UPDATES: Job Openings for NURSING GRADUATES

1. TOTAL TRANSCRIPTION SOLUTIONS, INC.
Total Transcription Solutions, Inc. (TTSI) specializes in providing healthcare documentation services to hospitals, clinics and group practice in the United States. TTSI is currently in need of the following position/s:

Transcriptionists
(National Capital Reg - Quezon City)

Requirements:

• Above-average English proficiency
• Average to above-average IQ
• Ability to understand Western accents from audio dictations
• Know-how in basic computer operations
• Critical judgment and keen sense of detail
• Ability to research using various tools like internet and books
• College degree or at least 2nd year college level
• Willing to undergo company-based training at TTSI
• Willing to work on a full-time basis, 6 days a week, Sundays and Holidays included as applicable
• Willing to work on shifting schedules including graveyard shifts
• Willing to work in West Avenue, Quezon City

Qualified applicants may send their comprehensive resumes, transcript of records and certificate of employment to:

The Human Resources Department
Pacific Corporate Center
131 West Avenue, Quezon City

or e-mail to:

hr@totaltranscription.com

2. Global Milestone Asia Personnel & Training Services

Health Care Account for NURSES
PHP 17000 - 22100
(National Capital Reg)

Responsibilities:
HEALTH CARE ACCOUNTS open for all Nursing Grads and Undergrads!!

17k Basic + 2k allowance + 10% night ( 1,700k )
Mass Hiring
0917-5781758
0917-8281758

Requirements:

* Candidate must possess at least a Bachelor's/College Degree , Post Graduate Diploma / Master's Degree, Professional License (Passed Board/Bar/Professional License Exam), Post Graduate Diploma / Master's Degree, any field.
* Fresh graduates/Entry level applicants are encouraged to apply.
* 250 Full-Time positions available.
* 3 sets of resume and a valid ID

Our Human Resource Office is located at the 11/F LEGASPI Suites, Salcedo St. Legaspi Village Makati City ( infront of China Bank, Salamin, and Ricky Reyes )

From Ayala get off at PBCom Tower make sure that you enter Legaspi Village Side, where exportbank is. Just walk straight ahead ( this is VA RUFINO ST. ) then turn right on Salcedo St. there you will locate
LEGASPI SUITES BLDG. 11TH FLOOR, SUITE 112!

3.Convergys
Be a Healthcare Specialist-- San Lazaro

Responsibilities:
A Healthcare Specialist interface with customers via inbound or outbound calls or the Internet for the purpose of passively (i.e., order taking) or actively selling products and services. Responsibilities include processing customer orders and sales providing and receiving various information up-selling client products plus handling miscellaneous customer service and general information calls via the phone or Internet.

Requirements:
Has completed at least a Bachelor's/College Degree , Post Graduate Diploma / Master's Degree, Professional License (Passed Board/Bar/Professional License Exam), Post Graduate Diploma / Master's Degree, any field.
Has experience with a Healthcare program or Healthcare related work
Required language(s): English
Has an ability to retain information
Has an ability to handle irate customers effectively and empathize with a courteous tone
Has an ability to deliver information at customer’s knowledge level
Has an ability to apply a logical problem solving approach to resolving customer problems and inquiries
Has strong interpersonal skills and thinks independently
Has an ability to follow through effectively
Has dependability, keen on details and has strong customer service orientation
Applicants must be willing to work in San Lazaro,Manila.
Applicants must be willing to work on graveyard shifts, shifting/rotation of schedules, working on holidays, working on weekends and rendering overtime.
Applicants should be Filipino citizens or hold relevant residence status

Visit out Recruitment Office located at: 7F Vertex One building, IT Park San Lazaro Tourism & Business Park, Yuseco corner Felix Huertas streeet, San Lazaro Tayuman , Manila

4. Sitel
CSR

Accepting nursing graduates, undergrads and board passers for CSR position!

