PARADIGM BYTES for October 2012

PARADIGM BYTES Newsletter for Paradigm 97 October 19, 2012 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 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. ***~~~***~~~***~~~*** SNIPPETS Five Foods that raise the HDL What should my HDL be? (I think of HDL as Healthy; LDL as lethal) According to the American Heart Association, men should aim for HDL levels of 40 mg/dL or greater, and women should aim higher than 50 mg/dL. Levels of 60 mg/dL or more for both genders have been linked to lower disease risks and protection against heart disease. Genetics can affect your HDL level, but lifestyle choices still also play a role. If you want to fight your genes and improve your HDL levels, the following foods can help. Apples: Nuts: Walnuts, almonds, peanuts, pistachios, pecans, peanuts, and hazelnuts are all good sources of heart-healthy fats and are great to add to your diet to increase your intake. Add nuts to cereal, yogurt, salad, stir fries, pasta dishes or rice. You can eat them raw, baked or lightly toasted, too. Seafood: Fatty fish like salmon, mackerel, albacore tuna, and halibut are highest in omega-3 fatty acids, a specific type of unsaturated fat shown to be most beneficial for heart health and reduce the risk of death by heart attack. It is recommended to eat at least 2 servings of fish per week. If you don't eat seafood, you could try fish oil supplements; flaxseed and walnuts contain omega 3’s as well, but fish contains the most usable form of omega-3s. Olive Oil: Olive oil is high in unsaturated fats and can help you elevate your HDL. Replace butter and fried foods with foods cooked lightly in a heart-healthy olive oil, and switch to an oil-based vinaigrette for your salads. Oil is healthy, but it's high in fat and calories, so remember to practice moderation and keep your portions in check! Avocado: Although many dieters shy away from this fruit because of its high fat content, it's perfectly good for you thanks to its heart-healthy fats. Mash avocado to use as a spread on your sandwich or wrap, dice it into your salad, add it to omelets or whip up some homemade guacamole to enjoy with veggies or whole grain crackers. Oatmeal: Fiber, especially soluble fiber, can help bump up your HDL while reducing LDL. Oatmeal is an excellent source of soluble fiber, as is rice, bran, barley, dried peas and beans, and certain fruits like prunes and apples. A couple servings a day of these heart-healthy foods can have a positive effect on your HDL. Exercise: Along with these HDL-boosting foods, don’t forget the daily exercise! Regular exercise signals your body to produce more HDL, making physical activity one of the most important factors to raising your HDL. Start with just 5-10 minutes a few days a week, but gradually increase until you're active for at least 30 minutes 5 days per week. Your heart will thank you! ~~**~~**~~**~~**~~**~~ MEDICAL NEWS We are This Close to the end of polio September 14, 2012 The world is this close to ending polio forever. India has gone over a year without a single new case, and the crippling disease is now endemic to only three countries. Two drops of oral polio vaccine per child is all it takes to prove that children everywhere can be protected against vaccine-preventable diseases. We have a window of opportunity of historic proportions to eradicate polio. But our progress is threatened by a funding shortfall of almost US$ 1 billion through 2013. Health ministers around the world have declared polio an "emergency for global public health". We call on you to help us fund the critical work of the Global Polio Eradication Initiative. Help us secure two drops of polio vaccine for every child. Together, we can create a polio-free world, and ensure that no child suffers or dies from polio again. We are this close to reaching every child in the world. Click on the petition to bring us closer to the end of polio by registering your support for Rotary. (I had polio 9yo...a so called non-paralytic ...paralyzed for a month) http://www.globalcitizen.org/Content/Content.aspx?id=b2ed2632-572d-495b-8367-4154104312c9&ncid=webmail2 ~~**~~**~~**~~**~~**~~ INTERESTING READING Please remember that the REUTERS articles usually good for only 30 days Influenza and pneumococcal disease vaccinations are recommended for older adults. All statistics refer to people age 65 and older: 63%: Percent of people who reported receiving a flu shot in the past 12 months 54%: Percent of Hispanics who received a flu shot, compared to 52% for Whites and non-Hispanic Blacks 60%: Percent of people who have ever received a pneumonia vaccine 39%: Percent of Hispanics who have ever received a pneumonia vaccine, compared to 46% for non-Hispanic Blacks and 64% of Whites Reprinted with permission from: Production/Electronic Channels Coordinator HealthCom Media 259 Veterans Lane