Wednesday, June 30, 2010

Emergency Services Clinician (On-Call) (Woonsocket, RI) USA

Go directly to www.nricommunityservices.org and click ‘employment’ to apply through NRI Community Services online application. Thank you.
We’re not just coworkers.
WE’RE A TEAM.
At NRI Community Services, we work together to make lives work. An area leader in providing comprehensive mental health and substance abuse services, you won’t find a more supportive group of people anywhere. At NRICS, we’re redefining what community means.

Emergency Services Clinician (On-Call) – Woonsocket, RI
Our ES team is seeking experienced on call clinicians to provide telephone crisis intervention from home and perform crisis assessments at local hospital. Applicants should have current QMHP credential or a history of employment in Emergency Services. Hours are evenings, weekends and holidays. This is a great opportunity to earn extra income.

Education Requirements: RN or Master’s degree in human services field.

License/Certification Requirements: QMHP

In addition to a great working environment, we offer competitive salaries, training opportunities, tuition reimbursement, comprehensive benefits and a liberal time off package.

NRICS is an Affirmative Action/Equal Opportunity Employer. All qualified applicants will receive consideration for employment without regard to race, religion, color, sex, sexual orientation, age, national origin, or handicap.

Medical Ultrasound Professional (On-Line)

Train to become a Medical Ultrasound Professional at your own PACE! Attend classes in the comfort of your own HOME! No traveling to class in the mornings or evenings!
USI-The UltraSound Institute is a Distance Learning Ultrasound School.
Find out how you can become a certified Diagnostic Medical Sonographer-Cardiovascular Sonographer-Full Body Sonographer, all On-Line!
Keep your JOB, Make your OWN SCHEDULE, Complete curriculum at your OWN pace!! 24 and 36 month programs available! 12 week Vascular Ultrasound program also available! USI offers a 100% Gaurantee Pass of the ARDMS physics Examination!
Affordable tuition, Guaranteed Clinical Externships! Our Next Program Start Date is JULY 2010..........ENROLL TODAY!
Visit: sonoinstitute.com TODAY and start living your dream of becoming a Medical Ultrasound Professional!
info@sonoinstitute.com

Medical Assistant, Reproductive of Endocrinology (London)

Medical Assistant, Reproductive of Endocrinology

Job Descriptions:
Collect, store and retrieve patient data.
Maintain and order medical supplies.
Administer hormone shots.
Provide quality patient care.
Specimen collections.
Assist physician with IVF’s, inseminations, and ultrasounds.
Vital signs
Teach patients how to self administer hormone injections.
Skills:
Experience with Suturing, Blood draws, Vitals, Injections, Assisting Physicians with minor surgical procedures, and Vitals.
Experience with Family Medicine, Occupational health, and Pediatrics
http://www.moneymakingarena.com

Staff Nurse Medical/Surgical ICU (female only)

Staff Nurse Medical/Surgical ICU (female only)

Company King Faisal Specialist Hospital&Research Center
Salary TBA
Location Jeddah
Job Ref KFSJ28367
Job Description

Staff Nurse Medical/Surgical ICU

Only European passport holders, please, with Western qualifications

Female candidates only and must have current 2 years uninterrupted experience in Medical/Surgical ICU

Candidates must have proof of original Nursing Qualification from country of which they hold passport.

King Faisal Specialist Hospital & Research Center in Jeddah

King Faisal Specialist Hospital and Research Center in Jeddah is a tertiary care hospital in the western region of Saudi Arabia, and plays an important role in setting healthcare standards locally, nationally and internationally. The Hospital is committed as a leader in promoting health, research and education for the wellbeing of patients, staff and community.

Visit Sites http://www.professionalplacement.co.uk/Nursing-Careers/in-Saudi-Arabia/Jeddah/tabid/216/Nursing-Jobs/18025/Nursing/Default.aspx

Ouch

So last night around 10 pm my stomach started hurting. RUQ, just right of center, shallow and under my rib cage. A couple weeks ago I had the same pain, but it was less intense and I dismissed it as a strained muscle or gas, whatever.

But last night hurt. A lot. So of course I was thinking gallbladder. But although it was painful, I expected gallbladder pain to be much worse. I thought about going to the ER, but I would wayyy rather be miserable in my own bed than miserable in an ER waiting room... so I meditated my way back to sleep (see? the course came in handy after all!). By 4 am the pain woke me up, and I was COLD. So I took a hot bath and tried to fall back asleep. I woke up at 9 and headed to the hospital for bloodwork and an ultrasound.

After my ultrasound, the following conversation took place:

Me: So did you see anything blatantly abnormal?

U.S. tech: You have to discuss that with your doctor.

Me: Hmmm. That doesn't sound good (laughing)

U.S. Tech: silence and a stare

Me: O-kaaaayyyy, then

U.S. Tech: I can tell you if it was really really bad I wouldn't let you leave right now

Me: (silently) What the EFF does that mean???

Magnet Maggie at St. Joseph Hospital in Orange featured in Advance for Nurses



A June 2010 issue of Advance for Nurses features a great article on Magnet Maggie and her adventures at St. Joseph Hospital in Orange, California. Not only can you follow Magnet Maggie as she tours throughout the hospital but you can also see how much fun she has had accompanying nurses to conferences and even graduations. Thank you to feature writer Candy Goulette!!

Nurse Aid Jobs Saudi

Established in 1980, this POEA accredited recruitment agency is one of the pioneers in providing solutions for temporary and permanent staff to major institutions across the Middle East and UK. And for their current task, they are seeking to recruit Filipino nurses who are qualified for Nurse Aid Jobs Saudi. These nurse aid jobs Saudi have a job order that was approved by the POEA last June 23 for a POEA accredited recruitment agency based in Malate, Manila. Accompanying the said job order is a job order balance which allows the recruiting agency to select 10 applicants for placement in nursing jobs abroad.

Qualifications:
  • 22 to 35 years old
  • At least Prof'l License
  • Possess a minimum of 3 year(s) experience in the same field applying for
If you have the qualifications and interested to apply for the said Filipino nurse jobs in Saudi, submit your most recent resume and application together with 2 sets of the following documents:
  1. Resume with detailed job Description including medical Equipments / Handled
  2. 2x2 pictures
  3. TOR and Diploma
  4. PRC Card Copy (If applicable)
  5. Board Certificate and Board Rating
  6. Related Learning Experience
  7. Previous and Present Certificate of Employment
  8. Trainings and Seminars Certificate
  9. NBI and Passport Copy
For more info or inquiries, you can contact the agency in their landline numbers or email address indicated below.


Skills International Company Inc.
2nd Floor, Discovery Plaza Center
1674 Mabini Street, Malate
Manila
Tel Nos: 5268823 / 5268828
Fax No: +62-2-5268827
Email Add: recruitment@skills-intl.net
Website: www.skills-intl.net

Nursing Jobs Abroad Saudi

This POEA approved Nursing Jobs Abroad Saudi offers employment opportunities to Filipino nurses who are qualified for the positions of Staff Nurses and Assistant Nurses. The job orders for the said nursing jobs abroad were approved last June 18 for a POEA accredited recruitment agency based in Malate, Manila. The said job orders allow the recruiting agency to select 100 applicants for each vacant position in the said nursing jobs abroad.

If you are interested to apply for the said nursing jobs abroad Saudi, submit your application and most recent resume to the office of the recruiting agency. For more details on the qualifications and requirements for the said nursing jobs abroad Saudi, you can contact the agency’s landline numbers or email addresses specified below.


Princess Joy Placement & General Services, Inc.
G/F Vermont Tower
J. Nakpil cor. Dr. A. Vasquez Sts.
Malate, Manila
Telephone Nos:
(632) 526-6756
(632) 526-6759
(632) 400-1531
(632) 400-1534
Fax No: (632) 523-3160
Email:
princessjoy_mla@yahoo.com
pjpg_ads@yahoo.com
Website: www.princessjoy.net

Global MBA Ranking 2010

USA dominated the list with 10 MBA schools in the top 25 rankings, according to Whitefield Consulting Worldwide. London Business School is rated the best in the UK and top 2 internationally in 2010 (up from 3rd globally in 2009).

Harvard Business School dropped from 1st position to 4th in 2010, while Stanford University GSB moved up from 5th to top spot this year. HKUST Business School

Tuesday, June 29, 2010

Antibiotics Should Only Be Used For Bacterial Infections

Antibiotics Should Only Be Used For Bacterial Infections. Prescribing antibiotics to treat respiratory tract infections has dropped significantly in recent years, a new study has found.

That's mainly the result of fewer young children being seen for ear infections, according to the researchers. But despite a decline overall, prescriptions for broad-spectrum antibiotics, such as azithromycin (Zithromax), and anti-microbial agents known as quinolones have increased, they reported. Such drugs are used to fight more serious infections, such as MRSA and other resistant bacteria.

