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Chlorinated Pesticides May Up Diabetes Risk

November 1, 2013 Category :Nursing Articles 0

Constant exposure to chlorinated pesticides may raise the risk of developing type 2 diabetes, according to researches from the National Institutes of Health. The researchers studied 31,000 licensed pesticide applicators who participated in the Agricultural Health Study. According to them licensed applicators use more potent formulations of the chemicals than are found in products sold for home and garden use. Results of the study, published in the American Journal of Epidemiology, showed that 1,176 of the study participants had developed type 2 diabetes five years after enrolling in the study. Half of the 50 different pesticides that the researchers looked at were chlorinated, seven of which¬aldrin, chlordane, heptachlor, dichlorvos, trichlorfon, alachlor, and cyanazine-were tied to an increased risk of type 2 diabetes. The risk was found to be higher among those who had been exposed to the seven chemicals, and the risk increased even more as cumulative days of lifetime exposure increased. Also, there was a strong link between exposure to these chemicals and obesity, as people with more body fat may store more of the chemicals in their bodies. “All of the seven are chlorinated compounds. We don’t know yet what the implication of that is, but it can’t be a coincidence. I think it’s an important clue for future research,” said study investigator Dr. Freya Kamel of the National Institute of Erwironmental Health in Research Triangle Park, North Carolina, in an interview.

Children with Deabetes May Grow Adult Teeth Faster

November 1, 2013 Category :Nursing Articles 0

Children aged 10 to 14 with diabetes may develop their permanent teeth earlier, which could increase their risk of dental problems, according to a study published in the journal Pediatrics. The study looked at children aged six to 14 years old-270 with diabetes (mostly type 1) and 320 without diabetes. It was found that among children aged 10 years and up, those with diabetes were more likely to have early tooth “eruptions”. According to the researchers, early tooth “eruptions” increase the odds of developing misaligned or “crowded” teeth, making it harder to clean the teeth and keep the gums healthy. Dr. Shantanu Lal, lead study researcher from the Columbia University Medical Center in New York, said that it is not yet clear whether children with diabetes do have more dental problems, but that he and his colleagues are still finishing a study to answer the question. For now, researchers underscore the importance of regular dental check ups for children with diabetes. Dr. Lal’s team suggests that the early tooth eruptions may be caused by gum inflammation which tends to be higher in children with diabetes. Gum inflammation may lessen the mass of the bones that support the teeth, therefore shortening the distance that developing teeth need to progress to break through the gums.