Responsibilities:
* Dealing with all calls politely, courteously, professionally & assertively
* Understanding the customers needs through effective listening and questionings skills
* Matching customers needs to Clients’ products and services
* Using negotiation and influencing skills to overcome objections and gain the customers’ buy-in
* Communicating relevant information to internal and external customers and sharing learning with colleagues
* Adhering to agreed processes, meeting required work standards, targets and objectives

Requirements:

* Applicants should be Filipino citizens or hold relevant residence status
* Fresh graduates/Entry level applicants are encouraged to apply
* At least 18 years old and above
* Should be able to communicate in English
* Excellent customer service skills
* Positive, driven, and should be a team-player
* Passionate, energetic and enthusiastic
* Applicants who could provide their SSS no. and NBI clearance will be prioritized
* Nursing Grads, Under-Grads and Board Passers are welcome to apply!



Sitel Talent Acquisition and Resource Hub (STAR
Hub)
2nd Floor, Centerpoint Building
Julia Vargas Avenue cor. Garnet Road
Ortigas Center, Pasig City 1600
Tel.: (+632)860-1111
Fax: (+632)634-5414

S.T.A.R. Hub Schedule:
Mondays to Fridays
9:00 am to 6:00 pm
Walk-in applications are encouraged.

Got a Sitel Career Question? Ask OCA (Online Career
Assistant)!
Yahoo Messenger: siteljobs@yahoo.com
9:00 am-6:00pm
Mondays to Fridays

5. APAC
Customer Service Representatives (Healthcare Account) - Alabang

REQUIREMENTS:

* Candidate must possess at least a Vocational Diploma / Short Course Certificate, Bachelor's/College Degree , any field.
* Experience in handling a healthcare account, working in a healthcare related industry or finishing a medical related course is a plus.
* Required skill: Microsoft Windows
* Required language: English
* Applicants must be willing to work in Alabang, Muntinlupa City.
* Applicants must be willing to work in shifting schedules, including graveyard.
* Fresh graduates/Entry level applicants are encouraged to apply.

Visit our Recruitment Center:
Plaza C, Northgate Cyberzone
Filinvest Corporate City
Alabang, Muntinlupa City
Monday - Friday
9:00am - 4:00pm

Recruitment Hotline : (02) 757.6585
E-mail : recruitment@apacmail.com

A Beautiful Mind ( The Movie )

A Beautiful Mind is a 2001 American film based on the life of John Forbes Nash, Jr., a Nobel Laureate in Economics. The film was directed by Ron Howard and written by Akiva Goldsman. It was inspired by a bestselling, Pulitzer Prize-nominated 1998 book of the same name by Sylvia Nasar. The film stars Russell Crowe, along with Jennifer Connelly, Ed Harris, Christopher Plummer and Paul Bettany.



PLOT

In 1947, John Nash (Russell Crowe) arrives at Princeton University as a new graduate student. He is a recipient of the prestigious Carnegie Prize for mathematics; although he was promised a single room, his roommate Charles Herman (Paul Bettany), a literature student, greets him as he moves in and soon becomes his best friend. Nash also meets a group of other promising math and science graduate students, Martin Hansen (Josh Lucas), Richard Sol (Adam Goldberg), Ainsley (Jason Gray-Stanford), and Bender (Anthony Rapp), with whom he strikes up an awkward friendship. Nash admits to Charles that he is better with numbers than he is with people.

The mathematics department chairman of Princeton informs Nash, who has missed many of his classes, that he cannot begin work until he finishes a thesis paper, prompting him to seek a truly original idea for the paper. A woman at the bar is what ultimately inspires his fruitful work in the concept of governing dynamics, a theory in mathematical economics. After the conclusion of Nash's studies as a student at Princeton, he accepts a prestigious appointment at the Massachusetts Institute of Technology (MIT), along with his friends Sol and Bender.

In 1953, while teaching a class on calculus at MIT, he places a particularly interesting problem on the chalkboard that he dares his students to solve. He is not particularly interested in teaching and his delusions even cause him to miss the class. When a Salvadoran student, Alicia Larde (Jennifer Connelly), comes to his office to discuss why he did not show up, she also asks him to dinner and the two fall in love and eventually marry.

