PARADIGM BYTES
Newsletter for Paradigm 97
Mary 2, 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.
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SNIPPET
Most of us are very familiar with the stages of death, but thought it would be appropriate to renew our info. Number 10 was most interesting:
Death is a subject many people do not like to discuss, but it’s a part of life that we will all have to face. Sometimes the more you know about a certain subject, the less frightening it becomes. Here are 10 things you may not know about dying.
1. Dying is often a process. There are numerous causes of death, many of which are instant. For people who know death is approaching — whether from sickness or old age — there are certain signs. These signs include slowed breathing, weakened heart rate, and a change in color, says Zachary Palace, MD, medical director of the Hebrew Home at Riverdale in New York.
“In general, in the time leading up to death, usually the person will become pale because of a drop in blood pressure,” he says. “The fingers may get cold or turn blue. If you feel the pulse, it will be weak, and then they start to develop an irregular type of breathing, and that’s a sign that things are pretty ominous.”
2. When breathing slows, death is likely near. Dr. Palace explains that there may be gaps in between breaths where it looks like the person stopped breathing for 15 to 20 seconds. He says families often worry at this point, but he assures them that it’s a normal part of the dying process.
3. There are two stages of death. The first stage, known as clinical death, occurs when a person’s heart stops beating. About four to six minutes later, brain cells start to die from the loss of oxygen and biological death occurs.
4. Resuscitation may be possible during clinical death. But it’s not possible during biological death. However, doctors may be able to delay biological death by cooling the body, thus extending the window for possible resuscitation. Palace also points out that drowning victims or people in a colder environment may also delay biological death. “The colder the body is, the slower the metabolic rate,” he explains, “so you’re using oxygen up slower and that window may be longer.”
5. Hearing may be the last sense to go. Though it has not been scientifically proven, it is widely believed that hearing is the last of the senses lost before death. “It’s the most passive sense,” Palace explains. He says that when death seems imminent, “we encourage families to talk and share their last thoughts, love, and support with their loved ones because even though the blood pressure is dropping and they’re fading out, they can hear what we’re saying.”
6. You may urinate and defecate. When we’re alive, our brain is constantly sending signals to tell different parts of our body what to do. At death, these signals stop, and our muscles mostly relax. “The neck of the bladder and the sphincter are in a constant state of contraction, so when there’s no more neural signals to the bladder or bowels, then they relax,” Palace says. “So it’s not uncommon just after death for urine to come pouring out or for someone to defecate.”
7. Morphine is only used to ease the pain associated with passing. Palace says the biggest misconception he hears is that morphine is given to patients to help induce death. He says this couldn’t be further from the truth. “Obviously, physician-assisted suicide is not legal in most states, so morphine is not given to help hasten the end,” he says.
When people are dying, Palace explains, blood pressure drops and they are getting less oxygen to their organs. The body responds by gasping for air in a futile attempt to increase their respiratory rate. Doctors refer to this as air hunger. “That gasping is very difficult for families to see, as it obviously looks painful, and that’s where the role of morphine comes in,” Palace says. “The proper dose of morphine relieves the sense of air hunger, so they’re breathing more calmly and more comfortably.”
8. The body as a whole may be dead, but certain parts within are still alive. The brain is the first organ to begin to break down, and other organs follow suit. Living bacteria in the body, particularly in the bowels, play a major role in this decomposition process, or putrefaction. This decay produces a very potent odor. “Even within a half hour, you can smell death in the room,” he says. “It has a very distinct smell.”
9. There may be a scientific explanation to the notion of your life flashing before your eyes. A 2013 study from the University of Michigan found that dying rats displayed high levels of brain waves shortly after their hearts stopped beating. Researchers believe the finding could have implications for humans and possibly explain the near-death experiences many cardiac arrest survivors report. “It will form the foundation for future human studies investigating mental experiences occurring in the dying brain, including seeing light during cardiac arrest,” lead study author Jimo Borjigin, PhD, said in a statement.
10. Consciousness may continue after death. There is little scientific research available that tells us what happens to the mind after death, but a 2014 study may offer some insight. Researchers at the University of Southampton in England examined over 2,000 cardiac arrest patients in the United States, United Kingdom, and Austria. Of those who survived, 140 were surveyed about their near-death experiences, and 39 percent reported feeling some kind of awareness while being resuscitated. This sense of awareness included feelings of peacefulness and a sensation that time slowed down or sped up. Thirteen percent reported feeling separated from their bodies. While only two percent exhibited full awareness, researchers say this proves that more studies need to be done.
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EDITORIAL COLUMN
If you have read my posting on the website recently you already are aware of my surgery; if not, please do. Because of this and the follow-up appointments by the jillions (it seems) and the continuing cardiac rehab at a city 38 miles away, I have lost my impetus in keeping up for the Newsletter.
I have been Chief cook and bottle washer of Paradigm Bytes Newsletter for Fourteen years
(MarGerlach wrote the first four years). SO...If you want me to continue with PARADIGM BYTES, I need to hear from you !!
So far, only a few members have written to me in support. That is a tiny minority.
HOPE to hear from you about this one way or the other.
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INTERESTING READING
Please remember that the REUTERS articles usually good for only 30 days
The Nursing Site Blog
Alexandra Robbins is a best-selling author and award-winning journalist. In her latest endeavor, ...
