Friday, July 10, 2009

PARADIGM 97 Newsletter


PARADIGM BYTES
Newsletter for Paradigm 97
July 10, 2009

PARADIGM DEFINED:
1) an outstandingly clear or typical example or archetype.2) a philosophical and theoretical framework of a scientific school or discipline within which theories, laws, and generalizations, and the experiments performed in support of them, are formulated.Our website...... http://paradigm97.blogspot.com/
MISSION STATEMENT
We believe that nurses need each other for support during the "lean and mean" days to help survive them. We offer research results and other ideas to enrich the nursing experience.

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SNIPPETS

The following was sent in by Decubqueen@AOL.com (Gerry). I realize it is a too late for the 4th...but still important to know. So am including this in the Newsletter, anyway.

Have you ever wondered what happened to the 56 men who signed the Declaration of Independence? Five signers were captured by the British as traitors, and tortured before they died. Twelve had their homes ransacked and burned. Two lost their sons serving in the Revolutionary Army; another had two sons captured. Nine of the 56 fought and died from wounds or hardships of the Revolutionary War.
They signed and they pledged their lives, their fortunes, and their sacred honor. What kind of men were they? Twenty-four were lawyers and jurists. Eleven were merchants, nine were farmers and large plantation owners; men of means, well educated, but they signed the Declaration of Independence knowing full well that the penalty would be death if they were captured.
Carter Braxton of Virginia, a wealthy planter and trader, saw his ships swept from the seas by the British Navy. He sold his home and properties to pay his debts, and died in rags.
Thomas McKeam was so hounded by the British that he was forced to move his family almost constantly. He served in the Congress without pay, and his family was kept in hiding. His possessions were taken from him, and poverty was his reward. Vandals or soldiers looted the properties of Dillery, Hall, Clymer, Walton, Gwinnett, Heyward, Ruttledge, and Middleton. At the battle of Yorktown, Thomas Nelson, Jr., noted that the British General Cornwallis had taken over the Nelson home for his headquarters. He quietly urged General George Washington to open fire. The home was destroyed, and Nelson died bankrupt. Francis Lewis had his home and properties destroyed. The enemy jailed his wife, and she died within a few months. John Hart was driven from his wife's bedside as she was dying. Their 13 children fled for their lives. His fields and his gristmill were laid to waste. For more than a year he lived in forests and caves, returning home to find his wife dead and his children vanished.
So, take a few minutes while enjoying your 4th of July holiday and silently thank these patriots. It's not much to ask for the price they paid. Remember: freedom is never free!
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MEDICAL NEWS

Mortality Impact of Intensive Glucose Control Explored New analyses aiming to explain the lack of benefit and apparent mortality increase with tight glucose control in the ACCORD and VADT trials are the subject of this exclusive InFocus discussion.... http://www.medpagetoday.com/
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Bad news: BPA, a chemical compound found in many plastic food containers, sippy cups and bottles, has been linked to many potential health hazards, from breast cancer to diabetes and heart disease. Worse, it's still widely used despite the known health risks. Take these seven steps to protect your family and cross BPA worries off your list of potential health hazards. (Apparently only the FIJI water bottles do not cause any problems).
****************** Reuters (6/11)...Flu Pandemic? U.S. health officials said the World Health Organization's pandemic flu declaration won't have any "practical implications" since the country has been acting as if a pandemic was under way for weeks now. The CDC plans to meet with the Association of State and Territorial Health Officers to discuss the "lessons learned" about the H1N1 flu virus and to prepare for its possible return in the fall.... http://www.reuters.com/article/marketsNews/idUSN1144150420090611?pageNumber=1&virtualBrandChannel=0
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(this may be a little out of date, but wanted it anyway) Landmark tobacco regulation bill goes to Obama (Reuters 06/10) - The U.S. Senate on Thursday backed a historic plan giving the U.S. Food and Drug Administration sweeping power over cigarettes and other tobacco products, allowing the agency to curb advertisements, require stronger package warnings and inspect manufacturers.... http://www.reuters.com/article/healthNews/idUSTRE55A68920090612?feedType=nl&feedName=ushealth1100

