Saturday, June 11, 2011

'No English, No Service' Diner Shuts Its Doors

The Reedy Creek Diner made headlines with its infamous "No English, No Service" sign.

Now it's closed.

But Greg Simmons says it has nothing to do with business, but instead his mother's declining health, according to MyFox 8. "I don't wont to close, but I can't run the restaurant and be there for my family at the same time," Simmons told the Fox affiliate.

Simmons maintains that the original posting of the sign wasn't intended to be racist, but was simply a matter of function. However, the Lexington, North Carolina restaurant took down the sign after some were outraged at its apparently racist nature, according to Fox News Latino.

"We started getting threatening phone calls and people using colorful language if you will," Simons told Fox.

While the nature of the sign remains a subject of debate, it didn't discriminate against any one language. "Everybody's money is green as far as I'm concerned," Simons told MyFox 8.

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13 Year Old Boy Dead After Taking Baseball to the Chest During Little League Game

What a terrible tragedy. 13 year old Hayden Walton went for the bunt during a Little League game in Winslow, Arizona, and took an inside pitch to the chest. He took a couple of steps, but collapsed. He died at the hospital the next morning. His family and friends are inconsolable, and are not speaking to the press.

The injury is rare, but it does happen. It's called commotio cordis and it occurs when the heart takes a hard blow at a certain angle. It can happen in sports such as baseball, hockey and any sport in which a small, hard projectile can hit the heart. Take a look:

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Flacking for Big Pharma: an article by Harriet Washington | The American Scholar

“Drug Makers Cut Out Goodies for Doctors” and “Drugmakers Pulling Plug on Free Pens, Mugs & Pads” read headlines in The New York Times and The Wall Street Journal Health Blog at the end of 2008 after, in a very public act of contrition, 38 members of the pharmaceutical industry vowed to cease bestowing on prescribing physicians goodies such as pens, mugs, and other tchotchkes branded with their names. Some physicians and ethicists had long expressed concern about the “relationship of reciprocity” that even a pizza or cheap mug can establish between doctors and drugmakers, and branded trinkets also send a message to the patient, who might reason that Gardasil must be a good drug if her doctor wields a reflex hammer inscribed with its name. But while the popular press celebrated this sudden attack of nanoconscience and while we still gravely debate whether physicians’ loyalties can really be bought for a disposable pen or a free lunch, the $310 billion pharmaceutical industry quietly buys something far more influential: the contents of medical journals and, all too often, the trajectory of medical research itself.

How can this be? Flimsy plastic pens that scream the virtues of Vioxx and articles published in the pages of The New England Journal of Medicine would seem to mark the two poles of medical influence. Scarcely any doctor admits to being influenced by the former; every doctor boasts of being guided by the latter. In fact, medical-journal articles are widely embraced as irreproachable bastions of disinterested scientific evaluation and as antidotes to the long fiscal arm of pharmaceutical-industry influence.

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IVACCESS.com - List of Irritant and Vesicant Medications

<blockquote class="posterous_long_quote"><h5><em>Welcome to IVACCESS.com</em></h5>

                                          <p class="extra"><br>This web site is dedicated to offering a comprehensive list of irritant &amp; vesicant medications for RN's working in vascular therapy or related areas. Anyone may submit medications to the list, make suggestions and/or corrections. 

  </p><p> &nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;&nbsp;- Kevin Arnold, RN, BSN<span></span></p>

  

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Nurse Educators: Shaping the Future of Nursing, Nursing Articles: Free Nursing News, Nurseconnect.com

By Megan M. Krischke, contributor

June 6, 2011 - If you loved your time in nursing school, you enjoy sharing your knowledge with others, you thrive in a constantly changing environment, and you want to impact the future of nursing and increase exponentially the number of lives you are able to save, a career in nursing education may be calling your name.

“We are in the business of educating the next generation of nurses,” stated Judith F. Karshmer, Ph.D., APRN, BC, professor and dean of the University of San Francisco School of Nursing. “As a school of nursing faculty, our job encompasses attracting qualified candidates, working with our partners in practice to know what is the role and domain of nurse practice for both today and tomorrow. We partner with other nursing faculty and our colleagues across the campus to develop curricula that link undergraduate liberal arts and sciences to the art and science of nursing, and design curricula that are current and that reflect dynamic changes in the profession.”

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Kristin Wartman: Change in Season: Why Salt Doesn't Deserve Its Bad Rap

For something that's so often mixed with anti-caking agents, salt takes a lot of lumps in the American imagination. Like fat, people tend to think of it as an unnecessary additive -- something to be avoided by seeking out processed foods that are "free" of it. But also like fat, salt is an essential component of the human diet -- one that has been transformed into unhealthy forms by the food industry.

Historically, though, salt was prized. Its reputation can be found in phrases like, "Worth one's salt," meaning, "Worth one's pay," since people were often paid in salt and the word itself is derived from the Latin salarium, or salary.

Those days are long over. Doctors and dietitians, along with the USDA dietary guidelines, recommend eating a diet low in sodium to prevent high blood pressure, risk of cardiovascular disease, and stroke; and doctors have been putting their patients on low-salt diets since the 1970s. But a new study, published in the May 4 issue of the Journal of the American Medical Association (JAMA), found that low-salt diets actually increase the risk of death from heart attack and stroke -- and in fact don't prevent high blood pressure.