Taking the Ouch Out of Insulin Shots: Novel Way To Administer Insulin

October 31, 2013 Category :Nursing Articles 0

A re you a diabetic who is injecting insulin who would like some relief from daily shots? Or do you have family members who inject insulin but would rather not? This article might interest you. The Good News About Insulin Insulin is a hormone that is naturally produced in our body by the pancreas. Its main action is to regulate blood sugar by allowing sugar to enter the cells either for storage and later use, or to be used as an energy source. One of the major reasons for the high blood sugar in diabetes is insufficient release of insulin by the beta cells of the pancreas. A good strategy therefore to control high blood sugar among diabetics is to give insulin. Insulin is the most effective anti¬diabetic drug with unlimited capacity to lower blood sugar whose dose is limited only by its potential to also cause hypoglycemia or low blood sugar levels. It is efficient, causing blood sugar to go down within minutes to hours, and if used correctly can lead to good blood sugar control within hours to days. For patients who have type 1 diabetes, administration of insulin ris absolutely essential to life. It is so vital that even skipping one dose could result in a life threatening complication called diabetic ketoacidosis or an abnormal accumulation of acid in the blood. As much as 30 percent of type 2 diabetics also need insulin for good control of their blood sugar as they may no longer respond adequately to their oral diabetic medications. The Problem with insulin For some diabetic patients, daily insulin shots could sometimes make life difficult. Let’s face it, who likes to be pricked and poked? For kids and teens, it is not cool to be seen injecting insulin. For teens and adults, syringes always elicit suspicious glances from others who might think the diabetic to be a drug addict. Insulin is a peptide or a protein¬derived drug, and hence, cannot be taken by mouth, for it will be destroyed by the stomach acids, and will no longer work. It will therefore work best when given by injections, whether subcutaneously (directly pricking the skin with needles) or intravenously (through the veins). Taking the Ouch Out Progress in technology has allowed researchers to modify the way we administer insulin and therefore helped to improve the quality of life of patients who need to use insulin on a long term basis. The first few efforts to modify the way we use insulin is through the development of methods that improve the convenience, acceptability and ease of administration of the drug. Instead of syringes, insulin can be loaded into cartridges used with insulin pens. An insulin pen looks like a fountain pen and is usually slightly thicker in size. It has a disposable needle at one end with a cartridge that nolds insulin and a dial that is used to select the insulin dose. Insulin pens allow discreet njections since there is no need to carry a syringe and bottle of insulin. Doses can be conveniently dialed ip, making dose errors less likely. Accurate dosing is possible even *or those with limited vision who can listen to the clicks in the insulin dial, which count out the dose. For ciabetic kids, some drug companies ^ave made pens with various fancy aesigns that have made the insulin oen a cool device to use. Some pens are disposable, while others are reusable, more environment-friendly with disposable glass cartridges that are replaced when consumed. No shouts with the shorts One of the major breakthroughs – technology for insulin users is the development of shorter and thinner monofilament needles. These needles have allowed insulin users to inject their dose by directly pricking the skin without the necessary “pinch” which thin individuals previously needed to do to avoid injecting the insulin into the muscle. Insulin when injected too deeply into the muscle,tissue may lead to erratic blood sugar levels. Another advantage of the monofilament technology is to decrease the pain felt during injections; being a monofilament or developed from a single metal “wire”, this needle does not usually fray and catch on the skin leading to less pain. From injection to inhalation Over the years, various attempts have been made to make the use of insulin painless. Three alternative sites of delivery have been explored and have shown promise: into the lungs, into upper nasal pathways and through the stomach. Introduction of insulin though the lungs is the most promising route. Absorption into the bloodstream occurs through the thin walls of the lungs. Several companies have tried to develop an inhaled form of insulin using various delivery systems. The U.S. FDA approved the first inhaled version of insulin called Exubera from Pfizer, Inc. in January 2006 and it became available for patient use soon after. This is approximately 84 years after the first insulin injections were given. However, by October 2007, Pfizer announced it would be dropping Exubera, citing that the drug had failed to gain the acceptance of patients and physicians Despite being one of the most promising drugs, the use of inhaled insulin has several problems. The first major limitation common to all forms of inhaled insulin is the fact that this is a short-acting powder form of insulin that is used before each meal. To closely mimic our body’s natural insulin secretion, not only do we need short bursts during meals, but we also need the so¬called basal insulin that is secreted moment to moment to closely regulate blood sugar. This means that all type, 1 diabetic patients and some type 2 diabetics using inhaled insulin still need to inject long-acting insulin. The second limitation is the large size of the device used for pulmonary drug administration. The Exubera inhaler is about the size of an eyeglass case when closed but opens to about 12 inches when used. This lack of discreet delivery was another issue repeatedly brought up by detractors of the device. The third set of problems with the various forms of inhaled insulin is the reported side effects. They include coughing, shortness of breath, sore throat and dry mouth. It was also not approved for anyone with a lung disorder, such as asthma or chronic obstructive pulmonary diseases like emphysema because of some reversible decreases in lung function. Exercise also increases transport and likelihood of low blood sugar levels. Although many insulin users and doctors were disappointed with the withdrawal of this inhaled insulin other companies are continuing to develop other methods to deliver inhaled insulin. The Nose Knows Another painless way to deliver insulin is through the nose or the upper nasal airways. However, again there are several problems from this method foremost of which is the poor transport of insulin across the lining of the nasal passages. Delivery this way requires very large doses of insulin or use of a chemical to enhance insulin transport. These chemicals can however, often cause nasal irritation and a runny nose. Even a mild cold or stuffiness could easily change the intended insulin dose. About 100 units of insulin must be deposited into the nose to deliver 10 units into the blood. Insulin production costs would therefore seem prohibitive. This method is still currently still under investigation. I am on the Pill Being on the pill used to mean that a woman was taking oral contraceptive pills. In the future, the phrase could mean being on the insulin pill. The best way to administer insulin (or any other drug for that matter) is orally or by mouth. This will allow diabetic patients to be more compliant as the drug would be easier to carry around, simpler and more discreet. Patients would be able to maintain privacy about their need to take insulin. Many ideas are in the works from sprays to pills. The difficulty with insulin when taken orally is that digestive juices in the stomach and small intestines easily destroy the drug. Finding a coating for the pill that would protect it as it travels, and dissolves once it reaches the stomach is the initial problem. Also, the amount of insulin that can be put in a pill is small compared to what can be delivered in a syringe. There are now sever”al researchers that are trying to find solutions to these problems with the insulin pill. Recently, a novel drug delivery system, based on a unique liquid aerosol formulation, has been developed. Called OralinT”‘ (oral insulin spray), this system allows precise insulin dose delivery via a simple metered dose inhaler. The system introduces fine-particle aerosolized droplets at high velocity into the patient’s mouth, with significant deposition of the drug and rapid absorption through the mucosal lining of the mouth and the pharynx. Like inhaled insulin it is short-acting and is able to control post-meal glucose rise in diabetic patients. This novel, pain-free, oral insulin formulation is rapidly absorbed, with a simple (user¬friendly) administration technique, and precise dosing control comparable to injections. This method is still however undergoing human trials. Other methods of administering insulin One of the skin’s primary roles is to provide protection against infection and physical damage. This barrier is so effective that it prevents many drugs from crossing into the bloodstream. To overcome this defense, both passive and “active drug transport across the skin (transdermal) barrier are being developed. Passive• transdermal delivery allows a drug to diffuse through the skin without pricking or disrupting it. These methods allow the drug to penetrate the small blood vessels and have an effect throughout the body (systemic effect). Passive delivery usually occurs with a patch, cream, or spray but only works with small molecule drugs, such as nicotine and aspirin. Insulin is far too large to get through the skin passively. Active transdermal delivery, on the other hand, involves a chemical or mechanical disruption of the skin barrier. By using an applied force, such as ultrasound, high pressure (jet injectors) or a low voltage electrical current, active transdermal systems are capable of delivering proteins and other large molecule formulations through the skin and into the bloodstream. Again, these methods are still undergoing both animal and human experimentation. Dreaming on.. At the moment, insulin is still best administered by injections. However, with the completion of human trials on these novel methods of giving drugs, we hope that soon we will be able to take the ouch out of insulin administration.