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FROM THE MEMBERS

Thank you for this notice...Laura (Laregis@AOL.com) Kidney Disease Awareness and Education Week August 10-14, 2009 ~ is fast approaching! This special week, which coincides with Congress’ summer recess, is an ideal time to educate legislators and policymakers about kidney disease and the challenges faced by individuals with chronic kidney disease and their caregivers.... http://www.annanurse.org/cgi-bin/WebObjects/ANNANurse.woa/wa/viewSection?s_id=1073744052&ss_id=536873335
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I received this from Wendie www.howlandhealthconsulting.com who wrote :
I just thought I'd mention a couple of observations from my nameless Big City Med Surg ICU who wrote: " 30% of our current patients are in their thirties, have flu, and are on ventilators. If they get Tamiflu they can usually avoid renal failure. So far all are on ventilators with Acute Respiratory Distress Syndrome (ARDS). One had underlying disease but most do not. All so far have been men but I heard on the drums that another hospital has some women. The Geezer titre is saving people over 55- we've been exposed to ancient flu- pre 1958. Worryingly they come in with high creatinines- usually under 200 but that is even before they have obvious ARDS. So if the kids get sick, get Tamiflu before it morphs into something resistant. Lots of people get this flu and are merely excruciatingly sick for a week but some get complications and it's lots more than usual. Our hospital "Decided not to count flu patients". When asked by the staff- two nurses and one doc are out sick- theoretically with community acquired flu- the hospital said "We are not counting our flu patients so we have no idea how many are in the hospital." Be sure and thank the guy who sneezes on you in the subway".
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INTERESTING READING

Please remember that the REUTERS articles are usually good for 30 days.

Confidentiality and the telephone in family practice: a qualitative study of the views of patients, clinicians and administrative staff McKinstrya B et al. - Many of the concerns that patients and health care staff have around confidentiality breaches both on the telephone and face to face are amenable to careful management. Although rare, identification error or fraud can be a potentially serious problem and further thought needs to be given to the problem of misidentification on the telephone and the use of passwords considered.... http://fampra.oxfordjournals.org/cgi/content/abstract/cmp032
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Registered Nurses as Family Care Specialists in the Intensive Care Unit
Nelson DP et al. - Emergent needs of families of critically ill patients can overwhelm hospital staff and distract from care of the patients. To meet the needs of patients’ families, staff developed a family-centered care program in which critical care nurses act as family care specialists.... http://ccn.aacnjournals.org/cgi/content/full/29/3/46
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Handy Hint: After you have used the baking soda in the refrigerator, don't throw it away! Put it in the sink drain or garbage disposal. Add a cup of vinegar and let it stand overnight. Run hot water through it in the morning; it will help keep drains clean and smelling fresh.
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Patients may be dishonest with providers for variety of reasons Medical providers know at least some of their patients are lying, understating, embellishing, omitting or stretching the truth, which can compromise their diagnosis and treatment. Patients may be dishonest to avoid being judged, embarrassed or misunderstood or due to concerns about privacy and insurance coverage. ... http://articles.latimes.com/2009/jun/08/health/he-lying
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RANDOM FACT Owls are the only birds who can see the color blue. **********************
Marlene sent this in:
Subject: UPS/FedEx virus important!!!! (also DHL) The newest virus circulating is the UPS/Fed Ex Delivery Failure. You will receive an email from UPS/Fed Ex Service along with a packetnumber.. It will say that they were unable to deliver a package sentto you on such-and-such a date. It then asks you to print out the invoice copy attached. DON'T TRY TO PRINT THIS. IT LAUNCHES THEVIRUS!
Pass this warning on to all your PC operators at work and home. This virus has caused Millions of dollars in damage in the past few days. Snopes confirms that it is real. http://www.snopes.com/computer/virus/ups.asp
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Homocysteine as a predictor of cognitive decline in Alzheimers disease Raised homocysteine concentrations within the normal range among the elderly strongly relate to the rate of global cognitive decline in patients with Alzheimer disease. Plasma homocysteine can readily be lowered by B-vitamin treatment and trials should be carried out to see if such treatments can slow the rate of cognitive decline in relatively young patients with Alzheimer disease. .... International Journal of Geriatric Psychiatry, 06/02/09 Oulhaj A et al.
http://www3.interscience.wiley.com/journal/122414013/abstract?CRETRY=1&SRETRY=0