"There is good news about declining antibiotic use, since inappropriate use of antibiotics can result in bacteria that are resistant to these antibiotics," said Dr. Marie R. Griffin, a professor of preventive medicine at Vanderbilt University Medical Center and a co-author of the study. "However, overuse of powerful antibiotics remains a problem."

"Antibiotics should only be used for bacterial infections, and heavy-duty antibiotics should be saved for serious infections," Griffin said.

Over the last 12 years, she said, use of antibiotics in children has declined 36 percent. "This is mainly due to educational efforts to reduce inappropriate use of antibiotics for viral infections and to a new vaccine -- pneumococcal conjugate vaccine for infants, which has reduced ear infections in children," she said.

For the study, which is published in the Aug. 19 issue of the Journal of the American Medical Association, the researchers looked at the trends in prescriptions for antibiotics from 1995 to 2006, using data from the National Ambulatory Medical Care Survey and the National Hospital Ambulatory Medical Care Survey.

They found that medical visits for ear infections among children younger than 5 declined 17 percent in that time, and antibiotic prescription rates dropped 27 percent.

The study attributed the decrease to a 36 percent reduction in antibiotic prescriptions for respiratory tract infections. Rate of doctor visits for ear infections fell 33 percent over the study period, and rates of antibiotic prescriptions specifically for ear infections fell 36 percent, the researchers found.

Among those 5 and older, doctor visits for respiratory tract infections remained about the same, but antibiotic prescription rates for those infections dropped18 percent. Prescription rates for antibiotics for other conditions for which antibiotics are rarely indicated dropped 24 percent in this age group, the study found.

In the past decade, initiatives in the United States have urged the judicious use of antibiotics, particularly for acute respiratory tract infection, which is a common reason for people to see a doctor and a frequent reason for antibiotic prescriptions, especially for young children, the researchers noted.

The use and misuse of antibiotics can increase the likelihood that bacteria will become resistant to antibiotics. Infections caused by antibiotic-resistant microorganisms have been associated with increased illness, death and substantial costs, the researchers said.

Dr. Stuart B. Levy, president of the Alliance for the Prudent Use of Antibiotics and a professor of medicine, molecular biology and microbiology at Tufts University School of Medicine, said he thinks the trend toward less antibiotic use is encouraging.

"It's a wonderful finding," Levy said. "The message is getting out there. There is a major thrust in the appropriate use of antibiotics -- the realization that if we reduce the use of antibiotics, we will reduce the levels of resistance."

Levy added that it also has become easier for doctors to tell patients they don't need antibiotics.

"Now patients are saying: 'If I don't need the antibiotic, why should I take it?' That is a good sign," he said.

People are getting the message that "antibiotics are not cure-alls, and a consequence of antibiotic usage and misuse is the resistance that emerges," Levy said. ( HealthDay News)

Julie's picks from the literature May 2010


Here are my picks from the nursing literature for May dealing with nursing research articles or articles about nursing research/EBN. Staff at St. Joseph Hospital or Children's Hospital of Orange County may be able to access some of the full text articles through the library website

1. Nursing students' and clinical instructors' perceptions on the
    implementation of a best practice guideline.(includes abstract);
    Ritchie L; Evans MK; Matthews J;  Journal of Nursing Education, 2010
    Apr; 49 (4): 223-7 (journal article - research) ISSN: 0148-4834 PMID:
    20055324 CINAHL AN: 2010617920

2. Partnering with your library to strengthen nursing research.(includes
    abstract); Hallyburton A; St John B;  Journal of Nursing Education,
    2010 Mar; 49 (3): 164-7 (journal article - research) ISSN: 0148-4834
    PMID: 19954132 CINAHL AN: 2010602293
3. Integration of spirituality in nursing practice: a literature
    review.(includes abstract); Tiew LH; Creedy DK;  Singapore Nursing
    Journal, 2010 Jan-Mar; 37 (1): 15-20, 22 (journal article - research,
    systematic review) ISSN: 0218-0995 CINAHL AN: 2010621331
4. Evidence-based nursing. 6 steps for transforming organizational EBP
    culture.Ogiehor-Enoma G; Taqueban L; Anosike A;  Nursing Management,
    2010 May; 41 (5): 14-7 (journal article) ISSN: 0744-6314 PMID: 20418746
    CINAHL AN: 2010647956
5. Rapid response team - a proactive strategy in managing
    haemodynamically unstable adult patients in the acute care hospitals
    [corrected] [published erratum appears in SINGAPORE NURS J 2010
    Jan-Mar;37(1):4].Choo CL; Heng D; Ching AC; Kang J; Wentao Z; 
    Singapore Nursing Journal, 2009 Oct-Dec; 36 (4): 17-22, 24-8 (journal
    article - tables/charts) ISSN: 0218-0995 CINAHL AN: 2010489902
6. Information literacy for evidence-based practice in perianesthesia
    nurses: readiness for evidence-based practice.Ross J;  Journal of
    PeriAnesthesia Nursing, 2010 Apr; 25 (2): 64-70 (journal article -
    research, tables/charts) ISSN: 1089-9472 PMID: 20359640 CINAHL AN:
    2010635535
7. A meta-study of the essentials of quality nursing
    documentation.(includes abstract); Jefferies D; Johnson M; Griffiths R;
     International Journal of NursingPractice, 2010 Apr; 16 (2): 112-24
    (journal article - research, systematic review, tables/charts) ISSN:
    1322-7114 PMID: 20487056 CINAHL AN: 2010605897
8. Perceived facilitators and inhibitors for the use of personal
    digital assistants by nurses: a systematic review.Gyi AA;  Journal of
    Advanced Nursing, 2010 May; 66 (5): 964-6 (journal article - abstract)
    ISSN: 0309-2402 PMID: 20423356 CINAHL AN: 2010647106
9. Rounding for outcomes: an evidence-based tool to improve nurse
    retention, patient safety, and quality of care.Baker SJ; McGowan N; 
    JEN: Journal of Emergency Nursing, 2010 Mar; 36 (2): 162-4 (journal
    article - pictorial) ISSN: 0099-1767 PMID: 20211412 CINAHL AN:
    2010621739
10. Team-based care interventions involving nurses and primary care or
    community pharmacists improve hypertension control.Khan EU; 
    Evidence-Based Nursing, 2010 Apr; 13 (2): 47-8 (journal article) ISSN:
    1367-6539 PMID: 20436147 CINAHL AN: 2010668595
11. Nurse-led postpartum discharge education programme including
    information on postnatal depression reduces risk of high depression
    scores at 3-month follow-up.Morrell CJ;  Evidence-Based Nursing, 2010
    Apr; 13 (2): 48-9 (journal article) ISSN: 1367-6539 PMID: 20436148
    CINAHL AN: 2010668596

12. Evidence-based practice improvement: merging 2 paradigms.(includes
    abstract); Levin RF; Keefer JM; Marren J; Vetter M; Lauder B;
    Sobolewski S;  Journal of Nursing Care Quality, 2010 Apr-Jun; 25 (2):
    117-26 (journal article - tables/charts) ISSN: 1057-3631 PMID: 19680149
    CINAHL AN: 2010617873
13. Accreditation and certification for evidence-based design.(includes
    abstract); Stichler JF;  Journal of Nursing Administration, 2010 Apr;
    40 (4): 158-61 (journal article) ISSN: 0002-0443 PMID: 20305460 CINAHL
    AN: 2010629098
14. Knowledge translation: summarizing and synthesizing the evidence for
    WOC best practices.Kelechi TJ; Naccarato MK;  Journal of Wound, Ostomy
    & Continence Nursing, 2010 Mar-Apr; 37 (2): 132-6 (journal article -
    tables/charts) ISSN: 1071-5754 PMID: 20228652 CINAHL AN: 2010604492
15.     Discover a better way to care: exploring uncharted territory,
    researchers are blazing a path to better nursing practice.Brown G; 
    Johns Hopkins Nursing, 2010 Spring; 8 (1): 28-33 (journal article -
    pictorial) CINAHL AN: 2010631192
16. Telephone behavioural intervention delivered by nurses combined with
    home blood pressure monitoring improves long-term hypertensive
    management compared with usual care.Hill MN;  Evidence-BasedNursing,
    2010 Apr; 13 (2): 46 (journal article) ISSN: 1367-6539 PMID: 20436146
    CINAHL AN: 2010668594
17. How professional nurses working in hospital environments experience
    moral distress: a systematic review.McArthur A;  Journal of Advanced
    Nursing, 2010 May; 66 (5): 962-3 (journal article - abstract) ISSN:
    0309-2402 PMID: 20423356 CINAHL AN: 2010620396

18. The journey to Magnet®: establishing a research
    infrastructure.(includes abstract); Steele-Moses SK;  Clinical Journal
    of Oncology Nursing, 2010 Apr; 14 (2): 237-9

