National Health and Nutrition Examination Surveys for 2,587 young adults -- men ages 20-35, women ages 20-45.

The study, published in the July/August issue of the journal Annals of Family Medicine, found about 59 percent of young adults had coronary heart disease, or one or more cardiac risk factors, but the overall screening rate in this population was less than 50 percent.

In addition, after factoring in for sociodemographic and healthcare factors, the study found no significant difference in screening rates between young adults with no risk factors and those with one or more risk factors.

The study also found in 2003 about 60 percent of U.S. adults ages 20-44 had their cholesterol levels checked in the preceding 5 years.

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Related Reads:
[widget:related_reads__best_of]Why Aren't Young Adults Screened for Heart Risk?Originally from: http://www.nursinglink.monster.com/news/articles/15242-why-arent-young-adults-screened-for-heart-risk

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New Study Finds HPV Vaccine Protects Against Genital Warts

2010-07-21T02:14:00.000-07:00

New Study Finds HPV Vaccine Protects Against Genital WartsOriginally from: http://www.nursinglink.monster.com/news/articles/15247-new-study-finds-hpv-vaccine-protects-against-genital-warts

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Earliest steps to find breast cancer prone to error

2010-07-20T23:19:00.001-07:00

Earliest steps to find breast cancer prone to errorOriginally from: http://www.nursinglink.monster.com/news/articles/15249-earliest-steps-to-find-breast-cancer-prone-to-error

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Earliest steps to find breast cancer prone to error

2010-07-20T23:19:00.000-07:00

Earliest steps to find breast cancer prone to errorOriginally from: http://www.nursinglink.monster.com/news/articles/15249-earliest-steps-to-find-breast-cancer-prone-to-error

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Registered Nursing Jobs In Demand in Washington

2010-07-20T19:58:00.001-07:00

July 20 - More "Help Wanted" signs popped up around Washington this spring, the first increase since fall 2006.

A Washington Employment Security Department survey indicated employers were looking for 38,732 workers, up 21 percent since fall 2009, and up 19 percent from spring 2009.

The high was 90,000 vacancies in fall 2006. Almost half this spring's vacancies were in King County. Spokane County, with 2,475 openings, had 6 percent of the vacant positions.

Doug Tweedy, the department's Spokane labor economist, said the openings represent a 30 percent jump from the 1,900 of spring 2009. Looking one year back eliminates distortions created by seasonal swings in sectors like retail and hospitality, he said.

Tweedy said the biggest jobs gains have been in security, 227; registered nurses, 169; customer service, mainly call centers, 155; nurse aides and orderlies, 98; and retail, 72. Vacancies in the professional, scientific, accounting and legal category more than doubled, from 72 to 148.

"We seem to be doing well with legal in the county," Tweedy said. "We also have some smaller research and development companies."

Despite the increased demand for labor, wages have remained flat, he said.

The ESD survey found median wage for vacant positions was $9.50 in the county, $10.60 in the state. Pay levels tracked education. Those with a graduate education could expect $29.41 per hour, those with less than a high school degree $8.75, 20 cents higher than the state minimum. Almost one-quarter of the open jobs pay less than $10 an hour.

Registered nurses were in greatest demand, with 2,318 openings, followed by software engineers, with 1,929.

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[widget:related_reads__jobs]Registered Nursing Jobs In Demand in WashingtonOriginally from: http://www.nursinglink.monster.com/news/articles/15245-registered-nursing-jobs-in-demand-in-washington

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Registered Nursing Jobs In Demand in Washington

2010-07-20T19:58:00.000-07:00

July 20 - More "Help Wanted" signs popped up around Washington this spring, the first increase since fall 2006.

A Washington Employment Security Department survey indicated employers were looking for 38,732 workers, up 21 percent since fall 2009, and up 19 percent from spring 2009.

The high was 90,000 vacancies in fall 2006. Almost half this spring's vacancies were in King County. Spokane County, with 2,475 openings, had 6 percent of the vacant positions.