Doylestown, PA 18901 **************************** Learn more about immunizations at: http://www.nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/Improving-Your-Practice/Immunizations?utm_source=BenchmarkEmail&utm_campaign=Weekly_eNewsletter_October_1st_2012&utm_medium=email Source Older Americans 2012: Key Indicators of Older Americans 2012. This is the sixth in a series of reports by the Federal Interagency Forum on Aging-Related Statistics (Forum) describing the overall condition of the U.S. population age 65 and over. *********************** RANDOM FACT: In the 24 hours since this time yesterday, over 200,000 acres of rainforest have been destroyed in our world. Fully 13 million tons of toxic chemicals have been released into our environment. Over 45,000 people have died from starvation, 38,000 of them children. And more than 130 plant and animal species have been driven to extinction by the actions of humans. And all this just since yesterday. --Thom Hartmann **************************************** Finding a new virus: Spit, sequencing and serendipity Professor Maria Zambon's first thought when her team of scientists matched a virus from a patient's sputum to one never before seen in humans was: "Oh no, this is going to be tricky." In her north London laboratory last Saturday, an email came in from another specialist virology team in The Netherlands with a 99.5 percent match to a virus from the same family as SARS, a disease that emerged in 2002 and killed 800 people. Her thoughts moved swiftly to the risk of an international outbreak. "Of course it's really interesting scientifically to get this kind of result, but you also think about what it might mean," she said in an interview. "Is this the tip of an iceberg? Or is this an isolated event?" ... http://www.reuters.com/article/2012/09/28/us-virus-discovery-idUSBRE88R0U620120928?feedType=RSS&feedName=healthNews *********************** RANDOM FACT: Protein is rare in some parts of Kenya, so natives drink cow's blood for nourishment instead. ******************* New virus not spreading easily between people: WHO Reuters) - A new and potentially fatal virus from the same family as SARS which was discovered in a patient in London last week appears not to spread easily from person to person, the World Health Organization (WHO) said on Friday. In an update on the virus, which has so far killed a Saudi man and made a patient from Qatar critically ill, the United Nations health agency said it was working with international partners to understand the public health risk better. "From the information available thus far, it appears that the novel coronavirus cannot be easily transmitted from person to person," it said in a statement. The WHO put out a global alert on Sunday saying a new virus had infected a 49-year-old Qatari who had recently travelled to Saudi Arabia, where another man with the same virus had died. The Qatari was described as critically ill on Tuesday and is being treated in a London hospital. No new confirmed cases of infection with the virus have since been reported, the WHO said. The new virus shares some of the symptoms of SARS, or Severe Acute Respiratory Syndrome, another coronavirus, which emerged in China in 2002 and killed around a tenth of the 8,000 people it infected worldwide. ... http://www.reuters.com/article/2012/09/28/us-virus-who-idUSBRE88R0F220120928?feedType=RSS&feedName=healthNews ********************************* September was Sepsis Awareness Month. 58%: Percent of Americans who have never heard of sepsis. 27 seconds: Every 27 seconds, someone in the U.S. is diagnosed with sepsis. 2.5 minutes: Every 2.5 minutes, someone dies from sepsis in the U.S. 215,000: Number of deaths from sepsis annually in the U.S. Sources: http://www.sepsisalliance.org/sepsisawarenessmonth/ Reprinted with permission from: Production/Electronic Channels Coordinator HealthCom Media 259 Veterans Lane Doylestown, PA 18901 ******************* RANDOM FACT: The early Olympic Games were celebrated as a religious festival from 776 B.C. until 393 A.D., when the games were banned for being a pagan festival (the Olympics celebrated the Greek god Zeus). In 1894, a French educator Baron Pierre de Coubertin, proposed a revival of the ancient tradition, and thus the modern-day Olympic Summer Games were born. Bonus Fact: The first Olympics covered by U.S. television was the 1960 Summer Games in Rome by CBS. *********************** Quiz Time Which statement about the transition from acute to chronic pain is correct? a. Chronic pain represents an adaptive change to an injury or a noxious stimulus. b. The development of chronic pain follows a predictable course over a specified period. c. Emotions and beliefs don’t play a role in the transition from acute to chronic pain. d. The transition from acute to chronic pain is marked by sensitization. (answer at end of