19. Preoperative skin cleansing with chlorhexidine-alcohol reduces
    surgical site infection after clean-contaminated surgery compared with
    povidone-iodine.Mimoz O;  Evidence-Based Nursing, 2010 Apr; 13 (2):
    36-7 (journal article) ISSN: 1367-6539 PMID: 20436136 CINAHL AN:
    2010668584
20. Nicotine patch plus lozenge gives greatest increases in abstinence
    from smoking at 6 months compared with placebo; smaller effects seen
    with nicotine patch alone, bupropion or nicotine lozenges alone or
    combined.Buchanan L;  Evidence-Based Nursing, 2010 Apr; 13 (2): 50-1
    (journal article) ISSN: 1367-6539 PMID: 20436150 CINAHL AN: 2010668598
21. Cohort study finds nine times increased overdose risk (fatal plus
    non-fatal) in patients receiving 100 mg/day for 90 days compared with
    1-20 mg/day opioids for chronic non-cancer pain, but wide CI and
    possibility of unmeasured confounders.Hochman JS; Pergolizzi J; 
    Evidence-Based Nursing, 2010 Apr; 13 (2): 55-6 (journal article) ISSN:
    1367-6539 PMID: 20436154 CINAHL AN: 2010668602
22. Telephone-delivered collaborative care for post-CABG depression is
    more effective than usual care for improving quality of life related to
    mental health.Gallagher R;  Evidence-BasedNursing, 2010 Apr; 13 (2): 37
    (journal article) ISSN: 1367-6539 PMID: 20436137 CINAHL AN: 2010668585
23. Systematic review finds no difference in effect between home and
    centre-based cardiac rehabilitation on mortality, morbidity and
    modifiable risk factors in patients with CHD.Parry M; 
    Evidence-BasedNursing, 2010 Apr; 13 (2): 38 (journal article) ISSN:
    1367-6539 PMID: 20436138 CINAHL AN: 2010668586
24. Ginger reduces severity of nausea in early pregnancy compared with
    vitamin B6, and the two treatments are similarly effective for reducing
    number of vomiting episodes.Smith C;  Evidence-BasedNursing, 2010 Apr;
    13 (2): 40 (journal article) ISSN: 1367-6539 PMID: 20436140 CINAHL AN:
    2010668588
25. Hand hygiene and facemask use within 36 hours of index patient
    symptom onset reduces flu transmission to household contacts.Gould D; 
    Evidence-BasedNursing, 2010 Apr; 13 (2): 44 (journal article) ISSN:
    1367-6539 PMID: 20436144 CINAHL AN: 2010668592
26. Low specificity and high false-positive rates limit the usefulness
    of the STRATIFY tool and clinical judgement in predicting falls in
    older patients in an acute hospital setting.Healey F; 
    Evidence-BasedNursing, 2010 Apr; 13 (2): 54 (journal article) ISSN:
    1367-6539 PMID: 20436153 CINAHL AN: 2010668601
27. Where to find help when you need it: EIDM resources.Dobbins M; 
    Reflections on Nursing Leadership, 2010 1st Quarter; 36 (1). (2p)
    (journal article) ISSN: 1527-6538 CINAHL AN: 2010641747

Nanda Nursing Diagnosis By Gordon’s Functional Health Patterns

Nanda Nursing Diagnosis By Gordon’s Functional Health Patterns

Download :
Nanda Nursing Diagnosis By Gordon’s Functional Health Patterns


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Top 10 Architecture Schools (US)

The 11th annual America’s Best Architecture & Design Schools study by DesignIntelligence on behalf of the Design Futures Council ranks accredited undergraduate and graduate programs from the perspective of leading practitioners. In the 2010 nation-wide survey of leading firms across the United States, K-State College of Architecture, Planning and Design is ranked in the top 10 for the following

Monday, June 28, 2010

Managing Depression during Pregnancy and Lactation

by Melissa Garvey, ACNM Writer and EditorBetween shifts at the information booth and shadowing the photographer, I was lucky enough to sample a few of the great education sessions on tap at this year’s ACNM Annual Meeting. I was most looking forward to meeting fellow bloggers Mary Murry, Amie Newman, and Amy Romano, but I also managed to slip into “Psychiatric Medications in Pregnant and

Summer Continued...

So lets discuss all I have done this summer. Well, that's about it. Lol. No, seriously. I've re-done some furniture, been swimming a few times, been training for my marathon (which is going well, actually), procrastinated studying for my make-up physio exams, and dropped out of my Buddhist retreat. Bleh. That's a decent story.... here goes.

So my friend Kiluam went on and on about how I should go to this retreat since I am interested in Buddhism and meditation. 10 days. He did it and said it was awesome. I was a little nervous but he kept assuring me that I would love it. I purposely didn't research it bc I didn't want other's opinions to influence me. So about 2 weeks ago I drove to the Dallas area for the retreat. 10 days. 10 hours of meditation per day. No talking. No phones. No reading. No journaling. No exercise. No eating after 12 noon. No sweat? The eating thing made me nervous... but other than that I was pretty game.

When I got there I was fine. The place was nice, I had my own room, the food was good. I wasn't hungry, either. They were however, adamant that we promise to stay all 10 days. In order to give the mediation technique a fair shake. Ok, fair enough. No sweat. The first evening of meditation was nice, and the whole next day was ok, too. Silence. Meditation. Mindful eating. But 10 hours was still 10 hours. A lot. You wake up at 4:00 am, meditate 2 hours, eat breakfast at 6:30 am, mediate 'till 11. Eat lunch. Mediate 'till bedtime essentially .By the 3rd day fatigue started really setting in and I was fighting to stay awake during my mediations. It was a horrible day. All day I was fantasizing about sleep. By the time the evening rolled around I was exhausted, and trying to convince myself not to quit. But that inner discussion kept me from sleeping, which made me panic more, because I simply could not face another full day of fighting fatigue. Frankly, driving 500 miles home seemed less daunting than trying to keep it together for another full 10 hours of mediation.

So at 3:00 in the morning, a full hour before the morning gong is rung, I snuck out. I strapped all my belongings to me so I didn't have to make 2 trips, and I left like a thief in the night. Like escape from Alcatraz. I hiked to the parking lot, wheeling my suitcase off the sidewalk in the grass as to not make any noise. When I finally reached my car, I realized someone blocked me in. Luckily I have a jeep. I threw my shit in, off roaded out of the parking lot, and left.

Once I had re-gained consciousness after a few hours nap, I realized how mad I was at myself. It really was a great opportunity. And I really liked a lot of things that were said at the retreat. But I wussed out bc of sleep. When I got home I googled the course, and to my relief found literally hundreds of other people who left the course at the same time for the same reasons that I did. Which validated me. A little. Maybe I'll try again someday when I am more prepared. But probably not. I'm content to stick to my current 30-90 minutes of mediation per day.

Top Civil Engineering Schools

University of California--Berkeley is ranked 1st for its graduate programs in Civil Engineering in the U.S. News & World Report graduate school rankings 2011. UC Berkeley’ Department of Civil and Environmental Engineering (CEE) is widely acknowledged to be a national and international leader. CEE is organized into six program areas including: Engineering and Project Management; Environmental

Drugs, Alcohol and HIV/AIDS: A Consumer Guide

Drugs, Alcohol and HIV/AIDS: A Consumer Guide

Drug Abuse behavior plays the single largest role in the spread of HIV infection in the United States today. This pamphlet answers questions and offers resource and contact information.

Download : Drugs, Alcohol and HIV/AIDS: A Consumer Guide --> click here

Sunday, June 27, 2010

Occupational Therapist - School-based (TriBeCa, United States)

Looking for a warm, creative, playful occupational therapist to work 8:30a.m. until 2:30p.m. Tuesdays and Thursdays at an elementary school for gifted children with learning differences opening this September. Additional or alternative availability from 10:30a.m. until 11:30a.m. Mondays, Wednesdays and Fridays a plus. All candidates must has a BS/BA or MS degree from an accredited school recognized by the American Occupational Therapy Association, as well as an active NYS license and experience working in a school-based setting. Responsibilities include providing direct treatment (both push-in and pull-out), maintaining appropriate treatment records and progress reports, participation in weekly staff meetings, facilitation of daily exercise period (for all students), and advising staff re: equipment/adaptations/strategies to facilitate learning. Please submit cover letter, cv and references to contact@thelangschool.org.

Live-In Caregiver - 2-3 Days Per Week (Somers, NY, USA)

Seeking a retired nurse or experienced caregiver to provide assistance for a lovely elderly woman in Somers, NY. Candidiates must be able to stay with resident for 2 to 3 days each week, including overnight. Positive, nurturing home environment. For immediate consideration, please reply to this ad or call Gail at (914) 761-5851 between 9:00 a.m. and 9:00 p.m.

NURSE PRACTITIONER - Corporate Health (USA)

FairmontConsultants
- Enhancing Careers ?
?