"We seem to be doing well with legal in the county," Tweedy said. "We also have some smaller research and development companies."

Despite the increased demand for labor, wages have remained flat, he said.

Registered nurses were in greatest demand, with 2,318 openings, followed by software engineers, with 1,929.

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Hypochondriasis: Treatment & Medication

2010-07-20T15:33:00.000-07:00

?
Medication

A review of somatoform disorder management in several adult psychiatric consultation-liaison services showed that recommendations were made for antidepressants in 40% of the patients, anxiolytics in 18%, sedatives in 18%, and antipsychotics in 10%. Pharmacologic management was consistent with comorbid psychiatric diagnoses of mood disorder in 39% of patients, of personality disorder in 37%, and of psychoactive substance use disorder in 19%.

Selective serotonin reuptake inhibitors (SSRIs)
SSRIs are chemically unrelated to the tricyclic, tetracyclic, or other available antidepressants. They inhibit CNS neuronal uptake of serotonin (5HT). They may also have a weak effect on norepinephrine and dopamine neuronal reuptake. They have also been used to treat anxiety, phobias, and obsessive-compulsive disorders. Growing evidence suggests the efficacy of SSRIs to treat hypochondriasis. Although controlled adult trials using fluoxetine revealed a high rate of improvement, many patients responded as well to a placebo. Medication has been particularly helpful when comorbid conditions (eg, anxiety disorder, depression) are associated with hypochondriasis.
SSRIs are greatly preferred over the other classes of antidepressants. Because the adverse effect profile of SSRIs is less prominent, improved compliance is promoted. SSRIs do not have the cardiac arrhythmia risk associated with tricyclic antidepressants. Arrhythmia risk is especially pertinent in overdose, and suicide risk must always be considered when treating a child or adolescent with mood disorder.
Physicians are advised to be aware of the following information and use appropriate caution when considering treatment with SSRIs in the pediatric population.
In December 2003, the?UK Medicines and Healthcare Products Regulatory Agency?(MHRA) issued an advisory that most SSRIs are not suitable for use by persons younger than 18 years for treatment of "depressive illness." After review, this agency decided that the risks to pediatric patients outweigh the benefits of treatment with SSRIs, except fluoxetine (Prozac), which appears to have a positive risk-benefit ratio in the treatment of depressive illness in patients younger than 18 years.
In October 2003, the?US Food and Drug Administration?(FDA) issued a public health advisory regarding reports of suicidality in pediatric patients being treated with antidepressant medications for major depressive disorder. This advisory reported suicidality (both ideation and attempts) in clinical trials of various antidepressant drugs in pediatric patients. The FDA has asked that additional studies be performed because suicidality occurred in both treated and untreated patients with major depression and thus could not be definitively linked to drug treatment.
However, one study of more than 65,000 children and adults treated for depression between 1992 and 2002 by the Group Health Cooperative in Seattle found that suicide risk declines, not rises, with the use of antidepressants.6This is the largest study to date to address this issue.
Currently, evidence does not associate obsessive compulsive disorder?and other anxiety disorders treated with SSRIs with an increased risk of suicide. For more information, see the FDA Web site on?Antidepressant Use in Children, Adolescents, and Adults.
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Hypochondriasis: Treatment & MedicationOriginally from: http://www.nursinglink.monster.com/news/articles/15228-hypochondriasis-treatment-medication

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Administration Announces Regulations Requiring New...

2010-07-20T12:18:00.001-07:00

Administration Announces Regulations Requiring New...Originally from: http://feedproxy.google.com/~r/NursezonecomNursingNews/~3/0quu3DqSAIg/Administration-Announces-Regulations-Requiring-New-Health-Insurance-Plans-to-Provide-Free-Preventive-Care_34642.aspx

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Administration Announces Regulations Requiring New...

