PARADIGM BYTES
Newsletter for Paradigm 97
August 12, 2015
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/ Please copy, paste, and bookmark it.
MISSION STATEMENT
Our website...... http://paradigm97.blogspot.com/ Please copy, paste, and bookmark it.
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.
***~~~***~~~***~~~***
SNIPPET
Targeting the strain of bacteria that causes ulcers may help prevent stomach cancerA new review published in the Cochrane Library, indicates that eradicating Helicobacter pylori bacterium— the main cause of stomach ulcers - with a short course of therapy comprising two commonly used medicines may help to reduce the risk of gastric cancer. Stomach, or gastric, cancer is the third most common cause of death from cancer worldwide, and people who are infected with the Helicobacter pylori bacterium are more likely to develop the disease.About two-thirds of us have H. pylori in our bodies, but in most cases we experience no discomfort or other symptoms. However, it can be eradicated with a simple short course of antibiotics, often used with another medicine that suppresses the production of gastric acid. To determine whether eliminating H. pylori might reduce the incidence of gastric cancer, researchers analysed all published randomized controlled trials comparing at least one week of H. pylori therapy, with placebo or no treatment, in otherwise healthy and asymptomatic H. pylori-positive adults. The review included only trials that followed participants for at least two years and that had at least two participants who developed gastric cancer.Six trials with a total of nearly 6500 participants met the researchers’ criteria. One study was conducted in Colombia and the remainder were conducted in Asian countries, with four in China and one in Japan where stomach cancer is more common. The studies mainly used a combination of antibiotics with medicines from a class of drugs that suppress gastric acid production (Proton Pump Inhibitors). An analysis of the studies’ results revealed that combining antibiotics with gastric acid suppressor therapy given for between 1 and 2 weeks prevented the development of gastric cancer compared with placebo or no treatment: in the studies, 51/3294 (1.6%) of the people given H. pylori treatment developed gastric cancer compared with 76/3203 (2.4%) given no treatment or a placebo. However, the number of deaths from gastric cancer in the trials was low, and there was insufficient evidence to be certain whether eradication improved survival.“The findings of this systematic review and meta-analysis add to the increasing evidence that eradicating H. pylori in the general population has the potential to prevent gastric cancer. International guidelines for the management of H. pylori infection may change as a result,” said co-author Paul Moayyedi, of McMaster University, in Canada. “More research is needed on the extent of this effect and on any potential harms of H. pylori treatment before it can be advocated as a means of preventing gastric cancer.““The review highlights the need for further trials in different populations to provide more evidence, and these should report both the benefits and harms of such an approach,” said lead author Alex Ford, of St. James’s University Hospital, and Leeds University in the UK.Full citation: Ford AC, Forman D, Hunt R, Yuan Y, Moayyedi P. Helicobacter pylori eradication for the prevention of gastric neoplasia. Cochrane Database of Systematic Reviews 2015, Issue 7. Art. No.: CD005583. DOI: 10.1002/14651858.CD005583.pub2
URL Upon publication
Kurt Ullman
*************************************************************************************
SECOND SNIPPET (Both of these subjects are important...so both are included)
Tips on How To insert an IV Cannula Like a Pro
FROM A MEMBER
From a member: Jenxl (Linda) who writes in reference to the facts about Pluto:
" FYI. Pluto & it's moon are NOT the same size. Pluto abut 1/2 the size of the U.S. ; the moon the size of TX. "
~~**~~**~~**~~**~~**~~
INTERESTING READING
Please remember that the REUTERS articles usually good for only 30 days
The essence of nursing
Author: Melissa A. Fitzpatrick, MSN, RN, FAAN
Putting basic nursing care back in the spotlight means emphasizing high-touch care in today’s high-tech, evidence-based care environment. Author: Melissa A. Fitzpatrick, MSN, RN, FAAN
In health care today, technological advances grab headlines while clinicians’ documentation duties mount almost daily. Is basic nursing care receding into the background?
Recently, American Nurse Today’s Editorial Advisory Board (EAB) had a spirited discussion on the current state of nursing and patient-care delivery. We concluded we need to shift the focus back to basic nursing care. Hence, the special supplement you’re now reading—The Essence of Nursing: Advancing the Art and Science of Patient Care, Quality, and Safety.
So what is the essence of nursing? It’s what some people call “high-touch” nursing, where the nurse has plenty of face-to-face time and a personal connection with patients and their families.