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Food-borne. Listeria is found widely in nature, including in soil and vegetation, and therefore easily contracted by herd animals, including cows, sheep, and chickens. Consumption of contaminated foods, such as poorly washed vegetables, and unpasteurized milk products, results in the disease.
Bacteria consumed through contaminated food penetrate the intestines and enter the blood stream. This more severe form is more common in pregnant women, those with weak immune systems and older adults. It can cause flu-like symptoms with fever and pain in pregnant women to blood stream infections and septic shock in the elderly, newborns and those with weak immune system. Infection of the central nervous system is possible but rare.
Epidemiology: Approximately 2,500 people are diagnosed with listeriosis in the U.S. every year, of whom 500 people die from the infection. More mild infections are probably not reported and recorded.
Symptoms: Fever, muscle aches, sometimes nausea or diarrhea.
Diagnosis: Blood or spinal fluid test, and rarely it can be detected in the stool
Prognosis: Most healthy adults and children who get infected will not become seriously ill. In
healthy adults, listeriosis infections either cause no symptoms or mild flu-like symptoms. In people with weakened immune systems, however, listeriosis is fatal in about one-third of all cases, even with antibiotic treatment. Infections during pregnancy can lead to miscarriage, stillbirth, premature delivery, or infection in the newborn.
Treatment: Antibiotics. For people who have the mild form of the disease, confirmation of listeriosis may take 48 hours, and the person may already have recovered, meaning no treatment is needed.
In
healthy adults, listeriosis infections either cause no symptoms or mild flu-like symptoms. In people with weakened immune systems, however, listeriosis is fatal in about one-third of all cases, even with antibiotic treatment. Infections during pregnancy can lead to miscarriage, stillbirth, premature delivery, or infection in the newborn.
Treatment: Antibiotics. For people who have the mild form of the disease, confirmation of listeriosis may take 48 hours, and the person may already have recovered, meaning no treatment is needed.
Prevention: Pasteurization of milk and milk products; individuals at risk (pregnant women, infants, and the elderly) should avoid eating raw or undercooked animal products and soft cheeses. Safe food preparation and dining habits should be practiced.
How it causes invasive disease: After eating a contaminated food, Listeria enters the human body through the intestines and hides from the immune system by entering cells, where they can multiply and “borrow” our cellular proteins to help them move within the cell and to other cells. After entering the intestines, it makes its way to the liver, where it multiplies, enters the bloodstream, and invades the brain or uterus, causing an infection in the brain or in the fetus.
Immune response: Listeria causes disease in people who have weakened immune systems. In healthy individuals, infection is controlled by white blood cells, called “T cells” in the “cell-mediated immunity” branch of the immune system.
Complications: Meningitis, septicemia, and perinatal/neonatal infections are all potential complications that have a high risk of death.
Sources:
Listeriosis. Division of Foodborne, Bacterial and Mycotic Diseases. CDC
Listeria monocytogenes. USFDA
Listeria—review of epidemiology and pathogenesis. J Microbiol Immunol Infect. 2007;40:4-13.
Sorry about link...have to copy and paste:
http://infectiousdiseases.about.com/od/diseasesbyname/a/Listeriosis.htm?utm_term=listeria%20symptoms&utm_content=p1-main-5-title&utm_medium=sem&utm_source=google&utm_campaign=adid-79e4bd8a-4dad-47e0-b2e3-db84426eaed3-0-ab_gsb_ocode-12565&ad=semD&an=google_s&am=broad&q=listeria%20symptoms&dqi=early%2520symptoms%2520listeria&o=12565&l=sem&qsrc=999&askid=79e4bd8a-4dad-47e0-b2e3-db84426eaed3-0-ab_gsb
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Global pandemic of fake medicines poses urgent risk, scientists say
Poor quality medicines are a real and urgent threat that could undermine decades of successful efforts to combat HIV/AIDS, malaria and tuberculosis, according to the editors of a collection of journal articles published today. Scientists report up to 41 percent of specimens failed to meet quality standards in global studies of about 17,000 drug samples. Among the collection is an article describing the discovery of falsified and substandard malaria drugs that caused an estimated 122,350 deaths in African children in 2013. Other studies identified poor quality antibiotics, which may harm health and increase antimicrobial resistance. However, new methodologies are being developed to detect problem drugs at the point of purchase and show some promise, scientists say.
Seventeen articles in all, detailing various aspects of the issue and proposing possible solutions, are included in a special journal supplement “The Global Pandemic of Falsified Medicines: Laboratory and Field Innovations and Policy Perspectives,” published online ahead of print by The American Journal of Tropical Medicine and Hygiene. Several articles suggest policy interventions, including an international framework and the adoption of stricter national laws against drug counterfeiting. ...
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RANDOM FACTS:
While sexism and inequality was rampant in the 1950s, housewives then were not downtrodden door mats but "tough and ultra-organized." While men earned the money, housewives decided how it was spent and balanced household finances with military precision.
Today, Pew Research Center estimates that there are 370,000 highly educated and affluent housewives (defined as married mothers with children under 18 who have at least a master's degree and family income over $75,000), which equals 5 percent of all stay-at-home moms with a husband.