Newsletter) ****************** RANDOM FACT: In the fifth century, it was believed that castration cured the plague. ******************* ICD Patients Need Psych Support By Crystal Phend, Senior Staff Writer, MedPage Today Published: September 25, 2012 Reviewed by Robert Jasmer, MD; Associate Clinical Professor of Medicine, University of California, San Francisco and Dorothy Caputo, MA, BSN, RN, Nurse Planner An implantable cardioverter-defibrillator (ICD) needs to be accompanied by education and psychological help, the American Heart Association urged. Routine screening and appropriate treatment for the anxiety, depression, and post-traumatic stress disorder common in ICD recipients were recommended in a scientific statement from the group appearing online in Circulation. ... Action Points An ICD needs to be accompanied by education and psychological help. Point out that the statement suggested a quick screen using the Patient Health Questionnaire to ask about lack of interest or pleasure in doing things or feeling down, depressed, or hopeless over the prior 2 weeks, followed by a full screen for a "yes" response to one or both questions. http://www.medpagetoday.com/Cardiology/Arrhythmias/34948 Why not any patient with a body changing surgery, e.g. amputations? ~~**~~**~~**~~**~~**~~ HUMOR SECTION A wife asked her husband, "Honey, could you please run to the store and get a carton of milk, and if they have eggs, get a dozen." A while later the husband returned with a case of quart milk cartons. Staring incredulously at the 12-pack case of milk, his wife asked, "Why the hell did you buy so much milk?" Her husband said, "Well, they had eggs." (you may have to re-read this, as I did) ~~**~~**~~**~~**~~**~~ CEU SITES---(CME and CNE) Those that are-----Free and Otherwise.......... Go to www.sharedgovernance.org for access to a just released, 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. Pay Only $34.99 for a full year of CONTACT HOURS www.nurse.com for CNE offerings. Free CEs http://www.myfreece.com/welcome.asp https://nursing.advanceweb.com/CE/TestCenter/Main.aspx ~~**~~**~~**~~**~~**~~ WEBSITES/ LINKS Always on the lookout for interesting websites / links. Please send them to:RNFrankie@AOL.com. This is an excellent nursing site, check it out: http://nursingpub.com/ Robert Hess, RN, PhD, FAAN (856) 424-4270 (610) 805-8635 (cell) Founder, Forum for Shared Governance info@sharedgovernance.org www.sharedgovernance.org Decubqueen's website: www.accu-ruler.com http://www.thebreastcancersite.com/clickToGive/home.faces?siteId=2 http://www.nationalnurse3.blogspot.com/ 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 The Nursing Site http://thenursingsite.com . http://www.thebreastcancersite.com/clickToGive/home.faces?siteId=2 http://www.snopes.com http://www.solutionsoutsidethebox.net/ Raconte's website http://www.theanimalrescuesite.com/clickToGive/home.faces?siteId=3 National Do Not Call Registry If you're buying a used car, it is recommended having a mechanic inspect it first. 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 http://www.metric-conversions.org/ ******************************************************* ******************************************** * MEDICAL RECALLS * ******************************************* ****************************************************** Hydrocodone Bitartrate and Acetaminophen Tablets, USP 10 mg/500 mg (Watson Laboratories): Recall - Potential for Oversized and Superpotent Tablets A complaint was received for tablets that were thicker and darker shade than the other tablets. It is possible that some tablets from lots 519406A and 521759A exceed the weight specification and may contain higher than indicated amounts of the ingredients Hydrocodone Bitartrate and/or Acetaminophen. Unintentional ingestion of excessive amounts of acetaminophen may potentially result in an adverse event, including liver toxicity, especially in patients on other acetaminophen containing medications, patients with liver dysfunction, or people who consume more than 3 alcoholic beverages a day. Acetaminophen overdose can potentially cause severe liver damage, at times resulting in liver transplant or death. Unintentional ingestion of excessive amounts of hydrocodone may result in an increase in the severity or frequency of side effects, such as sedation or respiratory depression, particularly in patients who are elderly, have severe kidney or liver impairment, or are also taking interacting medications, such as sedating medications or certain antidepressants. http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm320610.htm ******************************** St. Jude Medical Riata Implantable Cardioverter Defibrillator (ICD) Leads: Safety Communication - Premature Insulation Failure These leads have an increased risk of premature insulation failure that can impact the lead’s ability to