PARADIGM BYTES
Newsletter for Paradigm 97
October 16, 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
What is a temporal artery thermometer?
Temporal artery thermometers, which are also known as forehead thermometers are thermometers that utilize an infrared scanner to measure the temperature of the temporal artery in the forehead.
Suleman et al. explain that this device "consists of an infrared scanner that detects the highest temperature on the skin of the forehead and temporal region. From this value, the device estimates Tcore using a proprietary algorithm that incorporates a compensation for ambient temperature (Tst). This system thus differs from conventional skin-temperature measurements (i.e., liquid crystal strips) in searching for the highest forehead temperature and compensating for ambient temperature."
More accurate than ear thermometers
While ear thermometers are deemed inaccurate by medical professionals due to the inconsistency of the positioning of the probe in the ear canal, thus creating inconsistent readings and frequently missing fevers, the temporal artery thermometer scans the forehead area for the temporal artery and it is almost impossible to miss the artery during a scan.
Another reason is that the person whose temperature is being taken does not like something inserted in their ear, making good positioning even more difficult. On the other hand, the gentle scan across the forehead is comfortable and not offensive.
How it works
Arterial temperature is the same temperature as the blood flowing from the heart. The temporal artery is connected to the heart via the carotid artery, directly leading from the aorta, the main trunk of the arterial system. The temporal artery is located at the front portion of the forehead and is the only artery positioned close enough to the skin surface to provide access needed, and constant perfusion necessary to take an accurate measurement.
Basically, arterial temperature is the best determinate of body temperature.
So when one gently strokes the temporal artery thermometer across the forehead, it crosses over the temporal artery. The sensor in its probe then scans like a video camera, capturing naturally emitted infrared heat from the arterial blood supply at about 1,000 “frames” per second, then locking in the highest temperature it senses.
At the same time, its patented system measures the surrounding area temperature of the site where the temperature is being taken. The patented “arterial heat balance” (AHB) software then creates the two separate readings to perfectly determine and display the body temperature.
Pros and Cons
There are lots of benefits when using this type of thermometer. One, temporal artery thermometers can record a person's temperature quickly and are easily tolerated.
Temporal artery temperature is also not affected by the things that can cause oral and underarm temperatures to be misleading such as drinking, coughing, breathing and many more.
Another reason to consider using this thermometer is that temporal artery thermometers are appropriate for infants older than age 3 months and for older children. Studies suggest that a temporal artery thermometer also might provide accurate readings for a newborn.
Other research suggests that temporal artery thermometers are the most accurate alternative to rectal digital thermometers for taking a child's temperature.
However, this type of thermometer may be more expensive when compare to the price of other thermometers.
Sources:
- http://www.mayoclinic.org/diseases-conditions/fever/in-depth/thermometers/art-20046737?pg=2
- Suleman et al., "Insufficiency in a new temporal-artery thermometer for adult and pediatric patients", Anesthesia and Analgesia 95(1):67-71.
- http://allnurses.com/general-nursing-discussion/the-heat-is-1007213.html
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ANNOUNCEMENT:
The goal of this webinar is to review consensus guidelines and evidence-based medicine in the treatment of diabetic foot ulcers (DFUs) and other non-healing wounds. We will discuss the best time to initiate advanced therapeutics and clinical protocol for wound evaluation. We will also review the science behind novel amniotic tissue products. The strategies, evidence, and clinical case review discussed in this presentation will help clinics improve their days to heal and could help save limbs and lives. ...
| Register now at www.woundresearch.com/Derma | |||||||||
| LIVE WEBCAST Select from the following dates and times | |||||||||
| |||||||||
| 45-minute presentation followed by 15-minute Q&A | |||||||||
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INTERESTING READING
Please remember that the REUTERS articles usually good for only 30 days
SAN DIEGO -- When is whooping cough not whooping cough? Symptoms are similar to classical disease but current vaccine is no protection.
When it's caused by Bordetella parapertussis, a relatively rare cousin of the pathogen B. pertussis that is the usual cause of the disease, Minnesota researchers said here. But although the causes are different, the clinical picture of the disease seen in a late-2014 outbreak in the state was very similar to classical whooping cough, according to Vytas Karalius, MPH, a medical student at the Mayo Medical School in Rochester, Minn. Importantly, though, the standard whooping cough vaccine does not appear to protect against disease caused by B. parapertussis, Karalius said at the Interscience Conference on Antimicrobial Agents and Chemotherapy (ICAAC).