RANDOM FACT:
The word "housewife" is from the early 13th century husewif, meaning "woman, usually married, in charge of a family or household." The word "hussy" is an alteration of the word housewife and originally meant "mistress of the household."
Today, Pew Research Center estimates that there are 370,000 highly educated and affluent housewives (defined as married mothers with children under 18 who have at least a master's degree and family income over $75,000), which equals 5 percent of all stay-at-home moms with a husband.
RANDOM FACT:
The word "housewife" is from the early 13th century husewif, meaning "woman, usually married, in charge of a family or household." The word "hussy" is an alteration of the word housewife and originally meant "mistress of the household."
Bonus Fact:
Even housewives in the early 20th century had no dishwashers, clothes driers, supermarkets, food processors, or washing machines. They made beds with sheets and blankets (no duvets). They boiled the toweling and cloth diapers (which were at least 10 per baby per day). They could not take out loans or mortgages or hire purchase agreements. They even needed their husband's consent to get a C-section. A wife who left her husband faced destitution. As the suffragettes complained before WWI, "Husband and wife are one person, and that one person is the husband."
Even housewives in the early 20th century had no dishwashers, clothes driers, supermarkets, food processors, or washing machines. They made beds with sheets and blankets (no duvets). They boiled the toweling and cloth diapers (which were at least 10 per baby per day). They could not take out loans or mortgages or hire purchase agreements. They even needed their husband's consent to get a C-section. A wife who left her husband faced destitution. As the suffragettes complained before WWI, "Husband and wife are one person, and that one person is the husband."
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9 things You Shouldn't Wear on a Job Interview
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New Sentinel Event Alert Examines Safe Use of Health Information Technology
OAKBROOK TERRACE, Ill. – March 31, 2015) Safe use of health information technology (health IT) is the focus of a new Sentinel Event Alert released today by The Joint Commission. The new alert examines the contributing factors to sentinel events that are health IT-related and includes suggested solutions to be implemented by health care organizations. It builds on Sentinel Event Alert, Issue 42, issued in 2008, which focused on safely implementing health information and converging technologies.
With the rapid evolution of health IT, new challenges are emerging in health care that impact patient safety. In an effort to better understand these challenges, The Joint Commission analyzed 3,375 sentinel events that resulted in permanent patient harm or death from January 1, 2010, to June 30, 2013. Of that group, 120 events were identified as having health IT-related contributing factors. Factors contributing to the 120 events were categorized to eight corresponding socio-technical dimensions listed in the alert. ...
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3D printed splints help infants with airway disorder: U.S. researchers
(Reuters) - U.S. doctors treated three infants with an often-fatal airway disease by implanting a 3D printed medical device that improves breathing and changes shape as the children grow, the researchers reported on Wednesday.
All three custom airway splint devices were designed to fit the anatomy of each child, researchers at the University of Michigan and colleagues reported in the journal Science Translational Medicine.
The splints were hollow, porous tubes that could be stitched over the affected airways, forming a scaffolding that helped support the weakened structures. They were made with a "bioabsorbable" material known as polycaprolactone that dissolves in the body over time.
Researchers at the University of Michigan made the devices using 3D printing, in which materials are added in layers to create custom products. Such printers are already used in medicine to create a number of custom implants, creating new jaws, hips and hearing devices, for example. ...
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THURSDAY, April 30, 2015 (HealthDay News) -- 2-Minute Walk Every Hour May Help Offset Effects of Sitting
Study found short bouts of light activity seem to boost longevity
Getting up and walking for two minutes every hour could help reverse the negative health effects from prolonged sitting, new research suggests.
Previous studies have shown that sitting for extended periods of time every day can increase the risk of a number of health issues, such as heart disease, diabetes and premature death.
Current exercise recommendations advise adults to get at least 2.5 hours of moderate physical activity each week. But 80 percent of Americans don't meet this goal.
The new findings -- if confirmed -- suggest that even small periods of light activity offer health benefits.
"Exercise is great, but the reality is that the practical amount of vigorous exercise that can be achieved is limited. Our study suggests that even small changes can have a big impact," said senior study author Tom Greene. He is director of the Study Design and Biostatistics Center at the Center for Clinical and Translational Science at the University of Utah School of Medicine in Salt Lake City. ...
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Recipe for softening woolen garments.
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Research Article: Measuring vitamin E in men and women
Dr. Maret Traber along with her colleagues at Tufts University recently published an article on measuring vitamin E in men and women who consumed collard greens as part of a research study. The collard greens were grown in special water with a heavy isotope of hydrogen to label vitamin molecules produced by the plant. This allowed Dr. Traber’s team to specifically track the vitamin E in each subjects’ blood and urine. It is known that vitamin E travels with cholesterol and triglycerides in the bloodstream to get to your tissues where it exerts its biological effects. The results of the collard green study showed that high levels of cholesterol or triglycerides actually prevent the vitamin E from reaching body tissues.
Vitamin E helps protect cell membranes against the damaging effects of oxidative stress. It is an important part of our diet, but most people in the US are not getting nearly enough of it. For more about the latest research in the Linus Pauling Institute, including the collard green study and other interesting facts about vitamin E, see our recent blog post.