Insulin, Sulfonylurea Combination Can Fight Off Alzheimer’s

October 31, 2013 Category :Nursing Articles 0

Researchers from the Mount Sinai Medical Center in New York said that insulin combined with a diabetes pill can help lower the risk of developing Alzheimer’s disease. Studying the brains of 124 deceased diabetics and 124 non¬diabetics with comparable age, sex, and severity of dementia, Dr. Sam Grandy of the Mount Sinai Medical Center in New York and colleagues, thought that the medications diabetics are taking play a role in this. The researchers classified study participants based on the antidiabetic drugs they took in their lifetime-insulin only, diabetes medication other than insulin only, or both. They found that most diabetics used one of the oldest diabetes pill called sulfonylureas. After grouping these people, the team measured the density of Alzheimer’s-related changes in the brain like bundles of fibrous tangles of brain cells and sticky amyloid plaques. Those who took both insulin and a diabetes pill had 80 percent fewer amyloid plaques compared to the others in the other categories. In the International Conference on Alzheimer’s disease in Chicago, the researchers said that the drugs did not seem to modify any other Alzheimer’s-related brain characteristics. “These results suggest that the combination of insulin and oral anti-diabetes medications may beneficially influence Alzheimer’s-related brain changes,” said lead study author, Michal Beeri.

Diabetes and Tuberculosis: A Deadly Combination

October 30, 2013 Category :Nursing Articles 0

Previous studies have established that deabetes is a risk factor for tuberculosis (TB). Now, recent study shows that the increasing prevalence of diabetes may threaten global efforst to control TB, reported researhers at the Harvard School of Publish Health in Boston in the latest issue of PLoS (Public Library of Science) Medicine. Drs. Christie Y. Jeon and Megan B. Murray wrote that experts have been concerned about the merging of these diseases especially in low- to middle-income countries like India and China, which have the fastest increase in diabetes and have the highest burden of TB. This association may seem biologically plausible because of studies saying that diabetes weakens the immune system, which makes it harder for the body to ward off infection. To further investigate the relationship between diabetes and TB, Drs. Jeon and Murray searched for studies over the past four decades and found 13 studies which involved more than 1 .7 million participants, including 17,698 cases of TB. Combining some of the data from the studies, the researchers calculated that having diabetes increases the risk of active TB by about a factor of three. Researchers said that this three¬fold increased risk implies that diabetes may be responsible for more than 10 percent of TB cases in India and China and suggest that global efforts to control TB should include patients with diabetes.

IOM Philippines

October 28, 2013 Category :Nursing Articles 0

IOM or International Organization for Migration is a foremost inter-governmental firm in the field of migration. Established in 1951, the organization works intimately in partnership and collaboration with governmental, intergovernmental and non-governmental institutions to help individuals facilitate immigration and governments create policy for immigration through its consultancy services. The organization is comprised of 151 member states in more than 100 countries across the world. IOM Philippines is committed to the promotion of humanitarian and systematic migration of people and resources for the benefit of stakeholders including individuals and host countries. It also provides assistance by providing practical solutions to migration problems. Finally, it provides compassionate civilized assistance to migrants in need especially refugees and displaced people.

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Further information on February 14 announcement: CGFNS denies VisaScreen® certificates for Philippine nurses who passed the compromised June 2006 Philippine Licensure Examination