While the two pathogens are related, they are "antigenically very different," he said, so the cellular vaccine would not be expected to be protective. And, in fact, the patients in the Minnesota outbreak were all vaccinated against B. pertussis but still became ill. ... http://www.medpagetoday.com/MeetingCoverage/ICAAC/53655?xid=nl_mpt_DHE_2015-09-22&eun=g379846d0r
Activate MedPage Today's CME feature and receive free CME credit on Medical stories like this one.
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Restaurant report card grades on antibiotics in meat supply (CNN) A new report is sounding the alarm about the use of antibiotics in the meat and poultry supply chains of the 25 largest U.S. fast food and "fast casual" restaurants. Most top U.S. restaurant chains have no publicly available policy to limit regular use of antibiotics in their meat and poultry supply chains, according to the "Chain Reaction" report by Friends of the Earth, the Natural Resources Defense Council and four other consumer interest, public health and environmental organizations.
"When livestock producers administer antibiotics routinely to their flocks and herds, bacteria can develop resistance, thrive and even spread to our communities, contributing to the larger problem of antibiotic resistance," the authors wrote in the report, which was released Tuesday. "The worsening epidemic of resistance means that antibiotics may not work when we need them most: when our kids contract a staph infection (MRSA), or our parents get a life-threatening pneumonia." ...
http://www.cnn.com/2015/09/15/health/fast-food-meat-antibiotics-grades/index.html
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HINTS:
Don't just throw the lemons away after using them for water or cooking, but now save these gems! There are so many ways to use them.
Lemon Vinegar - it's awesome...
Great for cutting grease and disinfecting. To make, simply
place a bunch of lemon peels in any sized glass jar (mason
jars would work great). Pour white vinegar over. Put the lid on and let it sit for 2 weeks (I promise, it�s worth the wait). Then strain the liquid. Combine this with water (using a 50/50 ratio) and then use as you would your normal all purpose cleaner.
Simmering Lemons on Your Stove Top
Make your house smell heavenly simply by adding lemon peels to simmering water. Throw in some cloves, cinnamon sticks, and orange peels. This adds a wonderful scent and humidifies
place a bunch of lemon peels in any sized glass jar (mason
jars would work great). Pour white vinegar over. Put the lid on and let it sit for 2 weeks (I promise, it�s worth the wait). Then strain the liquid. Combine this with water (using a 50/50 ratio) and then use as you would your normal all purpose cleaner.
Simmering Lemons on Your Stove Top
Make your house smell heavenly simply by adding lemon peels to simmering water. Throw in some cloves, cinnamon sticks, and orange peels. This adds a wonderful scent and humidifies
Fresh the scent in your garbage disposal
Use lemon peels to deodorize the garbage disposal and bring that amazing citrus smell to your kitchen. Fake lemon cleaners have nothing on the real thing. Simply put a peel or two down the disposal, flip the switch on (with the water running), and done.
Clean your microwave in a breeze
Add lemon rinds to a microwave-safe bowl filled halfway with water. Cook on high for five minutes, allowing the water to boil and the steam to condense on the walls and tops of the oven. Remove the hot bowl (carefully!) and wipe away the mess with a towel.
Make a sugar scrub
Mix 1/2 a cup of sugar with finely chopped lemon peel and
enough olive oil to make a paste. Wet your body in the shower, turn off the water, and massage the sugar mix all over your skin. Rinse off and bask in your smooth skin.
Helps with dry elbows
Use a half lemon sprinkled with baking soda on elbows; just place your elbow in the lemon and twist the lemon (as if you are juicing it) for several minutes. Rinse and dry.
Mix 1/2 a cup of sugar with finely chopped lemon peel and
enough olive oil to make a paste. Wet your body in the shower, turn off the water, and massage the sugar mix all over your skin. Rinse off and bask in your smooth skin.
Helps with dry elbows
Use a half lemon sprinkled with baking soda on elbows; just place your elbow in the lemon and twist the lemon (as if you are juicing it) for several minutes. Rinse and dry.
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RANDOM FACTS:
Junk food is typically defined as foods with little nutritional value that are high in calories, fat, sugar, salt, or caffeine, and it is a staple in the American diet. Healthy or not, we love our junk food!