As the “vitamin D winter” comes to a close, we published a new article on vitamin D and mental health. Dr. Adrian Gombart and I collaborated with Dr. David Kerr at Oregon State University on a study focusing on college-aged women in the Pacific Northwest, where it is common to find people with low vitamin D levels. Drs. Kerr and Gombart were able to correlate low vitamin D levels in the blood with an increased risk of depression in these women. While this study does not prove that low vitamin D causes depression, future studies are planned to investigate whether vitamin D supplementation helps relieve depression symptoms.
Have more questions about our work? Send us an email, and we will by happy to get back to you with answers.
As the “vitamin D winter” comes to a close, we published a new article on vitamin D and mental health. Dr. Adrian Gombart and I collaborated with Dr. David Kerr at Oregon State University on a study focusing on college-aged women in the Pacific Northwest, where it is common to find people with low vitamin D levels. Drs. Kerr and Gombart were able to correlate low vitamin D levels in the blood with an increased risk of depression in these women. While this study does not prove that low vitamin D causes depression, future studies are planned to investigate whether vitamin D supplementation helps relieve depression symptoms.
Have more questions about our work? Send us an email, and we will by happy to get back to you with answers.
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Handy Hints:
Here's a great beauty tip... A little olive oil and enough sugar to make a paste make a
nice facial scrub. Gently massage onto face avoiding eye area then rinse with warm water. This can also be used on hands.
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If the tip of your shoe lace becomes frayed snip off the frayed end.Then paint or dip the end of the shoe lace into clear nail polish and let it dry. Good as new.
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1/2 lemon sprinkled with table salt can be used safely to clean or remove stains from granite. For stains leave lemon and salt on stain to soak, then rinse with clean water and dry
nice facial scrub. Gently massage onto face avoiding eye area then rinse with warm water. This can also be used on hands.
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If the tip of your shoe lace becomes frayed snip off the frayed end.Then paint or dip the end of the shoe lace into clear nail polish and let it dry. Good as new.
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1/2 lemon sprinkled with table salt can be used safely to clean or remove stains from granite. For stains leave lemon and salt on stain to soak, then rinse with clean water and dry
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RANDOM FACT:
January: named after Janus, the god of doors and gates
February: named after Februalia, a time period when sacrifices were made to atone for sins
March: named after Mars, the god of war
April: from aperire, Latin for "to open" (buds)
May: named after Maia, the goddess of growth of plants
June: from junius, Latin for the goddess Juno
July: named after Julius Caesar in 44 B.C.
August: named after Augustus Caesar in 8 B.C.
September: from septem, Latin for "seven"
October: from octo, Latin for "eight"
November: from novem, Latin for "nine"
December: from decem, Latin for "ten"
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Bonus Fact:
The earliest Latin calendar was a 10-month one, beginning with March; thus, September was the seventh month, October, the eighth, etc. July was originally called Quintilis, meaning fifth; August was originally called Sextilis, meaning sixth.
January: named after Janus, the god of doors and gates
February: named after Februalia, a time period when sacrifices were made to atone for sins
March: named after Mars, the god of war
April: from aperire, Latin for "to open" (buds)
May: named after Maia, the goddess of growth of plants
June: from junius, Latin for the goddess Juno
July: named after Julius Caesar in 44 B.C.
August: named after Augustus Caesar in 8 B.C.
September: from septem, Latin for "seven"
October: from octo, Latin for "eight"
November: from novem, Latin for "nine"
December: from decem, Latin for "ten"
Bonus Fact:
The earliest Latin calendar was a 10-month one, beginning with March; thus, September was the seventh month, October, the eighth, etc. July was originally called Quintilis, meaning fifth; August was originally called Sextilis, meaning sixth.
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New policy on disposing unused prescription drugs announced
On Sept. 8, the U.S. Department of Justice announced a new Drug Enforcement Administration (DEA) regulation that will allow pharmacies, hospitals, clinics, and other authorized collectors to serve as authorized drop-off sites for unused prescription drugs. Long-term care facilities will also be able to collect controlled substances turned in by residents of those facilities. The changes are intended to help address the increased dangers of prescriptions drug misuse.
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qQQQuiz Time
QUIZ TIME
A direct-care nurse can help manage clinical variability by:
a. mixing different types of patients in the same unit.
b. assigning nurses patients with dissimilar diagnoses.
c. mixing different levels of care in the emergency department.
d. assigning nurses to patients with similar diagnoses.
b. assigning nurses patients with dissimilar diagnoses.
c. mixing different levels of care in the emergency department.
d. assigning nurses to patients with similar diagnoses.
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Genes May Leave Short People Prone to Heart Disease
WEDNESDAY, April 8, 2015 (HealthDay News) -- Short people may be more likely to have heart disease, and that increased risk could be linked to the genetics that also determine height, a British-led research team suggests.
A person's risk of heart disease increases about 13.5 percent for every 2.5 inches of difference in height, the scientists said. That means a 5-foot-tall person has an average 32 percent higher risk of heart disease than a person who's 5-foot 6-inches tall, according to the researchers.
An in-depth genetic analysis of more than 18,000 people revealed a number of genes linked to human growth and development that likely play a role in the increased risk for heart disease.
"We found that people who carry those genetic variants that lower your height and make you shorter are more likely to develop coronary heart disease," said Dr. Nilesh Samani, a professor of cardiology and head of the department of cardiovascular sciences at the University of Leicester in England.