On a return visit to Princeton, Nash runs into his former roommate Charles and meets Charles' young niece Marcee (Vivien Cardone), whom he adores. Nash is invited to a secret Department of Defense facility in the Pentagon to crack a complex encryption of an enemy telecommunication. Nash is able to decipher the code mentally, to the astonishment of other codebreakers. Here, he encounters the mysterious William Parcher (Ed Harris), who belongs to the United States Department of Defense. Parcher observes Nash's performance from above, while partially concealed behind a screen. Parcher gives Nash a new assignment to look for patterns in magazines and newspapers, ostensibly to thwart a Soviet plot. He must write a report of his findings and place them in a specified mailbox. After being chased by Soviet agents and an exchange of gunfire, Nash becomes increasingly paranoid and begins to behave erratically.

After observing this erratic behavior, Alicia informs a psychiatric hospital. Later, while delivering a guest lecture at Harvard University, Nash realizes that he is being watched by a hostile group of people, and although he attempts to flee, he is forcibly sedated and sent to a psychiatric facility. Nash's internment seemingly confirms his belief that the Soviets are trying to extract information from him. He views the officials of the psychiatric facility as Soviet kidnappers. At one point, he gorily tries to dig out of his arm an implant he received at an unused warehouse on the MIT campus, which was supposedly used as a listening facility by the DoD.

Alicia, desperate and obligated to help her husband, visits the mailbox and retrieves the never-opened "top secret" documents that Nash had delivered there. When confronted with this evidence, Nash is finally convinced that he has been hallucinating. The Department of Defense agent William Parcher and Nash's secret assignment to decode Soviet messages was in fact all a delusion. Even more surprisingly, Nash's "prodigal roommate" Charles and his niece Marcee are also products of his mind.

After a series of insulin shock therapy sessions, Nash is released on the condition that he agrees to take antipsychotic medication; however, the drugs create negative side-effects that affect his sexual and emotional relationship with his wife and, most dramatically, his intellectual capacity. Frustrated, Nash secretly stops taking his medication and hoards his pills, triggering a relapse of his psychosis.

In 1956, while bathing his infant son, Nash becomes distracted and wanders off. Alicia is hanging laundry in the backyard and observes that the back gate is open. She discovers that Nash has turned an abandoned shed in a nearby grove of trees into an office for his work for Parcher. Upon realizing what has happened, Alicia runs into the house to confront Nash and barely saves their child from drowning in the bathtub. When she confronts him, Nash claims that his friend Charles was watching their son. Alicia runs to the phone to call the psychiatric hospital for emergency assistance. Nash suddenly sees Parcher who urges him to kill his wife, but Nash angrily refuses to do such a thing. After Parcher points a gun at her, Nash lunges for him, accidentally knocking Alicia and the baby to the ground. Alicia flees the house in fear with their child, but Nash steps in front of her car to prevent her from leaving. After a moment, he tells Alicia, "She never gets old"--referring to Marcee, who, although years have passed since their first encounter, has remained exactly the same age and is still a little girl. Realizing the implications of this fact, he finally accepts that although all three people seem completely real, they are in fact part of his hallucinations.

Caught between the intellectual paralysis of the antipsychotic drugs and his delusions, Nash and Alicia decide to try to live with his abnormal condition. Nash consciously says goodbye to the three delusional characters forever in his attempts to ignore his hallucinations and not feed "his demons". He thanks Charles for being his best friend over the years, and says a tearful goodbye to Marcee, stroking her hair and calling her "baby girl", telling them both he would not speak to them anymore. They still continue to haunt him, with Charles mocking him for cutting off their friendship, but Nash learns to ignore them.

Nash grows older and approaches his old friend and intellectual rival, Martin Hansen, now head of the Princeton mathematics department, who grants him permission to work out of the library and audit classes. Even though Nash still suffers from hallucinations and mentions taking newer medications, he is ultimately able to live with and largely ignore his psychotic episodes. He takes his situation in stride and humorously checks to ensure that any new acquaintances are in fact real people, not hallucinations.

Nash eventually earns the privilege of teaching again. In 1994, Nash is honored by his fellow professors for his achievement in mathematics, and goes on to win the Nobel Memorial Prize in Economics for his revolutionary work on game theory. Nash and Alicia are about to leave the auditorium in Stockholm, when Nash sees Charles, Marcee and Parcher standing and watching him with blank expressions on their faces. Alicia asks Nash, "What is it?" Nash replies, "Nothing. Nothing at all." With that, they both leave the auditorium.