Fact:
Doughnuts most likely originated in Germany and were brought to New York by Dutch settlers who called them olykoeks (oily cakes). The hole in the center was developed by the Pennsylvania Dutch perhaps because the shape provided easier dunking in coffee or made it easier to fry the donuts more thoroughly. Dunkin Donuts sells 6.4 million donuts per day (2.3 billion per year).
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BONUS FACT:
In 1979, in what has become known as the 'Twinkie Defense,' Daniel White said he killed San Francisco mayor George Moscone and Harvey Milk because he ate too much junk food, such as Twinkies, candy bars, and cupcakes, which caused a chemical imbalance in his brain. He was still convicted and, in 1981, Congress outlawed the 'Twinkie Defense.'
Fact:
Doughnuts most likely originated in Germany and were brought to New York by Dutch settlers who called them olykoeks (oily cakes). The hole in the center was developed by the Pennsylvania Dutch perhaps because the shape provided easier dunking in coffee or made it easier to fry the donuts more thoroughly. Dunkin Donuts sells 6.4 million donuts per day (2.3 billion per year).
In 1979, in what has become known as the 'Twinkie Defense,' Daniel White said he killed San Francisco mayor George Moscone and Harvey Milk because he ate too much junk food, such as Twinkies, candy bars, and cupcakes, which caused a chemical imbalance in his brain. He was still convicted and, in 1981, Congress outlawed the 'Twinkie Defense.'
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HbA1c levels improve in poorly controlled type 2 patients following non-invasive procedure
A minimally invasive, upper endoscopic procedure on type 2 diabetes patients leads to improved blood glucose levels, a new study finds.
The findings were presented at the World Congress on Intervention Therapies for Type 2 Diabetes and Diabetes Surgery Summit by Alan D. Cherrington, PhD, Professor of Medicine and Molecular Physiology and Biophysics at Vanderbilt University.
In Cherrington's study, 39 patients with poorly controlled type 2 diabetes received Duodenal Mucosal Resurfacing (DMR), a procedure developed by Fractyl Laboratories.
DMR addresses the intestinal hormone impairment that contributes to insulin resistance, and potentially offers similar benefits to weight loss surgery. It employs novel balloon catheters that can ablate either a short segment or long segment of the duodenum, and changes how the body absorbs and processes sugar. ...
The findings were presented at the World Congress on Intervention Therapies for Type 2 Diabetes and Diabetes Surgery Summit by Alan D. Cherrington, PhD, Professor of Medicine and Molecular Physiology and Biophysics at Vanderbilt University.
In Cherrington's study, 39 patients with poorly controlled type 2 diabetes received Duodenal Mucosal Resurfacing (DMR), a procedure developed by Fractyl Laboratories.
DMR addresses the intestinal hormone impairment that contributes to insulin resistance, and potentially offers similar benefits to weight loss surgery. It employs novel balloon catheters that can ablate either a short segment or long segment of the duodenum, and changes how the body absorbs and processes sugar. ...
http://www.diabetes.co.uk/news/2015/sep/hba1c-levels-improve-in-poorly-controlled-type-2-patients-following-non-invasive-procedure-98901002.html
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Sensitive Blood Test May Help Rule Out Heart Attack
WEDNESDAY, Oct. 7, 2015 (HealthDay News) -- A new, highly sensitive blood test may help doctors quickly rule out heart attack for almost two-thirds of people who seek emergency room treatment for chest pain, a new study suggests.
Researchers said their findings could potentially reduce unnecessary hospital admissions and substantially lower health-care costs.
"Until now, there were no quick ways to rule out a heart attack within the emergency department," said the study's lead author, Dr. Anoop Shah, from the University of Edinburgh in Scotland.
"Over the last two decades, the number of hospital admissions due to chest pain has tripled. The overwhelming majority of these patients do not have a heart attack," Shah said.
Assessing a possible heart attack requires lengthy stays in the ER or hospitalization for repeat testing, the study authors pointed out.
The new test is more sensitive than the standard version, Shah's team said. It can detect far lower blood levels of troponin, a protein released when heart muscle is damaged. The more damage that occurs, the higher blood levels of troponin will be. A slight increase in troponin suggests some damage has occurred, while very high levels indicate a person has had a heart attack, the researchers explained. ...
http://consumer.healthday.com/cardiovascular-health-information-20/heart-attack-news-357/ultra-sensitive-blood-test-helps-rule-out-heart-attack-quickly-study-says-703980.html
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The following are excerpts from the article entitled: Handle with care (Be sure to take time out to read the entire article....very interesting)
Good body mechanics is a scam I didn’t make this up, I’m simply echoing what I heard. This eye-opening comment came from a doctorally prepared educator who is up to date on the evidence. There is a body of research dating back to the 1960s that proved there is no good way to move a human body without some type of assistance.
