Memang nominalnya tidak besar, hanya $ 0.03 USD. Tapi hal ini sangat berarti buat saya, apa itu? Artinya Account Paypal saya yang saya verifikasi melalui bank local bisa dipakai untuk menerima pembayaran secara online.
Ini buktinya ?
Friday, April 30, 2010
Ternyata Bisa? Bukti Pembayaran dari Program PTC
Setelah sebulan sejak pertama beli modem smart, terus berkutat mencari informasi tentang Program PTC yang benar-benar membayar. Klik sana-klik sini, baca sana – baca sini, mondar-mandir online, belum percaya kalo belum bukttin sendiri. Akhirnya hari ini dapat juga bayaran dari Program Paid To Click- paidtoclick.in - yang secara cepat membayar membernya, HANYA SATU HARI SEJAK KITA REQUEST CASHOUT.
Memang nominalnya tidak besar, hanya $ 0.03 USD. Tapi hal ini sangat berarti buat saya, apa itu? Artinya Account Paypal saya yang saya verifikasi melalui bank local bisa dipakai untuk menerima pembayaran secara online.
Ini buktinya ?
Memang nominalnya tidak besar, hanya $ 0.03 USD. Tapi hal ini sangat berarti buat saya, apa itu? Artinya Account Paypal saya yang saya verifikasi melalui bank local bisa dipakai untuk menerima pembayaran secara online.
Ini buktinya ?
Four distinguished alumnae honored by College of Nursing
For their distinguished achievement, the College of Nursing awarded medallions to four alumni at its 21st Annual Mass and Alumni Awards Ceremony on April 17. With those honored are M. Louise Fitzpatrick, Ed.D., R.N., FAAN, Connelly Endowed Dean and Professor (left) and Rev. Peter M. Donohue, O.S.A., University president (right) who thanked the recipients for “bringing Villanova to the world.” The Medallion recipients are (from left) Jocelyn Bessette Gorlin ’80 B.S.N., Florence Benas Smoczynski ’62 B.S.N., Carol J. Quinn ’70 B.S.N. and Mary Ellen Smith Glasgow ’87 M.S.N.
Villanova University College of Nursing honored four distinguished alumnae with its highest award, the College of Nursing Medallion. The awards were presented by Connelly Endowed Dean and Professor M. Louise Fitzpatrick Ed.D., R.N., FAAN at the 21st Annual Mass and Alumni Awards Ceremony on April 17 held in the St. Thomas of Villanova Church on the University campus. The event is co-sponsored by the College and its Nursing Alumni Association.
The 2010 recipients are:
The 2010 recipients are:
Medallion for Distinguished Contributions for Nursing Education
Mary Ellen Smith Glasgow ’87 M.S.N., associate dean for Undergraduate Programs, MSN Programs and CE, Drexel University
Mary Ellen Smith Glasgow is a leader in nursing education, lauded by her colleagues for her accomplishments which are as numerous as her professional publications. At Drexel, Mary Ellen brought its co-operative model to their undergraduate programs and developed the standardized patient laboratory experience for undergraduate nursing students. She also implemented the use of mobile technology in the clinical setting and created the accelerated career entry BSN program. At the graduate level, in addition to her master’s program oversight, Mary Ellen was a member of the planning committee to start Drexel’s Doctor of Nursing Practice and Doctor of Philosophy Programs. Dr. Glasgow called her master’s education at Villanova “a strong, relevant academic program” and expressed gratitude for the faculty mentoring she received.
Medallion for Excellence in Clinical Practice
Jocelyn Bessette Gorlin ’80 B.S.N., nurse practitioner, Hematology Department, Minneapolis Children’s Hospitals and Clinics
Jocelyn Gorlin was honored for her dedication to the care of children with hemophilia and their families, and the energy and expertise that she shares with the underserved worldwide. She has educated and inspired numerous parents and families and has created models to educate school personnel about their students with hemophilia. She has also done research in the care of these patients and is a role model for other nurses, as a nursing representative on the boards of the National Hemophilia Foundation and World Federation of Hemophilia. With the Federation, she has presented hemophilia topics at their international conferences and done hemophilia and hematology outreach in Peru and Armenia, the latter an award-winning relationship recognized internationally. With the foundation of her Villanova Nursing education supporting her work, Gorlin acknowledged the children “whose care I gently held in my hand and who taught me I was not the teacher; I was actually the student.”
Medallion for Distinguished Leadership in Administration of Nursing and Health Care Services Carol J. Quinn ’70 B.S.N., president and CEO, Mercy Home Health and Mercy LIFE and senior VP, Mercy Health System
Carol J. Quinn was celebrated as an extraordinary leader, receiving the Medallion for her ability to influence quality care through management of vital community and home health services, and for expressing Villanova’s mission and values in her work. In each of her executive positions, she earned her reputation by not only growing the businesses she leads while navigating the tangled web of industry regulations, but exceeding national and industry quality standards as she brings sensitive and sensible care to the community her organizations serve. Regarding her undergraduate nursing education, Quinn recalled the influence of the “outstanding curriculum and faculty dedicated to excellence” at Villanova. This is reflected in her own practices, note Ray Welch, President and CEO of Mercy Health System and Sr. Kathleen Keenan, Senior Vice President of Mission & Sponsorship, who comment that she “is recognized as a visionary leader and woman of compassion for the sick and frail in the community. Building on her professional nursing experience at Villanova University, she inspires others to see the patient as the center of care and excellent quality of care as the hallmark of service.”
Medallion for Distinguished Service to the College and Nursing Alumni
Florence Benas Smoczynski ’62 B.S.N., assistant professor, George Mason University
Florence Smoczynski has contributed much to the advancement of nursing during her career but no matter where she was or what she was doing, all roads led her back to Villanova and her professional roots. She was honored for her many years of support and encouragement of nursing education at Villanova, and also for her pioneering efforts in the use of technology in nursing education which have been of great service to nursing students everywhere. She encourages both neophyte and seasoned faculty to venture beyond traditional modes of instruction in order to hone students’ ability to make critical judgments about patient conditions and institute appropriate clinical interventions. Dr. Smoczynski has been among the most loyal of College of Nursing alumni since her graduation. She says “Villanova has always been in my heart,” crediting the leadership, support and role modeling of the faculty for her professional growth.
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Thursday, April 29, 2010
Say What?
Today we had an SP session (standardized patient) for neuro cases. Our SP was a little out there. Actually a lot out there. Like a 45+ year old woman in a belly shirt in a med school. Ok, whatever. When my turn came around, I was the only one who had to do the full run down... like the H&P, plus the neurological exam, etc. We can "time-in" to the scenario and "time-out" to get help or ask a question whenever we like. Which I did... since it was a specific case and not just a simple full CN exam.
At the end she is supposed to give us feedback. Like, "good job" or "you suck" etc. But she got all touchy feely on me.
HER: "So how did that feel for you?"
ME: "Fine thanks"
HER: "But how did you FEEL?"
ME: "Um fine. Normal. It was easy."
HER: "It's ok to admit you were nervous. This was your first time"
ME: "Well this wasn't my first time doing this, and I really didn't feel nervous"
HER: "Well, I FELT your nervousness"
ME(outloud): Sigh. and oops... I rolled my eyes.
ME: (silently):You're irritating. And showing 9 inches of your stomach is not cool past the age of 11. Put a shirt on.
Now, I may be a lot of things. Probably too talkative, lacking prefrontal cortex impulse control, ADD, too excitable, over confidant, no sense of my own limitations, loud, etc. But folks, NERVOUS is something I'm not. Unless I'm actually doing a life or death procedure on a real patient. Or if I'm around Mr. Stupidly Gorgeous. And he's in Boston or Italy or somewhere equally exotic.
ME! NERVOUS! Hmmph!
The Lowdown on Lawsuits: An Interview with Premier Speaker Mamie Guidera
Last month, a National Institutes of Health (NIH)-convened panel urged greater access to vaginal birth after cesarean (VBAC) for low-risk women. However, many clinicians have noted since that access to VBAC is not likely to expand until the “elephant in the room” is addressed—fear of malpractice lawsuits. ACNM Communications Manager Yolanda Landon had a chance to chat with Annual Meeting Premier
Wednesday, April 28, 2010
It makes it difficult...
To remain president of annoying Neuro prof's UN-FAN club upon discovering that this professor really is a great physician. Like a REALLY great physician. Damn.
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Nursing and Care Staff (London UK)
Hi and good morning,
Looking for Nursing or Care Work?
Perm & Temp All grades of Nurses and Carers. Nationwide vacancies. Competitive Pay Rates. Professional service. Reliable and regular shifts available. Training provided; beginner and refresher courses. Ongoing support for our staff. Up-to-date with the newest CQC requirements. Recruiting NOW. Interviews by Appointment.
Website: www.fingertiprecruitment.co.uk Time: 24 hours, 7 days a week Address: 35A High Street, Barnet, EN5 5UW Email: info@fingertiprecruitment.co.uk
Call Fingertip 0800 093 4384
Looking for Nursing or Care Work?
Perm & Temp All grades of Nurses and Carers. Nationwide vacancies. Competitive Pay Rates. Professional service. Reliable and regular shifts available. Training provided; beginner and refresher courses. Ongoing support for our staff. Up-to-date with the newest CQC requirements. Recruiting NOW. Interviews by Appointment.