2010-07-20T12:18:00.000-07:00

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Body Dysmorphic Disorder: Follow-up

2010-07-20T09:32:00.001-07:00

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Follow-up

Further Outpatient Care

Patients have best results when treated by a consistent medical and mental health team.
Cognitive-behavioral therapy may be beneficial in situations during which patients develop a structured and predictable strategy in order to identify cognitive errors and maladaptive thinking.
When cognitive-behavioral therapy is efficacious, patients learn to alter cognitive distortions and are able to maintain and generalize more adaptive thought patterns in daily life.

Inpatient & Outpatient Medications

Patients may benefit most from a combination of SSRIs in conjunction with therapy sessions. Maximum benefit of SSRI medication may take several months.

Complications

Practitioners must be made aware that patients with body dysmorphic disorder (BDD) are at a higher risk for suicide.

Prognosis

BDD is a chronic disease, and the goal of therapy is to keep symptoms controlled.

Miscellaneous

Medicolegal Pitfalls

Body dysmorphic disorder (BDD) is sometimes overlooked as a diagnosis because many patients are reticent about discussing their symptoms. Failure to make this diagnosis can be dangerous because these patients are at increased risk for suicide.
Patients with BDD are also at risk for repeated cosmetic surgery to correct their perceived, but nonexistent, problem.

Body Dysmorphic Disorder: Follow-upOriginally from: http://www.nursinglink.monster.com/news/articles/15232-body-dysmorphic-disorder-follow-up

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Bulimia

2010-07-20T09:32:00.000-07:00

?
Introduction

Background

Bulimia nervosa?(BN) is an eating disorder characterized by eating binges typically followed by efforts to purge calories through self-induced vomiting, laxative and/or diuretic abuse, prolonged fasting, or excessive exercise. Fear of weight gain leads to the characteristic purging behavior, but bulimia nervosa is centered around the practice of binge eating. Most patients with bulimia are of normal weight or are overweight. Although some patients with anorexia nervosa also manifest purging behavior, anorexia is characterized by the practice of starvation due to intense fear of becoming fat, even though the person is significantly underweight.

The?Diagnostic and Statistical Manual of Mental Disorders, Fourth Edition (DSM-IV),?describes diagnostic criteria for bulimia nervosa and includes the following1?:
?

Recurrent episodes of binge eating, characterized by the following:?

Eating an amount of food, in a discrete period of time, that is larger than most people would eat during a similar period of time under similar circumstances
A perceived lack of control over eating during the episode of binge eating

Recurrent inappropriate compensatory behavior used to prevent weight gain
Occurrence of binge eating and inappropriate compensatory behaviors, on average, at least twice a week for 3 months
Self-evaluation unduly influenced by body shape and weight
Does not occur exclusively during episodes of?anorexia nervosa

Bulimia nervosa may be categorized as the purging type if, during the current episode, the person has regularly engaged in self-induced vomiting or in the misuse of laxatives, diuretics, or enemas. Bulimia nervosa may be categorized as the nonpurging type if other inappropriate compensatory behaviors, such as fasting or excessive exercise, have been used without self-induced vomiting or misuse of laxatives, diuretics, or enemas.

Individuals who binge eat without regularly engaging in the characteristic inappropriate compensatory behaviors of bulimia nervosa are currently?included in the category of eating disorders not otherwise specified (NOS) in theDSM-IV. Some researchers believe binge eating disorder (BED) is a milder form, or subset of bulimia nervosa, while others argue that it is its own distinct disorder. In contrast with bulimia nervosa, patients are typically overweight or obese and do not engage in compensatory behaviors.BulimiaOriginally from: http://www.nursinglink.monster.com/news/articles/15233-bulimia

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Bulemia, Treatment

2010-07-20T05:06:00.001-07:00

?
Treatment

Emergency Department Care

Comprehensive guidelines for the management of bulimia nervosa are provided by the American Psychiatric Association,?Practice Guidelines for the Treatment of Patients With Eating Disorders, Third Edition.