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Recurrent Mouth ulcers suggest celiac disease NEW YORK (Reuters 06/29) - A minority of patients with recurrent mouth sores (aphthous stomatitis) have gluten-sensitive enteropathy, making evaluation for celiac disease appropriate in this population, according to a new study in BMC Gastroenterology.....
http://www.reuters.com/article/healthNews/idUSTRE55S6UI20090629?feedType=nl&feedName=ushealth1100
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RANDOM FACT Crayons were invented in New York in 1903.
AND for getting crayons out of car seats try freezing it with an ice pack, then scrape off what you can. Then take baby wipes to clean the rest up. (can also use this method on carpets)
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A Comparison of Stress Factors in Home and Inpatient Hospice Nurses Mary Lynn Martens, PhD, RN, CHPN From Journal of Hospice and Palliative Nursing Abstract

Generally considered a philosophy of care rather than a place, hospice is a unique blend of services that addresses the needs of dying persons and those close to them. Frontline workers are critical to the success of hospice, so it follows that the level of stress and general well-being felt by these workers is centrally important. An overly stressed, demoralized, or alienated direct service staff is unlikely to personify hospice caring or deliver high-quality, compassionate care for the terminally ill and their families, which epitomizes the hospice caliber philosophy of care....
http://www.medscape.com/viewarticle/703301?src=mp&spon=12&uac=44223MJ
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RANDOM FACT As of January 1, 2004, the population of the United States increases by one person every 12 seconds. There is a birth every eight seconds, an immigrant is added every 25 seconds, but a death every 13 seconds.
NEW YORK (Reuters 6/09) - Bigger-breasted chickens fattened artificially. New strains of deadly E. coli bacteria. A food supply controlled by a handful of corporations. The documentary "Food, Inc." opens in the United States on Friday and portrays these purported dangers and changes in the U.S. food industry, asserting harmful effects on public health, the environment, and worker and animal rights....
http://www.reuters.com/article/healthNews/idUSTRE5586OK20090609?feedType=nl&feedName=ushealth1100
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RANDOM FACT America's favorite smell.. In a recent survey, Americans revealed that the banana scent was their favorite smell. *****************