Website: www.fingertiprecruitment.co.uk Time: 24 hours, 7 days a week Address: 35A High Street, Barnet, EN5 5UW Email: info@fingertiprecruitment.co.uk
Call Fingertip 0800 093 4384
Spanish-Speaking Mobile Health Professional (RN, Med. Tech) (London)
For more than 20 years, Medisys has been reinventing health services in Canada. We could reinvent your career. For further info visit: www.medisys.ca
Job Description:
Medisys Mobile Insurance Medical Service is looking for a part time Spanish Speaking Mobile Health Service Professional in London, Ontario. If you are currently a Registered Nurse, LPN (Auxiliary Nurse), Paramedic or Medical Laboratory Technician, we have the perfect opportunity for you!
As a mobile health professional your primary responsibility would be to conduct an independent medical evaluation of a candidate that we would assign to you. You would gather information on the proposed insured¡¦s medical history as well as their physical health data based upon a questionnaire developed and supplied by their respective insurance company. The services that would be required for these individuals depend on the age and the size of the policy that the client has applied for. The information obtained throughout this collection process is to remain objective and impartial.
The nature of the work is flexible as you would be an independent contractor. You would let us know on a weekly basis how many bookings you are available for in your assigned area and we would work with your schedule. You would be responsible for scheduling appointments directly with the client as this guarantees that both parties are fully satisfied with the time and date. Some of the many services we offer to clients include paramedical, blood, urine, ECG. Wages for this position are based on a fee schedule, which varies depending on the service provided.
Requirements for Position:
„« Phlebotomy skills
„« Available to work daytime, evening or week-end hours
„« Access to e-mail or fax machine
„« Access to an automobile
„« Organizational skills
„« People skills
„« Must speak Spanish
Please submit your resume to the attention of Nancy Couture
Fax: (416) 730-1608 0r 1 (800) 787-2414
E-mail: Nancy.Couture@medisys.ca
Take care and good luck.
Job Description:
Medisys Mobile Insurance Medical Service is looking for a part time Spanish Speaking Mobile Health Service Professional in London, Ontario. If you are currently a Registered Nurse, LPN (Auxiliary Nurse), Paramedic or Medical Laboratory Technician, we have the perfect opportunity for you!
As a mobile health professional your primary responsibility would be to conduct an independent medical evaluation of a candidate that we would assign to you. You would gather information on the proposed insured¡¦s medical history as well as their physical health data based upon a questionnaire developed and supplied by their respective insurance company. The services that would be required for these individuals depend on the age and the size of the policy that the client has applied for. The information obtained throughout this collection process is to remain objective and impartial.
The nature of the work is flexible as you would be an independent contractor. You would let us know on a weekly basis how many bookings you are available for in your assigned area and we would work with your schedule. You would be responsible for scheduling appointments directly with the client as this guarantees that both parties are fully satisfied with the time and date. Some of the many services we offer to clients include paramedical, blood, urine, ECG. Wages for this position are based on a fee schedule, which varies depending on the service provided.
Requirements for Position:
„« Phlebotomy skills
„« Available to work daytime, evening or week-end hours
„« Access to e-mail or fax machine
„« Access to an automobile
„« Organizational skills
„« People skills
„« Must speak Spanish
Please submit your resume to the attention of Nancy Couture
Fax: (416) 730-1608 0r 1 (800) 787-2414
E-mail: Nancy.Couture@medisys.ca
Take care and good luck.
CONSULTANT-PEDIATRIC GASTROENTEROLOGY (SAUDI ARABIA)
International Physician Staffing is currently recruiting for:
PEDIATRICS DEPARTMENT - CONSULTANT - PEDIATRIC GASTROENTEROLOGY
in Riyadh, Saudi Arabia
Must be U.S., Canadian or European BOARD CERTIFIED
Minimum three years POST BOARD experience
ONLY Candidates that are BOARD CERTIFIED will be considered.
Excellent Benefits and International Tax Advantage
Take care
PEDIATRICS DEPARTMENT - CONSULTANT - PEDIATRIC GASTROENTEROLOGY
in Riyadh, Saudi Arabia
Must be U.S., Canadian or European BOARD CERTIFIED
Minimum three years POST BOARD experience
ONLY Candidates that are BOARD CERTIFIED will be considered.
Excellent Benefits and International Tax Advantage
Take care
Tuesday, April 27, 2010
The Case for Choice in Labor Pain Management
by Melissa Garvey, ACNM Writer and EditorEarly this year, ACNM released a new Position Statement on the use of nitrous oxide for managing labor pain. Unless you are a midwife or other clinician, it can be hard to understand why nitrous oxide and the ACNM Position Statement is such an exciting topic. I just finished combing through a thorough, informative post at Science and Sensibility that
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Monday, April 26, 2010
RN NEEDED (Baltimore, MD United States)
$250 REFERRAL BONUS $250
ACCESS Nursing Services has an open 13-week Contract for a SICU RN.
We are looking for a Critical Care Registered Nurse with 2 years experience in the SICU.
This contract is 13-weeks and consists of three 12-hour NIGHT shifts per week.
Must be an experienced RN and meet the following:
• 3 years of teaching hospital surgical ICU experience.
• Completed 2 travel assignments at a large academic medical institution.
If you know someone who is qualified, AND THEY ARE HIRED you will be eligible for a $250 Visa Credit Card!!!
For immediate consideration call ACCESS Nursing Services and speak with Cindy.
866-479-0438 or cdagley@accessnursing.net
Thanks.
ACCESS Nursing Services has an open 13-week Contract for a SICU RN.
We are looking for a Critical Care Registered Nurse with 2 years experience in the SICU.
This contract is 13-weeks and consists of three 12-hour NIGHT shifts per week.
Must be an experienced RN and meet the following:
• 3 years of teaching hospital surgical ICU experience.
• Completed 2 travel assignments at a large academic medical institution.
If you know someone who is qualified, AND THEY ARE HIRED you will be eligible for a $250 Visa Credit Card!!!
For immediate consideration call ACCESS Nursing Services and speak with Cindy.
866-479-0438 or cdagley@accessnursing.net
Thanks.
Moonlighting Opportunity licensed physicians (Charlottesville USA)
Hello,
Looking for licensed physicians to perform basic physicals in Charlottesville and surrounding area. We have a contract with social security disability to perform basic physicals. You will be paid $40-$45 dollars a patient with patients scheduled 2-3 per hour. Clinics are on Saturdays. You can work one or more Saturdays a month, it is up to you. Medical residents and fellows in internal medicine or family practice specialties are preferred, but any licensed physician graduating from an accredited medical school is welcome to apply. Email your CV along with Saturday availability to ceproviderservices@yahoo.com.
Thank you and looking forward to hear from you.
Take care.
Looking for licensed physicians to perform basic physicals in Charlottesville and surrounding area. We have a contract with social security disability to perform basic physicals. You will be paid $40-$45 dollars a patient with patients scheduled 2-3 per hour. Clinics are on Saturdays. You can work one or more Saturdays a month, it is up to you. Medical residents and fellows in internal medicine or family practice specialties are preferred, but any licensed physician graduating from an accredited medical school is welcome to apply. Email your CV along with Saturday availability to ceproviderservices@yahoo.com.
Thank you and looking forward to hear from you.
Take care.
Registered Nurse (Dekalb, Stn Mtn, Clayton, Fulton Atlanta USA)
Hello and good morning,
Registered nurse needed for the Dekalb, Stone Mountain, Clayton and Fulton area. Part-time nurse needed to make monthly visits. Approximately 16-20 visits a month.
RN Care Coordinator needed for office work. 16-20 hours weekly. One RN can do both.
Please fax resume to 404-534-1975 or email to cforrestrn@aol.com.
Exceptional Care:404-534-1974
Thanks.
Registered nurse needed for the Dekalb, Stone Mountain, Clayton and Fulton area. Part-time nurse needed to make monthly visits. Approximately 16-20 visits a month.
RN Care Coordinator needed for office work. 16-20 hours weekly. One RN can do both.
Please fax resume to 404-534-1975 or email to cforrestrn@aol.com.
Exceptional Care:404-534-1974
Thanks.
LIVE-IN NANNY/HSKP FOR MISSISSAUGA CANADIAN FAMILY
OUR CLIENT, A PROFESSIONAL AND GOOD CANADIAN FAMILY LVING IN MISSISSAUGA IS SEEKING A MATURE AND TRUSTWORTHY LIVE IN NANNY FOR THEIR 5 YEAR-OLD GIRL AND 7 YEAR-OLD BOY. NANNY MUST HAVE A GOOD ATTITUDE, BE SMILING AND CHEERFUL, KIND, HONEST & TRUSTWORTHY FOND OF BEING AROUND CHILDREN, NEAT AND CLEAN AND ORGANIZED, GOOD HOUSEKEEPER AND GOOD AT COOKING SIMPLE WESTERN MEALS.
*SALARY: $10.25 AN HOUR (APPROXIMATELY $1200/ IN HAND A MONTH TO START: $1800 GROSS)
*WILL SPONSOR
*LOCATION: MISSISSAUGA RD. & DUNDAS. (ACCESSIBLE BY BUS)
*DAYS OF WORK: MONDAY TO FRIDAY
* WEEKENDS FREE!!!