Complications of bulimia treatable in the emergency setting may include volume depletion, electrolyte abnormalities, esophagitis, Mallory-Weiss tear, esophageal or gastric rupture, pancreatitis, arrhythmias, or adverse effects of medication (eg, ipecac, appetite suppressants).
Associated illnesses, including depression, anxiety disorders, and substance abuse, increase the risk of other illness and injury. Directly question patients regarding suicidal ideation.
Patients should be warned against the use of diet pills and amphetamines, as well as energy pills and diet teas that claim to be all-natural. All-natural supplements often contain herbal forms of caffeine and ephedrine and have been associated with hypertension and cerebrovascular accident.
As new therapies to treat bulimia are introduced, considering possible adverse effects from these new therapies is important. Possible adverse effects may include renal lithiasis, glaucoma, seizure, and metabolic derangements.
Patients with eating disorders who are seen for an apparently unrelated problem benefit from an emergency physician who recognizes an eating disorder and provides initial management and suitable referral.

Consultations

For patients who are unable to halt the dangerous sequence of dieting, binging, and purging, admission to a psychiatric unit may be necessary to break the cycle.?
Psychiatric hospitalization may also be necessary for patients with severe depression and suicidal ideation, weight loss greater than 30% over 3 months, failure to maintain outpatient weight contract, or family crisis.??
Admission to a medical facility is warranted for patients with significant electrolyte/metabolic disturbance or other physical complication of binging or purging (eg, Mallory-Weiss tear, esophageal rupture, pancreatitis).?
All patients suspected of having an eating disorder should be referred to a psychiatrist for further evaluation. If possible, arrangements should be made for follow-up within 2 days.

Bulemia, TreatmentOriginally from: http://www.nursinglink.monster.com/news/articles/15238-bulemia-treatment

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Bulimia, medications

2010-07-20T05:06:00.000-07:00

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Medication

Treatment of eating disorders usually combines individual psychotherapy (usually a cognitive-behavioral approach), group or family therapy, and pharmacotherapy. The pharmacotherapy of bulimia nervosa is based on 2 pathophysiologic models: seizure disorder model and affective disorder model. Medications should be prescribed by the treating psychiatrist.

Note:?The US Food and Drug Administration (FDA) has issued warnings that use of antidepressant medications poses a small but significantly increased risk of suicidal ideation/suicide attempt for children and adolescents especially in the first few months of treatment. A black box warning advisory was issued in 2004 to this effect.?No suicides occurred in the trials reviewed. Meta-analysis shows that benefits appear to outweigh risks in treatment of major depression.

Antidepressants
These agents are reported to reduce binge eating, vomiting, and depression. They are also reported to improve eating habits, although their impact on body dissatisfaction remains unclear.

Fluoxetine is FDA-approved for the treatment of bulimia nervosa.
Bulimia, medicationsOriginally from: http://www.nursinglink.monster.com/news/articles/15239-bulimia-medications

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Bulimia, follow up

2010-07-19T20:58:00.000-07:00

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Follow-up

Further Outpatient Care

The efficacy of cognitive-behavioral therapy in patients with bulimia nervosa has been convincingly demonstrated in randomized, controlled trials.9
Bright light therapy decreased winter binge frequency in one study of 34 women with bulimia nervosa.10
Daily potassium and magnesium supplements and regular monitoring of serum electrolyte levels in patients who cannot stop purging may be considered.

Deterrence/Prevention

Nutritional and general wellness education can help prevent unhealthy eating patterns and excess weight gain. Exercise, participation in school activities, and healthy family relationships are important.
Children should be warned against society's obsession with physical appearance. Body dissatisfaction, moodiness, and risk-taking behavior should be addressed openly rather than accepted as normal adolescent behavior.