October 16, 2013 Category :Nursing Articles 0

BY: Barbara L. Nichols, Chief Executive Officer, Commission on Graduates of Foreign Nursing Schools (CGFNS International) PHILADELPHIA, PA � FEBRUARY 20, 2007 � The VisaScreen� Certification Program is a federally mandated immigration screening program for certain foreign health professionals seeking an occupational visa to the United States. CGFNS is designated by U.S. immigration law to administer this program. Pursuant to its mandate under Section 212(a)(5)(C) of the U.S. Immigration Nationality Act, CGFNS has determined that those Philippine nurses who were sworn in as licensed nurses in the Philippines following their passing the compromised June 2006 licensure examination are not eligible for the issuance of a VisaScreen certificate. CGFNS has further determined that the June 2006 passers are able to overcome this bar and qualify for issuance of a VisaScreen certificate by taking the equivalent of Tests 3 and 5 on a future Philippine nursing exam. CGFNS acknowledges that those nurses who have been sworn in as registered nurses as a result of their passing the June 2006 licensure exam are validly licensed in the Philippines. CGFNS raises no question of their lawful right to practice nursing in the Philippines. U.S. immigration law, however, requires CGFNS to make a determination as part of the VisaScreen process about several elements of the visa applicants’ education, training, license and experience — including their comparability to U.S. nurses. After reviewing the circumstances concerning the irregularities of the June 2006 nursing licensing exam, CGFNS concluded that the licensure process for the June 2006 licensure exam is not comparable to that required of U.S. nurses, and that U.S. immigration law therefore prohibits issuance of a VisaScreen Certificate to individuals who passed this exam. The VisaScreen certification process is an Immigration process — not a licensure process — that must be satisfied to obtain an occupational visa to work in the United States. Passing NCLEX is a licensure requirement to practice nursing in the United States, but it is not a substitute for the federal VisaScreen rule. Finally, it should be noted that some stories in the Philippine media have confused the VisaScreen Certificate — issued pursuant to U.S. immigration law — with the CGFNS Certification Program (CP), which is provided to facilitate the licensure of foreign-educated nurses in the majority of U.S. States. The VisaScreen Certificate is required of all foreign-national nurses who seek occupational visas under U.S. immigration law — regardless of which State in the United States that they intend to practice. CGFNS is an internationally recognized authority on credentials evaluation and verification pertaining to the education, registration and licensure of nurses and healthcare professionals worldwide. CGFNS is an immigration-neutral, nonprofit organization with 30 years of experience in certifying the credentials of over 450,000 internationally educated nurses and other healthcare workers.

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Choosing Nursing Review Centers

October 12, 2013 Category :Nursing Articles 0

Selecting the best review center is like choosing the best answer in a board exam question. Almost all choices appear to be correct but only one is the best answer. So how exactly does one arrive at the best decision? Use the nursing process! Step 1 – ASSESSMENT Listen to the presentation of each review center. Your school will normally schedule a date where review centers are given equal opportunities to make a sales pitch. Take down notes. Make a list of the good points of each review center. This will help you narrow down your choices. Ask questions. Find out the track record of review centers as shown by their passing rate in past board examinations. Inquire as to the number of review hours and the kind of materials they use in their review. Scrutinize their roster of lecturers. Visit the actual review site. The environment should be conducive for learning. Classroom size is important as well as the number of reviewees per class. The relationship of reviewees should be inversely proportional to the classroom size. This means bigger classrooms with fewer reviewees is better. Facilities such as library, audio-video equipment, and computers are major considerations too. Examine the packages being offered by each review center and its corresponding costs. Ask people you know about their experience with each review center. Step 2 – ANALYSIS / DIAGNOSIS Make a decision based on the information you have gathered. Your decision should be based on YOUR own review needs as assessed by you and NOT by the choice of your friends or anyone else. Step 3 – PLANNING / GOAL SETTING Planning is key. Set review goals. Most review centers conduct diagnostic exams on the first few days of formal review to assess your areas of weakness. Use this as your gauge for evaluating the effectiveness of the review program you enrolled with. Most review centers’ review program are divided in phases. Find out if you can enlist for the first phase of review only. This is to avoid being tied up with the review center should you feel that the review program and approach is not effective for you. Step 4 – IMPLEMENTATION / INTERVENTION This is mostly on you. Make sure you adhere to your review program and do your part. Learning is not one way. No review center will be good enough and a good review program will be ineffective and futile if you don’t study. Step 5 – EVALUATION When the first phase of the review is complete, most often than not, the review center will conduct post-test assessment. This will be a good indicator if the review program is effective. If you feel that you have done your part and yet the review program is insufficient, then try to venture into other review centers. At the end of the day, it is NOT the review centers that will ensure your success in the board examination. It is your OWN perseverance, discipline, and hardwork that will determine your success in your quest to become a professional nurse endowed with knowledge, skills, and the right attitude. –Author Written by Lyle R. Santos, BSN RN http://filipinonurse.blogspot.com

A Career What Do You Get Out Of It?