NURSING FACTS AND INFORMATION

Antipsychotic Drugs

An antipsychotic (or neuroleptic) is a tranquilizing psychiatric medication primarily used to manage psychosis (including delusions or hallucinations, as well as disordered thought), particularly in schizophrenia and bipolar disorder. A first generation of antipsychotics, known as typical antipsychotics, was discovered in the 1950s. Most of the drugs in the second generation, known as atypical antipsychotics, have been developed more recently, although the first atypical antipsychotic, clozapine, was discovered in the 1950s and introduced clinically in the 1970s. Both generations of medication tend to block receptors in the brain's dopamine pathways, but antipsychotic drugs encompass a wide range of receptor targets.

Usage

Common conditions with which antipsychotics might be used include schizophrenia, bipolar disorder and delusional disorder. Antipsychotics might also be used to counter psychosis associated with a wide range of other diagnoses, such as psychotic depression. However, not all symptoms require heavy medication and hallucinations and delusions should only be treated if they distress the patient or produce dangerous behaviors.

In addition, "antipsychotics" are increasingly used to treat non-psychotic disorders. For example, they are sometimes used off-label to manage aspects of Tourette syndrome or autism spectrum disorders. They have multiple off-label uses as an augmentation agent (i.e. in addition to another medication), for example in "treatment-resistant" depression or OCD. Despite the name, the off-label use of "antipsychotics" is said to involve deploying them as antidepressants, anti-anxiety drugs, mood stabilizers, cognitive enhancers, anti-aggressive, anti-impulsive, anti-suicidal and hypnotic (sleep) medications.

Antipsychotics have also been increasingly used off-label in cases of dementia in older people, and for various disorders and difficulties in children and teenagers. A survey of children with pervasive developmental disorder found that 16.5% were taking an antipsychotic drug, most commonly to alleviate mood and behavioral disturbances characterized by irritability, aggression, and agitation. Recently, risperidone was approved by the US FDA for the treatment of irritability in children and adolescents with autism.

Side Effects
Following are details concerning some of the side effects of antipsychotics:

* Antipsychotics, particularly atypicals, appear to cause diabetes mellitus and fatal diabetic ketoacidosis, especially (in US studies) in African Americans.
* Antipsychotics may cause pancreatitis.
* The atypical antipsychotics (especially olanzapine) seem to cause weight gain more commonly than the typical antipsychotics. The well-documented metabolic side effects associated with weight gain include diabetes, which can be life-threatening.
* Antipsychotics increase the likelihood of a fatal heart attack, with the risk of death increasing with dose and the length of time on the drug.
* Clozapine also has a risk of inducing agranulocytosis, a potentially dangerous reduction in the number of white blood cells in the body. Because of this risk, patients prescribed clozapine may need to have regular blood checks to catch the condition early if it does occur, so the patient is in no danger.
* One of the more serious of these side effects is tardive dyskinesia, in which the sufferer may show repetitive, involuntary, purposeless movements often of the lips, face, legs, or torso. It is believed that there is a greater risk of developing tardive dyskinesia with the older, typical antipsychotic drugs, although the newer antipsychotics are now also known to cause this disorder.
* A potentially serious side effect of many antipsychotics is that they tend to lower an individual's seizure threshold. Chlorpromazine and clozapine, in particular, have a relatively high seizurogenic potential. Fluphenazine, haloperidol, pimozide and risperidone exhibit a relatively low risk. Caution should be exercised in individuals that have a history of seizurogenic conditions such as epilepsy, or brain damage.
* Neuroleptic malignant syndrome, in which the drugs appear to cause the temperature regulation centers to fail, resulting in a medical emergency, as the patient's temperature suddenly increases to dangerous levels.
* Dysphoria.
* Drug-induced parkinsonism due to dopamine D2 receptor blockade may mimic idiopathic parkinsonism. The typical antipsychotics are more prone to cause this, compared to the atypical antipsychotics.
* Sexual dysfunction, which may rarely continue after withdrawal, similar to Post-SSRI sexual dysfunction (PSSD).
* Dystonia, a neurological movement disorder in which sustained muscle contractions cause twisting and repetitive movements or abnormal postures.
* Hyperprolactinaemia. The breasts may enlarge and discharge milk, in both men and women due to abnormally-high levels of prolactin in the blood. Prolactin secretion in the pituitary is normally suppressed by dopamine. Drugs that block the effects of dopamine at the pituitary or deplete dopamine stores in the brain may cause the pituitary to secrete prolactin.
* There is evidence that exposure may cause demyelinating disease in laboratory animals.