Complications

Electrolyte abnormalities due to vomiting may be compounded by those due to laxative-induced diarrhea or diuretic use. Perioperative arrhythmias have occurred in 2 patients with unrecognized bulimia nervosa.11
Chronic laxative use may lead to dependence and constipation. Phenolphthalein poisoning due to laxative overdose has been reported.
Diet pills can cause hypertension and cerebral hemorrhage when taken in excess.
The rate of comorbid substance abuse seems to be higher among patients with bulimia who have a family history of alcoholism.
A subgroup of patients with eating disorders who display multiple impulsive disorders may exist. Among patients exhibiting symptoms of bulimia, increased experience with the use of different substances was related to increased incidence of attempted suicide, stealing, and promiscuity.
Deaths are believed to result from cardiac arrhythmias, although serious problems have resulted from gorging and vomiting (eg, gastric or esophageal rupture, acute gastric dilatation, Mallory-Weiss tear, pneumomediastinum, postbinge pancreatitis).
Ipecac-related deaths have been reported and probably are caused by emetine cardiotoxicity in conjunction with electrolyte imbalances.

Prognosis

Initial studies of patients with bulimia nervosa indicate that about one half recover, one fourth improve, and one fourth have no change after brief behavioral, interpersonal, and dietary treatments. Fewer than one third are doing well on 3-year follow-up.
The prognosis is expected to improve as further understanding of the neurohumoral mechanisms of bulimia is gained and the use of pharmacologic agents is improved.

Patient Education

Patients with severe eating disorders may mistrust physicians. They may believe that their physicians are only interested in feeding them or making them lose their will and become fat.
Education about body weight regulation and the effects of starvation, vomiting, and laxatives on bodily functions may be helpful.
For excellent patient education resources, visit eMedicine's?Eating Disorders Center. Also, see eMedicine's patient education article?Bulimia.

Bulimia, follow upOriginally from: http://www.nursinglink.monster.com/news/articles/15240-bulimia-follow-up

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3 Tesla MRI To Offer Outstanding Image Detail In Clinical Setting

2010-07-19T17:28:00.001-07:00

3 Tesla MRI To Offer Outstanding Image Detail In Clinical SettingOriginally from: http://www.nursinglink.monster.com/news/articles/15219-3-tesla-mri-to-offer-outstanding-image-detail-in-clinical-setting

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Siemens Primed To Help Customers Achieve Newly-Defined Criteria For 'Meaningful Use' Of An Electronic Health Record

2010-07-19T17:28:00.000-07:00

Siemens Primed To Help Customers Achieve Newly-Defined Criteria For 'Meaningful Use' Of An Electronic Health RecordOriginally from: http://www.nursinglink.monster.com/news/articles/15220-siemens-primed-to-help-customers-achieve-newly-defined-criteria-for-meaningful-use-of-an-electronic-health-record

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From a Distance: Advancing Nursing Skills Online

2010-07-19T12:52:00.001-07:00

From a Distance: Advancing Nursing Skills OnlineOriginally from: http://feedproxy.google.com/~r/NursingAndCareer/~3/z9Ex7_uAMjc/BlogPostDetail.aspx

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Urge to Merge Is Good News/Bad News

2010-07-19T12:52:00.000-07:00

Urge to Merge Is Good News/Bad NewsOriginally from: http://feedproxy.google.com/~r/RnTalk/~3/QQpXoQysvzs/urge-to-merge-is-good-newsbad-news.html

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In U.S. cities, HIV linked more to poverty than race

2010-07-19T08:59:00.001-07:00

In U.S. cities, HIV linked more to poverty than raceOriginally from: http://www.nursinglink.monster.com/news/articles/15197-in-us-cities-hiv-linked-more-to-poverty-than-race

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Part 3-Students Write About HR 4601 The National Nurse Act of 2010