Over time cumulative micro trauma takes a toll It’s not so much about lifting patients as moving them. The forces created by pulling patients day after day results in little muscle tears and cumulative micro trauma. At some point, major injury occurs. As staff, we don’t tie a single incident of moving a patient to the multiple situations over the years, which end up having big consequences on health and well-being.
http://www.americannursetoday.com/handle-care/?utm_source=BenchmarkEmail&utm_campaign=AMNT_Elec_Oct15_House&utm_medium=email
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Low-dose Aspirin Nearly Doubles Survival in GI Cancers
VIENNA ― Low-dose daily aspirin almost doubles survival among patients with a range of gastrointestinal (GI) tract cancers, reveals an analysis of prescribing data from the Netherlands.
In a study of almost 1400 GI cancer patients presented here at European Cancer Congress (ECC) 2015, the researchers found that among a subgroup of patients (8.3%) who took aspirin post-diagnosis, the 5-year overall survival was 75% among daily aspirin users vs just more than 40% in those who did not take the drug.
Most patients had cancer of the colon (48%); the next most common sites were the rectum (42.8%) and the esophagus (10.2%).
The data were presented by Martine Frouws, MD, from Leiden University Medical Centre, in the Netherlands. ... http://www.medscape.com/viewarticle/851626
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Cancer May Be a Hidden Danger to the Heart: Report
MONDAY, Sept. 28, 2015 (HealthDay News) -- People with cancer could be suffering silent, unseen heart damage due to their malignancy, a new study from Austria reports.
Researchers found that newly diagnosed cancer patients carried high blood levels of hormones and body chemicals that are normally telltale signs of heart disease, the study authors said.
Those chemical indicators for heart disease increased with the severity of a person's cancer, and were strongly associated with a higher risk of death for these patients, the researchers said.
The findings suggest cancer could be doing damage to heart tissue, even though the person may not be showing clinical evidence of heart disease, the researchers concluded. ...
http://consumer.healthday.com/cancer-information-5/chemotherapy-news-122/could-cancer-be-a-hidden-danger-to-the-heart-703662.html
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Children in Foster Homes Need Better Health Care MONDAY, Sept. 28, 2015 (HealthDay News) -- The U.S. foster care system needs to do a better job of providing consistent, quality health care to children living in foster homes, a new report from the American Academy of Pediatrics (AAP) says.
Children in foster care have been removed from their families due to abuse and/or neglect, so they've suffered trauma -- whether physical or emotional -- and they often have health conditions that have been inconsistently treated or not addressed at all, according to the AAP.
Anywhere from 30 to 80 percent of kids enter foster care with at least one untreated physical condition, while up to 80 percent have a "significant mental health need," according to the AAP. ...
http://consumer.healthday.com/kids-health-information-23/adolescents-and-teen-health-news-719/children-in-foster-homes-need-better-healthcare-703619.html
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The ABCDEs of emergency burn care Consider this scenario. You’re driving home from work after a busy shift and there has been an accident ahead on the freeway. As you approach, you see that a vehicle has been rear-ended, causing a fire. The occupant of the car, an elderly man, is sitting on the side of the road. He looks shaken, but tells you his name and asks you to call his wife. He has visible burns to his face, neck, upper chest, and both arms. Do you know what the first priorities are for assisting this man?
Each year in the United States 3,400 people die from burns and smoke inhalation and 450,000 patients require treatment for burn injuries. Burns are among the most devastating and life changing of injuries because of the unpredictable nature of the initial wound(s), the overwhelming systemic inflammatory response, and the potential need for extensive rehabilitation and psychosocial adaptation. Burn injuries involve multiple etiologies, and the initial treatment required varies with each. (See Burn etiologies.) ... http://www.americannursetoday.com/abcdes-emergency-burn-care/?utm_source=BenchmarkEmail&utm_campaign=AMNT_Elec_Oct15_House&utm_medium=email
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What works: Implementing an evidence-based nursing dress code to enhance professional image
October 2015 Vol. 10 No. 10
In the clinical setting, nurses base their practice on evidence to improve patient outcomes. It’s just as important that our organizational policies are evidence based. After reviewing an article on the image of nursing in American Nurse Today, our organization began to question the professional image portrayed by our nursing staff. After much discussion among nursing leaders, our Nurse Recruitment and Retention Council was charged with evaluating various sources of evidence related to a nursing staff dress code and patient perception. Based on the evidence review, recommendations would be made as to whether the current dress code needed to be changed.