*BEAUTIFUL NANNY SUITE WITH INDEPENDANT ENTRANCE
*POSITION REQUIRES CHILDCARE AND HOUSEKEEPING.
*CANDIDATES MUST HAVE PREVIOUS RELEVANT EXPERIENCE AND GOOD REFERENCES.
INTERESTED CANDIDATES WITH GOOD AND VERIFIABLE REFERENCES PLS E-MAIL RESUME TO:
mailto:INFO@AMACARE.CA
PLS MENTION ON SUBJECT LINE:
RE: LIVE IN NANNY FOR MISSISSAUGA FAMILY
OR CALL: MS JEAN BETWEEN 10 AM TO 5PM
AT: 416-850-0851
AND WALK IN WITH REQUIREMENTS TO: (PASSPORT SIZE PICS+ RESUME, COPIES OF RELEVANT PAGES OF PASSPORT ETC.)
AMACARE INC. (Nannies & Caregivers)
45 SHEPPARD AVENUE EAST
SUITE 412
TORONTO, ON
M2N 5W9
WE'RE AT THE SHEPPARD SUBWAY, RIGHT OPP. SHEPPARD CENTRE MALL & DORIS AVENUE IN THE OHIP/CCAC/SMALL CLAIMS COURT BUILDING
Take care...
*SALARY: $10.25 AN HOUR (APPROXIMATELY $1200/ IN HAND A MONTH TO START: $1800 GROSS)
*WILL SPONSOR
*LOCATION: MISSISSAUGA RD. & DUNDAS. (ACCESSIBLE BY BUS)
*DAYS OF WORK: MONDAY TO FRIDAY
* WEEKENDS FREE!!!
*BEAUTIFUL NANNY SUITE WITH INDEPENDANT ENTRANCE
*POSITION REQUIRES CHILDCARE AND HOUSEKEEPING.
*CANDIDATES MUST HAVE PREVIOUS RELEVANT EXPERIENCE AND GOOD REFERENCES.
INTERESTED CANDIDATES WITH GOOD AND VERIFIABLE REFERENCES PLS E-MAIL RESUME TO:
mailto:INFO@AMACARE.CA
PLS MENTION ON SUBJECT LINE:
RE: LIVE IN NANNY FOR MISSISSAUGA FAMILY
OR CALL: MS JEAN BETWEEN 10 AM TO 5PM
AT: 416-850-0851
AND WALK IN WITH REQUIREMENTS TO: (PASSPORT SIZE PICS+ RESUME, COPIES OF RELEVANT PAGES OF PASSPORT ETC.)
AMACARE INC. (Nannies & Caregivers)
45 SHEPPARD AVENUE EAST
SUITE 412
TORONTO, ON
M2N 5W9
WE'RE AT THE SHEPPARD SUBWAY, RIGHT OPP. SHEPPARD CENTRE MALL & DORIS AVENUE IN THE OHIP/CCAC/SMALL CLAIMS COURT BUILDING
Take care...
Sunday, April 25, 2010
Live in housekeeper (toronto)
Hello,
live in housekeeper
long term position
416 652 0071
cook and clean
Thanks.
live in housekeeper
long term position
416 652 0071
cook and clean
Thanks.
Saturday, April 24, 2010
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Friday, April 23, 2010
Development of Nursing Theories
Basic processes in the development of nursing theories
Nursing theories are often based on & influenced by broadly applicable processes & theories. Following theories are basic to many nursing concepts.
General System Theory
It describes how to break whole things into parts & then to learn how the parts work together in “systems”. These concepts may be applied to different kinds of systems, e.g. Molecules in chemistry, cultures in sociology, and organs in Anatomy & Health in Nursing.
Adaptation Theory
It defines adaptation as the adjustment of living matter to other living things & to environmental conditions.
Adaptation is a continuously occurring process that effects change & involves interaction & response.
Human adaptation occurs on three levels :
- 1. The internal (self)
- 2. The social (others) &
- 3. the physical (biochemical reactions)
Developmental Theory
- It outlines the process of growth & development of humans as orderly & predictable, beginning with conception & ending with death.
- The progress & behaviors of an individual within each stage are unique.
- The growth & development of an individual are influenced by heredity, temperament, emotional, & physical environment, life experiences & health status.
Common concepts in nursing theories
Four concepts common in nursing theory that influence & determine nursing practice are:
- The person (patient).
- The environment
- Health
- Nursing (goals, roles, functions)
Each of these concepts is usually defined & described by a nursing theorist, often uniquely; although these concepts are common to all nursing theories. Of the four concepts, the most important is that of the person. The focus of nursing, regardless of definition or theory, is the person.
Nursing Job Saudi Arabia
The Kingdom of Saudi Arabia is currently in search of Filipino nurses who are qualified for Nursing Job Saudi Arabia. The said nursing job Saudi Arabia has job orders that were approved by the POEA last April 14 for an accredited recruitment agency based in Malate in Manila. This nursing job Saudi Arabia are for Assistant Nurses and Staff Nurses and have job order balances of 100 nursing job vacancies each.
If you wish to apply for the said nursing job Saudi Arabia, proceed directly to the office of the recruiting agency and submit your application. If you wish to know more details on the qualifications and requirements, you can contact their landline numbers or email address 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
If you wish to apply for the said nursing job Saudi Arabia, proceed directly to the office of the recruiting agency and submit your application. If you wish to know more details on the qualifications and requirements, you can contact their landline numbers or email address 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
Nurse Job Singapore
A POEA accredited recruitment agency is currently in search for the best and most qualified Filipino nurses for its POEA Approved Nurse Job Singapore. The said nurse job Singapore are for Enrolled Nurses and Registered Nurses and have job orders that were approved last April 15 for an Ermita based recruitment agency that’s been operating for more than a decade. For the said nurse job Singapore, a corresponding job order balances of 10 and 15 applicants will be chosen for each nurse job Singapore respectively.
If you think you are qualified and wishes to apply for the said nurse job Singapore, submit your application directly to the office of the recruiting agency or you can visit their website and fill up their online application form. For more details on the said nurse job Singapore, you can contact their landline numbers or email address specified below.
Jedegal International Manpower Services Inc.
Rm 501,502 & 506, Paragon Tower
531 A. Flores Street, Ermita
Manila
Tel Nos: 5235665 / 5235632
Email Address: jedegal@yahoo.com
Website: www.jedegal.com.ph
If you think you are qualified and wishes to apply for the said nurse job Singapore, submit your application directly to the office of the recruiting agency or you can visit their website and fill up their online application form. For more details on the said nurse job Singapore, you can contact their landline numbers or email address specified below.
Jedegal International Manpower Services Inc.
Rm 501,502 & 506, Paragon Tower
531 A. Flores Street, Ermita
Manila
Tel Nos: 5235665 / 5235632
Email Address: jedegal@yahoo.com
Website: www.jedegal.com.ph
Thursday, April 22, 2010
Cara Mendapatkan Free Backlink yang Relevan
Anda punya blog dan ingin meningkatkan pagerank blog anda. Salah satu caranya adalah dengan menggunakan Backlink. Tapi backlink yang bagaimana? Tentunya adalah backlink yang berkualitas dan relevan dengan blog anda. Backlink yang tidak berkualitas dan tidak relevan dengan blog anda tentunya akan sia-sia di mata Google.
Nah, bagaimana cara mendapatkan free backlink yang relevan dan berkualitas? Cukup dengan menggunakan tool SEO dari Webconfs anda akan mendapatkan backlink yang relevan dan berkualitas, free lagi. Penggunaannya cukup mudah, anda hanya disuruh memasukkan kata kunci blog yang relevan dengan blgo anda. Setelah submit, akan ditampilkan berbagai blog yang relevan dengan kata kunci anda. Ada beberapa kategori yang ditampilkan yaitu add link, add website, submit link, submit site, submit url, submit website, suggest link, suggest site, suggest url, favorite links, favorie sites, favorite websites, recommend links, recommend sites, recommend websites, add article, submit article, link exchange, reciprocal. Pilih sesukamu yang menurutmu sangat relevan dengan blogmu.
Semoga bermanfaat!.
Nah, bagaimana cara mendapatkan free backlink yang relevan dan berkualitas? Cukup dengan menggunakan tool SEO dari Webconfs anda akan mendapatkan backlink yang relevan dan berkualitas, free lagi. Penggunaannya cukup mudah, anda hanya disuruh memasukkan kata kunci blog yang relevan dengan blgo anda. Setelah submit, akan ditampilkan berbagai blog yang relevan dengan kata kunci anda. Ada beberapa kategori yang ditampilkan yaitu add link, add website, submit link, submit site, submit url, submit website, suggest link, suggest site, suggest url, favorite links, favorie sites, favorite websites, recommend links, recommend sites, recommend websites, add article, submit article, link exchange, reciprocal. Pilih sesukamu yang menurutmu sangat relevan dengan blogmu.
Semoga bermanfaat!.
Nursing Care Plan for Pneumonia
Nursing Plan
Breath Pattern ineffectiveness because of pulmonary infection
Characteristics :
Cough (both productive and non productive), shortness of breath, Tachipnea, breath sounds are limited, retraction, fever, diaporesis, ronchii, cyanosis, leukocytosis.