However, while the current study was able to show an association between genetics, height and a higher risk of heart disease, it wasn't able to prove a cause-and-effect relationship.
The study is published online April 8 in the The New England Journal of Medicine ...
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Family Stress Linked to Teen Obesity in Study
Teens who experience family stress, such as a mother's poor health, financial problems and family disruption, may be at an increased risk of being obese or overweight, researchers wrote in Preventive Medicine. Financial problems and family disruption were associated with overweight or obesity in girls by the time they turned 18, while a mother's poor health was linked to overweight or obesity in boys by the time they turned 18. HealthDay News (4/8) ...
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Physical Therapy Equals Surgery for Certain Lower Back Pain, Study Says
TUESDAY, April 7, 2015 (HealthDay News) -- Physical therapy may be just as good as surgery for older adults with a type of chronic lower back pain, new research suggests.
Standard treatments for lumbar spinal stenosis -- a painful, often disabling narrowing of the spinal canal -- are an operation known as surgical decompression or physical therapy.
But physical therapy is much less invasive and less risky than surgery.
"Adverse events from surgery range from 15 to 20 percent, with half of those being serious or life-threatening," said study author Anthony Delitto.
"The risks of physical therapy are considerably less, and one would be hard-pressed to consider any of the risks serious," said Delitto, a professor of physical therapy and associate dean of research with the school of health and rehabilitation sciences at the University of Pittsburgh. ...
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Drugs that activate brain stem cells may reverse multiple sclerosis
Two drugs already on the market — an antifungal and a steroid — may potentially take on new roles as treatments for multiple sclerosis. According to a study published in Nature today, researchers discovered that these drugs may activate stem cells in the brain to stimulate myelin producing cells and repair white matter, which is damaged in multiple sclerosis. The study was partially funded by the National Institute of Neurological Disorders and Stroke (NINDS), part of the National Institutes of Health. ... http://www.nih.gov/news/health/apr2015/ninds-20.htm
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“This study exemplifies the power of new molecular tools that can push and pull on the same circuit to see what drives behavior,” explained Thomas R. Insel, M.D., director of NIH’s National Institute of Mental Health (NIMH). “Improved understanding of how such emotional memory works holds promise for solving mysteries of brain circuit disorders in which these mechanisms are disrupted.”
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Study shows iron supplementation after blood donation shortens hemoglobin recovery time
A National Institutes of Health-funded study comparing low dose iron supplementation to no supplementation in blood donors found that supplementation significantly reduced the time to recovery of post-donation lost iron and hemoglobin — an iron-rich protein that carries oxygen in red blood cells throughout the body.
The results of the Hemoglobin and Iron Recovery Study (HEIRS), supported by NIH’s National Heart, Lung, and Blood Institute (NHLBI), will appear Feb. 10 in the Journal of the American Medical Association.
Blood donors are allowed to give one pint of blood every eight weeks. A major concern is that about 25-35 percent of regular donors develop iron deficiency. Since iron is needed for red blood cell production, low iron can cause fatigue and anemia — a condition in which the blood has a lower than normal number of red blood cells — and can lead to temporary ineligibility for future donations. It can take months to recover the lost iron. New research indicates a possible solution. ...
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Sharing Breast Milk May Pose Risks Women Haven't Considered
I am amazed that these women must consider all breast milk- no matter it's source -as having absolutely no flaws , in essence--Organic.
THURSDAY, April 30, 2015 (HealthDay News) -- Women may be using shared breast milk from friends and family, but they don't always consider the risks involved with providing donor milk to their babies, a new survey shows. (They are now going online to find a donor).
As many as one-third of women don't consider the health of a breast milk donor. The researchers also found few women are discussing with their doctor the option of using donor breast milk from a friend or family member before engaging in the practice.
"We're trying to play catch-up to understanding something that thousands of women are already doing so that health care professionals and women can make better decisions for themselves and their babies," said Sarah Keim. She is a principal investigator with the Center for Biobehavioral Health at The Research Institute at Nationwide Children's Hospital in Columbus, Ohio.
"Our study found that friends and relatives and the media are playing a huge role in education and dialogue around breast milk sharing, but that health care practitioners are being left out," Keim said in a hospital news release. "And that's concerning, because there are risks involved with feeding your baby breast milk from another woman -- friend or stranger." ...
HINTS:
Windex used as a stain remover
As long as you are not dealing with delicate silk fabrics, windex is a great way to get out ketchup and red wine stains. Lightly spray the stain with Windex and let it sit for about 15 minutes. Blot with a clean cloth, rinse using cold water, and wash as usual. For best results, use the uncolored Windex. Also, a friend wrote with this suggestion: " We have also found that baby wipes are amazing for stains on clothes. I think even after we don’t have any grandbabies in diapers, we’re going to keep baby wipes around".
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Windex used as a degreaser
Windex can soften built-up grease throughout the kitchen, especially on hard-to-clean range hoods, fans, and light fixtures. Spray surface liberally, let stand for about 10 minutes, and wipe clean. Be sure to rinse thoroughly with water to eliminate any cleanser residue on surfaces you prepare food on.
