Friday, December 30, 2011

Leveraging India As India Stands Up

Google TechTalks May 25, 2006 Ashok Jhunjhunwala Prof. Ashok Jhunjhunwala is Professor of the Department of Electrical Engineering, Indian Institute of Technology, Chennai, India and was department Chair till recently. He received his B.Tech degree from IIT, Kanpur, and his MS and PhD degrees from the University of Maine. From 1979 to 1981, he was with Washington State University as Assistant Professor. Since 1981, he has been teaching at IIT, Madras. ABSTRACT Dr Ashok Jhunjhunwala has significant expertise in incubating technology to make a difference for the masses in India. Dr. Jhunjhunwala leads the Telecommunications and Computer Networks group (TeNeT) at Indian Institute of Technology...

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Monday, December 26, 2011

Duties of a Certified Nursing Assistant CNA

!±8± Duties of a Certified Nursing Assistant CNA

The duties of a certified nursing assistant (CNA) include a wide range of responsibilities depending where you work and in which state you reside. These tasks vary with the job and facility and also vary somewhat from state to state. There are many laws of responsibility and liability that cover the exact duties of a CNA.

As you go through your formal education and training you will learn more about the law of your state and how it applies to your role as a certified nursing assistant. Your first obligation will be the client or the patient. You will often be responsible for the daily management and routine of your patient. This is especially true for the care of elderly people in nursing home and extended care facilities.

Most likely your second obligation will be to carry out the mission, goals, and objectives of the facility where you are working. Many places today offer intense training and an orientation program to carefully go over the expectation of their workers.

Your third obligation will be to carry out the duties of a certified nursing assistant as you were trained and educated to do and perform. This becomes your major obligation and you will find it very rewarding and satisfying.

One of the specific responsibility of a CNA include making sure the rights of the patient are always protected. This includes the right of privacy, the right to be informed of their health care program and treatment, their right to accept or reject treatment, and the right to be included in their health care plan information.

Because nurses do not spend a lot of time in direct contact with the patient the certified nursing assistant becomes the "eyes and the ears" of the nurse. Your duties will include to keep close watch over your patient or client and be familiar with emergency responses in case of need. In most situations the duties of a certified nursing assistant also include the monitoring of vital signs for your client or patient.

Of course this will involve you taking temperature, respiration, pulse, blood pressure, and level of pain. These are common duties that you will perform everyday on all of your patients. Most likely your responsibilities will also include helping with the feeding process to ensure that patients are eating. You may also be assigned the task of bed-making, hair care, and bed-bath responsibilities.

There are many duties of a certified nursing assistant and the responsibility is enormous and challenging. The reward will also be exciting and very satisfying.

Louis Zhang, Certifiednursingassistantonline dot com


Duties of a Certified Nursing Assistant CNA

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Friday, December 9, 2011

Being a Nurse - Its Benefits and an Overview of What They Do

!±8± Being a Nurse - Its Benefits and an Overview of What They Do

The current financial crisis makes it difficult to survive for a lot of us. For the most part, we find ourselves overwhelmed by one financial problem after the other. As such, we couldn't help but ask ourselves what kind of career will give us a stable source of income and a better life for us or our families?

Well, you might be surprised that the answer to that question is more obvious that you think: being a nurse. At this time, nurses are one the most in-demand workers in the health industry. There are approximately 2.4 million job openings for nurses right now, and to fill this need, hospitals and the like are offering competitive salary, benefits, and compensation package.

There are a lot of opportunities for personal growth and development in nursing. Specialization in specific nursing fields is an alternative which nurses can take advantage of not just in hospitals, but even in medical clinics, outpatient centres, nursing care facilities, and geriatric facilities.

With a wide array of work places that offer career development, nurses would practically never run out jobs. Also, this kind of advantage makes nurses competent enough to work even in other parts of the globe.

Aside from the popularity of nurses nowadays, nursing is one of the very few careers which will never go passé. Like doctors, there will always be a need for nurses. Also, there are several types of job opportunities in the field of nursing. In the Unites States alone, there is currently a need for approximately 100,000 nurses, and experts say that this figure may triple over the years. With incentives like these, who could say no to such a promising career?

Registered Nurse (RN) - Background of their Duties and Responsibilities

The duties and responsibilities of a registered nurse can change from every state and institution. Laws on a RN's scope of practice vary in each state. Different institutions also have varying guidelines for the scope of practice of the nurses and medical professionals they handle. At times, these guidelines are even more restrictive than that of state laws.