October 11, 2013 Category :Nursing Articles 0

That is the million-dollar question and one you should think about and consider very carefully. Whether you have just left one of the educational facilities to start your working career, or decided to change your career. There is a very important question that you must ask yourself and that question is. ‘What do I get out of a career?’ It is only a small question when you read it but it covers a multitude of factors. There are many important factors that you must take into consideration concerning your career. Every one of these factors must be judged on their own merit. No one is more important than the next and none of these factors can be, dismissed. Do you realise that eighty per cent of the work force is working in careers that will not give them the job satisfaction they are seeking. Unfortunately it is a fact of life that every single day of the week, thousands of people all over the world resign from their jobs, only to try somewhere else, and so the cycle and frustration starts all over again. Unless you find an occupation that you love and are enthusiastic about, you are on a never-ending treadmill going nowhere, only becoming increasingly disillusioned. Which can have a knock on effect, not only in your working environment but also in your social life as well? To have a full and rewarding life you must find a career that is the right one for you. So what are these important factors? The first and obvious benefit for yourself is the wage you collect at the end of each week or month. However, should that be your main and only consideration? The answer to that question is a big and resounding NO! There is a very good and logical reason for the above statement and that is. You may find a career that pay’s you very well, but AT WHAT COST TO YOURSELF. It is no good having a career that has a great salary, if getting that salary exacts too high a price from you. That high price can come in a number of ways, but the main two are stress and long hours. STRESS! Only recently has stress been recognised as a disease by doctors and employers. This alone accounts for millions of lost working hours every year. Stress brought on in any form does not appear like a cold or flu. It is more devious than that and creeps up on you mainly without you knowing it. Stress can come out in various ways like making you bad tempered. You cannot sleep properly so you are continually tired; you go off your food so do not have a balanced diet. LONG HOURS! Is very similar to stress, the only difference is you are continuously tired. The other major factor is because you are always tired your powers of concentration are at there lowest. To earn a good salary means having no money worries, and so you will be able to afford a good standard of living. We would all like a big fat paycheque at the end of each week or month. However, as the old saying goes ‘money is not everything’. It is no good having a big salary if you are too ill or tired to enjoy the benefits. So where do you begin to find the career that is the right one for you? A TIP. When doing the following exercise do not force yourself to come up with the answers. Let them come to you naturally, do not force yourself to think. Do not worry if it takes you a day or two to get your list completed and finalised. However, be sure to write down any answers that do come to you. At this stage do not worry about qualifications or anything else, but under no circumstances let anybody influence you when you are doing this exercise. Your first step is to find somewhere where you are comfortable. Sitting propped up on your bed for instance. Then take some deep breaths to relax and clear your mind. Once you feel totally relaxed, take a sheet of paper and write in your neatest handwriting, at the top of the page, MY CAREER. Underneath that write: – ENVIRONMENT. Write down where you would be happiest working. Break it down, for instance would you like to work outdoors, or indoors. Then break it down further, think where you would like to be for eight hours a day, a factory, a shop, or on a farm. For instance if you like the outdoor life, working in an office or factory will drive you nuts. Next sub heading is: – DUTIES. Write down what you would like your duties to be, i.e. looking after animals, meeting people, tending the sick (a nurse for instance). Travelling, helping the public, the armed services, the emergency services. It may turn out that you would like a combination of more than one thing. For instance travelling and meeting people as a holiday representative. Next sub heading is: – HOURS. Think of what hours you would like to work, do you prefer working nine to five, office hours. Would you prefer to work a shift pattern. However, bear in mind that this shift pattern covers all seven days with your days off rotating. Therefore, working weekend is definitely part of the equation, so think of your social life. Some companies may let you work at home providing you do the work in the allotted time scale. You may want to be self-employed and work the hours to suit yourself. Next sub heading is: – DRESS CODE. Think of what type of clothes you feel most comfortable in. Do you like to dress smartly; therefore, your tendency would be towards an office career of some description. Do you like the idea of wearing a uniform as in say the police, fire brigade, security officer or nurse? On the other hand, you may prefer to be in casual cloths like jeans and a tee shirt. Next sub heading is: – AMBITIONS. Think of the position you would like to achieve in your career. For instance would you like to get to the very top of your profession, or would you be happier at a lower level. Do you have ambitions of owning your own company some day? Do not worry about what qualifications you will need at this point. I will come to that later. The important thing for you right now is to establish how far you want to go in your career, nothing else. For argument sake if you would like to work indoors helping people, you may be thinking of a career as a nurse. OK so you are going to be a nurse, what type of nurse. Theatre nurses, a ward sister, a matron, do not limit your aspirations under any circumstances. Next sub heading is: – YOUR MIND This is a very important topic and one you should give your full attention. While you where at school or college your mind has been programmed to seek out knowledge. It is imperative that this seeking of knowledge is carried forward into your career, for two very good reasons. 1) Remember the one hundred and ten percent concentration I spoke about earlier when discussing long hours. Well to keep that concentration going, your mind must be interested in the work you are doing. If it is not, then it will start to wonder because you are bored. 