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Friday, June 10, 2011

Get A Mammogram | I Have This Little Garden

I Have This Little Garden

Breast Cancer Support

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Top 5 Don’ts for Doctors in Primary Care - By RONI CARYN RABIN-NYTimes.com

Antibiotics for sore throats and CT scans for minor head injuries in children are among the most wasteful practices in primary care medicine, a national physicians’ group said last week. Among the others are electrocardiograms performed routinely on healthy adults and widespread prescribing of brand-name statins to reduce L.D.L., or “bad” cholesterol.

The group issuing the report, the National Physicians Alliance, an organization of some 22,000 physicians, developed three separate “Top 5” lists for primary care doctors — internists, family doctors and pediatricians — that were essentially lists of medical “don’ts.” The lists were published online in The Archives of Internal Medicine.

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10 Pioneering Male Nurses | (Source) Nursing Schools.net

In the largely female-dominated field of nursing, men make up only 6 percent of the 2.6 million registered nurses working in the United States. Although it's somewhat rare to see a male nurse today, that wasn't always the case hundreds of years ago when men were called upon to heal the sick and save lives on and off the battlefield. Men have played a vital role in shaping and advancing the nursing profession into the respectable field it is today. Here are 10 pioneering male nurses:

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Experts Talk About Sinusitis Treatment, New York Times Health

What’s the best treatment for sinus troubles that won’t go away? Ingfei Chen, health reporter, interviews Dr. Noam A. Cohen and Dr. James N. Palmer of the Rhinology Research Laboratory at the University of Pennsylvania in Philadelphia, who are exploring the role of communities of bacteria called biofilms in chronic sinusitis.

The investigators speculate that in some individuals, biofilms — particularly those containing the bacteria Pseudomonas aeruginosa or Staphylococcus aureus — can spur the immune system to mount an overexuberant inflammatory response that leads to sinusitis symptoms. Because the biofilm structure makes it hard for antibiotics to kill the bacteria, surgery to remove inflamed sinus tissue may ultimately be the best way to deal with the problem.

For more information, see Ms. Chen’s earlier interview, “Exploring the Roots of Sinus Troubles,” and her stories “When Sinus Problems Won’t Go Away,” “5 Things to Know About Sinusitis,” and “Questions for Your Doctor,” all included in The Times Health Guide: Sinusitis.

Q.

Do antibiotics work against biofilms in chronic sinusitis?

James Palmer, M.D.
A.

Dr. Palmer: A biofilm is much more difficult to eradicate than just the individual little bugs floating in a soup. Most antibiotics work on cells that are dividing. But once bacteria form into a biofilm, the bottom portions of the biofilm are sort of in a state of suspended animation: The bugs are not dividing quickly.

Q.

What’s the best way, then, to treat chronic sinusitis?

A.

Dr. Palmer: Treatment for chronic sinusitis is pretty much the same no matter what causes it: You’re trying to decrease inflammation. You want to relieve the obstruction and suck out the mucus and help the sinuses return to their normal function of clearing out mucus.

The best treatment, first line, is nasal irrigation with saline solution to just move the stuff along. If you took all the people in the world who say they have chronic sinusitis, and you put them all on nasal saline irrigations, a big proportion would not have any symptoms anymore.

Noam Cohen, M.D., Ph.D.
A.

Dr. Cohen: After that would be medications, like steroids, which are anti-inflammatory drugs. And if you can actually culture bacteria from a patient’s sinuses and know what you’re treating, antibiotics are appropriate. Decongestants, when appropriately used for a limited duration, are incredibly effective at relieving the obstruction and letting the sinuses drain. We use surgery in patients when medical therapy hasn’t resolved their symptoms. If you take your average, run-of-the-mill chronic sinusitis patient who doesn’t have nasal polyps and fulfills the criteria for surgery, most experts would quote an 85 to 90 percent success rate.

A.

Dr. Palmer: For biofilms, surgery may be the ultimate best treatment — removing the affected area. We go in and open up the sinuses and clean them very well, removing the inflamed tissue and the bony partitions between the sinus cavities.

Q.

How do you help those who’ve had sinus surgery but are still suffering?

A.

Dr. Cohen: You want to make sure that all those little bony partitions were taken down properly, that there’s not any scarring. But in some patients, the ability of the sinus lining to effectively clear the mucus has been so compromised for so long, it is never going to get back on its feet. Then, nasal irrigation is really the best thing. You’re basically flushing a toilet that is not flushing well on its own. I tell my patients, they brush their teeth twice a day; they’ve got to flush their nose a minimum of twice a day.

One of the paradigm shifts in the last couple of years is that instead of treating postsurgical patients with systemic medications — pills of, say, steroids or antibiotics — we try to get the medicine into their sinuses. We add it to the irrigation solution and deliver it directly to the affected lining of the sinuses. The sinusitis patients who do well are the ones who really abide by using the neti pot or the saline irrigation bottles. And whether we add additional medications or not to the saline, it’s that mechanical flushing and lavage that really has a tremendous effect. Because it’s getting rid of the mucus, getting rid of all the inflammatory cells and whatever bacteria are there.

Q.

What else should patients know about dealing with chronic sinusitis?

A.

Dr. Cohen: Expectations are very, very important. For patients who truly have chronic sinusitis — who’ve had symptoms for months to years — chances are it’s not going to be completely resolved. It’s going to ebb and flow. Now, we’ve got plenty of happy patients whose quality of life has dramatically improved with aggressive medical and surgical therapy. But we continue to follow them, because at one point or another it’s probably going to come back.

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