Goal :
Effective breathing pattern characterized by :
- Voice of lung breath clean and the same on both sides
- The temperature of the body within the limits of 36.5 to 37.2 OC
- The rate of breathing in the normal range
- There is no coughing, cyanosis, retraction and diaporesis
Intervention :
- Perform assessments every 4 hours of respiratory rate, temperature, and signs of airway effectiveness.
Rational: Evaluation and reassessment of the actions that will be / have been granted. - Perform scheduled Phisioterapi chest
Rational: Removing the secretion of the airway, preventing obstruction - Give Oxygen
Rational: Increased lung tissue oxygen supply - Give antibiotics and antipyretics, assess the effectiveness and side effects (rash, diarrhea)
Rational: Eradication of the bacteria as a factor of disturbance causa - Make checks thoracic photo
Rational: The evaluation of the effectiveness of the circulation of oxygen, evaluated the condition of lung tissue - Perform a gradual suction
Rational: Helping airway clearance - Record the results of the pulse oximeter when installed, every 2 - 4 hours
Rational: Periodically Evaluate the success of therapy / health team action.
Public Citizen Spotlights Unnecessary Cesarean Sections in New York State
by Melissa Garvey, ACNM Writer and EditorSome of you may remember Public Citizen’s 1997 report “Nurse-Midwifery: The Beneficial Alternative.” Yesterday, the group released a new report called “Guide to Avoiding Unnecessary Cesarean Sections in New York State.”They chose to spotlight New York not because of its high rate of cesarean births (At 33.7%, only nine states have higher rates than NY),
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Wednesday, April 21, 2010
Home Care : Breast Pain
Home Care
For tips on how to manage pain from fibrocystic breasts, see breast lumps.
Certain birth control pills may help relieve breast pain. Ask your doctor if this therapy is right for you.
If you have a breast infection, you may need antibiotics. Look for symptoms of infection such as redness in the area, nipple discharge, or fever. Contact your doctor if you have these symptoms.
If you have a breast injury, immediately apply a cold compress such as an ice pack (wrapped in a cloth -- don't apply directly to the skin) for 15 to 20 minutes. Take a nonsteroidal anti-inflammatory drug (NSAID) such as ibuprofen to reduce your chance of developing persistent breast pain or swelling.
http://ncp-nursingcareplans.blogspot.com
www.nlm.nih.gov
Haiti
So I have a GREAT opportunity to go to Haiti this summer with a group of Docs and med students to set up field clinics. All I have to buy is a plane ticket and $200 to pay for our lodging/food/etc. from the camp. AND I'll get about $600 funding from various academic travel grant sources. So all in all I would only need like $400.
Which isn't so much. Unless you consider the fact that I still have a $5000 deficit. This SUCKS!
Boo!
Most insulting thing ever!
DEAR LORD, THIS YEAR YOU TOOK MY FAVORITE ACTOR, PATRICK SWAYZIE. YOU TOOK MY FAVORITE ACTRESS, FARAH FAWCETT. YOU TOOK MY FAVORITE SINGER, MICHAEL JACKSON. I JUST WANTED TO LET YOU KNOW, MY FAVORITE PRESIDENT IS BARACK OBAMA. AMEN.
I see this on Facebook postings from certain "friends" I have online. I know everyone has their own opinion and I am not saying you have to like Obama, but wishing a person would DIE from Cancer or Drug overdose i just plain SICK!
I see this on Facebook postings from certain "friends" I have online. I know everyone has their own opinion and I am not saying you have to like Obama, but wishing a person would DIE from Cancer or Drug overdose i just plain SICK!
Can We Discuss This??
There is a phenomenon among highly educated women that I have noticed over and over... and I don't really understand it. I have discussed it with a few people... so I know it's not all in my imagination. I have seen it among my friends, colleagues, classmates, and even in my own life on occasion. Of course these are going to be broad generalizations.... but I'm curious if anyone else has noticed it.
That is that highly educated women are often in relationships with men who aren't. Often I've seen women with MD/PhD's/JD's etc. in relationships with men who have never stepped foot into a University... for anything. Not to say that there is anything wrong with this. But I find it interesting.
I've also noticed that highly educated men are usually paired with women who have at least some form of higher education. In fact, off the top of my head I can't think of one male physician I know whose wife or girlfriend didn't at least finish college (whether she USES her degree is something else entirely). But tons of female physicians/attorneys/etc. are invested with men who are firefighters, mechanics, paramedics, enlisted military, etc.
Is there some explanation for this? Is it related to dominance, intimidation, what? Or do these women just think firefighters and mechanics are manly and sexy (fair enough!). I have no clue.
In my own experience I can say that I have (in my past life) dated many men who fit into this category. Firefighters, police officers, computer techs, etc. And while I always started the relationship not caring a hoot about their level of education, it inevitably became an issue between us. Either because we didn't have enough in common, or because of a mutual lack of respect for the other's opinion.
Anyway, I'd like to hear what you guys think. It's interesting to say the least.
Tuesday, April 20, 2010
A Nice Note
From a 3rd year (the one who I said rocks!)
YAY!
Home Care : Nausea and Vomiting
Home Care
It is important to stay hydrated. Try frequent, small amounts of clear liquids, such as electrolyte solutions. Other clear liquids -- such as water, ginger ale, or fruit juices -- also work unless the vomiting is severe or it is a baby who is vomiting.
For breast-fed babies, breast milk is usually best. Formula-fed babies usually need clear liquids.
Don't drink too much at one time. Stretching the stomach can make nausea and vomiting worse. Avoid solid foods until there has been no vomiting for six hours, and then work slowly back to a normal diet.
An over-the-counter bismuth stomach remedy like Pepto-Bismol is effective for upset stomach, nausea, indigestion, and diarrhea. Because it contains aspirin-like salicylates, it should NOT be used in children or teenagers who might have (or recently had) chickenpox or the flu.
Most vomiting comes from mild viral or food-related illnesses. Nevertheless, if you suspect the vomiting is from something serious, the person may need to be seen immediately by a medical professional.
If you have morning sickness during pregnancy, ask your doctor about the many possible treatments.
The following may help treat motion sickness:
* Lying down
* Over-the-counter antihistamines (such as Dramamine)
* Scopolamine prescription skin patches (such as Transderm Scop) are useful for extended trips, such as an ocean voyage. Place the patch 4 - 12 hours before setting sail. Scopolamine is effective but may produce dry mouth, blurred vision, and some drowsiness. Scopolamine is for adults only. It should NOT be given to children.
www.nlm.nih.gov
Google Blog Alerts
Apakah anda mempunyai jadwal tersendiri untuk meng-update (membaca) informasi dari topic yang menarik bagi anda? Atau Anda ingin melihat blog-blog yang ter-update setiap hari (terbaru), tanpa harus berselancar menggunakan search engines, yang seringkali menghabiskan waktu? Biarkan asisten anda menolong anda, dengan memberikan daftar blog-blog yang ter-update setiap hari, gunakan Google Alerts.
Google Alerts adalah email yang dikirimkan Google untuk menginformasikan kepada kita hasil terbaru dari pencarian Google terhadap topic yang kita inginkan dan terkait dengan News, Web, Comprehensive, Video dan Groups.
Dengan Google Alerts kita bisa :
· Monitoring perkembangan cerita dari suatu berita.
· Mendapatkan berita terbaru tentang selebriti atau acara
· Mengintai perkembangan competitor kita.
Berikut langkah-langkah untuk membuat Google Alerts, (katakanlah dalam hal ini kita memilih type : Blogs)
- Buka www.google.com di internet browser anda.
- Buka pilihan more dan pilih Blogs
- Masukkan Keyword yang anda inginkan tentang topic yang anda minati, lalu tekan Search Blogs.
- Hasil pencarian dengan menggunakan Keyword yang sudah anda masukkan, akan didapat blog-blog yang disusun berdasarkan relevansinya (keterkaitan), selanjutnya susun berdasarkan tanggal (Sort by Date).
- Tampilan akan berubah dengan urutan blog di dasarkan pada tanggal pemuatan articlenya.
- Langkah selanjutnya, di bawah menu Subscribe pilih Blogs Alerts. Pilihan ini memerintahkan Google Blogs untuk memasukkan blog-blog yang didapat berdasarkan keyword yang anda gunakan dan telah anda susun berdasarkan tanggal ke dalam email anda. Dan nantinya setiap hari atau setiap minggu anda akan mendapatkan laporan tentang hasil pencarian Google terhadap keyword yang telah anda masukkan.
- Jangan lupa masukkan alamat anda dan pilihan berapa hari sekali Google Alert akan mengirimkan email update ke alamat email anda.
Apa sudah selesai ? Belum
Google Alert Created
Your Google Alert request [ Copywriting ] has been created and a verification email has been sent to alamat email anda.
Your Google Alert request [ Copywriting ] has been created and a verification email has been sent to alamat email anda.
|
8. Verifikasi email dengan meng-klik link yang dikirimkan Google ke email anda.
Google Alert Verified
Your Google Alert request [ Copywriting ] has been verified.
You will now start receiving Google Alerts via email on this topic.
Return to the Google Alerts home page to create more alerts.
Your Google Alert request [ Copywriting ] has been verified.
You will now start receiving Google Alerts via email on this topic.
Return to the Google Alerts home page to create more alerts.
Silahkan dicoba, semoga bermanfaat ?
Mixed Sex Wards.