2)If you have nothing to stimulate your mind, it will very quickly get into passive mode. What do I mean by passive mode? Well you will carry out your duties using just enough of your brain to do so. The rest of your brain will promptly go to sleep. This is an accident waiting to happen. By the time, you have completed your list; you will now have a good idea of the type of career you want to pursue, and under what circumstances and in what environment. Now here is the secret, once you have completed your list read it, then put it away. The best time to read the answers you have written down is just before you get into bed. Do not force yourself to think about it. Just let you’re good friend, your sub conscious sort it out while you are sleeping. The next night just before you climb into bed take your list out and read it again. You may find that some of the answers you wrote down do not appeal to you anymore and you want to change them. Don’t worry or let this upset you just take out a fresh sheet of paper and follow the same procedure, only this time write down your new answers. For example, your first list may have gone something like this: – Indoors, looking after animals, working nine to five, wearing a uniform, to be head zookeeper, working with all types of animals. Your new list may look something like this: – Indoors, looking after sick animals, working the hours to suit, wearing a uniform, to be a veterinary sister, working with all types of animals. The reason your list has changed is your sub conscious is telling you, you would be far happier working hands on with the animals rather than becoming a head keeper, which will eventually make you into an office worker. Head keepers have an awful lot of paper work to do, which you will hate. You would be much happier working and tending the sick animals. You would get a great sense of achievement and satisfaction when the animal recovered. Which you would not get being tied to a desk shoving bits of paper about. Keep repeating this exercise until your answers no longer change. Now you have the foundation of the career that you will love and enjoy. More importantly, you now know the type of career you want to pursue. So where do you go from here, you have the bases of the type of career you want and under what conditions you would like to work. The next obvious step is to find out if you need any qualifications to secure a position in your career and if so what they are. How do you do that, well there are a number of ways, the most obvious being to ask somebody? Say you have your sights set on being a police person, then go to your nearest police station or precinct and ask. Another way to find out what qualifications you need is to go to your local library. Alternatively, you can see a career’s counsellor and they will tell you exactly what you require. The next step is to obtain any qualifications you require, which may mean going back to college or university. I know this is not always as easy as it sounds, mainly because how do you live while you are obtaining your qualifications. This unfortunately is the main obstacle for most people. However, not all is lost because there are ways and means to get around the problem. However, the main ingredient for your success will depend on your determination and willpower. One of the most common ways for you to attend further education is a grant of some description from the government. How do you find out about these grants, again simply ask. Look in your local phone book under GOVERNMENT, then under Department of Education. Telephone them and ask them what is required for you to qualify for a grant and what grants are available. If for some reason you do qualify for a government grant; do not panic, all is not, lost yet. If you are lucky enough that your parents can afford to send you to college or university and help you, until you get on your feet. Then you don’t have a problem, if on the other hand your parents are not in a position to help then there is another course of action you can take and that is to do a home study correspondence course. To find information for which is the right course for you, look in your local phone book. Under one of the following, Career Counselling, Colleges or Universities and telephone them. They will be very happy to help you and point you in the right direction. The latter is the most difficult of all the above because it calls for a lot of willpower and determination on your part. The simple question you have to ask yourself is “how bad do I want to succeed”. A home study course means just what it say’s, you study at home and send in course work at regular intervals. This course work is marked and kept on file to become part of your yearly exam. However, there are a number of drawbacks with home study courses and this is where your willpower and determination come in. Firstly is the cost of the correspondence course, how do you pay for it. The answer get a job, “hang on” I can hear you say “you are taking me on a wild goose chase”. No I am not. I know it looks complicated and you feel like you are going round in circles, but believe me you are using a means to justify the end result. Again we get back to your willpower and determination, how soon do YOU want to get your qualifications. The obvious answer is as soon as possible, so you do a little maths. If you are living at home with your parents you work out how much money, you need to earn per week to pay your way. Your board and lodgings for example. Then you find a part time job that will give you the necessary funds for you to survive. Makes sense doesn’t it. However, there are other drawbacks to home study courses. The most common complaint is that you never actually get to see your tutor. It is all done either over the telephone, through the mail or by e-mail. Set yourself a programme on paper and hang it up on your bedroom wall were you will see it everyday. Your programme must be set up in such a way as to take in all your requirements. For instance you are working (at your part time job) X amounts of hours a day, on X amount of days per week. So you will study from A TO B hours every day. Except on the weekend when you want time to relax, enjoy yourself and recharge the batteries for next week. Then stick to it regardless of the distractions. Make your friends and family aware. That these are the hours you are going to devote to studying. Therefore, you do not want to be disturbed. Make sure you get your assignments in on time and before you know it. You will have your qualifications. OK, so now you have your qualifications now where do you go? The next step is to find a company that is willing to employ you. This is not as easy as you think. For one thing, you will come up against the old adage ‘have you got any previous experience’. The obvious answer is NO, because you have just left school, college or university. (Except if you have done a home study course. But your part time job may have nothing to do with the career you are now trying to enter into). So how do you get experience if nobody will give you a chance? The way to get round this is you may have to take a job that requires fewer qualifications and does not need any previous experience. For exampleBusiness Management Articles, if you want to be a police person you may have to take a job as a security guard in the interim to gain experience. ABOUT THE AUTHOR Suroc Publishing Ltd – “Your Solution Provider” E-mail ray@surocpublishingltd.com Phone +44 01293 400 307 Fax +44 01293 400 307 Web address http://.www.surocpublishingltd.com