In a sense, the essence of nursing is the very heart of nursing.
http://www.americannursetoday.com/essence-nursing-today/
*******************
Lilly continues test of HDL cholesterol drug, on panel's advice
Eli Lilly and Co on Monday said it would continue a large study of its high-profile experimental drug to raise "good" HDL cholesterol and lower "bad" LDL cholesterol, acting on the recommendation of a data monitoring committee.
The independent panel of scientific advisors made its recommendation after taking an interim look at data from the Phase III study of the medicine, called evacetrapib, and assessing whether the trial had potential of attaining its primary goals, Lilly said. Such reviews are called futility analyses.
Lilly said it expects to complete the 12,095-patient study, called ACCELERATE, in 2016. ...
http://www.reuters.com/article/2015/07/27/us-eli-lilly-cholesterol-idUSKCN0Q11EX20150727?feedType=nl&feedName=healthNews
**************************
Scientists Suggest New Way to Predict Lung Cancer Risk
They focused on telomere length, discovered association WEDNESDAY, July 29, 2015 (HealthDay News) -- Scientists may some day predict lung cancer risk by examining the telomeres that protect your DNA.
People with long telomeres are at increased risk for lung cancer but not other types of cancer, the researchers found.
Telomeres are protective caps of DNA that prevent damage to the ends of chromosomes. Telomere length naturally shortens with cell division.
"Our work provides compelling evidence of a relationship between long telomeres and increased risk for lung adenocarcinoma," said lead author Brandon Pierce, an assistant professor of public health sciences at the University of Chicago. ...
http://www.nlm.nih.gov/medlineplus/news/fullstory_153844.html
******************
RANDOM FACTS:
Is taller better?
such as ...
Developing dangerous blood clots. Compared to shorter control groups, taller people are more likely to develop potentially life-threatening blood clots in the deep veins of their legs and other body parts, report researchers in Norway. In particular, the risk is heightened among men and women who are tall and obese.
While deep vein blood clots are common among tall folk, the risk of cardiovascular disease in general is greater among short people. In fact, a systematic review of 52 studies found that shorter men and women are approximately 1.5 times more likely to develop symptoms and die from cardiovascular disease than taller people.
***
Bonus Fact:
Earning more money. On the upside, taller men may earn more money on average than shorter men, according to research conducted in Australia. It may be that shorter men experience discrimination in response to their stature, suggest the authors, while taller men may enjoy a boost in social status.
***
"In terms of hygiene, it's a very good thing to do," said Dr. Belsito. "Being a dermatologist, I've seen examples of some strange stuff, so I don't take any chances."...
Sounds like a good idea....but....what about clothes that are not washable, like suits and coats/jackets, some silks, some wools etc...etc.?.... Dry clean everything before wearing? ...what about shoes that lots of people may have tried on and some of those shoes are fabric. Pantyhose? Fabric hats ? Sweat sox in a package? Not too practical.
Developing dangerous blood clots. Compared to shorter control groups, taller people are more likely to develop potentially life-threatening blood clots in the deep veins of their legs and other body parts, report researchers in Norway. In particular, the risk is heightened among men and women who are tall and obese.
While deep vein blood clots are common among tall folk, the risk of cardiovascular disease in general is greater among short people. In fact, a systematic review of 52 studies found that shorter men and women are approximately 1.5 times more likely to develop symptoms and die from cardiovascular disease than taller people.
Bonus Fact:
Earning more money. On the upside, taller men may earn more money on average than shorter men, according to research conducted in Australia. It may be that shorter men experience discrimination in response to their stature, suggest the authors, while taller men may enjoy a boost in social status.
Why you should always wash new clothes If you're like a lot of people who wear new clothes before washing them, you may be wearing a lot more than just clothes. There's a long process between producing fabric and walking out of a store with a new garment, and during that process there are a lot of hands involved -- not to mention all the people who tried on the garment prior to the sale.
Dr. Donald Belsito, a professor of dermatology at Columbia University, told the Wall Street Journal lice and infectious diseases can be passed through clothing and that it should be mandatory to wash things at least once, sometimes twice."In terms of hygiene, it's a very good thing to do," said Dr. Belsito. "Being a dermatologist, I've seen examples of some strange stuff, so I don't take any chances."...
However MarGerlach wrote the following:
********************
TODAY'S THRIFTY TIP:
* Neglecting Basic Maintenance
Neglecting the basic maintenance needed on your home and car will only end up costing you more money down the road. Lack of maintenance inevitably leads to something big breaking and that will cost you a lot more to repair than it would have cost to make small investments in regular maintenance.