The government has maintained that these wards must be disposed of as soon as possible. The Nurses must do more to prevent patients from being admitted onto wards where their dignity will be compromised by sharing facilities with members of the opposite sex.
Yesterday I had 5 male patients who were ready to go down to stepdown beds (the few that exist, we don't have enough) that were available at the tiny cottage hospital up the road.
The consultant for these five patients determined that they were medically fit (they were) and that they needed further rehab and care while social services sorted out their home care/residential homes. The acutely ill patients MUST to come to my hospital to get the care they need. The cottage hospital is merely stepdown. So we try to get stable patients who need looking after up to there.
I rang the bed manager to let him know that we have 5 men who could go to Daisy Cottage hospital.
"Excellent" he says. Medical admissions is bursting at the seams with patients for you to take. And Green ward over at Daisy has 5 beds!"
Too good to be true I thought.
So I rang Green Ward at Daisy Cottage Hospital to handover the 5 male stepdown patients.
As I started to handover the first patient, John Doe, the Green ward Staff nurse informed me that they are nightingale and only have female beds and one bathroom.
They are under pressure to not mix up gender-designated accomadation. The male ward at the cottage hospital was closed to admissions.
We got off the phone and I called the bed manager as the staff Nurse at the cottage hospital did not want to accept my 5 male patients. Or, at the very least, she wanted time to shuffle things about to get appropriate beds somewhere else for either her females or my males. There are only three wards there.
The bed manager was livid. "Goddamn them, they will take those patients, and they will take them now, A&E is breaching. I'll ring them.".
And 2 minutes later the cottage hospital nurse called me back to accept handover on my male stepdown patients.
And my 5 male stepdown patients went to an open plan female ward. The Nurse there told me that they are threatened with discipline for mix sexed wards and that whenever this happens they fill in incident forms but nothing ever gets done.
The government says that the ward nurses are responsible for maintaining dignity. And that ward nurses are to take the blame when patient dignity is compromised. They say that ward nurses must take the lead in avoiding mixed sex wards.
I know that the bed manager sounds like the bad guy here, but he didn't have a choice.
The problem here is lack of facilites, poorly designed wards, and a health service that has been slashing the number of acute and stepdown beds for years.
If they want to avoid mix sex accomodation they need to start re-designing and building and they had better get off the Nurse's backs while they are at it.
Yesterday I had 5 male patients who were ready to go down to stepdown beds (the few that exist, we don't have enough) that were available at the tiny cottage hospital up the road.
The consultant for these five patients determined that they were medically fit (they were) and that they needed further rehab and care while social services sorted out their home care/residential homes. The acutely ill patients MUST to come to my hospital to get the care they need. The cottage hospital is merely stepdown. So we try to get stable patients who need looking after up to there.
I rang the bed manager to let him know that we have 5 men who could go to Daisy Cottage hospital.
"Excellent" he says. Medical admissions is bursting at the seams with patients for you to take. And Green ward over at Daisy has 5 beds!"
Too good to be true I thought.
So I rang Green Ward at Daisy Cottage Hospital to handover the 5 male stepdown patients.
As I started to handover the first patient, John Doe, the Green ward Staff nurse informed me that they are nightingale and only have female beds and one bathroom.
They are under pressure to not mix up gender-designated accomadation. The male ward at the cottage hospital was closed to admissions.
We got off the phone and I called the bed manager as the staff Nurse at the cottage hospital did not want to accept my 5 male patients. Or, at the very least, she wanted time to shuffle things about to get appropriate beds somewhere else for either her females or my males. There are only three wards there.
The bed manager was livid. "Goddamn them, they will take those patients, and they will take them now, A&E is breaching. I'll ring them.".
And 2 minutes later the cottage hospital nurse called me back to accept handover on my male stepdown patients.
And my 5 male stepdown patients went to an open plan female ward. The Nurse there told me that they are threatened with discipline for mix sexed wards and that whenever this happens they fill in incident forms but nothing ever gets done.
The government says that the ward nurses are responsible for maintaining dignity. And that ward nurses are to take the blame when patient dignity is compromised. They say that ward nurses must take the lead in avoiding mixed sex wards.
I know that the bed manager sounds like the bad guy here, but he didn't have a choice.
The problem here is lack of facilites, poorly designed wards, and a health service that has been slashing the number of acute and stepdown beds for years.
If they want to avoid mix sex accomodation they need to start re-designing and building and they had better get off the Nurse's backs while they are at it.
Evidence in Action at Midwife Connection
by Melissa Garvey, ACNM Writer and EditorWe’ve been pretty silent at Midwife Connection lately, but this week we’re getting back to normal. Yolanda Landon, our communications manager, is back from maternity leave with baby Kennedy in tow (yes, ACNM has the best mother-friendly, baby-friendly work policies I’ve ever encountered!), and we’re gearing up for the ACNM 55th Annual Meeting scheduled for
Monday, April 19, 2010
Home Care : Diarrhea
Home Care
- Drink plenty of fluid to avoid becoming dehydrated. Start with sips of any fluid other than caffeinated beverages. Milk may prolong loose stools, but also provides needed fluids and nourishment. Drinking milk may be fine for mild diarrhea. For moderate and severe diarrhea, electrolyte solutions available in drugstores are usually best.
- Active cultures of beneficial bacteria (probiotics) make diarrhea less severe and shorten its duration. Probiotics can be found in yogurt with active or live cultures and in supplements.
- Foods like rice, dry toast, and bananas can sometimes help with diarrhea.
- Avoid over-the-counter antidiarrhea medications unless specifically instructed to use one by your doctor. Certain infections can be made worse by these drugs. When you have diarrhea, your body is trying to get rid of whatever food, virus, or other bug is causing it. The medicine interferes with this process.
- Get plenty of rest.
If you have a chronic form of diarrhea, like the one caused by irritable bowel syndrome, try adding bulk to your diet -- to thicken the stool and regulate bowel movements. Such foods include fiber from whole-wheat grains and bran. Psyllium-containing products such as Metamucil or similar products can also add bulk to stools.
www.nlm.nih.gov
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Sunday, April 18, 2010
Thank You Dr. Pena
The Nursing Times as recently published an article highlighting the issue of the UK's obscene Nurse to Patient ratios on general wards. It is decidedly helpful when the Medics go to bat for their Nursing colleagues.
As is often the case, the comments posted by Nurses under the article are much more revealing than the article itself.
http://www.nursingtimes.net/story.aspx?storycode=5013601&PageNo=2&SortOrder=dateadded&PageSize=20#comments
Saturday, April 17, 2010
Family Medicine
Is swiftly falling off my list. Today I worked with a family med doctor who was young and seemed pretty cool. But I was so bored I wanted to DIE. First of all, the patients I saw were less than exciting. Sinus problems, hypertension, diabetes, allergies, etc. But, hey, that's ok.... these things are important too. So in clinic myself and a 3rd year (who pretty much was a kick-ass rockstar) did the entire H and P on the patient. So the attending just had to come in and confirm our findings. With every other doc this takes just a few minutes.
Not today however. It took this guy 30 minutes. 30 MINUTES!!!! 30 minutes to tell the patient to get Zyrtec OTC at Walgreens. There were 3 med students, a patient and an attending crammed into a tiny little room with inadequate air-conditioning for 30 minutes. I was cursing family medicine the ENTIRE TIME. I could have rounded on 40+ patients in the ED in that amount of time.
Sorry Dr. D. I still think you rock, though. :)
Top 10 Mistakes Pre-Meds Make
1. Not majoring in something you ENJOY, are GOOD AT, and you can get GOOD GRADES in.
2. Not listening to what an admissions officer tells you. Really listening. If they say, "I think you should consider the Carribean", don't waste your time applying there. If they say "I think you need 3 more points on your MCAT", don't apply to THEIR school until you have 3 more points. They aren't lying to you.
3. Asking people for letters of recommendation who suck at writing. Better to have a fabulous letter from some yahoo than 2 generic lines from a Nobel laureate.
4. Not taking full length practice MCATS. Timed. Lots of them.
5. LISTENING to pre-med advisors. Bleh.
6. Spending tons of money on high profile PBPM programs. Go to state school. It's cheap and adequate. Also, don't go to community college unless they have a VERY reputable science/pre-med department. Most admissions committees are not too keen on CC's unless they know their curriculum.
7. Focusing too much on "volunteer" work. No admissions committee gives a crap about you having a billion volunteer hours. They want to see that you are involved and committed to your community, that you are altruistic, and that you have clinical experience. If you are able to demonstrate these things in your application, racking up hundreds of hours of volunteer work is totally unnecessary.
8. Being too passive. American culture tells us that we shouldn't be pushy, that we shouldn't ask for favors, etc. That's fine if you have a stellar application with a 3.8 and a 40 on the MCAT and you've singlehandedly revamped the water system in Djibouti. For the rest of us, get assertive. Note: I am NOT advocating that you be obnoxious, pushy or annoying. But contact the Deans, make appointments, write letters, have a faculty member call on your behalf, etc. I lost out on an entire year because I didn't want to be "pushy" and the Dean simply forgot about me.