Registered Nurse Jobs: Here’s to Health, Happiness, and a Growing Field

October 10, 2013 Category :Nursing Articles 2

It sometimes may seem like there are pages in the classified ads every Sunday for registered nurse jobs. In fact, registered nurses now constitute the largest healthcare occupation, as there are over 2.3 million jobs available. If you are looking to get into a growing field where you are in the drivers seat with employment and salary choices, it may be that becoming a registered nurse is a good option for you. What is a registered nurse and why are there so many registered nurse jobs out there? A registered nurse is one that has a college degree (Associate’s or Bachelor’s degree) from an accredited institution and has passed his or her nursing boards. Required classes to get a degree so that you can qualify for registered nurse jobs include anatomy, physiology, chemistry, nutrition, and behavioral science classes like psychology. Most schools require clinical experience, and this experience will also help you when you are looking for registered nurse jobs. Education and experience are key components to certain registered nurse jobs. If you are considering registered nurse jobs in administration, you may want to consider getting a Bachelor degree, as many organizations now require it. Sometimes if you are considering registered nurse jobs in more complex areas like surgery or neo-natal intensive care, organizations will want you to gain significant clinical experience. Also, other registered nurse jobs may even require you to have a masters’ degree, like being a nurse practitioner, certified nurse midwife, or certified nurse anesthetist. Registered nurse jobs require a lot of patience and dedication, as a registered nurse will be promoting good health, prevent disease, and helping patients through times of illness. Registered nurse jobs also require you to be detail oriented and have decent writing skills. For instance, registered nurse jobs in psychology will require a nurse to document (in detail) behavior, response to medication, and follow doctor directions carefully so that a patient receives the appropriate care. If you are qualified or looking to be qualified for registered nurse jobs, then you should be pleased that the job outlook for registered nurse jobs is very high. In fact, registered nurse jobs are expected to grow faster than the average growth for all other jobs through the year 2012. Registered nurse jobs in hospitals is expected to remain the same, though registered nurse jobs in nursing care facilities is expected to grow exponentially as the baby boomer generation ages. Other areas in which registered nurse jobs are expected to increase is home healthcare and outpatient care centers. The growth for these registered nurse jobs may be due to technological advances and pressure from insurance companies to avoid in-patient hospitalization. Many advances in medicine have created registered nurse jobs in which RNs travel to patient homes to provide care or perform procedures in outpatient facilities. The varying types of registered nurse jobs, and the great need for people to fill those jobs has offered the opportunity for RNs to have more variety in their careers. Many organizations now offer major bonuses and high salaries to lure RNs, as there are more jobs than nurses. Thus, finding registered nurse jobs can be a process of knowing what type of nurse you want to be and seeking out the opportunity to fill that need.

40 Facts About the NCLEX

October 8, 2013 Category :Nursing Articles 1

Information Provided by Kaplan Test Prep Purpose

1. To determine if you are a safe and effective nurse.
2. To safeguard the public.
3. To test for minimum competency. Test Content
4. Based on the knowledge and activities of an entry-level nurse.
5. Written by nursing faculty and clinical specialists.
6. Presented as multiple-choice questions with four possible answer choices.
7. Based on integrated nursing content – not on the medical model of medical, surgical, obstetrics, pediatrics, and psychiatric nursing.
8. Includes 15 experimental questions. Test Administration
9. The computer adaptive test adapts to your knowledge, skills, and ability level.
10. The question sequence is determined interactively.
11. Questions are selected based on the item difficulty and the test plan.
12. Test dates and times are individually scheduled through a Sylvan Learning Center.
13. Tests are administered at individual computer stations. Taking the Exam
14. Computer knowledge is not required.
15. 2 keys are used: the space bar to move the cursor and enter/return to highlight and lock in your answer.
16. All other computer keys are disconnected.
17. You receive instructions and a practice exercise before beginning the exam.
18. Any necessary background information appears on the screen with the question.
19. The computer selects a relatively easy first question.
20. The next question is selected by the computer based on your response to the first question.
21. If your answer is correct, the next question is slightly more difficult.
22. If your answer is incorrect, the next question is slightly easier.
23. Questions are selected to precisely measure your ability in each area of the test plan. Timing
24. There is no time limit for each individual question.
25. You will answer a minimum of 75 questions to a maximum of 265 questions.
26. The maximum time for the exam is 5 hours, including the practice exercise and all breaks.
27. There is a mandatory 10-minute break after 2 hours of testing.
28. There is an optional 10-minute break after 1 1/2 hours additional test time. The Exam Will End…
29. When the computer has determined your ability, or
30. When a maximum of 5 hours of testing is reached, or
31. When a maximum of 265 questions have been answered. Scoring
32. It is a pass/fail exam.
33. There is no penalty for guessing.
34. The 15 experimental questions are not counted. Concerns
35. No answer changes. Questions are selected by the computer based on your previous responses.
36. No scrolling back.
37. No skipping questions. You must answer the question to go on. Advantages
38. Testing is available year-round, 15 hours a day, six days a week, in five-hour time slots.
39. Results are released by individual state boards.
40. If you fail, you can retest in 3 months.