Fairmont Consultants has been in business for over 20 years assisting candidates with their job search in the medical field and placing them in a variety of positions ranging from solo, group, specialty practices, ambulatory centers, medical facilities, and hospitals. We realize your time is valuable and will not waste it as we match people to jobs and jobs to people. All interviews are by appointment only to ensure uninterrupted, focused time for you. We listen to your specific needs and your requirements. We have at our disposal a vast reservoir of contacts that cover most medical specialties. At Fairmont we take an individual approach to our search, each candidate is treated with the respect afforded to a professional. All our opportunities are fee paid and all our listings are current and accurate. You can receive additional information concerning your specific search by calling 212 288-8690 or,by faxing 212 249-6787 by E-Mailing: FairmontConsultants@msn.com
/////////////////////////////////////////////////////////////////////////////////
NURSE PRACTITIONER ? Corporate Health

Prominent global corporation seeks a Nurse Practitioner for their New York corporate headquarters. Candidate will be responsible for their Health & Wellness Program making employees aware of ways to improve their health and fitness through better nutrition, diet, and exercise. Candidate will also coach those with chronic diseases offering choices to better manage their condition. This is a new program initiated to address and reduce health risk factors through the right choices and options. This candidate will also be responsible for treating company employees for illnesses that occur during their work day. Individual will take medical histories and conduct physical examinations, diagnosing, and treating a variety of conditions and referring them to specialists when necessary.

This position requires a candidate with excellent communication skills, one able to multitask and handle a variety of situations as they occur. Candidate should have a background in Primary Care a special interest in health and wellness, and preventive medicine. Candidate must be licensed in the state of New York.

Email.fairmontconsultants@msn.com

IE Business School - Rankings

IE Business School is recognized as one of Europe's leading business schools by international publications. The School offers a variety of programs including the Bachelor in Business Administration (BBA), Master in International Management, International MBA, Master in Finance, Master of Laws (LL.M.) in International Legal Practice, DBA, PhD, and more.

Ratings and Rankings:

- IE Business

A Very Angry Patient

And her anger is justified. Justified to the tenth power.

Many times on this blog I have posted about nursing cadets and apprentices. These are the untrained 16 year old kids without a shred of nursing knowledge that the hospitals are hiring these days instead of real Nurses.   The real Nurses (the few of us that there are) are just running between too many patients because the cadets can do so little.

I have worked with a couple of cadets who are diamonds in a sea of shit.  There is no knowledge there but they were mature for their ages, hellbent on becoming good nurses someday,and willing to learn.

The rest of them suck.  And they don't care either.  They don't want to become Nurses.  They just want a few quid to go out with and the hospital pays them slightly more than McDonald's.  The immaturity and attitude problems are unbelievable.  They are not vetted properly. How I miss my older, experienced health care assistants who are mostly gone.  How I miss all the experienced Real Nurses who have left and not been replaced by other Real Nurses.  I could cry when I come onto shift with no one but inexperienced cadets who cannot do anything to "help".  The public assumes that these kids are some kind of Nurse or something as they are wearing uniforms and handing out bedpans.  Therefore the patients and visitors are not realising the true extant of the staffing problems.

One of these cadets really fucked off a patient and her husband.  Let me tell you what happened.  I wasn't on my usual ward but had been moved to another for the day as they had no staff.  Neither did my ward but I was still taken from it for the day. *Details all changed as I comply with Hippa and always maintain confidentiality.

Older lady with congestive cardiac failure.  Very swollen, very little output.  Given massive amounts of Furosemide, a diuretic which makes a person wee for England.  This drug helps their bodies get rid of all that excess fluid that is making it hard to breathe.  Google congestive cardiac failure, fluid overload, and furosemide if you are confused.  I don't want to explain it all on this post.  We also keep these patients on fluid restrictions.  Therefore they are not taking that much oral fluid. 

The third time this nice lady rang her call bell for a commode  to pass urine she expressed to me her worries that she was "being a pain, a right nuisance".

I reassured her that she most certainly was not a pain.  I told her that it was an excellent thing that she was passing so much urine because it shows us that the drugs are working and her condition is improving.  She had other medical problems in addition to failure that was making her short of breath.  I also reassured her that she did right in ringing for a commode rather than trying to walk all the way down the hall to the toilets. I reinforced the need for the fluid restriction to keep her from any further overload.  I was happy with the patient.  She seemed happy with me. All good.

Lovely lady, no trouble at all.  Not a bit.

I had 20 other patients and was caring for them when this nice lady rang again for a commode.  Vikki Pollard, a 17 year old cadet (NOT A NURSE or even a trainee nurse)  who was busted recently for 20 smoke breaks a shift answered her bell. 

Vikki was the only other person I was working with for this group of 20 patients.  Vikki did not want to be at work.  She has no interest in nursing and never plans on becoming a nurse.  She wants a paycheck.  It was very easy for her to get a job at the hospital since the trust has decided to hire people like Vikki rather than actual Nurses. Vikki has no knowledge of CCF, diuretic medications, respiratory problems, congestive cardiac failure etc etc.

So Vikki answered this lady's call bell about 30 minutes after I was out of the room and said this to the patient:

"OMG I can't believe you are ringing again. Why can't you be bothered to get up and walk to the bathroom.  Stop drinking so much if it makes you wee like that".

Vikki of course had sat through handover with me that morning.  She heard that the patient was a CCFer on diuretics etc etc.  That fluids were a bit restricted etc etc.  But Vikki sleeps through handover and none of that information registers with her.  There is so much of this information about all the patients that I am caring for that it is physically impossible for me to stay on top of Vikki's whereabouts and explain it all to her. 

The next time I went into the patient's room she was quiet and didn't say very much.  When her husband came into visit she unloaded to him.  He cornered me and let loose wanting to know why some "young nurse" spoke to his wife that way 30 minutes after another nurse told her that passing urine so much and ringing for a commode was fine.

"You people don't know what you are doing"

"That young nurse as an abomination and should be struck off, so much for educating nurses at Uni"

"My wife is very hurt". (feelings)

Was he wrong?  Only in the fact that he thought Vikki was a nurse and believed she could be struck off.  She isn't actually a nurse so  she isn't registered with any professional body to be struck off from.  She certainly hasn't had nurse training or ever attended university.  It takes an education to understand the situation of these patients and be truly compassionate.  I will most likely take the heat for this as I am the one with the nurse registration.  The trust doesn't want to lose the cheap untrained labour. But they want to lose qualified nurses.

What could I say to this man?  Other than apologising and agreeing with him what could I say to make it better?  I can't deflect all responsibility onto Vikki Pollard because I am the patient's nurse.   I did try to explain to the husband that Vikki was an assistant and not a nurse and therefore she did not understand the situation.  But there is no excuse for the way she spoke to the patient and I agreed with him on that.  I spoke to the chief nurse about it all.  Nothing has been done.  They are still reducing the number of qualified nurses at ward level (both old and new trained) in favour of these young kids and novices.  Both the older trained and new uni nurses are on their knees being so few in number and they cannot find jobs on the wards.

What to do what to do.




This is where the argument that nurses are "uncaring as a result of being university educated " Falls apart.  I studied so much pathophysiology and pharmacology in nursing school that I understood this patient's situation completely (from a nursing, if not a medical perspective). Had this lady rang her bell 50 times an hour to pee my knowledge would have allowed me understand why and demonstrate compassion as a result of that understanding.  Poorly educated and poorly trained carers are more likely to lose their rag with these patients as well as very demanding patients because of their lack of knowledge.

But thanks to the likes of Melanie Phillips, Frank Field, Iain Dale, and Minette Marin,   the hospitals will continue to get away with poorly educated carers in the place of nurses.  And not only that, but we will have poorly educated old fashioned trained nurses who cannot deal with the demands of modern patient acuity.  * Edit They would be able to handle it if they had decades of experience under their belts.  But new recruits to nursing will not have that, or the support that the nurse's who trained in the 70's had.  This is due to poor staffing.  If some of these self professed nursing and nurse education experts (who have never studied nursing , let alone understand what a nurse actually is) get their way and remove nurse training from university the hospitals will be even more full of Vikki Pollards as both qualified and unqualified staff in the future.








What to do what to do.

The Science Inside: High Blood Pressure



The Science Inside: High Blood Pressure
This booklet explains what health professionals know about high blood pressure or hypertension, one of the leading causes of heart disease and stroke. It shows how to prevent high blood pressure, as well as how to care for yourself if you have been diagnosed with the disease.

Download The Science Inside: High Blood Pressure : click here

Top Universities for Linguistics

Following are the top ranking UK universities for Linguistics Degrees:

The University of York
- In the results of the Research Assessment Exercise (RAE) released in December 2008, York Linguistics is ranked 2nd in the UK for linguistic research. Two-thirds of its research was judged to be world-leading / internationally excellent; the research environment was judged particularly excellent.

Saturday, June 26, 2010

University of Hartford Profile

Founded in 1877, The University of Hartford (UHA) is a fully accredited private coeducational university located in West Hartford, Connecticut (USA).