Health Talk: Understanding SKIN CANCER

Skin cancer is the most common form of human cancer. It is estimated that over 1 million new cases occur annually. The annual rates of all forms of skin cancer are increasing each year, representing a growing public concern. It has also been estimated that nearly half of all Americans who live to age 65 will develop skin cancer at least once.



The most common warning sign of skin cancer is a change in the appearance of the skin, such as a new growth or a sore that will not heal.

The term "skin cancer" refers to three different conditions. From the least to the most dangerous, they are:

* basal cell carcinoma (or basal cell carcinoma epithelioma)
* squamous cell carcinoma (the first stage of which is called actinic keratosis)
* melanoma

The two most common forms of skin cancer are basal cell carcinoma and squamous cell carcinoma. Together, these two are also referred to as nonmelanoma skin cancer. Melanoma is generally the most serious form of skin cancer because it tends to spread (metastasize) throughout the body quickly. Skin cancer is also known as skin neoplasia.

Basal Cell Carcinoma

What is basal cell carcinoma?



Basal cell carcinoma is the most common form of skin cancer and accounts for more than 90% of all skin cancer in the U.S. These cancers almost never spread (metastasize) to other parts of the body. They can, however, cause damage by growing and invading surrounding tissue.

What are risk factors for developing basal cell carcinoma?



Light-colored skin, sun exposure, and age are all important factors in the development of basal cell carcinomas. People who have fair skin and are older have higher rates of basal cell carcinoma. About 20% of these skin cancers, however, occur in areas that are not sun-exposed, such as the chest, back, arms, legs, and scalp. The face, however, remains the most common location for basal cell lesions. Weakening of the immune system, whether by disease or medication, can also promote the risk of developing basal cell carcinoma. Other risk factors include

* exposure to sun
* age. Most skin cancers appear after age 50, but the sun's damaging effects begin at an early age. Therefore, protection should start in childhood in order to prevent skin cancer later in life.
* exposure to ultraviolet radiation in tanning booths. Tanning booths are very popular, especially among adolescents, and they even let people who live in cold climates radiate their skin year-round.
* therapeutic radiation, such as that given for treating other forms of cancer.

What does basal cell carcinoma look like?

A basal cell carcinoma usually begins as a small, dome-shaped bump and is often covered by small, superficial blood vessels called telangiectases. The texture of such a spot is often shiny and translucent, sometimes referred to as "pearly." It is often hard to tell a basal cell carcinoma from a benign growth like a flesh-colored mole without performing a biopsy. Some basal cell carcinomas contain melanin pigment, making them look dark rather than shiny.

Superficial basal cell carcinomas often appear on the chest or back and look more like patches of raw, dry skin. They grow slowly over the course of months or years.

Basal cell carcinomas grow slowly, taking months or even years to become sizable. Although spread to other parts of the body (metastasis) is very rare, a basal cell carcinoma can damage and disfigure the eye, ear, or nose if it grows nearby.

How is basal cell carcinoma diagnosed?



To make a proper diagnosis, doctors usually remove all or part of the growth by performing a biopsy. This usually involves taking a sample by injecting a local anesthesia and scraping a small piece of skin. This method is referred to as a shave biopsy. The skin that is removed is then examined under a microscope to check for cancer cells.

How is basal cell carcinoma treated?

There are many ways to successfully treat a basal cell carcinoma with a good chance of success of 90% or more. The doctor's main goal is to remove or destroy the cancer completely with as small a scar as possible. To plan the best treatment for each patient, the doctor considers the location and size of the cancer, the risk of scarring, and the person's age, general health, and medical history.

Methods used to treat basal cell carcinomas include:

* Curettage and desiccation: Dermatologists often prefer this method, which consists of scooping out the basal cell carcinoma by using a spoon like instrument called a curette. Desiccation is the additional application of an electric current to control bleeding and kill the remaining cancer cells. The skin heals without stitching. This technique is best suited for small cancers in non-crucial areas such as the trunk and extremities.