Planning our approach
An Image of Nursing Subcommittee of the Recruitment and Retention Committee was quickly formed, and its members eagerly embraced the charge of reviewing, critiquing, and synthesizing the literature and leveling it for significance. Forty nurses from inpatient and outpatient areas across the health system volunteered for the subcommittee. Using an inquiry model adapted from the Johns Hopkins Evidence-Based Practice Model, the following PICO components and questions were identified:
P (Problem): The professional image of the nurse
I (Intervention): Standardized nurse dress code
C (Comparison): No standardized dress code
O (Outcomes): Improved identification of nursing staff, improved professional image, higher patient satisfaction.
I (Intervention): Standardized nurse dress code
C (Comparison): No standardized dress code
O (Outcomes): Improved identification of nursing staff, improved professional image, higher patient satisfaction.
Our search questions were
Does a standardized nurse dress code impact the ability to identify the nurse?
Does attire influence the professional image of the nurse? ...
Does a standardized nurse dress code impact the ability to identify the nurse?
Does attire influence the professional image of the nurse? ...
http://www.americannursetoday.com/works-implementing-evidence-based-nursing-dress-code-enhance-professional-image/?utm_source=BenchmarkEmail&utm_campaign=AMNT_Elec_Oct15_House&utm_medium=email
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RANDOM FACT:
October is shared by the astrological signs of Libra the Scales (or Balance) and Scorpio the Scorpion, and is sacred to the following Pagan deities: Cernunnos, Hecate, the Morrigan, Osiris, and the Wiccan Goddess in Her dark aspect as the Crone.
The traditional birthstone amulets of October are opal, rose sapphire, and tourmaline; and the calendula is the month's traditional flower.
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Bonus Fact:
Hawaii has a special October event called "the Aloha Festival," sometimes described as the "Mardi Gras of the Pacific."
October is shared by the astrological signs of Libra the Scales (or Balance) and Scorpio the Scorpion, and is sacred to the following Pagan deities: Cernunnos, Hecate, the Morrigan, Osiris, and the Wiccan Goddess in Her dark aspect as the Crone.
The traditional birthstone amulets of October are opal, rose sapphire, and tourmaline; and the calendula is the month's traditional flower.
Bonus Fact:
Hawaii has a special October event called "the Aloha Festival," sometimes described as the "Mardi Gras of the Pacific."
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STATISTICS:
October 4-10 is Mental Health Awareness Week:
26%:
Percent of homeless adults in shelters who have serious mental illness
Percent of homeless adults in shelters who have serious mental illness
20%:
Percent of state prisoners who have “a recent history” of a mental health condition
Percent of state prisoners who have “a recent history” of a mental health condition
1 in 5:
About 1 in 5 adults in the U.S.—43.7 million, or 18.6%—experiences mental illness in a given year.
About 1 in 5 adults in the U.S.—43.7 million, or 18.6%—experiences mental illness in a given year.
Source: http://www.nami.org/Learn-More/
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QUIZ TIME
Which of the following is not a risk factor for ventilator-associated events?
a. I.V. antibiotics
b. Benzodiazepines given before intubation
c. Paralytic agents
d. Greater exposure to opioids
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Height May Be Linked to Increased Cancer Risk, Study Contends THURSDAY, Oct. 1, 2015 (HealthDay News) -- A study of more than 5 million Swedish men and women suggests that the taller you are, the greater your risk of cancer.
The official World Space Week website gives people a list of event ideas as well as a search engine that allows people to search for World Space Week events.
To kick things off, here are some wild facts about space:
1. If the moon were too close to the Earth, ocean tides would wreak havoc and tidal bulges would flood coastal cities.
2. The light hitting the Earth right now from the Sun is 30,000 years old.
3. If you put Saturn in water it would float.
4. There's a planet in the Milky Way made of diamond. It's called 55 Cancri e and it's up to one-third diamond, scientists think.