To help an RN determine whether something is within the scope of their profession, some states have devised the following questions which RN's can ask themselves:

1. Is it allowed by the nurse practice act of the state you are working in?

2) Is the skill something you learned in your basic nursing education or in any additional training program you've attended, including clinical training?

3) Can you find the procedure in the policy manual of the institution you are working for?

4) Is the task in conformity to the "Prudent and Reasonable" standard for nursing?

If after asking these questions a nurse is still unsure whether a task is included in their scope of practice, he or she can get clarification from their state nursing board.

Evaluating a person's health and devising an appropriate health plan is one of main duties of an RN. Normally, RN's coordinate with other health care professionals in giving individuals under their supervision suitable health care and education.

However, as mentioned before, the regulations in each state differ. As such, it is wise to always consult the nursing laws in the state where a nurse is working to verify if a particular task is within a RN's scope of practice. A RN should also check the policy and guidelines of the institution they are working for, to ensure that what they are doing is within the areas of responsibility allowed by that institution.

LPN (Licensed Practical Nurse) - Playing an Important Role in the Healthcare Industry

A Licensed Practical Nurse (LPN) or Licensed Vocational Nurse in the state of Texas and California, assists RNs and give patients a more personal level of attention.

Although LPN's are normally supervised by physicians and RNs, their responsibilities increase as their gain more knowledge and experience.

Some LPNs already take on tasks such as taking vital signs, monitoring in and out volumes, turning patients to avoid bedsores, treating and/or dressing wounds, providing enemas and more.

LPNs also take care of simple duties like getting measurements (height, weight, temperature, blood pressure, pulse rate, etc.), giving alcohol rubs, assisting patients take care of their personal hygiene, and most of all, offering the patients a friendly face and a caring heart as they walk the road to recovery.

LPNs are the ones responsible for the day to day care of patients. They give patients a more intimate and hands on attention, which RNs are no longer able to provide due to their busy schedule.

In some states, LPNs are allowed to administer prescribed medicines and starting IVs. On other states however, such tasks are not part of their responsibilities. LPNs also need to spend time with the family of the patient and teach them how to take care of their loved one, especially once they continue their recuperation at home. The LPNs provide the patient's family with all the information they need to take care of the patient once they've been discharged.

Due to the variations of state regulations, it is hard to give a definite job description for a LPN. Some states even allow LPNs to assist with the delivery, care, and feeding of a newborn.

For the most part, the work of LPNs covers various fields of medicine and healthcare. As such, there are also LPNs who work in nursing homes, medical offices, or private homes.

Healthcare facilities like nursing homes certainly benefit from the services of LPNs, as they are able to asses residents, supervise nursing aides, and develop basic healthcare plans. In a doctor's clinic, a LPN takes care of setting appointments, filing medical records, and other administrative functions.

LPNs are very important to the smooth flow of the health care profession. RNs and NPs will definitely have a harder time with their jobs without LPNs.

Although the general scope of practice of LPNs is apparent, the extent of what they can perform will vary depending on their place of work.

As you think of starting a career in nursing, it is important to note that although doctors and administrators may be on top of the list, nurses and LPNs are definitely the heart and soul of the healthcare industry.


Being a Nurse - Its Benefits and an Overview of What They Do

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Friday, December 2, 2011

Nuclear "Renaissance" Faltering, German Waste Arrives, Orchard Decon, Taiwan Waste, India Confused

NukeNe.ws - Kyoto U. engineer Disposing of contaminated soil would surpass the capacity of all disposal sites in Japan (PHOTO) :: Japan Times: "Dangerously high levels" of radiation detected in rice from Date — 60 km from Fukushima meltdowns :: Iran attack: UK embassy stormed in Tehran (VIDEO, PHOTOS) :: US Could Achieve Over Billion In Lower Energy Costs By Focusing On Safer, Renewable Energy Nuclear waste gets to final destination in Germany Southeast Asia to pursue nuclear power? Sarkozy backs nuke industry amid protests TEPCO to sell .4 bn KDDI stake for nuclear payout Nuclear waste train reaches German rail terminus Iran threatens 150000 missile response to Israeli Jerichos Excessive Radioactive Cesium levels found in more Fukushima rice, 9 kg sold - 29th Nov 2011 Nuclear waste arrives in Germany - 29th Nov 2011 Japan's Decon Bubble: This Is the Way They'll Decon Orchards in Fukushima We may be entering an era of rational laws for the public good Jaitapur nuclear plant delayed in haggles over Nuclear Liability Law, and Nuclear Non Proliferation Treaty Renewable energy set to boom $trillions at stake, as nuclear 'renaissance' falters French company AREVA finding wind energy a better bet than nuclear? Illness of Fukushima nuclear plant director -- could be radiation caused? Taiwan's nuclear waste dilemma Sabotage? Sat-pic shows Iran missile base devastation The lingering nuclear disaster of Chernobyl Explosion near Isfahan, in Iran, possibly near nuclear centre ...