* Surgical excision: The tumor is cut out and stitched up.

* Radiation therapy: Doctors often use radiation treatments for skin cancer occurring in areas that are difficult to treat with surgery. Obtaining a good cosmetic result generally involves many treatment sessions, perhaps 25 to 30.

* Cryosurgery: Some doctors trained in this technique achieve good results by freezing basal cell carcinomas.

* Mohs micrographic surgery: Named for its pioneer, Dr. Frederic Mohs, this technique of removing skin cancer is better termed "microscopically controlled excision." The surgeon meticulously removes a small piece of the tumor and examines it under the microscope during surgery.

* Medical therapy using creams that attack cancer cells (5-Fluorouracil--5-FU, Efudex, Fluoroplex) or stimulate the immune system (imiquimod [Aldara]).

How is basal cell carcinoma prevented?

Avoiding sun exposure in susceptible individuals is the best way to lower the risk for all types of skin cancer. Regular surveillance of susceptible individuals, both by self-examination and regular physical examination, is also a good idea for people at higher risk. People who have already had any form of skin cancer should have regular medical checkups.

Common sense preventive techniques include

* limiting recreational sun exposure;
* avoiding unprotected exposure to the sun during peak radiation times (the hours surrounding noon);
* wearing broad-brimmed hats and tightly-woven protective clothing while outdoors in the sun;
* regularly using a waterproof or water resistant sunscreen with UVA protection and SPF 30 or higher;
* undergoing regular checkups and bringing any suspicious-looking or changing lesions to the attention of the doctor; and
* avoiding the use of tanning beds and using a sunscreen with an SPF of 30 and protection against UVA (long waves of ultraviolet light).

Squamous Cell Carcinoma

What is squamous cell carcinoma?



Squamous cell carcinoma is cancer that begins in the squamous cells, which are thin, flat cells that look like fish scales under the microscope. The word squamous came from the Latin squama, meaning "the scale of a fish or serpent" because of the appearance of the cells.

Squamous cells are found in the tissue that forms the surface of the skin, the lining of the hollow organs of the body, and the passages of the respiratory and digestive tracts. Thus, squamous cell carcinomas can actually arise in any of these tissues.

Squamous cell carcinoma of the skin occurs roughly one-quarter as often as basal cell carcinoma. Light-colored skin and a history of sun exposure are even more important in predisposing to this kind of cancer than to basal cell carcinoma. Men are affected more often than women. Patterns of dress and hairstyle may play a role. Women, whose hair generally covers their ears, develop squamous cell carcinomas far less often in this location than do men.

The earliest form of squamous cell carcinoma is called actinic (or solar) keratosis. Actinic keratoses appear as rough, red bumps on the scalp, face, ears, and backs of the hands. They often appear against a background of mottled, sun-damaged skin. They can be quite sore and tender, out of proportion to their appearance.

A rapidly-growing form of squamous cell carcinoma that forms a mound with a central crater is called a keratoacanthoma. While some consider this not a true cancer but instead a condition that takes care of itself, most pathologists consider it to be a form of squamous cell cancer and clinicians treat is accordingly.

Other forms of squamous cell carcinoma that have not yet invaded deeper into the skin include

* actinic cheilitis, involving the lower lip with redness and scale, and blurring the border between the lip and the surrounding skin;
* Bowen's disease, sometimes referred to as squamous cell carcinoma in situ. (The Latin words in situ refer to the presence of the cancer only in the superficial epidermis, without deeper involvement.)
* Bowenoid papulosis: These are genital warts that under the microscope look like Bowen's disease but behave like warts, not like cancers.

What are risk factors for developing squamous cell carcinoma?

The single most important factor in producing squamous cell carcinomas is sun exposure. Many such growths can develop from precancerous spots, called actinic or solar keratoses. These lesions appear after years of sun damage on parts of the body like the forehead and cheeks, as well as the backs of the hands. Sun damage takes many years to promote skin cancer. It is therefore common for people who stopped being "sun worshipers" in their 20s to develop precancerous or cancerous spots decades later.