The University has the following Schools and Colleges: College of Arts and Sciences; School of Communication; Barney School of Business; College of Education, Nursing and Health Professions; College of Engineering, Technology, and Architecture;

The Science Inside: Diabetes



The Science Inside: Diabetes
This booklet summarizes what health professionals know about type 2 diabetes — what it is, who is at risk for it, how it can be prevented, and how it is treated. It describes how researchers study the disease and what individuals can do to help reduce the rising number of diabetes cases now affecting millions of children and adults around the country.

Download : The Science Inside: Diabetes click here

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University of Prince Edward Island

The University of Prince Edward Island (UPEI) is a leading university located in Charlottetown, Prince Edward Island, Canada. It is consistently placed in the Top 10 in the Maclean’s rankings of 21 primarily undergraduate universities.

The University offers undergraduate degrees in Arts, Education, Science, Business, and Nursing; and graduate degree programs in Veterinary Medicine, Arts, Science

Friday, June 25, 2010

Top UK Universities for English

Following are some of the top UK universities for English Degree Courses:

University of Sussex
- The School of English at Sussex includes Drama Studies and English literature and English Language.
- The Higher Education Funding Council's assessment of teaching quality rated the English department 'excellent' and the department also received 5 out of 5 in the UK government's 2001 Research

Thursday, June 24, 2010

10 Foods That Increase Memory

brain-memory
You already know about 10 great meals that can stimulate the human memory? For those of you who already know it must have felt himself, like what are the benefits, but for you who do not know yet discouraged because in this paper, I will distribute to the 10 types of foods that can stimulate the brain to work better, easier way to create a memory & more intelligent .
The ten types of foods that include :
  1. Fish
    The first is freshwater fish, especially fish such as salmon, trout, tuna, herring, mackerel and sardines.
    Basically the fish contains a lot of nutritional content, such as lecithin (choline), phenylalanine, ribonucleic acid, DMAE, tyrosine, vitamin B6, niacin or B3, copper, protein, zinc, omega-3 fatty acid (DHA) and vitamin B12.

  2. Egg
    It was no doubt a nutritious eggs contain content such as phenylalanine, lecithin (choline), vitamin E, vitamin B6.

  3. Chicken
    Chicken contains phenylalanine, vitamin B6, niacin or B3 & protein.

  4. Banana
    Banana is a fruit that contains tyrosine, magnesium, potassium and vitamin B6.

  5. Low Fat Milk Products
    These foods contain phenylalanine, tyrosine, slutamin, protein, ALC & vitamin B12.

  6. Avocado
    This fruit contains a tyrosine & magnesium.

  7. Soybean
    Containing soy lecithin (choline), glutamic acid, phenylalanine, vitamin E, iron, zinc, protein, vitami B6.

  8. Beef Without Fat
    Containing phenylalanine, lecithin (choline, glutamic acid, an iron, zinc)

  9. Chicken Liver
    Containing vitamins A, B1, B6, B12, protein, iron & tyrosine.

  10. Gandum
    Grain lots containing lecithin (choline), glutanik acid, vitamin B6, B1 and E and magnesium.

Thus the ten foods that can improve the performance of the human brain. If we are diligent in taking it so our body butter to be healthy, safe and sound also we will have a brilliant brain.

Medical Receptionist (brentwood / oakley, USA)

The East Bay’s premier cardiology practice is seeking an experienced Medical Receptionist for our BRENTWOOD office. Duties include automated scheduling, patient intake/discharge, insurance authorizations, heavy phones, excellent organization and communication skills a must. Minimum 1-year experience in a multi-physician medical practice. Medical Manager Software knowledge preferred.

Monday - Friday. No nights or weekends!
Qualified, interested candidates please email your resume to the address listed above.

You may visit us on our web site at www.ccmgonline.com

Home Health Aide - Sonoma (sonoma, USA)

Hospice by the Bay provides emotional, spiritual, physical and practical support to individuals, their loved ones, and their caregivers when facing a terminal illness. We are committed to delivering quality care and maintaining ethical, legal and cost effective standards.


We currently have an opening for a full time HHA to provide personal care services to the terminally ill patient and perform related tasks in the patient/ family home in accordance with the plan of treatment as assigned by the Nurse/Case Manager.


Current certification to practice as a Home Health Aide in the State of California REQUIRED. Minimum of one year of experience as a Home Health Aide in the care of children, aged, chronically ill, disabled and acutely ill patients.


We provide a supportive team environment and competitive pay and benefits.


To apply, please go to: https://home.eease.com/recruit/?id=351556 EOE


*Please only apply if you are a certified HHA in CA.

Queen Mary (QMUL) Top Rankings

Queen Mary, University of London (QMUL) is one of the very top research-led universities in the UK and amongst the very best institutions in the world.

Notable QMUL alumni include: Tony Froggatt (Chief Executive of Scottish and Newcastle Plc from May 2003 to October 2007), Giles Thorley (Queen Mary's third alumnus to run a FTSE 100 listed company), Martin Cross (Gold medal winning Olympic rower)

Compassionate Caregivers Needed (Peninsula, USA)

We are looking for special people who have a desire to help Seniors as caregivers. We have opportunities throughout the peninsula for the right individuals. At this time we are most interested in those caregivers looking for live-in positions, however we will consider some applications for hourly shifts.

Senior Assist of the Peninsula, a member of the nationwide “Seniors Choice Network”, provides assistance to seniors who wish to remain living in their homes, but need help with daily activities in order to do so. Some of the duties may include:

• companionship

• planning and preparing meals

• incidental transportation to and from appointments or recreational activities

• running errands

• light housekeeping

• medication reminders

• assistance with grooming and bathing

• assistance with various activities like hobbies

We perform background checks on all applicants. You must have references and provide a copy of your current DMV record as well as own a reliable insured vehicle. You may be subject to drug screening. You must be proficient in speaking, reading, and writing English. Compassion for seniors is a must! We offer competitive compensation, and the opportunity to work with supportive and friendly people. If you fit the above description, you may go to our website www.seniorassistpeninsula.com and apply online or you may call our job hot-line 650-829-5555 and clearly leave an email address or a mailing address for us to send you an application. Upon review of your application if we feel you are a possible match for our team we will contact you.

Team Leader- Established Mental Health Organization (san mateo, USA)

Telecare Corporation’s mission is to deliver and manage excellent services and systems of care for people with serious mental illness. Founded in 1965 with our corporate office based in Alameda, California, our organization specializes in providing a full spectrum of services including inpatient and community-based care, case management, assertive community treatment, residential, crisis and administrative services. We partner with various public sectors and behavioral health organizations with over 65 programs across the country and more than 2,000 employees. When you work at Telecare Corporation, you help to empower thousands of individuals every day in their journeys of recovery.

San Mateo Transitions provides intensive support to people who have a serious mental illness and who are also homeless or at risk of becoming homeless. Services are provided in the community.

As the Licensed Team Leader, you will provide clinical and administrative supervision, coaching and education for team staff. In addition, you will direct client, community support and case management services to assigned clients, as well as provides education and support to clients and their families. You will coordinate service needs and will collaborate with other services and agencies such as the Conservator's Office, Public Defender's Office, Child Protective Services, Probation Department and County Mental Health Services. You will also complete assessments and determine the appropriate level of services for clients.

QUALIFICATIONS

-Minimum 2+ years of direct clinical service, out patient or community mental health service is preferred

-Current California License(LCSW, LMFT, RN, Ph.D) is highly preferred

-Experience providing intensive case management, intensive community supports using psychiatric rehabilitation concepts is highly desirable, as is experience with homeless population

-Sensitivity to multi-cultural populations and issues is required

-Must have a valid California driver’s license, a DMV clearance for insurability, a vehicle (approved for safety) and proof of insurance

-Applicant must be fingerprinted and receive clearance from Criminal Justice Department

We offer a competitive benefits and incentive package which includes health insurance, 401(k), employee stock plan, educational assistance and more. Telecare has been voted as one of the Top 100 Best Places to Work in the Greater Bay Area, an award given by the San Francisco Business Times, The Silicon Valley Business Journal and the East Bay Business Times.

*To learn about our organization, visit www.telecarecorp.com

*For information about our career opportunities and to submit your resume, visit www.telecarecorp.com/careers

Job Code 20100203

EOE/M/F/D/V

**RNs and LVNs** Immediate Openings for Homecare Positions (Santa Clara County, United State)

We are currently seeking compassionate Registered Nurses (RN) and Licensed Vocational Nurses (LVN) to care for patients throughout Santa Clara County. Presently, all shifts are available on Full Time, Part Time, or Per Diem schedules. The following is a list of our current openings:

• 2 month old female who is Ventilator, Trach, and G-Tube dependent, Full Time PM shifts and night shifts, 3p-11p and 11p-7a in San Jose.

• 4 year old male who is Ventilator, Trach, and G-Tube dependent, Part Time night shifts 11p-7a in San Jose.

• 7 year old female with Trach and G-Tube, Full Time night shift 11p-7a, located in Santa Clara.