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Saturday, November 26, 2011

BESTSELLING Freezer, Undercounter Plasma -30C

Click here to get up 60% OFF: www.amazon.com Freezer, Undercounter Plasma -30C Store up to 768 300mL bags with precise temperature monitoring. Eight pull-out stainless steel drawers per door (drawers not available on undercounter model) hold up to 48 blood bags each. Temperature is preset at -30-degrees Celsius and is continuously displayed on the microprocessor controller with LCD panel and message center. High and low temperature visual and audible alarms, power failure alarm, and remote alarm contacts you in case of environmental problems. Control center with two levels of password protection helps eliminate changes in settings. Event logging with date and time stamp are stored on a non-volatile flash memory so that you can recall product temperatures in case of alarm. Cabinet is constructed of white epoxy-coated galvanized steel and CFC free high density polyurethane foam insulation. The adjustable shelf allows for container storage of varying size. Four legs come standard with the undercounter unit.

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Friday, November 25, 2011

Why Laboratory Refrigerators Are So Different From the Domestic Version

!±8± Why Laboratory Refrigerators Are So Different From the Domestic Version

Many people think that a lab refrigerator is just a larger version of the domestic refrigerator. But there is more to a lab freezer than what a novice knows. Lab refrigerators are specifically designed to store critical materials over extended periods of time. The temperatures of these refrigerators is maintained and kept constant at all times so that the many specimens and samples that are kept in it can be preserved in a stable environment.

There are mainly two types of lab refrigerators. One is called the chest freezer and the other called the upright freezer. The main difference between the two is the footprint space that they take. The upright refrigerator, in comparison to the chest refrigerators, has a far smaller footprint without having to compromise on the storage capacity.

Chest refrigerators are also more effective in cooling and maintaining the temperatures by retaining the cool air in a more efficient manner than the upright refrigerator. These chest refrigerators also have the capacity of recovering and going back to the original regulated temperature even when the door of the freezer is kept open for longer durations. However, the biggest advantage that upright refrigerators have over chest refrigerators is that the samples kept in them are much easier to locate.

Laboratory refrigerators work most efficiently when the temperature of the room in which they are kept is also regulated and maintained. Very high temperatures hamper the performance of the refrigerator, and therefore it is best to keep them in rooms which have a temperature going up to a maximum of 45 degrees C. However, in high room temperatures the pressure on the freezer compressor is higher. Allowing proper air circulation is very important so that the refrigerators keep functioning well.

Cramming the room with too many refrigerators will increase the heat emission from the refrigerators and increase the overall temperature of the room thereby putting pressure on the compressor. Lab refrigerators cannot be auto defrosted because this cycle normally destroys the biological samples as this method thaws and then re freezes the samples.

Laboratory refrigerators are designed bearing in mind that a number of volatile or flammable objects will be stored in them. At times specially designed refrigerators are used just for the purpose of storing these samples. Such refrigerators are CFC free, have compressors that are thematically sealed and have an insulation that is foamed in place. The design of these refrigerators also allows them to tolerate explosions.

Another very important aspect of the lab fridge is the alarm system. Most laboratory refrigerator manufacturing companies install an alarm in the refrigerator that is programmed to go off the moment there is a change in the temperature or if the door to the freezer has been left open. A number of refrigerators are also being manufactured with alarm systems, password protection and temperature graphs that allow 24X7 monitoring. Since the advent of the computer fridges can be specially designed keeping in mind its functionality and requirements, making life in the lab a whole lot easier.