Streamlining Pre-Admission The preadmission testing department of Orlando Health Medical Pavilion works like a finely choreographed ballet. Patients are registered, then assigned a room. A technician starts the process of vital signs; an RN researches any orders that have arrived; another nurse inputs the patient's orders and makes any phone calls to physicians. Patient histories are reviewed, along with an evaluation of medications and potential surgical complications. Nurses in the preadmission testing department are experienced RNs with backgrounds in med/surg nursing, cardiac nursing, pre- and postop care, and progressive care.... ...http://nursing.advanceweb.com/Article/Streamlining-Preadmission.aspx?prg=16
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Prevention and treatment of osteoporosis in women: an update Brixen K et al. - Approximately 45% of all women will suffer at least one osteoporotic fracture during their lifetime. Until recently, 25–50% of postmenopausal women were on hormone therapy often with prevention of osteoporosis as their main motivation. Following the Women’s Health Initiative, however, the use of hormone therapy has decreased by 30–40% in several countries. Anti-catabolic drugs include calcium plus vitamin D, oestrogen, raloxifene, and bisphosphonates (e.g. alendronate, etidronate, ibandronate, pamidronate risedronate and zoledronate). Anabolic drugs include parathyroid hormone (1–34) and (1–84). http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B8CY0-4WFJJC5-2&_user=10&_coverDate=06%2F30%2F2009&_rdoc=4&_fmt=high&_orig=browse&_srch=doc-info(%23toc%2340100%232009%23999809993%231156053%23FLA%23display%23Volume)&_cdi=40100&_sort=d&_docanchor=&_ct=7&_acct=C000050221&_version=1&_urlVersion=0&_userid=
10&md5=9b208198f1407b69d54125a01c5fc2cf
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Study highlights new drug risk in pregnancy LONDON (Reuters 6/10) - Pregnant women who use cocaine or heroin while taking methadone to beat their addiction may weaken their placenta, opening the door to dangerous infections that could further harm an unborn baby, researchers said on Thursday. http://www.reuters.com/article/healthNews/idUSTRE5597DM20090611?feedType=nl&feedName=ushealth1100
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Handy Hint:
Lemon Hair Rinse. Use diluted lemon juice in your final rinse when washing light hair to increase shine. (1 part lemon juice to 8 parts water).
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Curb the Munchies with this Water-filled Food Choose water-filled fruit for your first nibbles -- like slices of juicy ripe cantaloupe. According to Jonny Bowden, PhD, author of The 150 Healthiest Foods on Earth, eating foods with high water content tends to be even more filling than chugging water with your meal... An Orange OasisCantaloupe flesh is 90 percent water -- which means it’s a wonderful paradox for the calorie conscious. It makes you feel really full when it’s in your stomach, but it’s really low in calories:...
http://www.realage.com/ct/eat-smart/food-and-nutrition/tip/9004
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CHICAGO (Reuters 6/21) - Knee replacement surgery is expensive but worth the cost, especially if performed by experienced surgeons, U.S. researchers said on Monday. Some $11 billion is spent on 500,000 total knee replacements each year in the United States, and the number is projected to multiply seven times by 2030 because of the aging, overweight population.... http://www.reuters.com/article/healthNews/idUSTRE55L5NC20090623?feedType=nl&feedName=ushealth1100
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Have a little fat you’d like to lose? Maybe now is a good time to turn on the kettle and pour yourself a cup of this: white tea. Made from the buds and early leaves of the same plants used to make green and black teas, white tea may have special fat-thwarting powers, a new study suggests. Fat-Blasting BrewFat cells increase or decrease in size, according to your weight. And in a lab study, human fat cells treated with white tea extract accumulated significantly less fat. In fact, the white tea extract reduced the incorporation of fat by as much as 70 percent! The tea also seemed to stimulate the breakdown of fat from mature cells. Because white tea is less processed than green or black tea, it has more of certain active compounds, like epigallocatechin-3-gallate (an antioxidant) and methylxanthines (theobromine and caffeine)..... http://www.realage.com/ct/eat-smart/food-and-nutrition/tip/8911
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Are reusing, recycling and composting important? If you stop to consider that that there is no such thing as 'away' you begin to appreciate how important these efforts are. (This has been my mantra for many years " just where is away" ?:
You never throw something away. It always ends up somewhere, and that somewhere is usually a landfill. Of the approximately 2,000 landfills in the U.S. today, over 75 percent have no lining to protect the nearby groundwater from being contaminated by the traces of lead, mercury, cadmium, and other toxic contaminants emanating from land-fills.
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Closed Vehicles left in the Sunlight........ Please do not turn on A/C as soon as you enter the car. Open the windows after you enter your car and wait to turn ON the air-conditioning after a couple of minutes. Here's why: According to a research, the car dashboard, sofa, air freshener emit Benzene, a Cancer causing toxin (carcinogen - take time to observe the smell of heated plastic in your car). In addition to causing cancer, Benzene poisons your bones, causes anemia and reduces white blood cells. Prolonged exposure will cause Leukemia, increasing the risk of cancer. May also cause miscarriage.. Acceptable Benzene level indoors is 50 mg per sq. ft.. A car parked indoors with windows closed will contain 400-800 mg of Benzene.. If parked outdoors under the sun at a temperature above 60 degrees F, the Benzene level goes up to 2000-4000 mg, 40 times the acceptable level... People who get into the car, keeping windows closed will inevitably inhale, in quick succession excessive amounts of the toxin. Benzene is a toxin that affects your kidney and liver. What's worse, it is extremely difficult for your body to expel this toxic stuff.. True per snopes.com

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Demographic Profiles of Certified Nurse-Midwives, Certified Registered Nurse Anesthetists, and Nurse Practitioners: Reflections on Implications for Uniform Ediucation and Regulation Sipe TA et al. - Membership survey data can monitor progress toward implementation of proposed educational and regulatory changes. The effect of these proposals on the availability of an experienced APN mentor workforce for DPN students and the availability of an APN workforce for clients remains largely unknown. Standardized indicators of performance and client outcomes may enhance current data collection of membership demographics and enable precise evaluation of outcomes and impact of APN care... http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6WKV-4W9VC2S-C&_user=10&_coverDate=06%2F30%2F2009&_rdoc=11&_fmt=high&_orig=browse&_srch=doc-info(%23toc%236916%232009%23999749996%231108089%23FLA%23display%23Volume)&_cdi=6916&_sort=d&_docanchor=&_ct=12&_acct=C000050221&_version=1&_urlVersion=0&_userid=10&md5 =097eff6905addfab08b139b69a03b6a2
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Evaluation of clinical Teaching models for Nursing practice
Nurse Education Practice Honeyfield ME - With the birth of NANN, 25 years ago, the neonatal nurse practitioner (NNP) role began to receive support and advocacy that led to the development of educational standards and definition of the role. This article reviews the role's history and identifies current and future issues that will require attention by the national NNP leadership. ... http://journals.lww.com/advancesinneonatalcare/pages/articleviewer.aspx?year=2009&issue=06000&article=00008&type=abstract
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AHCRQ Healthcare 411 Podcasts out HHS’ Agency for Healthcare Research and Quality’s Healthcare 411 audio news program offers weekly podcasts with practical information, research
findings, and tools to help consumers, clinicians, researchers, and policymakers stay informed about today’s health care issues.