• 77 year old male diagnosed with ALS who is Ventilator, Trach, and G-Tube dependent, Full time day shifts and night shifts, 8a-8p and 8p-8a in San Jose.

• 43 year old male with Trach and Vent, Full Time day shifts and Night Shifts, 8a-4p and 10p-6a in San Jose.

• 16 year old female with a G-Tube, Full Time PM shifts, 1:30p-9:30p in Sunnyvale.

• 51 year old male with a G-Tube and Trach, Full Time day shifts, 8a-8p in San Jose.

• 19 year old male with Trach, Full Time PM shifts, 3p-11p in Sunnyvale.

Nurses working 30 hours or more are eligible to receive health benefits.

Interested applicants can reply to the ad with their resume or call (408) 244-2271.

Applicants MUST have at least 1 year of prior experience as a licensed nurse to qualify for the position.

Medical Assistant-Chinese Bilingual (san leandro, United States)

San Leandro internal medicine office seeking part time medical assistant. May lead to full time. Fluent in both English and Chinese a must. Job requires interaction with patients, answering phones, filing and working with computer. No experience needed, will train. Please fax resume: 510-618-1611.

Top Chemical Engineering Schools 2011

Massachusetts Institute of Technology took the top spot in Chemical Engineering, according to the 2011 U.S. News and World Report's graduate rankings of colleges.

UCSB's College of Engineering is ranked number 19 overall, tied with Harvard, and two of its specialties are ranked in the top 10: materials at 4th and chemical engineering at 9th.

The Department of Chemical Engineering at Princeton

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Wednesday, June 23, 2010

How to Find Autism From Babies - Autism Infant Characteristics

autism infant characteristics

Autism Infant characteristics

Patients with autism can be recognized Since Birth - autistic children have some symptoms that can be recognized since they were born. When he was three years old, the symptoms are more evident.

Similarly submitted by Roselyn Saez, children with special needs practitioners, Linguistic Indonesian Council seminar "Your Child Is Special" at Menara Kuningan, Jakarta.

Similarly submitted by Roselyn Saez, practitioners special needs children, autistic patients have several characteristics such as difficulty communicating and socializing. Autism do not know how to express joy or sadness. They also do not know how to communicate.

"An autistic child does not know how to call his mother, they'll hurt himself, hitting him until his mother comes, that's one way they called her mother," said Roselyn.

According to Roselyn, autism often spoke in a monotone and expressionless. Sometimes they repeat the words of other people that they hear, or commonly called echolalia.

Apart from weak communication, autism is often acting weird like always repeat the same activities every day. "For instance, they wear school uniforms. First wear clothes, both wear the pants, the third wearing shoes, always regularly because they are difficult to organize," says Roselyn.

Roselyn also gave an example, an autistic student has no fear of danger. "A student who was two years old I like to go up to the fourth floor, leaned down, just to get a sensation of horror, he did not know it was dangerous," he said.

In addition, children with autism also have excessive obsession with something. For example, they obsess on the numbers, then they will continue to pay attention to the numbers, or obsessing on a rope, they will memaimkan rope continuously. "People with autism are also sensitive to the touch. They can hurt just because of the small touches," he said.

However, there are unique advantages autistic children. They can recall in detail, and accurate information. Their visual memory is also very good and able to concentrate on certain subjects or work in a long period.

Children with autism require special care and handling from an early age. There are several treatment that can be done such as providing specialized education, such as occupational therapy for stroke patient therapy, speech therapy and language therapy, physical therapy to train
their muscles, applied behavioral analysis to help recognize behaviors which positively or negatively, picture exchange communication system, which is a method of learning through pictures, expressing words through pictures that easily captured autism.

Roselyn also said there is no exact cause of autistic children. Could be due to environmental or health patterns of the mother during pregnancy, can also influence gene. "Unkown, is not known precisely because of various reasons," says Roselyn.

Seminar on "Your Child Is Special" introduces some features of children with special needs, education, and how to build a good relationship with them. This seminar was organized by the Indonesian Council in collaboration with the Linguistic Shining Stars, Brass Family and Community Center, and HOPE Worldwide Indonesia.

Adapted from Kompas.com

Top 10 Universities & Colleges

View below for more information:

Top 10 Universities in UK
The University of York is consistently listed in the top ten research institutions in the UK, and the top 100 in the world...

Top 10 Universities in Asia
The University of Tokyo (Japan) is the highest ranked institution in Asia, according to the Academic Ranking of World Universities and the Webometrics,...

Top 10 MBA Colleges in US

Tuesday, June 22, 2010

University of the Sunshine Coast

The University of the Sunshine Coast (USC) is a public university located in Queensland, Australia. It offers a range of degree programs in the areas of business and information technology, communication and design, education, health, humanities and social sciences, and science and engineering.

In 2005 USC was one of only two Australian universities chosen for an international benchmarking

Essential first steps to improve rural health in Nicaragua




Student-faculty collaboration enhances multidisciplinary project

No one understands that “A journey of a thousand miles must begin with a single step” better than Elizabeth Keech, PhD, RN and Ruth McDermott-Levy, PhD, RN. Both are assistant professors at Villanova University College of Nursing and are passionate about helping the underserved people of Waslala, Nicaragua access and receive appropriate health care. Their steps on a recent week-long visit in May included carefully taken ones as they trekked through mountainous terrain and waded across a river during rainy season. Why? They and four nursing students were taking another first step, assessing the specific needs of CHW (community health workers) for a collaborative project “Improved Rural Health Care Through Low-cost Telecommunication in Waslala, Nicaragua.”

The nurses are working with faculty and students from the College of Engineering and Villanova School of Business. Using inexpensive cell phone text messaging capability, the nurses and engineers will be working with CHWs and licensed health care providers in Waslala to transmit health information from rural villages to the small community hospital in the town. Their business colleagues are investigating business opportunities created by the introduction of the new technology. The nurses and engineers are building on the presence they have maintained in Waslala for several years promoting health and working towards a safe water supply.

Because of lack of infrastructure and health care providers, as well as the distance from the hospital, those in the rural communities often do not receive health care in a timely manner. This project will connect the CHWs with licensed health care providers to provide “real time” care and information. Through text messaging from the CHW and a clinical algorithm system, patients with conditions such as high blood pressure will be flagged for review by a licensed provider at the hospital who can direct the on-site CHW to treat the patient or bring him in for care. The CHW can also text distant pharmacies for medications as needed which can then be delivered to the patient.

Dr. McDermott-Levy conducted CHW interviews for a qualitative study, with senior nursing student Katie Wetherby and the translation assistance of student Fruna Lara, a nurse from Venezuela who is completing her bachelor of science in nursing degree at Villanova. They were identifying the learning needs of the CHWs, as well as their understanding of the health issues of their region, to help support this and future programs. “I was impressed with the under-resourced community health workers’ ability to provide appropriate care with the available resources given their education, knowledge of pathophysiology, and lack of references and diagnostic tools,” says Dr. McDermott-Levy of the care provided in these highly cohesive communities. Two other seniors, Becky LaMarca and Caitlin Krenek helped conduct or observed the interviews. The nurses also shadowed a CHW overnight in her home where she treated several children and adults who had burns or infections. In addition, they conducted a focus group with 14 CHWs and, along with campus colleagues, met with the medical director of the Waslala hospital, priests, local officials and the Director of the School of Public Health in the National University, Managua to gain support and collect more information.

Becky is doing an independent study working with the faculty to create the algorithm for child growth and development so that data can be recorded in Waslala. Caitlin is collaborating with Dr. Keech to determine outcome measures for the project—a difficult task in an environment where data such as births and deaths are not consistently and broadly captured. They first need to build that foundation of health records before comparisons can be made as the project progresses. “The need is really desperate,” says Dr. Keech, describing why she is involved. “Those who live in the rural areas of Nicaragua just don’t have access for emergent health problems or for those that can be managed without a trip to the hospital by getting a consultation via the cellular technology.” The group plans to return to Nicaragua in the fall semester to begin the pilot phase of the project. Dr. Keech summarizes how essential their work is to the future health of the Waslala community, “If the people could only make a phone call…”

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Med School Rankings by Specialty 2011

According to the U.S. News & World Report’s Medical School Rankings 2011, University of Washington is one of the best performers with top 10 rankings in both Primary Care and Research Rankings. In addition, UW School of Medicine is also ranked highly in a number of specialty programs such as Family medicine (No. 1 ), Rural medicine (No. 1), Geriatrics (No. 6), Internal medicine (No. 6 ), etc.

TIP 48: Managing Depressive Symptoms in Substance Abuse Clients During Early Recovery



This TIP, Managing Depressive Symptoms in Substance Abuse Clients During Early Recovery, provides substance abuse counselors the "what," "why," and "how-to" of working with clients with depressive symptoms and substance use disorders, covering topics such as counseling approaches, clinical settings, cultural concerns, counselor roles and responsibilities, screening and assessment, treatment planning and processes, and continuing care. This TIP also provides administrators information about incorporating the management of depressive symptoms into their substance abuse programs, complete with a systematic approach to designing and implementing a supportive infrastructure. The Literature Review synthesizes the most current knowledge and scientific findings on the topic and is only available online at www.kap.samhsa.gov.