9. Stressing. About everything. But you can't avoid it. You're a pre-med.
10.Letting the MCAT and the application process affect your feelings of self-worth. I can honestly say that I do not know even one medical student that breezed through every single aspect of this process. There is a huge disconnect between a pre-meds perception of themselves and their perception of the ease to which everyone else supposedly gets into med school. And if you're going to be in the medical field, get used to going up against adversity. Because now its the MCAT and the application. But in med school you have to beat the USMLE. Then its residency application. Then competition for fellowships. Then competition for faculty, and tenure, and on and on. It will never be over. Get some perspective and enjoy the journey.
GOOD LUCK !!!!
Debridement
Debridement is the process to remove dead skin and tissue. Your doctor or nurse will need to do this to be able to see your foot ulcer. There are many ways to do this.
One way is to use a scalpel and special scissors.
Other ways to remove dead or infected tissue are to :
One way is to use a scalpel and special scissors.
- The skin surrounding the wound is cleaned and disinfected.
- The wound is probed with a metal instrument to determine how deep it is and to see if there is any foreign material or object in the ulcer.
- The doctor cuts away the dead tissue, then washes out any unattached tissue.
- Your sore may seem bigger and deeper after the doctor or nurse debrides it. The ulcer should be red or pink in color and look like fresh meat.
Other ways to remove dead or infected tissue are to :
- Put your foot in a whirlpool bath.
- Use a syringe and catheter (tube).
- Apply wet to dry dressings to the area.
- Put special chemicals, called enzymes, on your ulcer. These dissolve dead tissue from the wound.
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Friday, April 16, 2010
Diabetes - taking care of your feet
Diabetes can damage the nerves and blood vessels in your feet. This damage can cause numbness and reduce feeling in your feet. As a result, your feet may not heal well if they are injured. If you get a blister, you may not notice, and it may get worse.
Check your feet every day. Inspect the top, sides, soles, heels, and between the toes. Look for:
- Dry and cracked skin
- Blisters or sores
- Bruises or cuts
- Redness, warmth, or tenderness
- Firm or hard spots
If you cannot see well, ask someone else to check your feet.
Call your doctor right way about any foot problems. Do not try to treat them yourself first. Even small sores or blisters can become big problems if infection develops or they do not heal.
Wash your feet every day with lukewarm water and mild soap. Strong soaps may damage the skin.
- Check the temperature of the water with your hands or elbow first.
- Gently dry your feet, especially between the toes.
- Use lotion, petroleum jelly, lanolin, or oil on dry skin. Do NOT put lotion between your toes.
Ask your health care provider to show you how to trim your toenails.
- Soak your feet in lukewarm water to soften the nail before trimming.
- Cut the nail straight across, because curved nails are more likely to become ingrown.
- Your foot doctor (podiatrist) can trim your nails if you are unable to.
Most people with diabetes should have corns or calluses treated by a foot doctor. If your doctor has given you permission to treat corns or calluses on your own:
- Gently use a pumice stone to remove corns and calluses after a shower or bath, when your skin is soft.
- Do NOT use medicated pads or try to shave or cut them away at home.
If you smoke, stop. Smoking decreases blood flow to your feet. Talk with your doctor or nurse if you need help quitting.
Do not use a heating pad or hot water bottle on your feet. Do not walk barefoot, especially on hot pavement or hot sandy beaches. Remove your shoes and socks during visits to your health care provider so that they can check your feet.
Source : http://www.nlm.nih.gov/medlineplus/ency/patientinstructions/000081.htm
Students present sickle cell information to Main Line Health nurses
(left to right) Omani students Mudhar Al Adawi and Zayana Al Saudi worked with Mary Beth Sedwick BSN, MS, CCRN, clinical nurse educator for ICU & CTICU and lead nurse educator for Lankenau Hospital to bring their sickle cell disease program to Main Line Health nurses.
The College of Nursing and Main Line Health enjoy a longstanding relationship, furthered by a recent presentation. Omani students Zayana Al Saudi and Mudhar Al Adawi developed and presented a continuing education presentation The Global Nature of Sickle Cell Disease (SCD) for the Nursing Education department of the health system on April 12th. The conference was presented twice to a live audience of staff nurses at Lankenau Hospital while being simultaneously teleconferenced to live audiences at Bryn Mawr and Riddle Memorial Hospitals. The conference was coordinated in conjunction with Mary Beth Sedwick BSN, MS, CCRN, clinical nurse educator for ICU & CTICU and lead nurse educator for Lankenau Hospital.
The purpose of the Zayana’s and Mudhar’s presentation was to educate health providers about the types, complications, management and cultural dimensions of nursing care of the patients with SCD. They presented an overview of data to illustrate the impact of SCD on three populations most often seen in this region: African Americans, Hispanics and Middle Eastern populations. “Sickle cell disease is not African American disease. It can affect anyone of any race. We chose to conclude the presentation with care and needs of Muslim women to bring the awareness of the cultural diversity needs for patients in the hospitals,” explains Mudhar.
This project was in partial fulfillment of the students’ clinical practicum in their senior level Health Promotion course under the direction of their clinical advisor Assistant Professor Elizabeth Petit de Mange, PhD, MSN, NP-C, RN. The students were mentored during their clinical rotation by Tracy Swift-Merrick, director of Programs for the Sickle Cell Association of Philadelphia and hematologist Roy Gay, MD from Penn Presbyterian Hospital who provides care to more than 200 patients with SCD.
The purpose of the Zayana’s and Mudhar’s presentation was to educate health providers about the types, complications, management and cultural dimensions of nursing care of the patients with SCD. They presented an overview of data to illustrate the impact of SCD on three populations most often seen in this region: African Americans, Hispanics and Middle Eastern populations. “Sickle cell disease is not African American disease. It can affect anyone of any race. We chose to conclude the presentation with care and needs of Muslim women to bring the awareness of the cultural diversity needs for patients in the hospitals,” explains Mudhar.
This project was in partial fulfillment of the students’ clinical practicum in their senior level Health Promotion course under the direction of their clinical advisor Assistant Professor Elizabeth Petit de Mange, PhD, MSN, NP-C, RN. The students were mentored during their clinical rotation by Tracy Swift-Merrick, director of Programs for the Sickle Cell Association of Philadelphia and hematologist Roy Gay, MD from Penn Presbyterian Hospital who provides care to more than 200 patients with SCD.
Thursday, April 15, 2010
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Wednesday, April 14, 2010
Julie's picks from the literature: March
Here are my picks from the most recent nursing articles dealing with nursing research and evidence based nursing. Staff at St. Joseph Hospital in Orange and Children's Hospital of Orange County may be able to access some of these articles via the library's website.
1. A nursing clinical decision support system and potential predictors
of head-of-bed position for patients receiving mechanical
ventilation.(includes abstract); Lyerla F; LeRouge C; Cooke DA; Turpin
D; Wilson L; American Journal of Critical Care, 2010 Jan; 19 (1): 39-47 (journal article - research) ISSN: 1062-3264 PMID: 20045847 CINAHL AN: 2010530899
2. Breast cancer screening behaviors of African American women: a comprehensive review, analysis, and critique of nursing research.(includes abstract); Conway-Phillips R; Millon-Underwood S;
ABNF Journal, 2009 Fall; 20 (4): 97-101 (journal article - research, systematic review) ISSN: 1046-7041 PMID: 19927894 CINAHL AN: 2010522060
3. Do calculation errors by nurses cause medication errors in clinical practice? A literature review.(includes abstract); Wright K; Nurse Education Today, 2010 Jan; 30 (1): 85-97 (journal article - research,
systematic review, tables/charts) ISSN: 0260-6917 PMID: 19666199 CINAHL AN: 2010543404
4. Evidence-based practice: step by step. Igniting a spirit of inquiry: an essential foundation for evidence-based practice: how nurses can build the knowledge and skills they need to implement ERP.(includes
abstract); Melnyk BM; Fineout-Overholt E; Stillwell SB; Williamson KM; American Journal of Nursing, 2009 Nov; 109 (11): 49-52 (journal article - tables/charts) ISSN: 0002-936X PMID: 19858857 CINAHL AN: 2010536578
5. Cultivating quality. Shared governance supports evidence-based practice: the experience of perioperative nurses at Children's Hospital Boston can serve as a model for others.(includes abstract); Waddell
AWG; American Journal of Nursing, 2009 Nov; 109 (11): 53-7 (journal article - pictorial) ISSN: 0002-936X PMID: 19858858 CINAHL AN: 2010536579
6. Generalizability and transferability of meta-synthesis research findings.(includes abstract); Finfgeld-Connett D; Journal of Advanced Nursing, 2010 Feb; 66 (2): 246-54 (journal article - research) ISSN: 0309-2402 CINAHL AN: 2010539481
7.Walk the walk to reduce catheter-related bloodstream infections.(includes abstract); Hatler C; Hebden J; Kaler W; Zack J; American Nurse Today, 2010 Jan; 5 (1): 26-31 (journal article - CEU,
exam questions, pictorial) ISSN: 1930-5583 CINAHL AN: 2010546030
8.Leadership: the critical success factor in the rise or fall of useful research activity.(includes abstract); Henderson A; Winch S; Holzhauser K; Journal of Nursing Management, 2009 Dec; 17 (8): 942-6
(journal article) ISSN: 0966-0429 PMID: 19941567 CINAHL AN: 2010485576
9. Controlling bias in complex nursing intervention studies: a checklist.(includes abstract); Campbell-Yeo M; Ranger M; Johnston C; Fergusson D; Canadian Journal of Nursing Research, 2009 Dec; 41 (4):
32-50 (journal article - questionnaire/scale) ISSN: 0844-5621 PMID: 20191712 CINAHL AN: 2010529009
10. Applying the Stetler Model of Research Utilization in staff development: revitalizing a preceptor program.(includes abstract); Romp CR; Kiehl E; Journal for Nurses in Staff Development, 2009 Nov-Dec; 25
(6): 278-86 (journal article - CEU, exam questions, research,
tables/charts) ISSN: 1098-7886 PMID: 19955975 CINAHL AN: 2010506957
11. Writing an appropriate methods section for a research article: procedure, instruments/measurements and analysis.Lambert VA; Lambert CE; Thai Journal of Nursing Research, 2009 Oct-Dec; 13 (4): 245-8
(journal article) ISSN: 0859-7685 CINAHL AN: 2010545155
12. Review summaries: evidence for nursing practice. Blood donor skin preparation with alcohol vs. alcohol plus any antiseptic for preventing bacteraemia or contamination of blood for transfusion.Jayasekara R;
Journal of Advanced Nursing, 2010 Feb; 66 (2): 257-8 (journal article - abstract) ISSN: 0309-2402 CINAHL AN: 2010555036
13. Review summaries: evidence for nursing practice. Incentive spirometry for prevention of postoperative pulmonary complications in upper abdominal surgery.Jayasekara R; Journal of Advanced Nursing,
2010 Feb; 66 (2): 258-9 (journal article - abstract) ISSN: 0309-2402
CINAHL AN: 2010555037
14. Opportunities and challenges: wound and skin alterations of obesity.Zuelzer HB; Bariatric Nursing & Surgical Patient Care, 2009 Dec; 4 (4): 283 (journal article - abstract) ISSN: 1557-1459 CINAHL AN: 2010554679
Web based course on Health Literacy-- CNE for Nurses
Health Literacy has become such an important topic that some are now referring to it as the "Fifth Vital Sign"-(new health literacy screening tool-- the Fifth Vital Sign). The CDC has developed a web based tutorial titled "Health Literacy for Public Health Professionals". Although this is geared to public health professionals, it will also be of great interest to nurses and comes with 1 CNE. You will need to register for the course and complete an evaluation in order to earn the CNE.