This week’s stories, found at http://www.healthcare411.org/podcast.aspx?id=520, are:

• News and Numbers: The latest AHRQ data suggests that American hospitals spent nearly $31 billion
on care that could have been prevented with more timely and effective outpatient treatment.• Research News: A new information technology system helps to make the transition from hospital to
home safer for elderly patients.• Navigating Health Care: AHRQ Director Dr. Carolyn Clancy offers advice on how to stay healthy
when the economy is not.
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Wasp Spray A woman who is a receptionist in a church in a high risk area was concerned about someone coming into the office on Monday to rob them when they were counting the collection.
She asked the local police department about using pepper spray and they recommended to her that she get a can of wasp spray instead. The wasp spray, they told her, can shoot up to twenty feet away and is a lot more accurate, while with the pepper spray they have to get too close to you and could overpower you. The wasp spray temporarily blinds an attacker until they get to the hospital for an antidote. She keeps a can on her desk in the office and it doesn't attract attention from people like a can of pepper spray would. She also keeps one nearby at home for home protection. ( In our cars?)
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The complicated cost of Cardiac drugs Why are cardiac drugs so expensive, and how can patients obtain them without a huge financial sacrifice?
(I have heard about a bad report on WalMart's prescriptions- check it out)
http://nursing.advanceweb.com/editorial/content/editorial.aspx?cc=201154
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RANDOM FACT According to the U.S. Department of Agriculture, dandelions are more nutritious than broccoli or spinach, contain more cancer-fighting beta-carotene than carrots, and are a rich source of calcium, iron, magnesium, potassium, thiamine, riboflavin, lecithin, and dietary fiber!
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RANDOM FACT If you have three quarters, four dimes, and four pennies, you have $1.19. You also have the largest amount of money in coins without being able to make change for a dollar.
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From JuliaCR............. what is your opinion?
Just read an article in latest "NURSING SPECTRUM" New show about a nurse staring Jada Pinkett Smith, looks interesting, wondered if you wanted to put info in next Paradigm. Series started on TNT June 16, 9 PM (HawthoRNe)
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SYDNEY (Reuters 6/29) - Australian scientists have developed a "trojan horse" therapy to combat cancer, using a bacterially-derived nano cell to penetrate and disarm the cancer cell before a second nano cell kills it with chemotherapy drugs.... http://www.reuters.com/article/healthNews/idUSTRE55R1Q320090629?feedType=nl&feedName=ushealth1100
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RANDOM FACT A house in Baghdad worth $15,000 before the Iraq war now sells for $120,000 to $150,000. **************

LONDON (Reuters 6/27) - Sanofi-Aventis's diabetes drug Lantus may increase the risk of cancer, according to European studies involving some 300,000 insulin-treated patients, prompting a call from experts for more research... http://www.reuters.com/article/healthNews/idUSTRE55Q0RM20090627?feedType=nl&feedName=ushealth1100
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CHICAGO (Reuters 6/26) - More than 1 million people in the United States may have been infected with the new H1N1 swine flu, U.S. health officials said on Friday, and infections continue to rise. The new H1N1 influenza virus that has triggered a global pandemic is infecting people in the United States well beyond the normal period for influenza season, Dr. Anne Schuchat of the U.S. Centers for Disease Control and Prevention told reporters in a telephone briefing.... . http://www.reuters.com/article/healthNews/idUSTRE55P6VE20090626?feedType=nl&feedName=ushealth1100




~~**~~**~~**~~**~~ HUMOR SECTION

From Jenxl (Linda) "There are three reasons for breastfeeding: the milk is always at the right temperature; it comes in attractive containers; and the cat can't get it."
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A Doctor was addressing a large audience in Tampa. "The material we put into our stomachs is enough to have killed most of us sitting here, years ago. Red meat is awful. Soft drinks corrode your stomach lining. Chinese food is loaded with MSG. High fat diets can be disastrous, and none of us realizes the long-term harm caused by the germs in our drinking water. But there is one thing that is the most dangerous of all and we all have, or will, eat it. Can anyone here tell me what food it is that causes the most grief and suffering for years after eating it?" After several seconds of quiet, a 75-year-old man in the front row raised his hand,
and softly said, "Wedding Cake."
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An American health policy analyst who has ascended to heaven asks God, "Will there ever be universal health insurance coverage in the United States?"