function properly. Many factors contribute to the lifespan of an ICD lead, including the age and activity level of the patient. On average, an ICD lead is expected to last at least 10 years. The FDA is aware of an increase in frequency of reported Riata insulation failures, beginning approximately four years after implant. Insulation failure may cause some of the electrical conductors inside Riata leads to move within (migrate), or move entirely outside (externalize), the outer lead insulation. These changes may be detectable on X-ray or fluoroscopic imaging. ... http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm315718.htm *************************** Hospira Propofol Injectable Emulsion: Recall- Glass Vial Defect Hospira and FDA notified healthcare professional of a nationwide recall of three lots of Propofol Injectable Emulsion, 1%, 1g/100 mL, due to visible particles embedded in the glass to the user level. There may be potential for product to come into contact with the embedded particles and the particles may become dislodged into the solution. In the event in which particulate matter could be injected into a patient, there may be the potential for patient injury where medical intervention may be required. Risks associated with this defect could include tissue necrosis in one or more organsthat could result in stroke, myocardial infarction, respiratory failure, and loss of renal and hepatic function. ,,, http://www.fda.gov/Safety/MedWatch/SafetyInformation/SafetyAlertsforHumanMedicalProducts/ucm315746.htm ************** September 24, 2012 : Recall of Typhim Vi, Typhoid Vi Polysaccharide Vaccine PRODUCT / LOT NUMBER / EXPIRATION DATE: Prefilled syringes (NDCa 49281-790-51) Lots: E1287-1 (Expiration Date 20NOV12), E1288-1 (Expiration Date 17NOV12), G0481-1 (Expiration Date 07SEP13), G0507-1 (Expiration Date 20SEP13), G0508-1 (Expiration Date 27SEP13) 20-dose vials (NDC 49281-790-20) Lot G1130-1 (Expiration Date 18MAR13) MANUFACTURER: Sanofi Pasteur SA Marcy L’Etoile, France As a precautionary measure, Sanofi Pasteur is voluntarily recalling some lots of Typhim Vi vaccine (prefilled syringes and 20-dose vials). The vaccine met all release requirements at the time of distribution. Sanofi Pasteur is taking this action because these lots are at risk for lower antigen content. There is no safety concern related to this action. Sanofi Pasteur asks that you promptly examine your inventory. If you have any remaining doses from the above lots of the prefilled syringes or the 20-dose vials, PLEASE DO NOT USE THESE DOSES. Instructions for returning product are included in the Recall Notification. http://www.fda.gov/BiologicsBloodVaccines/SafetyAvailability/Recalls/ucm321705.htm?source=govdelivery ********************** NOTICE: You are encouraged to report all serious adverse events and product quality problems to FDA MedWatch at www.fda.gov/medwatch/report.htm ~~**~~**~~**~~**~~**~~ ADVERTISEMENTS from the members This ad is from Decubqueen (Gerry)..........Accu-RulerAccurate wound measurement designed by nurses, for nurses. Now carrying wound care and first-aid supplies at prices you can afford.Visit us at http://www.accu-ruler.com/. ~~**~~**~~**~~**~~**~~ NEW MEMBERS Please send the prospective members' screen names and first names to me: RNFrankie@AOL.com WELCOME TO: glrxroland@yahoo.com (Gina) September 2, 2012 (Our Third Pharmacist) dustynicolebailey@hotmail.com (Dusty) September 27, 2012 rnpftno_1@bellsouth.net (Marilyn) September 30, 2012 ~~**~~**~~**~~**~~**~~ 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; I have no way to reach you without a correct email address.... So please send me your new name/address, okay? RNFrankie@AOL.com ~~**~~**~~**~~**~~**~~ 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. ~~**~~**~~**~~**~~**~~ THOUGHTS FOR THE DAY It was terribly dangerous to let your thoughts wander when you were in any public place or within range of a telescreen. The smallest thing could give you away. A nervous tic, an unconscious look of anxiety, a habit of muttering to yourself-anything that carried with it the suggestion of abnormality, of having something to hide. In any case, to wear an improper expression on your face ... was itself a punishable offense. There was even a word for it in Newspeak: facecrime... --George Orwell Ways may someday be developed by which the government, without removing papers from secret drawers, can reproduce them in court, and by which it will be enabled to expose to a jury the most intimate occurrences of the home. -- Justice Louis Brandeis Would really like to hear from you..... Frankie RNFrankie@AOL.com Correct answer to the Quiz: d. The transition from acute to chronic pain is marked by sensitization, which may be primary (occurring at the injury site and known as peripheral sensitization) or secondary (occurring in the central nervous system).