Download click here

Monday, June 21, 2010

First Issue of SQUAT is Done!

Top 10 Engineering Schools

In the Times Higher Education - QS World University Rankings 2009, the top 10 Engineering/Technology Schools in the World are:
1 Massachusetts Institute of Technology
2 University of California--Berkeley
3 Stanford
4 Cambridge
5 Caltech
6 University of Tokyo
6 Imperial College London
8 University of Toronto
9 Carnegie Mellon University
10 Eth zurich swiss federal institute of technology

Sunday, June 20, 2010

Best Universities in Taiwan

National Taiwan University (NTU) is ranked as the best university in Taiwan according to a number of international league tables such as the Academic Ranking of World Universities (ARWU), Webometrics, etc.

According to the QS Asian University Rankings 2010, NTU is ranked top in Taiwan and 21st in Asia, ahead of National Cheng Kung University (31st in Asia). Nine universities in Taiwan are ranked

Family Medicine Rankings

The School of Medicine and Public Health (SMPH) at University of Wisconsin-Madison is ranked among the top ten nationally in family medicine, according to U.S. News & World Report's 2011 edition of America's Best Graduate Schools. The school’s family medicine program, in the top ten for the past several years, rose to 5th from 6th place in 2010.

UMass Medical School (UMMS) is ranked 9th in

Saturday, June 19, 2010

Treatment for Rheumatic Heart Disease

Rheumatic Heart Disease Treatment

Specific treatment for rheumatic heart disease will be determined by your child's physician based on :
  • Your child's overall health and medical history.
  • Extent of the disease.
  • Your child's tolerance for specific medications, procedures, or therapies.
  • Expectations for the course of the disease.
  • Your opinion or preference.

The best treatment for rheumatic heart disease is prevention. Antibiotics can usually treat strep throat (a Streptococcus bacterial infection) and stop acute rheumatic fever from developing. Antibiotic therapy has sharply reduced the incidence and mortality rate of rheumatic fever and rheumatic heart disease.

Children who have previously contracted rheumatic fever are often given continuous (daily or monthly) antibiotic treatments to prevent future attacks of rheumatic fever and lower the risk of heart damage.

If inflammation of the heart has developed, children may be placed on bed rest. Medications are given to reduce the inflammation, as well as antibiotics to treat the Streptococcus infection. Other medications may be necessary to handle congestive heart failure.

If heart valve damage occurs, surgical repair or replacement of the valve may be considered.

Source : http://www.chw.org

Alternative Health and Wellness (Italy)

Nikken is a company that's been around for 35 years in the alternative health field. It is totally debt free! Not many can say the same. It made it's first billion dollars selling it's signature product in Japan, all by word of mouth!! Imagine!! No advertising!!! Today, it has expanded it's line to include water, air, the best high technologies in sleep, and nutritionals.
I am looking to expand internationally and am looking for an exceptional team of movers and shakers. These must be passionate about people and their health because there is no room for anyone else!!!
A recent gallop poll was taken recently and the number 1 thing people are looking for is to improve their finances! The number 2 is to improve their health!! Ladies and gentlemen, we provide BOTH!!!! The perfect storm of opportunity is NOW!!!!

Fidela Wilkins
281-367-9713
fidelawilkins@yahoo.com
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SONDAGGI PAGATI PER MEDICI, INFERMIERI, FARMACISTI E PARAMEDICI (ITALY)

Si ricercano in tutto il territorio nazionale Medici, Farmacisti, Infermieri e Paramedici laureati, per partecipare a dei sondaggi PAGATI on line, riguardo nuovi farmaci che stanno per essere messi in commercio.
Per ogni sondaggio occorrono circa 15 minuti ed ognuno è pagato dai 15 ai 50 dollari (USD).
Il pagamento può avvenire tramite assegno spedito per posta o Paypal.
Se interessati ed in possesso dei requisiti richiesti, scrivetemi e verrete contattati per avere maggiori informazioni.
Cordiali Saluti
Dr. Giovanni Vacca
giovanni.vacca75@gmail.com

NEEDED: Examining/body treatment table (Paris, France)

I need a table to give body/massage treatments. Probably better if it is a folding table, but other types can work for me. Thanks in advance if you have one or can guide me to finding one.

Kathleen

katdivenice@gmail.com

06.85.70.54.26

01.43.3l.15.65

Medicare Coder/Biller Home Health ! (paris) France

National Home Health Care Company is currently seeking an Experienced OASIS Coder and
Biller with strong Medicare/Medicaid knowledge to join our team. This position is
responsible for the functions of Quality Assurance for all corporate coding and successful
transmission to proper paying source
The ideal candidate for this opportunity will

* Have 6-12 Months experience with knowledge of Home Health Care Medicare OASIS, Medicaid,

Managed Care and related third party carrier billing rules, regulations, policies, and

procedures.
* Have the ability to handle high volume processing of claims.
* Have ICD-9 Coding knowledge
* Have Strong customer service skills.
* Be computer literate with strong ten key and data entry skills.

Duties Include:

*Handling claims and ensuring that they are processed within regulatory timeframes.
*Developing and analyzing data and assisting in implementing quality improvement measures.
*Researching and reviewing all payment discrepancies, assisting in developing control

procedures to ensure proper billing and collections are made.
*Providing timely notation and reporting of action taken on patient accounts and produce

status reports.
*Performing other special projects as assigned

For more information visit our Site at: http://www.cashclarity.com/

Cadres de Santé - H/F (France)

http://www.glammedic.com

GlamMedic est LA communauté glam des professionnels de la santé, infirmiers, dentistes, docteurs, medecins, generalistes, veterinaires, personnels d'hopital, psychiatres, chirurgiens, dermatologues

Cultivez votre Personal Brand
Emplois dans la santé
Ajoutez votre profil santé
Professionnels de la santé
Deposez une offre d'emploi santé
Commencez votre blog
Contribuez aux forums
Deposez une petite annonce

http://www.glammedic.com

Professionnels de la sante (France)

http://GlamMedic.com/ est LA communauté glam des professionnels de la santé, infirmiers, dentistes, docteurs, medecins, generalistes, veterinaires, personnels d'hopital, psychiatres, chirurgiens, dermatologues

http://GlamMedic.com/

Emplois de la smeaine

Ambulancier dea
Préparateur en pharmacie
Aide-soignant
Infirmier d'entreprise
Agent de service hospitalier
Infirmier D.E. réanimation
Secrétaire médical(e)
LABORANTIN D'ANALYSES MEDICALES
VISITEUR MÉDICAL
Téléconseiller santé et prévoyance
Cadre de santé CIAPA
Infirmier DE en médecine du travail
Technicien paramédical

... Alertes en temps reel

http://GlamMedic.com/

Cultivez votre Personal Brand
. Ajoutez votre profil santé
. Deposez une offre d'emploi santé
. Commencez votre blog
. Contribuez aux forums
. Deposez une petite annonce

http://GlamMedic.com/

L'equipe @GlamMedic

Suivre http://Twitter.com/GlamMedic

China Europe International Business School

China Europe International Business School (CEIBS) is a world-class business school, with strong reputation as the leading international business school in Asia. It was established on November 8, 1994 in Shanghai.

CEIBS has received accreditation from AACSB International (the Association to Advance Collegiate Schools of Business). In addition it also received international accreditation from the

HKUST MBA Top Rankings

Hong Kong University of Science and Technology (HKUST) Business School is recognized as one of the most respected b-schools in Asia. It is the first business school in the region to be awarded double accreditation from the US-based Association to Advance Collegiate Schools of Business (AACSB International) and the European Quality Improvement System (EQUIS).

Rankings:

- The HKUST Business

Friday, June 18, 2010

Radiology


Radiology is the branch of medicine that uses radioactive substances, electromagnetic radiation, and sound waves to create images of the body, its organs, and structures for the purpose of diagnosis and Female Doctor viewing X-raytreatment. Images can also show how effectively the body and its internal organs and structures are functioning.

Radiology was discovered a little over 100 years ago and has evolved into a high-tech science with state-of-the-art equipment to aid in imaging every aspect of the body.

While there has been concern over the potential harmful side effects associated with the use of radiation, it is believed that the small risks are greatly outweighed by the information gained about patients' conditions and radiology's contribution to medical science.

Radiology offers both diagnostic and therapeutic services. The specialty areas of radiology include the following :
  • Diagnostic Radiology - An area of radiology that uses external radiation to produce images of the body, its organs, and other internal structures for medical diagnostic purposes.

  • Nuclear Medicine - A specialized area of diagnostic radiology that uses very small amounts of radioactive materials to create an image of the body, its organ functions, and structure, for diagnostic and treatment purposes.

  • Therapeutic Radiology (Radiation Oncology) - A specialized area of radiology that uses applications of radiant energy to study, treat, and manage cancer and other diseases.