"Perhaps," sighs God, "but not in my lifetime."

Thanks to Kurt Ullman.....
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CEU SITES---(CME and CNE)
Those that are-----Free and Otherwise.........IF you have a favorite CEU/CME site, please share ! Send your links to me: RNFrankie@AOL.com

Free CEs http://www.myfreece.com/welcome.asp

https://nursing.advanceweb.com/CE/TestCenter/Main.aspx

Can either pay $8 / course OR pay $26.99 for a year for all the CE courses you want to take
.
www.nurse.com Pay Only $34.99 for a full year of CONTACT HOURS .
For a Healthy Environment, Nurses and Hospi… CE489
Pulseless Electrical Activity: Where is the… CE497
Critical Blood Loss Demands Fluid Resuscita… CE490
Aspiration: Preventing a Deadly Complicatio… CE491

http://www.nurse.com
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WEBSITES/ LINKS
Always on the lookout for interesting websites / links. Please send them to:RNFrankie@AOL.com.

This was sent in by BAcello@AOL.com (Barbara)
http://settingthenursinghomeonfire.blogspot.com/ This is an interesting LTC blog with good links to resources, including guidelines for P&P, inservice resources, and an NAB practice exam. http://settingthenursinghomeonfire.blogspot.
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Evaluation of clinical teaching models for nursing practice http://www.sciencedirect.com/science?_ob=ArticleURL&_udi=B6WNW-4T893DS-1&_user=10&_coverDate=07%2F31%2F2009&_rdoc=4&_fmt=high&_orig=browse&_srch=doc-info(%23toc%236973%232009%23999909995%231155091%23FLA%23display%23Volume)&_cdi=6973&_sort=d&_docanchor=&_ct=11&_acct=C000050221&_version=1&_urlVersion=0&_userid= 10&md5=39883158bd10a20a3779f291b0a78d3b
Nurse Education in Practice

Board Supports Your Right to Refuse An Unsafe Assignment: Nurse Practice Act cites three conditions for patient abandonment http://findarticles.com/p/articles/mi_qa4102/is_200408/ai_n9450263

Click here: Dismantling the Arguments of the Hospital Industry Against a Minimum Safe Standard of Care
How to improve blood–glucose control in type–1 diabetes
Paediatrics and Child Health Overweight and Obesity in Children and Adolescents
Primary Care: Clinics in Office Practice The contribution of childhood circumstances, current circumstances and health behaviour to educational health differences in early adulthood
BMC Public Health Free Full Text Genetic variants of GSNOR and ADRB2 influence response to albuterol in African–American children with severe asthma
Pediatric Pulmonology Bronchiectasis secondary to primary immunodeficiency in children: Longitudinal changes in structure and function
Pediatric Pulmonology
Restorative and peer-shared tools for ADLshttp://www.kfmc.org/providers/nh/tools/adl/index.html

http://www.thebreastcancersite.com/clickToGive/home.faces?siteId=2
http://www.solutionsoutsidethebox.net/

This website (for registering the CELL PHONES) was sent in by Laregis@AOL.com (Laura) who sends in a prodigious amount of articles for the Newsletter. Thank you !
https://www.donotcall.gov/

http://www.thebreastcancersite.com/clickToGive/home.faces?siteId=2

The National Nurse's new website: http://nationalnurse.org/

Any time you want to check a rumor ... this is the link:
http://www.snopes.com/

This is fun! See if you can place the state:
http://www.sheppardsoftware.com/states_experiment_drag-drop_Intermed_State15s_500.html

This site has passed the Snopes.com test
http://www.theanimalrescuesite.com/clickToGive/home.faces?siteId=3