* Not Saving Anything
Unexpected expenses happen, and if you don't have any sort of savings cushion to help you deal with those expenses, you'll find yourself relying on your credit cards, high interest loans or some other equally expensive way of paying for a crisis. So save something out of every paycheck. Even if it's only $10 or $20 at first.
* Letting Coupons Shop for You
Buying a product at a discounted price with a coupon is better than paying full-price - but if coupon clipping leads you to make purchases you wouldn't normally make, it's money wasted, not money saved. Only use coupons if they apply to your normal and needed purchase items. Otherwise, skip the coupon and skip the purchase altogether.
* Neglecting Basic Maintenance
Neglecting the basic maintenance needed on your home and car will only end up costing you more money down the road. Lack of maintenance inevitably leads to something big breaking and that will cost you a lot more to repair than it would have cost to make small investments in regular maintenance.
* Not Saving Anything
Unexpected expenses happen, and if you don't have any sort of savings cushion to help you deal with those expenses, you'll find yourself relying on your credit cards, high interest loans or some other equally expensive way of paying for a crisis. So save something out of every paycheck. Even if it's only $10 or $20 at first.
* Letting Coupons Shop for You
Buying a product at a discounted price with a coupon is better than paying full-price - but if coupon clipping leads you to make purchases you wouldn't normally make, it's money wasted, not money saved. Only use coupons if they apply to your normal and needed purchase items. Otherwise, skip the coupon and skip the purchase altogether.
RANDOM FACT:
The ferret was domesticated several thousand years ago to help hunters flush rabbits from their holes and also to catch small animals such as rats and mice.
Today, the ferret is the most popular companion mammal in the U.S. behind the dog and cat.
RANDOM FACT:
**************
Today, the ferret is the most popular companion mammal in the U.S. behind the dog and cat.
RANDOM FACT:
Ferrets belong to the weasel (Mustelidae) family. Besides weasels and ferrets, this group of animals also includes minks, otters, and badgers as well as polecats and sables.
Like all members of the weasel family, ferrets are closely related to skunks and, like skunks, they can emit an odorous smell when excited or afraid. Consequently, many ferret owners decide to have their ferrets de-scented.
***
Bonus Fact:
The word "ferret" is from the Latin fur, meaning "little thief." Indeed, one of the ferret's favorite activities is stealing and hiding things.
There are several populations of feral ferrets throughout the world. The most notable and destructive population lives in New Zealand. They were initially imported from England from 1879 to 1883 to help control the rabbit population. When that population was under control, the hybrids began eating New Zealand's native birds which, until that time, had no natural predators.
Like all members of the weasel family, ferrets are closely related to skunks and, like skunks, they can emit an odorous smell when excited or afraid. Consequently, many ferret owners decide to have their ferrets de-scented.
Bonus Fact:
The word "ferret" is from the Latin fur, meaning "little thief." Indeed, one of the ferret's favorite activities is stealing and hiding things.
There are several populations of feral ferrets throughout the world. The most notable and destructive population lives in New Zealand. They were initially imported from England from 1879 to 1883 to help control the rabbit population. When that population was under control, the hybrids began eating New Zealand's native birds which, until that time, had no natural predators.
NewsCAP: Proposed changes to donor-screening recommendations to prevent HIV transmission.
Proposed changes to donor-screening recommendations to prevent HIV transmission. The U.S. Food and Drug Administration (FDA) has released new draft guidance on screening donors to protect patients from contracting HIV infection from blood and blood products. The main policy change would have to do with men who have sex with men ...
AJN, American Journal of Nursing:
doi: 10.1097/01.NAJ.0000470391.33147.b6
In the News
http://journals.lww.com/ajnonline/Fulltext/2015/08000/NewsCAP___Proposed_changes_to_donor_screening.14.aspx
****************
New Stem Cell Tactic Shows Promise for Heart Failure Approach is 'simpler and probably safer' than earlier attempts, expert says
THURSDAY, July 30, 2015 (HealthDay News) -- A new method for delivering stem cells to damaged heart muscle has shown early promise in treating severe heart failure, researchers report.
In a preliminary study, they found the tactic was safe and feasible for the 48 heart failure patients they treated. And after a year, the patients showed a modest improvement in the heart's pumping ability, on average.