  • Interventional Radiology - A specialized area of radiology that uses various imaging techniques to guide the insertion of small instruments and tools through the body to identify and treat a medical disorder without requiring conventional surgery.
Source : http://www.chw.org

Universities in Quebec, Canada

List of universities in Quebec, Canada:

McGill University - Ranked as the second best research university in Canada by the Research Infosource 2007.

HEC Montréal - It is the oldest management school in the country, with outstanding reputation for its MBA and business programs.

Laval University - It is the oldest university in the province, established in 1663.

Bishop's University - According

Masters Degree in Hospitality

Top schools offering Master's degrees in Hospitality Management:

Fairleigh Dickinson University
- Candidates for admission to the Master of Science in hospitality management studies degree program must be managers, business owners or educators or hold other professional positions related to the hospitality industry.
- FDU is accredited by the Commission on Higher Education of the Middle States

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Thursday, June 17, 2010

Top Universities in Brazil

Following are some of the top ranking universities in Brazil:

University of Sao Paulo (USP)
- It is one of the largest institutions of higher education in Brazil and Latin America.
- Rated 1st in Brazil and 101-151st globally in the Academic Ranking of World Universities (ARWU) 2009.
- Placed among the world's top 200 institutions (#196) in the Times Higher Education - QS World University

Top Internal Medicine Programs

The Department of Internal Medicine at Yale is among the nation's premier departments, with a wide array of programs in research, clinical care, and education. Yale School of Medicine is ranked in the top 10 nationally for internal medicine in the U.S. News & World Report’s Medical Specialty Rankings 2011.

For the 17th year, the University of Washington School of Medicine is rated 1st among U.S.

Interruptions and Medication Errors

http://www.medicinenet.com/script/main/art.asp?articlekey=115738

MONDAY, April 26 (HealthDay News) -- Distracting an airline pilot during taxi, takeoff or landing could lead to a critical error. Apparently the same is true of nurses who prepare and administer medication to hospital patients.

  Duh.
A new study shows that interrupting nurses while they're tending to patients' medication needs increases the chances of error. As the number of distractions increases, so do the number of errors and the risk to patient safety.
  Duh.
"We found that the more interruptions a nurse received while administering a drug to a specific patient, the greater the risk of a serious error occurring," said the study's lead author, Johanna I. Westbrook, director of the Health Informatics Research and Evaluation Unit at the University of Sydney in Australia.
  Duh.
For instance, four interruptions in the course of a single drug administration doubled the likelihood that the patient would experience a major mishap, according to the study, reported in the April 26 issue of the Archives of Internal Medicine.

Ha. I will have about 38 interruption during the course of the 0800 drug round.

Experts say the study is the first to show a clear association between interruptions and medication errors.
It "lends important evidence to identifying the contributing factors and circumstances that can lead to a medication error," said Carol Keohane, program director for the Center of Excellence for Patient Safety Research and Practice at Brigham and Women's Hospital in Boston.

"Patients and family members don't understand that it's dangerous to patient safety to interrupt nurses while they're working," added Linda Flynn, associate professor at the University of Maryland School of Nursing in Baltimore. "I have seen my own family members go out and interrupt the nurse when she's standing at a medication cart to ask for an extra towel or something [else] inappropriate."
 Yeah you're telling me.
Julie Kliger, who serves as program director of the Integrated Nurse Leadership Program at the University of California, San Francisco, said that administering medication has become so routine that everyone involved -- nurses, health-care workers, patients and families -- has become complacent."We need to reframe this in a new light, which is, it's an important, critical function," Kliger said. "We need to give it the respect that it is due because it is high volume, high risk and, if we don't do it right, there's patient harm and it costs money."
 Yeah one problem with that.  The public (who cannot see both sides of the issue will accuse us of "lacking in compassion" for prioritising patient safety over customer service for visitors.
About one-third of harmful medication errors occur during medication administration, studies show. Prior to this study, though, there was little if any data on what role interruptions might play.

For the study, the researchers observed 98 nurses preparing and administering 4,271 medications to 720 patients at two Sydney teaching hospitals from September 2006 through March 2008. Using handheld computers, the observers recorded nursing procedures during medication administration, details of the medication administered and the number of interruptions experienced.

The computer software allowed data to be collected on multiple drugs and on multiple patients even as nurses moved between drug preparation and administration and among patients during a medication round.
Errors were classified as either "procedural failures," such as failing to read the medication label, or "clinical errors," such as giving the wrong drug or wrong dose.

Only one in five drug administrations (19.8%) was completely error-free, the study found.
Interruptions occurred during more than half (53.1%) of all administrations, and each interruption was associated with a 12.1% increase, on average, in procedural failures and a 12.7% increase in clinical errors.

Most errors (79.3%) were minor, having little or no impact on patients, according to the study. However, 115 errors (2.7%) were considered major errors, and all of them were clinical errors.

Failing to check a patient's identification against his or her medication chart and administering medication at the wrong time were the most common procedural and clinical glitches, respectively, the study reported.

In an accompanying editorial, Kliger described one potential remedy: A "protected hour" during which nurses would focus on medication administration without having to do such things as take phone calls or answer pages.

The idea, Kliger said, is based on the U.S. Federal Aviation Administration's "sterile cockpit" rule. That rule, according to the Aviation Safety Reporting System, prohibits non-essential activities and conversations with the flight crew during taxi, takeoff, landing and all flight operations below 10,000 feet, except when the safe operation of the aircraft is at stake.
Likewise, in nursing, not all interruptions are bad, Westbrook added. "If you are being given a drug and you do not know what it is for, or you are uncertain about it, you should interrupt and question the nurse," she said.



So does anyone want to come on here and tell me that airline pilots are lacking in compassion because they won't converse with the passengers during take off?  Oh wait.  You have respect for airline pilots and understand that they have a lot of responsibility and that there are grave consequences when they make errors.  You don't understand this about registered nurses.  Nor do you have that kind of respect for doctors anymore.

When one junior doctor is running between over 250 patients you throw tantrums when he won't immediately drop what he is doing to speak to you. Again.  When it takes him 4 hours to meet with you because he has  critically ill patients on this 16 hour shift of his you call him lazy.  

Try that to get away with that rubbish next time you are on a passenger jet.  Start screaming at the stewardess and demand that the pilots come and speak to you this minute....do this just as they are doing their pre flight checks.  Yell and carry on  that the airline staff are lacking and compassion and uncaring because they won't meet your demands.  Justify it by saying that you are "scared" and "stressed".You will be on the floor, belly down and  handcuffed with an airmarshalls boot on your back before anyone can say "obnoxious ".   This is because the airlines put SAFETY as a priority over CUSTOMER SERVICE and there are punishments for those in charge at management level.  Hospitals don't do this.  That is why thousands of people die  needlessly every year in hospitals and are hardly EVER dying needlessly 30,000 feet above the atlantic ocean packed like sardines in a flying missle carrying fuckloads of flammable fuel.

Go ahead.  I double dare you.  Interrupt a stewardess while she is doing the airline safety demo and demand a ginger ale.  When she says "no". Roll you eyes, tell her she is lazy and tell her bosses she couldn't "be bothered".   The airline will deal with you if you act like that.  Stewardesses are in a situation where it is very unlikely that anything will go wrong.  In hospitals is very likely that things will go wrong.  Yet they have these kinds of protections and they also have ratio laws that limit the number of passengers per stewardesses.  Nurses have no control over the number of patients they are responsible for whilst on duty.

I wonder how much of this lack of respect for hospital staff  is down to medical dramas that depict nurses as a gaggle of people standing around the nurses station who have nothing to do but wait for a visitor or a patient to require service.  They depict one patient that has a team of doctors at his bedside at all times carrying out all bedside care i.e. monitoring vent settings and drip calculations.  No wonder the public's mind is warped.  No wonder they get pissed off at the staff.  Over at allnurses many of the nurses are saying that the only way to get through and keep your patients safe is to avoid all eye contact with the relatives and keep moving.  This isn't because of the reseasonable visitors who ask questions and mention concerns.  It is because of the visitors who are unreasonable and who are not kicked into line by management. Everybody suffers...the patients....the good relatives....and the Nurses and Doctors.  I think they have a bigger problem with these kinds of relatives across the pond.

Even without interruptions the number of mistakes are rife.  I would be willing to bet that most of those are down to the Nurse rushing to get everything done for too many patients rather than nurse incompetence.  Then you have to take into account that the RN has to take over pharmacy, physio, housekeeping, and clerking duties when they are short staffed.  The short cuts we have to take are unreal. And we are still not giving the patients the amount of time that they expect.

I wonder if Virgin Atlantic hires RN's?  I wouldn't mind an Air Marshall to have my back when I am at work.  Should I talk about violence against staff in my next post along with our lack of security guards  or do you want to hear about the young low paid not yet a care assistant who really REALLY  angered  a patient?  All without breaching confidentiallity of course.