Why Laboratory Refrigerators Are So Different From the Domestic Version

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Tuesday, November 22, 2011

Mattress Retail and Consumers Shopping For Sleep Face Off in Poker Challenge

!±8± Mattress Retail and Consumers Shopping For Sleep Face Off in Poker Challenge

The mattress retail professionals are facing off against the underdog shop for sleep consumers in a high stakes poker game to finally decide whether the "new" or the "used" option is the best. The professionals with their "steely" game faces and their fast dealing will attempt to break the bank of the novice shoppers. The seasoned bargain hunters will also attempt to ply their strategy against the professionals. The "buy in" is so cheap that it's hard to get a seat at the table.

Everyone wants in, but many of the participants had arrived well before the consumers. The hitchhikers and the stowaways took their places in this challenge months and even years ago. The dealers are sharper than the fastest ever seen in Las Vegas. They will attract you to the game with their deceptive ads, their low table antes, and their innocent appearances. The odds makers, after examining years of historical statistics, are favoring the "new" option, by a 40 to 1 margin. The totality of a defeat to the consumer, once seated in a game like this, will probably not be calculated or realized until the "bite" begins to blossom.

The hitchhikers and the stowaways, barely noticeable when seated at the low ante table, come to the surface soon after the consumer takes his "winnings" home. The bite of his loss is painless at first. It looks like the innocent bite of a mosquito, a flea, or a spider. Soon the welts get bigger; they begin to itch like a mosquito bite. A quick survey of the house reveals no flying nuisances. A few nights later, the victim and his spouse are covered with small to medium size welts that look like an allergic reaction. Maybe, it's scabies. Sarcoptes scabiei, commonly known as the human itch mite, burrows under the skin and sometimes leads to bacterial Staphylococcus infections. They have a worldwide distribution and can be transmitted from one person to another until the patients are treated and the mites and their eggs have been destroyed. Products used to kill them in an infected patient are only available by prescription. No over the counter products will do the job. Decontaminating the breeding ground is an even tougher task. How can they be removed from the house? The CDC suggests:

Bedding, clothing, and towels used by infested persons or their household, sexual, and close contacts (as defined above) anytime during the three days before treatment should be decontaminated by washing in hot water and drying in a hot dryer, by dry-cleaning, or by sealing in a plastic bag for at least 72 hours. Scabies mites generally do not survive more than 2 to 3 days away from human skin.

The visit to the doctor finds no burrowing pests under the skin. He suggests a real close examination of the mattress recently placed in the bedroom. "You may have a bed bug problem," he says.

The rush to examine the "new" mattress reveals the culprit. There they are! The tiny hitchhikers and stowaways are reddish in color. Cimex lectularius are all over the tape edge at the foot of the mattress. They are visible to the naked eye and are approximately 1/5 inch long. They hide during the day, so they not easily noticed. Their "fecal spots, egg cases, and shed skins" can oftentimes be sighted at the seams. The life cycle details, published in a UC Davis article, now inspire a fear of household contamination, though it is probably too late to do anything about it.

Bed bugs can go without feeding for 80 to 140 days. Older stages of nymphs can survive longer without feeding than younger ones, and adults have survived without food for as long as 550 days. A bed bug can take six times its weight in blood, and feeding can take 3 to 10 minutes. Adults live about 10 months, and there can be up to 3 to 4 generations of bed bugs per year.

Further reading reveals that the most effective technique for eliminating bed bugs is to hire a professional heating service that can heat the room to very high temperatures. Heating the room for two hours at 140 degrees F, or three hours at 130 degrees F "will kill most bed bugs and eggs." Other techniques involve insecticides, boric acid, diatomaceous earth, fumed silica, etc. Most of them need to be combined with frequent monitoring, as they are not totally effective. Meticulous laundering of bedding, high temperature drying, and thorough vacuuming are all necessary.

The game had an attractive "buy in" but the high stakes have broken the bank of the consumer. He has thrown his "new" mattress set out of the house. He has hauled it to the dump. He has decontaminated the house. He has paid the doctor bill and has also purchased a better vacuum cleaner. The costs have proven that the game was not worth the gamble. The "bite" of the consumer's loss will sting for a very long time. NO, Gamblers Anonymous will not be necessary. All the victim needs now is a fresh start in the shop for sleep, and a good clean game with a slightly higher "buy in."

Consumers, be careful where you "buy in." Consider the stakes of the challenge, and the skills of your opponent. You may not be able to survive the bite.


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Tuesday, November 1, 2011

What is Bloodless Surgery?

!±8± What is Bloodless Surgery?