2010-07-19T08:59:00.000-07:00

Pictured: Elizabeth McPheeElizabeth McPhee SNA PCC Chapter President (Class of 2010) and USA Today Coca Cola Silver Scholar continues our four part series spotlighting portions of papers written on HR 4601 The National Nurse Act of 2010. Elizabeth's paper, Nurses Need a National Nurse stated the following:"Florence Nightingale can be quoted as saying "Nursing is a thing, which, unless we are making progress every year, every month, every week, take my word for it, we are going back" (Whyte, 2009). Historically the image of nursing has been a conflicted one. Its image has either been held in high regard as a noble and respected profession, usually by those who come in direct contact with the nurse, known as "merciful angel," "heroine," or perhaps the "greatest mother." Or its image is misrepresented by what the media wants to portray such as "handmaidens," subservient to physicians, " battle-axes," drug addicts or sex symbols. Through exhaustive research it was found that nurses were completely underrepresented in the media. This study reviewed over 2000 health related articles from 16 major news publications and found the nurses were cited only four percent of the time. Additionally, one of the study's key recommendations said that "if nurses merely wait for the media to discover their emerging roles as researchers, educators, problem solvers, and practitioners they are doing the public a disservice." Other recommendations included a call for nurses to speak out and promote professional images, to use strategies such as marketing and advertising to promote nursing, to create a database of experts at the national and state levels including local teams, and to increase visibility by writing to editors and correcting misreported information or under-reported issues. Progression of nursing will need aggressive efforts at improving its image, and one key element of this study reveals, that it is necessary to begin with changing the media's portrayal of nursing (Woodhull, 1998). Having Congress designate the Chief Nurse Officer of the US Public Health Service to be known as the National Nurse would help this important position become more visible and recognized by nurses and the public. In addition, this change would provide a huge boost to current efforts by nursing advocacy organizations who are working to improve nursing's image throughout the country." References:The Woodhull study on nursing and the media: health care's invisible partner. (1998) Center Nursing Press, Sigma Theta Tau International, Retrieved March 25, 2010 from http://www.nursingsociety.org/Media/Documents/Woodhull20Part%201.pdf database.Whyte, A. (2010, January 6). Relighting the lamp. Nursing Standard, 24, 18-20Part 3-Students Write About HR 4601 The National Nurse Act of 2010

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Mayo Clinic Health Letter Offers Overview Of Meningioma -- Brain Tumor That May Not Need Treatment

2010-07-19T07:08:00.000-07:00

Mayo Clinic Health Letter Offers Overview Of Meningioma -- Brain Tumor That May Not Need TreatmentOriginally from: http://www.nursinglink.monster.com/news/articles/15182-mayo-clinic-health-letter-offers-overview-of-meningioma----brain-tumor-that-may-not-need-treatment

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Nearly 60 Homecare And Patient Advocacy Groups Urge Congress To Repeal Medicare's "Competitive" Bidding For Home Medical Equipment And Services

2010-07-19T07:07:00.000-07:00

Nearly 60 Homecare And Patient Advocacy Groups Urge Congress To Repeal Medicare's "Competitive" Bidding For Home Medical Equipment And ServicesOriginally from: http://mnt.to/f/3Ghp

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Completing A Health Care Diploma Online

2010-07-19T05:48:00.000-07:00

Lots of people doubt the possibility of earning a health care degree on line. We have a preconception which exists around earning this sort of diploma online as opposed to being in an actual lab to complete the job. Many individuals think that healthcare is really a hands on job that needs on the spot instruction, and can't end up being attained online. That is anything but accurate, since the boomer generation significantly grows more interested and in need of top quality healthcare. The fact is that there are more healthcare careers currently available than there are actually men and women to fill them. The substantial boomer population is actually getting to the age of retirement when their own medical needs will obviously increase. The already understaffed medical care field turns into even more in need of health care specialists.

Earning a health care degree online is a superb approach for anyone who's in search of a good satisfying job. The benefits are not merely monetary; they?re at the same time satisfying in the fact that you are free to work whilst getting your own diploma, and can get it done on your time schedule.