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Nursing Care for Paragonimiasis

September 23, 2013 Category :Nursing Articles 0

Paragonimiasis is an infection caused by a parasite called ‘Paragonimus westermani‘ or most commonly known as lung fluke, which mainly affects the lungs as well as intestinal wall, and lymph nodes among others. This is usually for mistaken tuberculosis in an xray. The lung fluke diseases is often transmitted when eating raw or partially cooked crabs or crayfish. The flukes incubates in 1 to 2 months.

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Echo Tech Training Philippines

September 17, 2013 Category :Nursing Articles 0

An echo tech or echo technician is a diagnostic specialist who operates echocardiography, a procedure used to take images of the heart known as ECGs or EKGs. This involves the operation of an ultrasound equipment that creates images in a series of non-invasive echo tests on the cardiovascular areas of the body. Due to the complexity and critical importance of the procedure especially in the diagnosis of heart ailments, echo technicians are required to undergo technician training programs, which are sometimes referred to echocardiography training, ultrasound technology training, cardiovascular technology or EKG training.

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Renal Nurse Training in the Philippines

September 10, 2013 Category :Nursing Articles 0

The Renal Nurse training Program is usually a five-week Renal Course designed to provide nurses and other health practitioners with the knowledge and skills needed to provide dialysis treatment and efficient care to renal patients. There is also a Post-Graduate Course in Renal Nursing which extends to 1 year. It focuses on dialysis and renal transplantation for nurses that includes 6 months practical hands on training.

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Fluorescein Angiography in the Philippines

August 13, 2013 Category :HealthCare Companies| Nursing Articles 0

Fluorescein Angiography is an eye diagnostic test in which blood vessels in the back of the eye is photographed using a fluorescent dye which is injected to the patient. This test is especially useful in the diagnosis and management of diabetic retinopathy and macular degeneration. The fluorescent yellow dye used is Fluorescein sodium, a chemical compound that absorbs blue light with fluorescence and is injected in the arm of a patient. Photos are then taken quickly within around one minute. A normal Fluorescein Angiography has five phases namely: Choroidal phase, Arterial phase, Capillary phase, Venous phase and late phase which basically pertains to the flow of the yellow dye in the eye. Indication of diabetic mellitus is indicated in Fluorescein Angiography when macular oedema is detected. It also helps in identifying the area of oedema for laser treatment.

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4D Ultrasound vs 3D Ultrasound

June 22, 2013 Category :Nursing Articles 0

Ultrasound is the common term used to refer to sonography, an imaging procedure which uses ultrasonic devices to detect and measure objects and distances using sound waves with frequency above the human hearing range. Since the frequency is above human frequency range, it was called ultrasound. While ultrasound is used a diagnostic procedure for looking at the internal organs or the human body, it is commonly used for seeing babies inside the mother’s womb. As such, it allows doctors and parents to see the development of the baby inside the womb including knowing the gender of the baby, its position, its size, and in estimating its birth among others.

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Cardiac Sonographer Training

April 17, 2013 Category :Nursing Articles| Training Centers 1

Cardiac Sonography or Echocardiography is a process of examining the heart chambers, valves, and vessels using ultrasound technology that results to the production of echocardiograms. This is a diagnostic tool for assessing the form and function of the heart. The process may be performed while the patient is at rest or physically active. To obtain diagnostic images, the cardiac sonographer or operator must be to correctly display the vascular structures and blood flow of the heart in the two-dimensional, M-mode, and Doppler procedures.

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Causes of Raspa

February 14, 2013 Category :Nursing Articles 0

Raspa in Medical terms means curettage and in medical procedures is the use of a curette or in French word scoop. To make it easier to understand, raspa is the procedure using the hallow curet, and will be presented to the uterus, by means of suctioning, without taking away the uterine contents and then the way eliminating the tissue by means of scrapping or scooping.

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What is Underboard Nurse?

January 6, 2013 Category :Nursing Articles 0

An underboard nurse pertains to any graduate of nursing degree from any duly accredited educational institution, who has not taken or passed the nursing board exam mandated by the government for a nursing graduate to earn a license to practice a nursing profession. Thus, an underboard nurse has a nursing diploma but is not a registered nurse for having not taken the nursing licensure exam. Nursing graduates are required to take and pass the nursing board exam in order to obtain license or permit from the government to practice the nursing profession. Such license is issued the Philippine Regulatory Commission (PRC). Passing the nursing board exam is the key to becoming a registered nurse. Thus, underboard nurses are also considered as unregistered nurses.

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Cholelithiasis in the Philippines

January 2, 2013 Category :Nursing Articles 0

The cholelithiasis is a medical term that pertains to the hard deposits or gallstones that may found in the gallbladder. Cholelithiasis US is very common among people especially those in the age of over 40. In the Philippines, the gallbladder stone or the gallstones is one of the most common medical conditions that affect mostly women. This kind of medical symptoms can be treated with a surgery.

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