Several rather uncommon factors may predispose to squamous cell carcinoma. These include exposure to arsenic, hydrocarbons, heat, or X-rays. Some squamous cell carcinomas arise in scar tissue. Suppression of the immune system by infection or drugs may also promote such growths. Some strains of HPV (the human papillomavirus responsible for causing genital warts) can promote development of squamous cell carcinoma in the anogenital region.

Can squamous cell carcinoma of the skin spread (metastasize)?

Yes. Unlike basal cell carcinomas, squamous cell carcinomas can metastasize, or spread to other parts of the body. These tumors usually begin as firm, skin-colored or red nodules. Squamous cell cancers that start out within solar keratoses or on sun-damaged skin are easier to cure and metastasize less often than those that develop in traumatic or radiation scars. One location particularly prone to metastatic spread is the lower lip. A proper diagnosis in this location is, therefore, especially important.

How is squamous cell carcinoma diagnosed?

As with basal cell carcinoma, doctors usually perform a biopsy to make a proper diagnosis. This involves taking a sample by injecting local anesthesia and punching out a small piece of skin using a circular punch blade. Usually the method used referred to as a punch biopsy. The skin that is removed is then examined under a microscope to check for cancer cells.

How is squamous cell carcinoma treated?

Techniques for treating squamous cell carcinoma are similar to those for basal cell carcinoma (for detailed descriptions, see above under treatment of basal cell carcinoma):

* Curettage and desiccation
* Surgical excision
* Radiation therapy:
* Cryosurgery
* Mohs micrographic surgery
* Medical therapy

How is squamous cell carcinoma prevented?

Even more so than is the case with basal cell carcinoma, the key principles of prevention are minimizing sun exposure and getting regular checkups.

Common-sense preventive techniques are the same as for basal cell carcinoma and include



* limiting recreational sun exposure;
* avoiding unprotected exposure to the sun during peak radiation times (the hours surrounding noon);
* wearing broad-brimmed hats and tightly-woven protective clothing while outdoors in the sun;
* regularly using a waterproof or water-resistant sunscreen with UVA protection and SPF 30 or higher;
* undergoing regular checkups and bringing any suspicious-looking or changing lesions to the attention of a doctor; and
* avoiding the use of tanning beds and using a sunscreen with an SPF 30 and protection against UVA (long waves of ultraviolet light).

Lecture Notes: Neurological Nursing

Neuro Nursing

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Video Guide: Radiation Therapy

Radiation therapy (in the USA), radiation oncology, or radiotherapy (in the UK, Canada and Australia), sometimes abbreviated to XRT, is the medical use of ionizing radiation as part of cancer treatment to control malignant cells (not to be confused with radiology, the use of radiation in medical imaging and diagnosis). Radiotherapy may be used for curative or adjuvant treatment. It is used as palliative treatment (where cure is not possible and the aim is for local disease control or symptomatic relief) or as therapeutic treatment (where the therapy has survival benefit and it can be curative).

Video Guide: Chemotherapy

Chemotherapy in the most simple sense, is the treatment of an ailment by chemicals especially by killing micro-organisms or cancerous cells. In popular usage, it refers to antineoplastic drugs used to treat cancer or the combination of these drugs into a cytotoxic standardized treatment regimen.

Video Guide: Cancer

Cancer (medical term: malignant neoplasm) is a class of diseases in which a group of cells display uncontrolled growth, invasion that intrudes upon and destroys adjacent tissues, and sometimes metastasis, or spreading to other locations in the body via lymph or blood. These three malignant properties of cancers differentiate them from benign tumors, which do not invade or metastasize.

Lecture Notes: Oncology Nursing

Oncology Nursing

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Earthquake Safety

BREAKING NEWS:

The Philippine Institute of Volcanology and Seismology on Wednesday said the Marikina West Valley fault line, one of the active faults in the country, is ripe for movement because it has not moved for 200 years.

Phivolcs said the possibility of a Magnitude 7.2 earthquake is not far-fetched.

A Metro Manila Earthquake Impact Reduction Study earlier revealed that 7 out of 17 cities in Metro Manila will suffer the most damage and casualties if a massive earthquake occurs at the West Valley fault.

The 7 cities are Marikina, Quezon, Pasig, Makati, Pateros, Taguig and Muntinlupa

Earthquake Safety

Here are recommendations for surviving an earthquake, with a few additions.