For more resources on Health Literacy, visit:
AHRQ
National Library of Medicine resources on Health Literacy
USDHS-- plain language thesaurus
California Health Literacy Initiative
For more resources on Health Literacy, visit:
AHRQ
National Library of Medicine resources on Health Literacy
USDHS-- plain language thesaurus
California Health Literacy Initiative
Villanova educators collaborate for success - professors and student represent University at conference
An education professor, a nursing assistant professor, and her son—a senior with a double major—were part of a Villanova University team that presented at the National Social Science Association’s National Technology and Social Science Conference in Las Vegas on March 29th. Bette Mariani, Ph.D., R.N., clinical assistant professor in the College of Nursing, and son Brett Mariani, an education and history major from the College of Liberal Arts and Sciences joined Ray Heitzmann, Ph.D., professor and program coordinator, Undergraduate Teacher Education, Department of Education and Human Services in the College of Liberal Arts and Sciences, in presenting Case Study Instruction: Professors as Students. Mr. Mariani received an educational grant from his college to support his conference experience.
The group demonstrated that case study pedagogy can provide excellent insights to the teaching-learning process. Dr. Heitzmann relayed his expertise in the pedagogy of case study instruction, and shared the case study contest format that he developed and organized for education majors at Villanova. Dr. Mariani gave an overview of the areas in Villanova’s nursing curriculum in which case studies are used, including as a foundation for clinical simulation experiences. She also presented some of the College’s current research relating to clinical judgment and student satisfaction. Mr. Mariani discussed the use of case studies and their effectiveness in education from his perspective, both as a student and a pre-service teacher.
According to Dr. Mariani, “the conference was a great opportunity to collaborate with my colleagues in education and share successful strategies in teaching. I am proud of Brett’s accomplishments here at Villanova. His contribution to the presentation as a novice educator and student added a valuable dimension to the presentation.”
HEALTHCARE PROFESSIONALS NEEDED
W created this usefull blog for healthcare professionals basically in the United States or in all over the world. Here on this site you can find a targetted and selected healthcare job ads. For more details you can contact us directly at our email address. think.hired.webmaster@gmail.com.
KHAN JEE
Take care
KHAN JEE
Take care
The Onus is on the Nursing Staff
45 minutes to dismantle, clean and rebuild a bed.
This is the trust's latest trick in fighting infection control.
They continue to ignore the issues of safe staffing while scoffing at any suggestions made by the professional nursing staff regarding this matter. They are unable to address the issue of high bed occupancy as a result of being forced to meet targets. In a nutshell, this means that the ward is always to full to clean properly. We continue to get slammed with admissions we cannot handle at mealtimes, during rounds, change of shift, and when we are struggling to care for the patients we already have. We don't have enough domestics. We have no right to have an uninterrupted block of time at any point in our shifts to do our jobs. We are doing so many things at once that nothing, NOTHING gets done well.
None of this gets addressed. Ever.
But the trust behaves as if it is quaking in their boots at the thought of getting busted over poor hygiene, super bugs and poor care. They cannot deal with the real issues that lead to these problems so they are covering their assess and putting the onus on the Nursing Staff.
I attended a study update the other day to learn about the trusts requirements for the cleaning of all 30 beds on the ward. The process that we were instructed upon is to be implemented daily and between every discharge and admission. They want each bed completely dismanted and every part cleaned in a certain way, every single day and between each patient. It is heavy work that requires at least 2 members of staff. It takes at least 45 minutes to do one bed.
There are 30 beds. We have between 5 and 15 discharges and admissions per day. There are 2 nurses and 2 assistants for a 12 hour shift during the day who cannot even attend to all the Nursing care that needs to be accomplished.
Do the Math.
We cannot even get around to everyone fast enough to prevent pressure sores, dehydration, notice changes in condition quickly enough or medicate properly. Here's a newsflash for the doctors: you know those IV antibiotics that you prescribe to be given 4 times a day? They are getting given two times a day max because the nurse has so damn many of them to mix and give that it takes hours. Yeah, doses get missed regulary.
Now you need to take into account that in addition to this we must clean and dismantle 30 beds that take 45 minutes each to clean every day. And in addition to that we have to dismantle and clean them between each patient.
They won't bring more staff on board. They don't want the domestics doing the beds and there are not enough of them anyway.
During the course of the study update we did explain that we will be unable to follow this bed policy due to a lack of time and staff.
This statement was met with ridicule of the Nursing Staff in the form of eye rolling and the inferred notion that Nurses are too thick and lazy to do their job properly.
And I quote: " The trust is implementing this policy to prevent the spread of infection. There will be spot checks to ensure that these actions are being carried out. If they are not, the blame is on the professional Nursing staff."
Did I tell you that they want us to spend 11 minutes exactly in a cramped room cleaning and dismantling commodes and documenting it between each patient use. Four commodes are being used over 15 times an hour on some days. They are swabbing them to ensure that this is done. The swabs are never clear. And infection control is up our asses over it. They have devised even more cleaning checklists and paperwork. Same with pressure sore audits etc.
And they want to know why we have so many pressure ulcers, and drug errors as well. And they have demanded that the RN on duty drop what she is doing as soon as the consultants arrive (we don't know when they are coming and cannot plan for it) and attend every ward round, following the medical teams around the ward for hours while they see their patients.
And if my patient suffers harm because I am off on a ward round or dismantling a bed I must take full responsibility. It's tough shit really.
Fuck them. I am going to Nurse my patients starting with the high priority actions and working my way down. I will turn the patient and if that doesn't leave time to document that I have turned them it is too bad. The trust wants documentation that it is done more than they want it to actually get done.
This is the trust's latest trick in fighting infection control.
They continue to ignore the issues of safe staffing while scoffing at any suggestions made by the professional nursing staff regarding this matter. They are unable to address the issue of high bed occupancy as a result of being forced to meet targets. In a nutshell, this means that the ward is always to full to clean properly. We continue to get slammed with admissions we cannot handle at mealtimes, during rounds, change of shift, and when we are struggling to care for the patients we already have. We don't have enough domestics. We have no right to have an uninterrupted block of time at any point in our shifts to do our jobs. We are doing so many things at once that nothing, NOTHING gets done well.
None of this gets addressed. Ever.
But the trust behaves as if it is quaking in their boots at the thought of getting busted over poor hygiene, super bugs and poor care. They cannot deal with the real issues that lead to these problems so they are covering their assess and putting the onus on the Nursing Staff.
I attended a study update the other day to learn about the trusts requirements for the cleaning of all 30 beds on the ward. The process that we were instructed upon is to be implemented daily and between every discharge and admission. They want each bed completely dismanted and every part cleaned in a certain way, every single day and between each patient. It is heavy work that requires at least 2 members of staff. It takes at least 45 minutes to do one bed.
There are 30 beds. We have between 5 and 15 discharges and admissions per day. There are 2 nurses and 2 assistants for a 12 hour shift during the day who cannot even attend to all the Nursing care that needs to be accomplished.
Do the Math.