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MEDICAL RECALLS
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******************************************* ********************************************************** You are encouraged to report all serious adverse events and product quality problems to FDA MedWatch at www.fda.gov/medwatch/report.htm
Skin Products Made by Clarcon Clarcon Biological Chemistry Laboratory is recalling some skin sanitizers and skin protectants because of high levels of disease-causing bacteria found in the product. During an FDA inspection, analyses of samples of several of these products revealed high levels of various bacteria, including some associated with unsanitary conditions. Some of these bacteria can cause opportunistic infections of the skin and underlying tissues. Such infections may need medical or surgical attention, and may result in permanent damage.
These findings are particularly concerning because the products are promoted as antimicrobial agents that claim to treat open wounds, damaged skin, and protect against various infectious diseases. FDA is warning consumers to not use any Clarcon products and should throw these products away in household refuse. http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm 165028.htm
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Sirolimus (marketed as Rapamune) FDA notified healthcare professionals of clinical trial data that suggest increased mortality in stable liver transplant patients after conversion from a calcineurin inhibitor (CNI)-based immunosuppressive regimen to sirolimus (Rapamune). The trial was conducted by sirolimus manufacturer, Wyeth. The Agency will continue to examine the data on mortality and other adverse events in this study, and will make further recommendations, as appropriate. The FDA is determining whether a labeling change for sirolimus is needed. In the interim, physicians should continue to use the drug’s professional labeling as a guide to therapy. http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts
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Medtronic Kappa Series 600/700/900, Sigma Series 100/200/300 Pacemakers
Medtronic and FDA notified healthcare professionals and patients of a Class I recall of Medtronic Kappa Series 600/700/900 and Sigma Series 100/200/300 pacemakers due to a failure of the devices to pace the heart. Patients with malfunctioning pacemakers may experience a return of symptoms associated with abnormal heart rate, such as fainting or lightheadedness. In rare cases, pacemaker-dependent patients may experience serious injury or even death. These devices may fail due to a separation of wires that connect the electronic circuit to other pacemaker components, such as the battery. Most of the pacemakers affected by this recall have been implanted in patients for five years or longer. To determine if a pacemaker is part of this recall, contact Medtronic at 1-800-505-4636.
http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts
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Levemir Insulin (Novo Nordisk) FDA notified patients and healthcare professionals that some stolen vials of the long-acting insulin Levemir made by Novo Nordisk Inc. are being sold in the U.S. market, may not have been stored and handled properly, and may be dangerous for patients to use. The agency is advising patients who use Levemir insulin to:
Check your personal supply of insulin to determine if you have Levemir insulin from one of the following lots: XZF0036, XZF0037, and XZF0038.
Do not use your Levemir insulin if it is from one of these lots. Levemir is a clear and colorless solution.
Contact the Novo Nordisk Customer Care Center at 1-800-727-6500 for what to do with vials from these lots or if you have any other questions.
http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ ucm166359.htm
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Sore Mouths: Cosmetic solution
I had a patient with an endotracheal tube who developed pressure ulcers at the corners of her mouth from the twill tie that secured the tube. I solved this problem by placing cosmetic makeup wedges under the twill tie, with the wide sides closest to her mouth. The inexpensive wedges kept the tie from touching the patient's skin and distributed the tie's pressure more evenly. Of course, I changed the wedges daily or if they became soiled. (They're washable in soap and water and they dry quickly). Tom Baker, RN, CRTT, BSN

Used with permission from 1,001 Nursing Tips & Timesavers, Third Edition, 1997, p. 127, Springhouse Corporation/www.springnetcom. ~~**~~**~~**~~**~~**~~
ADVERTISEMENTS
from the members

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NEW MEMBERS
No new members this issue Please send the prospective members' screen names and first names to me: RNFrankie@AOL.com
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NOTICE:
I attempt to send newsletters to your current email addresses on file and if the newsletters are rejected THREE consecutive times, I must then delete the email address until you contact me with an updated email address; I have no way to reach you without a correct email address....You could always send me your Home number.......lol So please send me your new name/address, ok? RNFrankie@AOL.com
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EDITORIAL STAFF:
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PARADIGM 97 CO-FOUNDERS:
MarGerlach @AOL.com (Marlene) and RNFrankie @AOL.com (Frankie) ~~**~~**~~**~~**~~**~~
DISCLAIMER: The intent of this PARADIGM BYTES Newsletter is to provide communication and information for our members. Please research the hyperlinks and information provided by our members. The articles and web sites are not personally endorsed by the editors, nor do the articles necessarily reflect the staff's views.~~**~~**~~**~~**~~**~~
THOUGHT FOR THE DAY

Genius is one percent inspiration and 99-percent perspiration

- Thomas A Edison


Why don't you write ??? Hope to see you online..... Frankie