As long as you are not dealing with delicate silk fabrics, windex is a great way to get out ketchup and red wine stains. Lightly spray the stain with Windex and let it sit for about 15 minutes. Blot with a clean cloth, rinse using cold water, and wash as usual. For best results, use the uncolored Windex. Also, a friend wrote with this suggestion: " We have also found that baby wipes are amazing for stains on clothes. I think even after we don’t have any grandbabies in diapers, we’re going to keep baby wipes around".
Windex used as a degreaser
Windex can soften built-up grease throughout the kitchen, especially on hard-to-clean range hoods, fans, and light fixtures. Spray surface liberally, let stand for about 10 minutes, and wipe clean. Be sure to rinse thoroughly with water to eliminate any cleanser residue on surfaces you prepare food on.
Sweating from stress and sweating to cool down are chemically different. When you sweat because you're hot, it comes from your eccrine glands, but when you sweat because you're stressed, it comes from your apocrine glands.
You have between 2 and 4 million sweat glands in your body. Your feet alone have about 250,000 sweat glands between them.
The name for absent sweating (or not sweating at all) is anhidrosis, which is dangerous because your body can overheat.
The more in shape you are, the more quickly and profusely your body will sweat. It does this to cool itself down so you can work out at a greater intensity for a longer period of time.
Sweat has a stinky reputation, but sweat itself doesn't actually smell. The odor comes from the bacteria on your skin instead.
Hippos' sweat is red. The colored pigment both acts a sunscreen and kills bacteria.
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What is the main ingredient of WD-40 ?
Before you read to the end, does anybody know what the main ingredient of WD-40 is?
WD-40 . Who knew; I had a neighbor who bought a new pickup . I got up very early one Sunday morning and saw that someone had spray painted red all around the sides of this beige truck (for some unknown reason) . I went over, woke him up, and told him the bad news . He was very upset and was trying to figure out what to do . . . . probably nothing until Monday morning, since nothing was open . Another neighbor came out and told him to get his WD-40 and clean it off . It removed the unwanted paint beautifully and did not harm his paint job that was on the truck . I'm impressed!
WD-40 who knew? 'Water Displacement #40' . The product began from a search for a rust preventative solvent and degreaser to protect missile parts . WD-40 was created in 1953 by three technicians at the San Diego Rocket Chemical Company . Its name comes from the project that was to find a 'water displacement' compound . . They were successful with the fortieth formulation, thus WD-40 . The Convair Company bought it in bulk to protect their atlas missile parts .
Ken East (one of the original founders) says there is nothing in WD-40 that would hurt you . . . When you read the 'shower door' part, try it . It's the first thing that has ever cleaned that spotty shower door . If yours is plastic, it works just as well as glass . It's a miracle! Then try it on your stove top . . . Viola! It's now shinier than it's ever been . You'll be amazed .
WD-40 uses:
1 .. Protects silver from tarnishing .
2 . Removes road tar and grime from cars .
3 . Cleans and lubricates guitar strings .
4 . Gives floors that 'just-waxed' sheen without making them slippery ...
5 .. . Keeps flies off cows .
6 . Restores and cleans chalkboards .
7 .. Removes lipstick stains .
8 . . Loosens stubborn zippers ..
9 .. Untangles jewelry chains .
2 . Removes road tar and grime from cars .
3 . Cleans and lubricates guitar strings .
4 . Gives floors that 'just-waxed' sheen without making them slippery ...
5 .. . Keeps flies off cows .
6 . Restores and cleans chalkboards .
7 .. Removes lipstick stains .
8 . . Loosens stubborn zippers ..
9 .. Untangles jewelry chains .
10 . Removes stains from stainless steel sinks .
11 . Removes dirt and grime from the barbecue grill .
12 . Keeps ceramic/terra cotta garden pots from oxidizing ..
13 . Removes tomato stains from clothing .
14 ... Keeps glass shower doors free of water spots .
15 . Camouflages scratches in ceramic and marble floors .
16 . Keeps scissors working smoothly . .
17 .. Lubricates noisy door hinges on vehicles and doors in homes .
18 . It removes black scuff marks from the kitchen floor! Use WD-40 for those nasty tar and scuff marks on flooring . It doesn't seem to harm the finish and you won't have to scrub nearly as hard to get them off .. Just remember to open some windows if you have a lot of marks .
19 . Bug guts will eat away the finish on your car if not removed quickly! Use WD-40!
20 . Gives a children's playground gym slide a shine for a super fast slide .
21 . Lubricates gear shift and mower deck lever for ease of handling on riding mowers . . ..
22 . . Rids kids rocking chairs and swings of squeaky noises ..
23 . Lubricates tracks in sticking home windows and makes them easier to open . .
24 . Spraying an umbrella stem makes it easier to open and close ..
25 .. Restores and cleans padded leather dashboards in vehicles, as well as vinyl bumpers .
26 . Restores and cleans roof racks on vehicles ..
27 . Lubricates and stops squeaks in electric fans
28 .. Lubricates wheel sprockets on tricycles, wagons, and bicycles for easy handling .
29 . Lubricates fan belts on washers and dryers and keeps them running smoothly .
30 . Keeps rust from forming on saws and saw blades, and other tools .
31 .. Removes splattered grease on stove .
32 . Keeps bathroom mirror from fogging .
33 . Lubricates prosthetic limbs ..