We cannot even get around to everyone fast enough to prevent pressure sores, dehydration, notice changes in condition quickly enough or medicate properly. Here's a newsflash for the doctors: you know those IV antibiotics that you prescribe to be given 4 times a day? They are getting given two times a day max because the nurse has so damn many of them to mix and give that it takes hours. Yeah, doses get missed regulary.
Now you need to take into account that in addition to this we must clean and dismantle 30 beds that take 45 minutes each to clean every day. And in addition to that we have to dismantle and clean them between each patient.
They won't bring more staff on board. They don't want the domestics doing the beds and there are not enough of them anyway.
During the course of the study update we did explain that we will be unable to follow this bed policy due to a lack of time and staff.
This statement was met with ridicule of the Nursing Staff in the form of eye rolling and the inferred notion that Nurses are too thick and lazy to do their job properly.
And I quote: " The trust is implementing this policy to prevent the spread of infection. There will be spot checks to ensure that these actions are being carried out. If they are not, the blame is on the professional Nursing staff."
Did I tell you that they want us to spend 11 minutes exactly in a cramped room cleaning and dismantling commodes and documenting it between each patient use. Four commodes are being used over 15 times an hour on some days. They are swabbing them to ensure that this is done. The swabs are never clear. And infection control is up our asses over it. They have devised even more cleaning checklists and paperwork. Same with pressure sore audits etc.
And they want to know why we have so many pressure ulcers, and drug errors as well. And they have demanded that the RN on duty drop what she is doing as soon as the consultants arrive (we don't know when they are coming and cannot plan for it) and attend every ward round, following the medical teams around the ward for hours while they see their patients.
And if my patient suffers harm because I am off on a ward round or dismantling a bed I must take full responsibility. It's tough shit really.
Fuck them. I am going to Nurse my patients starting with the high priority actions and working my way down. I will turn the patient and if that doesn't leave time to document that I have turned them it is too bad. The trust wants documentation that it is done more than they want it to actually get done.
Tuesday, April 13, 2010
Picture Your Heart's Health With EKGs
by: Damian Sofsian
Each time your heart beats, the contractions and relaxations of the heart muscle emit electrical current. An electrocardiogram (EKG) is a medical recording of the electric impulses from the heart. Electrodes that send impulses to the EKG machine are attached to the patient�s skin at various points on the body. Those recorded currents are displayed on a computer monitor and can be printed out on special graph paper. Your heart�s electrical currents are recorded on the graph paper as an EKG. Qualified medical staff interpret the graphed results to determine any irregularities.
Most EKGs are performed in a critical care facility, telemetry or any place that a particular patient needs to be monitored. EKGs can help your doctor determine the status of your heart health. By graphing the electrical impulses of the heart, doctors and other trained medical staff are able to see the presence of any abnormalities. The EKG recording often reveals the scars of past heart attacks and other heart damage. Although the test cannot predict future heart attacks or other heart problems, a combination of family history and additional examinations may give your doctor a good idea of what to expect.
Individuals experiencing chest pain, shortness of breath, dizziness or heart palpitations will likely be referred for an EKG by their doctor. An EKG is a rapid and safe way to determine if a heart attack is occurring. Those reporting these types of symptoms will likely be referred to the nearest Emergency Room for further evaluation. If your doctor does not think your symptoms indicate a life-threatening situation, you may be asked to make an appointment with an EKG specialist for further observation.
An EKG is a very simple and painless procedure. The patients are instructed to lie face up on an examination table while electrodes are strategically placed at various points on their body. The electrodes are attached to cables and the cables are attached to the EKG machine. The electrodes send electronic impulses to the machine and results in a printed graph, which is a picture of your heart function. The procedure usually takes 15 to 20 minutes but may require a longer visit if the technician needs additional testing data. A stress test is a normal EKG procedure that requires the patient perform moderate exercise while recording heart rhythms.
EKG Reading provides detailed information on EKG, EKG Reading, EKG Interpretation, EKG Machine and more. EKG Reading is affiliated with ECG Cross Reference.
To find other free health content see e-healtharticles.com
http://askep-asuhankeperawatan.blogspot.com/2010/04/picture-your-hearts-health-with-ekgs.html
Lo Lo
One of my best friends has decided to go to med school. Well, I think she's pretty much convinced. I met her because we were getting our Masters degrees at the same time, back in 2006, and we've been friends ever since. We even worked together as epidemiologists for the state.
So even though I'm probably going to get my ass kicked for it, I want to put her story on here. First because she needs a team cheering for her, and second because I think her story is a good one.... (probably 'cause its a lot like mine). My friend, let's call her Lo-Lo... has been back and forth on this idea for a while. She says she's oscillating because she isn't sure if she's up to entering the world of tough academics and doctor stress... I say she's being chicken. She actually handles academics beautifully, is a resourceful student and I think she'd be a great doctor.
About her. She didn't major in the sciences, but did complete her pre-med requirements. She originally wanted to go to pharmacy school and scored really well on the PCAT (this would be the part of our stories that are clearly not alike). For whatever reason she didn't get accepted at the school she wanted to go to and sort of let the idea go. Then she got her MPH and has been working as an epidemiologist for 3 years. She briefly thought about med school again a few years back and took the MCAT but didn't do so hot. But she's trying again and plans to apply to med school this summer. If she matriculates next year she'll be 29 when she starts.
She's taking the MCAT on May 1st (2 weeks!) and she needs a little encouragement... so write her a message. And tell her to do the damn full-length exams! She's slacking on those!
Villanova’s Dr. Smeltzer appointed to disabilities-related state workgroup
Suzanne C. Smeltzer, RN, EdD, FAAN has been appointed by the New Jersey Division of Disabilities Services to the Healthy People with Disabilities New Jersey 2010 Workgroup. Its purpose is to work on setting priorities on health needs of people with disabilities.
Dr. Smeltzer is professor and director of the Center for Nursing Research for the Villanova University College of Nursing. She is committed to making health promotion practices and services accessible and acceptable for people with disabilities. She is an internationally known scholar, researcher, educator and author, who has directed the College’s Health Promotion for Women with Disabilities Project funded by a grant from the Bristol-Myers Squibb Foundation. Dr. Smeltzer has served on disabilities-related committees and advisory groups and much of her research has addressed health issues of people with multiple sclerosis and other disabilities.
Dr. Smeltzer is professor and director of the Center for Nursing Research for the Villanova University College of Nursing. She is committed to making health promotion practices and services accessible and acceptable for people with disabilities. She is an internationally known scholar, researcher, educator and author, who has directed the College’s Health Promotion for Women with Disabilities Project funded by a grant from the Bristol-Myers Squibb Foundation. Dr. Smeltzer has served on disabilities-related committees and advisory groups and much of her research has addressed health issues of people with multiple sclerosis and other disabilities.
Villanova’s Undergraduate Nursing Senate contributes to Haiti relief
The Undergraduate Nursing Senate (UNS) of Villanova University’s College of Nursing has a long history of public service and fundraising efforts to support the College’s mission. For decades it has run a highly successful blood drive on campus with the American Red Cross and last year it donated over 100 winter coats to children who did not have one.
In January, the nursing students were immediately moved by the plight of Haitians caught in the catastrophic 7.0 earthquake that rocked the Port-au-Prince area on January 12th. “The Undergraduate Nursing Senate knew right away that we needed to reach out. Our fundraiser from the fall was very successful, so we figured why not use some of that money. When someone needs a hand, we lend them a hand. We pride ourselves on our excellent service to the community,” say Keri Nagel and Tara Duggan, senior nursing students and co-presidents of UNS.
The UNS Board unanimously agreed to donate $500 to the University’s Haiti fund to be given to Catholic Relief Services in Haiti. This donation sent the University donation over the $19,000 mark. The students see the big picture. “Whether in the United States, or a small island such as Haiti, a tragedy affects the lives of millions. By donating $500, we are lending them our hands to assist them with recovery,” explain the co-presidents.
In January, the nursing students were immediately moved by the plight of Haitians caught in the catastrophic 7.0 earthquake that rocked the Port-au-Prince area on January 12th. “The Undergraduate Nursing Senate knew right away that we needed to reach out. Our fundraiser from the fall was very successful, so we figured why not use some of that money. When someone needs a hand, we lend them a hand. We pride ourselves on our excellent service to the community,” say Keri Nagel and Tara Duggan, senior nursing students and co-presidents of UNS.
The UNS Board unanimously agreed to donate $500 to the University’s Haiti fund to be given to Catholic Relief Services in Haiti. This donation sent the University donation over the $19,000 mark. The students see the big picture. “Whether in the United States, or a small island such as Haiti, a tragedy affects the lives of millions. By donating $500, we are lending them our hands to assist them with recovery,” explain the co-presidents.
New Ebook : Attract Money Now
Do you know Dr. Joe Vitale?
He is author of the bet selling The Attractor Factor, He is also a star the Secret movie.
Dr. Joe Vitale’s just released new book “Attract Money Now” Get if FREE!
(Sign up right now to get your FREE BOOK!)
Make Money Online From File Sharing
Looking for a place to put up your files for free? There is a site you can chose to place your files. And you can Make Money Online from File Sharing too.
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In Filefactory you do not only get your files hosted, you also get paid when people download the stuff that you put up. This is great if you’ve got a popular file that people enjoy downloading, such as music, eBooks, etc. That way, if you’re offering your file for free, you can still be rewarded if you host it on File Factory.
I think this is good idea to try make money online From File Sharing.
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