5. Clay from Mars has a high concentration of boron, a compound that researchers believe is crucial for the formation of life. Then again, they also just found liquid water -- another huge factor in creating life as we know it.
6. A grain of sand held against the night sky immediately "covers up" about 10,000 galaxies -- including many we can't see with the naked eye.
7. In four billion years our galaxy will collide with the Andromeda galaxy.
8. Scientists estimate there are 72 civilizations in the Milky Way and they are likely able to communicate. That being said, even if we found someone to communicate with, it would likely take 400 years to get a response -- thanks to vast distances and the limitations of the speed of light.
For every 4 additional inches of adult height, the study found that cancer risk was linked to an 18 percent increased cancer risk in women and 11 percent in men. Taller women had a 20 percent greater risk of developing breast cancer, the study reported. And for both men and women, the risk of developing melanoma increased by about 30 percent for every 4 inches of height, the researchers said.
"This study confirms what other studies have shown," said the American Cancer Society's Susan Gapstur, who was not involved in the study. She added that previous research has also found a link between height and colon cancer. ...
http://health.usnews.com/health-news/articles/2015/10/01/height-may-be-linked-to-increased-cancer-risk-study-contends
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The official World Space Week website gives people a list of event ideas as well as a search engine that allows people to search for World Space Week events.
To kick things off, here are some wild facts about space:
1. If the moon were too close to the Earth, ocean tides would wreak havoc and tidal bulges would flood coastal cities.
2. The light hitting the Earth right now from the Sun is 30,000 years old.
3. If you put Saturn in water it would float.
5. Clay from Mars has a high concentration of boron, a compound that researchers believe is crucial for the formation of life. Then again, they also just found liquid water -- another huge factor in creating life as we know it.
6. A grain of sand held against the night sky immediately "covers up" about 10,000 galaxies -- including many we can't see with the naked eye.
7. In four billion years our galaxy will collide with the Andromeda galaxy.
8. Scientists estimate there are 72 civilizations in the Milky Way and they are likely able to communicate. That being said, even if we found someone to communicate with, it would likely take 400 years to get a response -- thanks to vast distances and the limitations of the speed of light.
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Food tracking app links less sleeping to more eating
(Reuters Health) - Even people who think they eat three meals a day may actually graze for most of their waking hours and consume fewer calories when they get more sleep, a small U.S. study suggests.
Researchers asked volunteers to use a mobile app to snap pictures of everything they ate and drank over three weeks. Most participants consumed food and drinks over about 15 hours of the day, taking in less than 25 percent of their calories before noon and more than 35 percent after 6 p.m.
“Most people think they eat three meals and a snack or two within a 10-12 hour window, but we found the majority spread their caloric intake over a very long time,” said study co-author Satchidananda Panda of the Salk Institute for Biological Studies in La Jolla, California.
The trouble with eating or drinking over a longer stretch of waking hours and consuming more calories at night is that “it confuses our body’s biological clock and predisposes us to obesity, diabetes, fatty liver disease, high cholesterol and cardiovascular disease,” Panda added by email. ... http://www.reuters.com/article/2015/09/29/us-health-snacking-app-tracking-idUSKCN0RT2TA20150929?feedType=nl&feedName=healthNews
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Which element has close to 10,000,000 known compounds? CARBON
Carbon is unique among the elements in the vast number and variety of compounds it can form. These elements , for example can be hydrogen, oxygen, and nitrogen, besides other elements forming a very large number of compounds which are often linked to the carbon atom..
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1The 1918 Spanish flu pandemic (1918 – 1920) was an unusually deadly influenza pandemic, the first of the two pandemics involving H1N1 influenza virus. It infected 500 million people across the world, including remote Pacific islands and the Arctic, and killed 50 to 100 million of them—three to five percent of the world's population making it one of the deadliest natural disasters in human history
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Which fruit has the most Vitamin C? Bell Peppers, Strawberries, Kiwis, or Oranges?
ANSWER:
All four of these fruits are jam-packed with large amounts of Vitamin C but actually, oranges have the least of them. One orange has 69 milligrams of Vitamin C while strawberries have 84, Bell peppers have 120 and kiwis have as high as 137 milligrams of Vitamin C! That's more than double in one little fruit than you will get from a whole orange! So the next time your coworker has the sniffles, peal open a kiwi instead.