The majority of folks imagine health care degree online programs to be directly related to being a physician, or registered nurse; nonetheless there are several brand-new health care fields that are also becoming sought after. There's a popular for those that possess official certifications in medical transcribing and medical assisting. Each of those professions have precisely what appears to be an insatiable staffing demand by the health care industry. Those that earn a diploma having a specialty in medical transcription will most likely be able to work at home typing up doctors notes and case files.

This really is something that has been outsourced to other international locations lately since there is insufficient graduates to fill the need. With a health care degree in medical transcription you can additionally presume tasks inside a clinic or physician's office aiding health care professionals using their day-to-day tasks. That is a powerful way to acquire priceless knowledge, making a significant difference in other people?s day-to-day lives.

Working on earning a health care diploma online is actually what is needed to get the process going towards achieving a much better career. This can be such a assurance that lots of colleges have employment services offices together with lists of employers with an immediate desire for skilled healthcare graduates. It?s this that allows you to by far the most useful commodity of them all; by allowing your self to get a diploma that makes you particularly desirable to those that are in search of health care related employees.

One more great aspect of the care degree online degree programs is that they offer you the opportunity for those that possess full-time jobs to earn a diploma on their very own time. This implies that you will not need to take a drop in your pay by having to set time aside to study. Anyone can keep your current salary while earning a degree online. Quite a few students which spend time away from school, and go back to continue their education find the hardest task is usually to give up their base earnings and subsequent way of life. Online programs allow you to keep on working while acquiring your diploma.

Are you ready to start your HealthCare degree?

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PFCD Commends New Affordable Care Act Rules Incentivizing Prevention

2010-07-19T02:29:00.001-07:00

PFCD Commends New Affordable Care Act Rules Incentivizing PreventionOriginally from: http://www.nursinglink.monster.com/news/articles/15184-pfcd-commends-new-affordable-care-act-rules-incentivizing-prevention

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PFCD Commends New Affordable Care Act Rules Incentivizing Prevention

2010-07-19T02:29:00.000-07:00

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Stentys Completes Enrollment In Clinical Study Of Its Breakthrough Stent To Treat Acute Myocardial Infarction

2010-07-19T00:29:00.001-07:00

Stentys Completes Enrollment In Clinical Study Of Its Breakthrough Stent To Treat Acute Myocardial InfarctionOriginally from: http://www.nursinglink.monster.com/news/articles/15187-stentys-completes-enrollment-in-clinical-study-of-its-breakthrough-stent-to-treat-acute-myocardial-infarction

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Stentys Completes Enrollment In Clinical Study Of Its Breakthrough Stent To Treat Acute Myocardial Infarction

2010-07-19T00:29:00.000-07:00

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Cancer Drugs May Help Stop Major Parasite

2010-07-18T21:25:00.001-07:00

Cancer Drugs May Help Stop Major ParasiteOriginally from: http://www.nursinglink.monster.com/news/articles/15189-cancer-drugs-may-help-stop-major-parasite

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AAP Press Statement On HHS Interim Rule On Preventive Services

2010-07-18T21:25:00.000-07:00

AAP Press Statement On HHS Interim Rule On Preventive ServicesOriginally from: http://www.nursinglink.monster.com/news/articles/15190-aap-press-statement-on-hhs-interim-rule-on-preventive-services

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Shoulder Arthritis? What Patients Need To Know Before Treatment

2010-07-18T18:11:00.001-07:00

Shoulder Arthritis? What Patients Need To Know Before TreatmentOriginally from: http://www.nursinglink.monster.com/news/articles/15192-shoulder-arthritis-what-patients-need-to-know-before-treatment

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Those To-Die-For High Heels May Alter Anatomy

2010-07-18T18:11:00.000-07:00

Those To-Die-For High Heels May Alter AnatomyOriginally from: http://www.nursinglink.monster.com/news/articles/15193-those-to-die-for-high-heels-may-alter-anatomy

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