It's not clear yet whether those improvements could be meaningful, said lead researcher Dr. Amit Patel, director of cardiovascular regenerative medicine at the University of Utah.
He said larger clinical trials are underway to see whether the approach could be an option for advanced heart failure. ...
Sailors and rowers were not worried about getting sick during the Rio Olympics next year despite reports that waters to be used for events have pollution levels equivalent to raw sewage, competitors said on Thursday.
Tests commissioned by the Associated Press found levels of disease-causing viruses as much as 1.7 million times the level that would be considered hazardous on a Southern California beach.
The International Olympic Committee reacted by reiterating that the health and welfare of athletes was its top priority. The IOC said it was in constant talks with organizers about how to ensure the waters were clean enough for competition. ...
http://www.reuters.com/article/2015/07/30/us-olympics-brazil-pollution-idUSKCN0Q41TF20150730?feedType=nl&feedName=healthNews
| ******************* |
STATISTICS
Consider the following facts about use of behavioral medication in children found in “Behavioral Medication Utilization in Children and Teenagers Ages 5–18 in the U.S. Civilian Noninstitutionalized Population,” released June 2015:
4.2%:
Percent of children and teenagers ages 5 to 18 years old who took one or more behavioral medications
Percent of children and teenagers ages 5 to 18 years old who took one or more behavioral medications
6%:
Percent of boys taking these medications
Percent of boys taking these medications
2.3%:
Percent of girls taking these medications
Percent of girls taking these medications
Source: http://meps.ahrq.gov/mepsweb/
*********************
Noninvasive Stimulation Gets Legs Moving After Spinal Cord Injury FRIDAY, July 31, 2015 (HealthDay News) --
A noninvasive procedure might help people with paralysis move their legs without the need for surgery or implanted devices, new research suggests.
The treatment approach is called transcutaneous stimulation, where a device delivers an electrical current to the spine through electrodes placed on the outside of the lower back.
In a recent trial of the device, five paralyzed men were able to generate steplike movements. The men didn't walk, but moved while their legs were suspended in braces hung from the ceiling. This enabled them to move without resistance from gravity. ...
http://www.nlm.nih.gov/medlineplus/news/fullstory_153886.html
**************
FDA Expands Indication for Amgen’s Multiple Myeloma Drug
Amgen’s carfilzomib (Kyprolis) just received an expanded indication for treating patients with multiple myeloma. The company has reported that the US Food and Drug Administration has approved the use of carfilzomib, in combination with lenalidomide and dexamethasone (ie, standard of care), for patients with relapsed multiple myeloma who have received 1 to 3 prior lines of therapy. The approval is based on results of the phase 3 ASPIRE trial.
Previously, carfilzomib was indicated for patients with multiple myeloma following at least 2 therapies, including bortezomib and an immunomodulatory agent. ...
Previously, carfilzomib was indicated for patients with multiple myeloma following at least 2 therapies, including bortezomib and an immunomodulatory agent. ...
http://www.raredr.com/articles/fda-expands-indication-carfilzomib?utm_source=Informz&utm_medium=Rare+DR&utm_campaign=RDR_Breaking_News_7-24-15
********************
Special report on the National Health and Nutrition Examination Survey, Part II
The National Health and Nutrition Examination Survey is an annual effort to assess the health and diet of children and adults in the U.S. Surveys gather data about demographics, socioeconomic factors, nutrition and health, which are used to determine the prevalence of diseases, track risk factors such as weight and blood pressure, develop growth charts, and support research. Of particular interest this year is the upcoming release of new national dietary guidelines. This special report covers news about findings based on NHANES data. Part I of the report ran on July 13. Please share this report with friends and colleagues, and if you would like to receive the regular daily AANP SmartBrief, you can sign up at smartbrief.com/aanp and unsubscribe at any time.
*******************
QUIZ TIME
Which statement about shifts in the oxyhemoglobin dissociation curve is correct?
a. With a shift to the right, hemoglobin releases oxygen to the tissues more readily.
b. With a shift to the right, hemoglobin is less likely to release oxygen to the tissues.
c. With a shift to the left, hemoglobin’s affinity for oxygen is decreased.
d. With a shift to the left, hemoglobin is more likely to release oxygen to the tissues.