34 . Keeps pigeons off the balcony (they hate the smell) .
35 . Removes all traces of duct tape .
36 . Folks even spray it on their arms, hands, and knees to relieve arthritis pain ..
37 . Florida ’s favorite use is: 'cleans and removes love bugs from grills and bumpers . '
38 . The favorite use in the state of New York , WD-40 protects the Statue of Liberty from the elements .
39 . WD-40 attracts fish . Spray a little on live bait or lures and you will be catching the big one in no time . Also, it's a lot cheaper than the chemical attractants that are made for just that purpose . Keep in mind though, using some chemical laced baits or lures for fishing are not allowed in some states .
11 . Removes dirt and grime from the barbecue grill .
12 . Keeps ceramic/terra cotta garden pots from oxidizing ..
13 . Removes tomato stains from clothing .
14 ... Keeps glass shower doors free of water spots .
15 . Camouflages scratches in ceramic and marble floors .
16 . Keeps scissors working smoothly . .
17 .. Lubricates noisy door hinges on vehicles and doors in homes .
18 . It removes black scuff marks from the kitchen floor! Use WD-40 for those nasty tar and scuff marks on flooring . It doesn't seem to harm the finish and you won't have to scrub nearly as hard to get them off .. Just remember to open some windows if you have a lot of marks .
19 . Bug guts will eat away the finish on your car if not removed quickly! Use WD-40!
20 . Gives a children's playground gym slide a shine for a super fast slide .
21 . Lubricates gear shift and mower deck lever for ease of handling on riding mowers . . ..
22 . . Rids kids rocking chairs and swings of squeaky noises ..
23 . Lubricates tracks in sticking home windows and makes them easier to open . .
24 . Spraying an umbrella stem makes it easier to open and close ..
25 .. Restores and cleans padded leather dashboards in vehicles, as well as vinyl bumpers .
26 . Restores and cleans roof racks on vehicles ..
27 . Lubricates and stops squeaks in electric fans
28 .. Lubricates wheel sprockets on tricycles, wagons, and bicycles for easy handling .
29 . Lubricates fan belts on washers and dryers and keeps them running smoothly .
30 . Keeps rust from forming on saws and saw blades, and other tools .
31 .. Removes splattered grease on stove .
32 . Keeps bathroom mirror from fogging .
33 . Lubricates prosthetic limbs ..
34 . Keeps pigeons off the balcony (they hate the smell) .
35 . Removes all traces of duct tape .
36 . Folks even spray it on their arms, hands, and knees to relieve arthritis pain ..
37 . Florida ’s favorite use is: 'cleans and removes love bugs from grills and bumpers . '
38 . The favorite use in the state of New York , WD-40 protects the Statue of Liberty from the elements .
39 . WD-40 attracts fish . Spray a little on live bait or lures and you will be catching the big one in no time . Also, it's a lot cheaper than the chemical attractants that are made for just that purpose . Keep in mind though, using some chemical laced baits or lures for fishing are not allowed in some states .
40 . Use it for fire ant bites . . It takes the sting away immediately and stops the itch .
41 . WD-40 is great for removing crayon from walls . Spray on the mark and wipe with a clean rag .
42 . Also, if you've discovered that your teenage daughter has washed and dried a tube of lipstick with a load of laundry, saturate the lipstick spots with WD-40 and rewash . Presto! The lipstick is gone!
43 . If you sprayed WD-40 on the distributor cap, it would displace the moisture and allow the car to start
42 . Also, if you've discovered that your teenage daughter has washed and dried a tube of lipstick with a load of laundry, saturate the lipstick spots with WD-40 and rewash . Presto! The lipstick is gone!
43 . If you sprayed WD-40 on the distributor cap, it would displace the moisture and allow the car to start
Also if your headlight lenses are cloudy, rub WD-40 on them. Do this daily until they stay clear. I speak from experience.
P . S . The basic ingredient of WD-40 is FISH OIL ....
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Almost 12 million gained Medicaid coverage under ObamaCare
More than 11.7 million more people have health insurance through Medicaid or the Children’s Health Insurance through ObamaCare, new data show.
The new report from the Obama administration shows that as of the end of February, there were over 11.7 million more people enrolled in the programs compared to the period before October 2013, when ObamaCare’s coverage expansion went into effect.
The numbers come on top of another 11.7 million people who signed up for private insurance through the law’s marketplaces.
About 560,000 additional people were enrolled compared to the end of January. ObamaCare expanded eligibility for Medicaid, the government health insurance program for the poor, up to 138 percent of the poverty line, which is about $33,000 for a family of four.
ObamaCare expanded eligibility for Medicaid, the government health insurance program for the poor, up to 138 percent of the poverty line, which is about $33,000 for a family of four.
However, some Republican-led states have declined to expand the program, citing factors like the cost and increasing people’s dependency on government. The new data show that Medicaid enrollment grew by almost 27 percent in expansion states, compared to 8 percent in non-expansion states . ...
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Listeria is:
Listeria is a strain of bacteria
Like the famous mouthwash Listerine, Listeria monocytogeneswas named after antiseptic pioneer Joseph Lister. It's a very common bacterium with an unusual trait: It can grow at refrigerator temperatures. And it can build up in food-processing plants, where it can survive for years.