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Von Willebrand Disease Phase 3 Trial Reports 100% Bleed Control
VWD is a rare, inherited, incurable, gene-based bleeding disorder in which a missing or defective clotting protein (VWF) fails to bind with platelets in blood vessel walls.3 Normally, a blood-vessel tear initiates bleeding and VWF assists in the repair.
When VWF is absent or underrepresented, the formation of `platelet plugs’ are inhibited during the clotting process, resulting in excessive bleeding and easy bruising.3 In more severe forms of VWD, the bleeding can be life-threatening and require emergency treatment.4 ...
According to data pre-published online yesterday in Blood, successful management of bleeding episodes were observed in 100% of subjects treated with BAX 111 for von Willebrand disease (VWD) during a recently completed Phase 3 clinical trial.1 Bleeding-episode-management success was the primary endpoint of the clinical trial.1 BAX 111 is a highly purified recombinant von Willebrand factor (VWF) analog manufactured by Baxalta, Inc.2
VWD is a rare, inherited, incurable, gene-based bleeding disorder in which a missing or defective clotting protein (VWF) fails to bind with platelets in blood vessel walls.3 Normally, a blood-vessel tear initiates bleeding and VWF assists in the repair.
When VWF is absent or underrepresented, the formation of `platelet plugs’ are inhibited during the clotting process, resulting in excessive bleeding and easy bruising.3 In more severe forms of VWD, the bleeding can be life-threatening and require emergency treatment.4 ...
http://www.raredr.com/news/von-willebrand-disease-phase-3?utm_source=Informz&utm_medium=Rare+DR&utm_campaign=Newsletter-for-Rare-Disease-Report-8-10-15
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Fat found in avocado could help fight certain cancers
There may have been a time when avocados were thought of as nothing more than a guacamole ingredient, but those days are over.
Now, if you see a list of "superfoods," foods with good fat profiles or high vitamin content, it's a pretty safe bet avocados will make the cut.
And they may even be the key to fighting some types of cancer. Researchers at the University of Waterloo have been studying how a molecule found in avocados could one day fight off acute myeloid leukemia.
The findings come from the lab of Paul Spagnuolo, where researchers test a variety of compounds found in common foods, looking for promising treatment applications.
The research, published in the journal Cancer Research, details how the avocado-derived substanceattacks the leukemia stem cells, combating the disease while leaving healthy cells unharmed.
The findings don't necessarily mean eating avocados can directly fight acute myeloid leukemia, but they do mean that a new treatment option may be on the way for an aggressive disease that kills more than 10,000 Americans each year.
http://www.aol.com/article/2015/06/17/fat-found-in-avocado-could-help-fight-certain-cancers/21197174/
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Word Origins:
dog and pony show-- A top-notch circus has elephants, acrobats and fire eaters. A rinky-dink circus might have only a dog (or perhaps a monkey) riding on a pony's back, "Dog and pony show" first came to mean a low-budget operation, but then, in the 1950s , took on a secondary sense of something that was more gussied up than it needed to be, like an award banquet for the sales team or, indeed, just about any formal occasion.
dungaree-- A small village on the west coast of India, Dungri was locally famous for a coarse calico cloth that became popular with visiting European sailors for its durability. Called dungaree, the cloth was brought to European ports such as Genoa and Nimes, whence the origins of the terms "jeans" and denim". Dungri is now part of metropolitan Mumbai, or Bombay, one of the world's largest cities.
percent sign-- We owe the percent sign, %, to the casual handwriting of an Italian merchant of about 1425, who recorded interest with the scrawl "pco," meant per cento, or "per one hundred," The "p" in that notation floated over the "c", so that it looked much like the symbol we use today, which was formalized in the early senventeenth century.
integrity-- Something intact or unbroken, say a bottle or a piece of pottery, was called integer in Latin, which is also the source of our word for a whole number. Somneone whose honor or sense of responsibility was always whole and wholesome was also called integer, which yields the modern English word "integrity."
hippocampus-- The region of the brain called the hippocampus takes its name from the Greek words for seahorse, hippos and kampos, literally "horse + sea monster." The name owes to the shape of the two brain eminences, major and minor, which, at least to the anatomist who gave it the designation, resembled a seahorse.
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Body language is the means by which humans (and some other animals) convey information through conscious or subconscious body movements or facial expressions. This includes emotions, intentions and social hierarchy like submission and dominance.