*************************
LPN to RN/BSN + RN to BSN Online Career Advancement is Just a Click Away - Earn your degree in ½ the time and cost of traditional programs with NO WAITING LIST to get started and locally precepted
**********************
'Heading' May Be Riskier for Girls than for Boys The most severe injuries in high school soccer occur from "heading the ball," but the risk seems to vary by sex, according to the results of a large longitudinal study of high school sports injuries.
While a lower percentage of girls experience concussions from heading compared to boys (25.3% versus 30.2%), the concussion rate from heading is higher for girls (relative risk 15.1, 95% CI 9.7-24.5) than boys (RR 11.0, CI 7.2-12.5), reported R. Dawn Comstock, MD, of the University of Colorado Denver in Aurora, and colleagues. ...
(CME offer, also)
http://www.medpagetoday.com/Neurology/HeadTrauma/52570?xid=nl_mpt_DHE_2015-07-14&eun=g379846d0r
*******************
Stress has been called "the silent killer" and can lead to heart disease, high blood pressure, chest pain, and an irregular heartbeat.
RANDOM FACT:
Scientists suggest that stress is part of the evolutionary drive because it has enabled humans to survive. Specifically, stress temporarily increases awareness and improves physical performance.
Stress also causes capillaries to close, which restricts bleeding if a flesh wound should occur, and makes the blood "stickier," in preparation for an injury. Such a reaction, however, also increases the probability of developing a blood clot.
Bonus Fact:
While it is a myth that stress can turn hair gray, stress can cause hair loss. Stress can also alter blood sugar levels, which can cause mood swings, fatigue, hyperglycemia, and metabolic syndrome, a major risk factor for heart attack and diabetes.
**************************
One in 250 pregnancies result in identical twins.
The average twin pregnancy lasts only 37 weeks, while the average single pregnancy lasts 40 weeks.
If the mother herself is a fraternal twin, she is five times more likely to have twins.
Twins have been known to develop their own dialect, or language. This is known as "cryptophasia", and only they can understand what is being said.
The term "twin" derives from the ancient German word "twine" meaning "two together".
Because identical twins developed from the same split egg and were fertilized by the same sperm,
they share exact matches of their DNA.
*******************
HINTS:
Handy Hints 1
To remove the smell of smoke place bowls of white vinegar around the house to absorb the odor.
Handy Hint 2
Peel garlic in a flash by microwaving them for about 15
seconds. The heat draws out moisture out of the clove,
which gets trapped between the skin. Which in turn...loosens it.
To remove the smell of smoke place bowls of white vinegar around the house to absorb the odor.
Handy Hint 2
Peel garlic in a flash by microwaving them for about 15
seconds. The heat draws out moisture out of the clove,
which gets trapped between the skin. Which in turn...loosens it.
~~**~~**~~**~~**~~**~~
HUMOR SECTION
Before my daughter went on her first date, I gave her "the talk."
"Sometimes, it's easy to get carried away when you are with a boy," I said. "Remember, a short moment of indiscretion could ruin your life."
"Don't worry," she said. "I don't plan on ruining my life until I get married."
"Sometimes, it's easy to get carried away when you are with a boy," I said. "Remember, a short moment of indiscretion could ruin your life."
"Don't worry," she said. "I don't plan on ruining my life until I get married."
*************************************
I have run this one before...but I have really enjoyed it...many times.
While visiting Annapolis, a lady tourist noticed several students on their hands and knees assessing the courtyard with pencils and clipboards in hand.
"What are they doing?" she asked the tour guide.
"Each year," he replied with a grin, "the upperclassmen ask the freshmen how many bricks it took to finish paving this courtyard."
When they were out of earshot of the freshmen, the curious lady asked the guide: "So, what's the answer?"
The guide replied, with a grin: "One."
--------------------------------------------------
As a jet was flying over Arizona on a clear day, the copilot was providing his passengers with a running commentary about landmarks over the PA system.
"Coming up on the right, you can see the Meteor Crater, which is a major tourist attraction in northern Arizona. It was formed when a lump of nickel and iron, roughly 150 feet in diameter and weighing 300,000 tons, struck the earth 50,000 years ago at about 40,000 miles an hour, scattering white-hot debris for miles in every direction. The hole measures nearly a mile across and is 570 feet deep."
The lady sitting next to me exclaimed: "Wow, look! It just missed the highway!"
"What are they doing?" she asked the tour guide.
"Each year," he replied with a grin, "the upperclassmen ask the freshmen how many bricks it took to finish paving this courtyard."
When they were out of earshot of the freshmen, the curious lady asked the guide: "So, what's the answer?"