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HUMOR SECTION
A teenager who had just received her learner's permit offered to drive her parents to church. After a hair-raising ride, they finally reached their destination.
The mother got out of the car and said, "Thank you!"
"Anytime," her daughter replied.
As the woman slammed the door, she said, "I wasn't talking to you. I was talking to God."
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The mother got out of the car and said, "Thank you!"
"Anytime," her daughter replied.
As the woman slammed the door, she said, "I wasn't talking to you. I was talking to God."
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Farmer Joe decided his injuries from the accident were serious enough to take the trucking company (responsible for the accident) to court. In court, the trucking company''s fancy lawyer was questioning farmer Joe. "Didn't you say, at the scene of the accident, ' I'm fine?'" questioned the lawyer.
Farmer Joe responded, "well, I'll tell you what happened. I had just loaded my favorite mule....Bessie into the..." " I didn't ask for any details," the lawyer interrupted, just answer the question. Did you not say, at the scene of the accident, 'I'm fine'!"
Farmer Joe said, "Well I had just got Bessie into the trailer and I was driving down the road..."
The lawyer interrupted again and said, "Judge, I am trying to establish the fact that, at the scene of the accident, this man told the Highway Patrolman on the scene that he was just fine. Now several weeks after the accident he is trying to sue my client. I believe his is a fraud. Please tell him to simply answer the question."
By this time the Judge was fairly interested in Farmer Joe's answer and said to the lawyer, "I'd like to hear what he has to say about his favorite mule Bessie."
Joe thanked the Judge and proceeded, "Well, as I was saying, I had just loaded Bessie, my favorite mule, into the trailer and was driving her down the highway when this huge semi-truck and trailer ran the stop sign and smacked my truck right in the side. I was thrown into one
ditch and Bessie was thrown into the other. I was hurting real bad and didn't want to move. However, I could hear ole Bessie moaning and groaning. I knew she was in terrible shape just by her groans.
Shortly after the accident, a Highway Patrolman came on the scene. He could hear Bessie moaning and groaning so he went over to her. After he looked at her, he took out his gun and shot her between the eyes.
Then the Patrolman came across the road with this gun in his hand and looked at me. He said, "your mule was in such bad shape I had to shoot her. How are you feeling?" It was then that I said, "I'm fine."
Farmer Joe responded, "well, I'll tell you what happened. I had just loaded my favorite mule....Bessie into the..." " I didn't ask for any details," the lawyer interrupted, just answer the question. Did you not say, at the scene of the accident, 'I'm fine'!"
Farmer Joe said, "Well I had just got Bessie into the trailer and I was driving down the road..."
The lawyer interrupted again and said, "Judge, I am trying to establish the fact that, at the scene of the accident, this man told the Highway Patrolman on the scene that he was just fine. Now several weeks after the accident he is trying to sue my client. I believe his is a fraud. Please tell him to simply answer the question."
By this time the Judge was fairly interested in Farmer Joe's answer and said to the lawyer, "I'd like to hear what he has to say about his favorite mule Bessie."
Joe thanked the Judge and proceeded, "Well, as I was saying, I had just loaded Bessie, my favorite mule, into the trailer and was driving her down the highway when this huge semi-truck and trailer ran the stop sign and smacked my truck right in the side. I was thrown into one
ditch and Bessie was thrown into the other. I was hurting real bad and didn't want to move. However, I could hear ole Bessie moaning and groaning. I knew she was in terrible shape just by her groans.
Shortly after the accident, a Highway Patrolman came on the scene. He could hear Bessie moaning and groaning so he went over to her. After he looked at her, he took out his gun and shot her between the eyes.
Then the Patrolman came across the road with this gun in his hand and looked at me. He said, "your mule was in such bad shape I had to shoot her. How are you feeling?" It was then that I said, "I'm fine."
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CEU SITES---(CME and CNE)
Those that are-----Free and Otherwise..........
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.info@sharedgovernance.orgwww.sharedgovernance.org
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.info@sharedgovernance.orgwww.sharedgovernance.org
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
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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/
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
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MEDICAL RECALLS
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FDA is alerting pet owners, veterinarians, health care providers and pharmacists that pets are at risk of illness and death when exposed to topical pain medications containing the nonsteroidal anti-inflammatory drug (NSAID) flurbiprofen. People using these medications should use care when applying them in a household with pets, as even very small amounts could be dangerous to these animals.
The FDA received reports of cats in two households that became ill or died after their owners used topical medications containing flurbiprofen on themselves to treat muscle, joint, or other pain. The pet owners had applied the cream or lotion to their own neck or feet, and not directly to the pet, and it is not known exactly how the cats became exposed to the medication. The products contained the NSAID flurbiprofen and the muscle relaxer cyclobenzaprine, as well as other varying active ingredients, including baclofen, gabapentin, lidocaine, or prilocaine.
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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.
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NEW MEMBERS
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 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. RNFrankie@AOL.com
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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)
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PARADIGM 97 CO-FOUNDERS:
MarGerlach @AOL.com (Marlene) and RNFrankie @AOL.com (Frankie)
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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.
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THOUGHT FOR THE DAY
Whoever is detected in a shameful fraud is ever after
not believed even if they speak the truth.
--Plato, from Phaedrus
Hope to hear from you..... Frankie
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