Bloodless surgery is a common reference to a number of different techniques that make it possible for a patient to undergo a complex surgery without the need for a blood transfusion. The term can be a little confusing at first, seemingly implying a surgical procedure where no blood is used. Instead, the field of bloodless medicine involves taking specific measures before, during and after a surgery to conserve as much of the patient's own blood as possible. This can be accomplished in a number of different ways, including pre-surgery diet monitoring, the use of special surgical tools, and the application of advanced surgical techniques and procedures.

To better understand the principles of bloodless medicine, it helps to have an understanding of why blood transfusions are necessary in the first place. Hemoglobin is a protein in red blood cells that allows the blood to carry oxygen to all parts of the body. When a person loses a large volume of blood, the amount of oxygen delivered to the vital organs is reduced. Blood transfusions are administered to patients who have lost considerable amounts of blood during surgery. By replenishing the blood that was lost, the patient's organs begin to receive more oxygen. This is believed to reduce the risk for infection and increase recovery speed.

Techniques and Methods used in Bloodless Medicine -

A bloodless surgery can include any number of elements, many of which depend on the particular hospital's bloodless medicine program, the level of surgeon experience, the patient's preference, and the operation to be performed. These elements include pre-surgery preparations, medications and techniques during surgery, and post-surgery considerations. Below are just a few of the techniques, methods and procedures that can be used in a bloodless surgery:

Pre-Surgery -

Increased iron in diet Blood screening for anemia Stopping smoking Stopping certain medications Hematopoetic agents, including (procrit, aranesp)

During Surgery -
Monitoring blood oxygen levels Special anesthesia Administering oxygen Blood boosting supplements Minimally invasive techniques Specially designed surgical tools and instruments Blood salvage or recovery

Post-Surgery -
Careful blood monitoring Body temperature monitoring Oxygen therapy (hyperbaric chambers) Nutritive considerations

It is worth noting that sometimes bloodless medicine does not involve any special techniques or procedures at all. It can be as simple as the surgical team allowing the patient's hemoglobin levels to dip to lower - but still stable - levels. As long as the surgeon is confident that the patient is safe, the surgery can proceed without a transfusion.

Why Have a Bloodless Surgery?

There are a number of different reasons why a patient might choose to undergo a bloodless surgery instead of receiving a traditional blood transfusion:
Reducing the Risk of Infection and Disease Religious Beliefs Rare Blood Types/Blood Shortages Avoiding other Complications

Reducing the Risk of Infection and Disease -

Many individuals wish to have a bloodless surgery because of concerns they might contract an infection or disease by receiving a blood transfusion from a contaminated source. There are an alarming number of infectious agents that have been found in the US blood supply, including:
Human Immunodeficiency Virus (HIV) Malaria Syphilis Herpes Viruses Hepatitis A, B and C West Nile Virus And many others

While blood donor banks take great caution and care to ensure the blood supply is safe, there is never a 100% guarantee that a blood transfusion will include perfectly save blood that is free of infectious agents.

Religious Beliefs -

Members of some religions - most notably Jehovah's Witnesses - are unable to accept blood products via transfusion because of their beliefs. The specific reasons vary depending on the religion. Jehovah's Witnesses, for example, believe that human blood is sacred and cannot be taken into the body from an outside source, nor can it be removed from the body and stored.

There are a number of different bloodless surgery techniques which are considered acceptable by the Jehovah's Witnesses system of beliefs. These include minimally invasive surgical techniques which limit blood loss, oxygen therapy during and after surgery, and many others.

Rare Blood Types and Blood Supply Shortages -

There are certain blood types (AB negative) which are less common than others. Of course, there are also circumstances where a patient's blood type could be temporarily unavailable when and where it is needed. Bloodless surgeries and reducing the use of donor blood provide a way around these roadblocks.

Avoiding other Complications -

A blood transfusion is a surgical procedure and, as with any surgical procedure, there are a number of different complications that may arise. The wrong blood type could be administered. The patient might experience an allergic reaction to some agent present in the blood.

Even under these concerns, blood transfusions are relatively common procedures. More than 14 million of them are carried out every year, the vast majority of them with little or no complications.

As public interest in bloodless medicine and other blood transfusion alternatives continues to grow, more and more hospital systems are incorporating bloodless surgery programs. Contact your local hospital for more information if bloodless surgery is available.


What is Bloodless Surgery?

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