Research suggests that assuming a "power pose" makes people feel more powerful and actually changes testosterone and cortisol levels in the body. Practicing "power poses" before an important meeting for 2�3 minutes will help you feel more powerful.
FACT:
Arms akimbo (a standing person whose extended arms are out in a V pattern with the hands placed on the hips, thumbs backward) is a powerful territorial display that is used to establish dominance or indicate that there are "issues." Women tend to use arms akimbo less often than men.
The "hooding affect" is a powerful territorial display among humans. Interlaced hands behind the head are indicative of comfort and dominance. Usually the senior person at a meeting will pose or "hood" this way.
Bonus Fact:
Fingertips planted and spread apart on a surface are a significant territorial display of confidence and authority.
Hand-steepling may be the most powerful high-confidence hand gesture. It involves touching the spread fingertips of both hands in a gesture similar to praying hands, but the fingers are not interlocked and the palms may not be touching. In the U.S., women tend to steeple low (at the waist), while men tend to steeple at chest level.
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HUMOR SECTION
Our first day at a resort, my wife and I decided to hit the beach. When I went back to our room to get something to drink, one of the hotel maids was making our bed. I grabbed my cooler, but not being sure of the hotel rules I stopped at the door and asked the maid, "Can we drink beer on the beach?"
"Sure," the maid replied, "but I have to finish the rest of the rooms first."
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An 80 year old man went to the doctor for a checkup and the doctor was amazed at what good shape the guy was in. The doctor asked, "To what do you attribute your good health?"
The old timer said, "I'm a golfer and that's why I'm in such good shape. I'm up well before daylight and out golfing up and down the fairways."
The doctor said, "Well, I'm sure that helps, but there's got to be more to it. How old was your father when he died?"
The old timer said, "Who said my father's dead?"
The doctor said, "You mean you're 80 years old and your father is still alive? How old is he?"
The old timer said, "He's 100 years old and, in fact, he golfed with me this morning. That's why he's still alive, he's a golfer."
The doctor said, "Well, that's great, but I'm sure there's more to it. How about your grandfather? How old was he when he died?"
The old timer said, "Who said my grandpa's dead?"
The doctor said, "You mean you're 80 years old and your grandfather's still living! How old is he?"
The old timer said, "He's 118 years old."
The doctor was getting frustrated at this point and said, "I guess he went golfing with you this morning too?"
The old timer said, "No...Grandpa couldn't go this morning because he got married."
The doctor said in amazement, "Got married!! Why would a 118-year-old guy want to get married?"
The old timer shot back, "Who said he wanted to?"
The old timer said, "I'm a golfer and that's why I'm in such good shape. I'm up well before daylight and out golfing up and down the fairways."
The doctor said, "Well, I'm sure that helps, but there's got to be more to it. How old was your father when he died?"
The old timer said, "Who said my father's dead?"
The doctor said, "You mean you're 80 years old and your father is still alive? How old is he?"
The old timer said, "He's 100 years old and, in fact, he golfed with me this morning. That's why he's still alive, he's a golfer."
The doctor said, "Well, that's great, but I'm sure there's more to it. How about your grandfather? How old was he when he died?"
The old timer said, "Who said my grandpa's dead?"
The doctor said, "You mean you're 80 years old and your grandfather's still living! How old is he?"
The old timer said, "He's 118 years old."
The doctor was getting frustrated at this point and said, "I guess he went golfing with you this morning too?"
The old timer said, "No...Grandpa couldn't go this morning because he got married."
The doctor said in amazement, "Got married!! Why would a 118-year-old guy want to get married?"
The old timer shot back, "Who said he wanted to?"
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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
NEW::
Preventing medication errors by empowering patients
Boost your confidence in caring for patients with insulin pumps
Acute kidney injury: Causes, phases, and early detection
What goes up must come down: Hypertension and the JNC-8 guidelines
Preventing high-alert medication errors in hospital patients
Transitional care can reduce hospital readmissions
Using oral care to prevent nonventilator hospital-acquired pneumonia
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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/
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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No new ones at this time
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ADVERTISEMENTS
from the members
This ad is from Decubqueen (Gerry).......... 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
--Barnett Cocks
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(I love this one): "No Single Raindrop believes it is to Blame for the Flood."
Hope to hear from you..... Frankie
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