The guide replied, with a grin: "One."
--------------------------------------------------
As a jet was flying over Arizona on a clear day, the copilot was providing his passengers with a running commentary about landmarks over the PA system.
"Coming up on the right, you can see the Meteor Crater, which is a major tourist attraction in northern Arizona. It was formed when a lump of nickel and iron, roughly 150 feet in diameter and weighing 300,000 tons, struck the earth 50,000 years ago at about 40,000 miles an hour, scattering white-hot debris for miles in every direction. The hole measures nearly a mile across and is 570 feet deep."
The lady sitting next to me exclaimed: "Wow, look! It just missed the highway!"
~**~**~~**~~**~~**~~**~~
CEU SITES---(CME and CNE)
Those that are-----Free and Otherwise..........
Continuous subcutaneous insulin infusion pump therapy is an effective self-management tool for some patients with diabetes, but it can be intimidating to hospital-based nurses not familiar with it. Learn how to boost your confidence in caring for these patients. ...
http://www.americannursetoday.com/boost-confidence-caring-patients-insulin-pumps/?utm_source=BenchmarkEmail&utm_campaign=AMNT_Elec_Aug15_House&utm_medium=email
**************
Go to www.sharedgovernance.org for access to a free continuing education module about shared governance, written by Robert Hess, Forum’s founder, and Diana Swihart,
Forum advisory board member.
Please follow me on Twitter as Dr Robert Hess.
Please follow me on Twitter as Dr Robert Hess.
Pay Only $34.99 for a full year of CONTACT HOURS
www.nurse.com for CNE offerings.
www.nurse.com for CNE offerings.
Free CEs http://www.myfreece.com/welcome.asp
|
~~**~~**~~**~~**~~**~~
WEBSITES/ LINKS
Always on the lookout for interesting websites / links. Please send them to: RNFrankie@AOL.com.
If you're buying a used car, it is recommended having a mechanic inspect it first. And screen the car's VIN through the free database at carfax.com/flood
Rozalfaro's website: http://www.alfaroteachsmart.com/articles.htm
Metric conversion calculators and tables for metric conversions
Autism resources
The U.S. Department of Health and Human Services has assembled information and resources for parents of children with autism.
*******************************************************
********************************************
*
MEDICAL RECALLS
*
*******************************************
******************************************************
Particulate Matter 07/20/2015 0.9 Percent Sodium Chloride Injection, USP, Baxter International Inc. announced it is voluntarily recalling two lots of intravenous (IV) solutions to the hospital/user level due to the potential presence of particulate matter. The particulate matter in each case was determined to be an insect and was identified as a result of a customer complaint. The matter was identified prior to patient administration and there have been no adverse events associated with this issue reported to Baxter.
Injecting a product containing particulate matter, in the absence of in-line filtration, may result in blockage of blood vessels, which can result in stroke, heart attack or damage to other organs such as the kidney or liver. There is also the possibility of allergic reactions, local irritation and inflammation in tissues and organs.
This recall affects Lot Numbers P319921 and P327635.
~~**~~**~~**~~**~~**~~
ADVERTISEMENTS
from the members
This ad is from Decubqueen (Gerry)..........AccuRuler Accurate wound measurement designed by nurses, for nurses. Now carrying wound care and first-aid supplies at prices you can afford.
~~**~~**~~**~~**~~**~~
NEW MEMBERS
Please send the prospective members' screen names and first names to me: RNFrankie@AOL.com
Welcome to:
reesci@darientel.net (Teresa)
wmaul1120@AOL.com (Terri)
evrgjrpar@yahoo.com (Ed)
Alishajohns29@gmail.com (Alisha)
~~**~~**~~**~~**~~**~~
NOTICE:
I attempt to send newsletters to your 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. So, be certain to let me know when you change your address.
~~**~~**~~**~~**~~**~~
EDITORIAL STAFF:
GingerMyst @AOL.com (Anne), GALLO RN @AOL.com (Sue), HSears9868 @AOL.com (Bonnie), Laregis @AOL.com (Laura), Mrwrn @AOL.com (Miriam), and Schulthe @AOL.com (Susan)
~~**~~**~~**~~**~~**~~
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
--Paramahansa Yogananda
Hope to hear from you..... Frankie
Which statement about shifts in the oxyhemoglobin dissociation curve is correct?
a. With a shift to the right, hemoglobin releases oxygen to the tissues more readily.