If you are indoors:

* DROP to the ground; take COVER by getting under a sturdy table or other piece of furniture; and HOLD ON until the shaking stops. If there isn’t a table or desk near you, cover your face and head with your arms and crouch in an inside corner of the building.

* Stay away from glass, windows, outside doors and walls, and anything that could fall, such as lighting fixtures or furniture.
* Stay in bed if you are there when the earthquake strikes. Hold on and protect your head with a pillow, unless you are under a heavy light fixture, window or anything else that could fall. In that case, move to the nearest safe place (i.e. under a desk or in an inside corner).
* Use a doorway for shelter only if it is in close proximity to you and if you know it is a strongly supported, load-bearing doorway. Brace yourself on the side with the hinges to avoid the door swinging at you.
* Stay inside until shaking stops and it is safe to go outside. Research has shown that most injuries occur when people inside buildings attempt to move to a different location inside the building or try to leave.

* Be aware that the electricity may go out or the sprinkler systems or fire alarms may turn on.
* DO NOT use the elevators, even if they are working. There may be aftershocks.
* If you're in your hotel room, stay there. There are usually aftershocks, and sometimes they may be worse than the original earthquake. Under a sturdy desk or in an inside corner of your room is the safest place to be, even if you're on the 40th floor. If there's a heavy bookcase next to a match-stick desk, don't get under the desk.
* If you are in a restaurant, get under the table.

If outdoors

* Stay there.
* Move away from buildings, streetlights, and utility wires.
* Once in the open, stay there until the shaking stops. The greatest danger exists directly outside buildings, at exits, and alongside exterior walls.

If in a moving vehicle

* Pull over to the side of the road and stop as quickly as safety permits and stay in the vehicle. Avoid stopping near or under buildings, trees, overpasses, and utility wires. (Guide Note: an earthquake while you're driving feels like there's something wrong with your car. Don't stop in the middle of the freeway if traffic is still moving around you. Slow down and put on your turn signal to get to the side of the road. If everyone else is doing the same thing, it was most likely an earthquake.)
* Proceed cautiously once the earthquake has stopped. Avoid roads, bridges, or ramps that might have been damaged by the earthquake.

If trapped under debris

* Do not light a match.
* Do not move about or kick up dust.
* Cover your mouth with a handkerchief or clothing.
* Tap on a pipe or wall so rescuers can locate you. Use a whistle if one is available. Shout only as a last resort. Shouting can cause you to inhale dangerous amounts of dust.

Things to pack that can help you survive an earthquake

* A crank radio or battery operated radio, including MP3 players with radio. They don't take up much room and if the power goes out, you will be able to get current information.
* A small flashlight in case the power goes out.
* Travel snacks like granola bars, beef jerky and trail mix in case you're stuck in one place for a while.
* Water. You can't pack it if you're flying, but keep a couple bottles in your hotel room once you settle in, and in your rental car if you have one.

What to Do If You're Exposed to Radiation

On the latest news Japan is facing an unprecedented nuclear emergency after a major uranium leak. Radiation levels at the Tokaimura nuclear fuel-processing plant in north-east Japan are 15,000 times higher than normal. The authorities have warned thousands of residents near the site of the accident to stay indoors and to wash off any rain that falls on them

Radiation can leak into the environment in several ways: a nuclear power plant accident, an atomic bomb explosion, accidental release from a medical or industrial device, nuclear weapons testing, or terrorism (like a dirty bomb). When we talk about radiation exposure here, we're mostly talking about the very rare occurrence of a large-scale release of radiation.

Every community has a radiation disaster plan in place. Your local officials should be trained in preparedness and will provide instructions should such an emergency occur. During a radiation emergency, some nuclear research institute may recommend you stay inside your home rather than evacuate. This is because the walls of your home can actually block some of the harmful radiation. The safest room in the house is the one with the least windows, possibly your basement or bathroom.

If you work around radiation and radioactive materials, there are mandates on the amount of radiation to which you can be exposed. Depending on the industry in which you work, there are also precautions like safety gear, masks, gloves and lead-lined aprons.

In the event of a radiation emergency, the first thing to figure out is if you are contaminated. If you have radioactive materials on or inside your body, you're contaminated. Contamination can quickly spread -- you'll shed external contaminants as you move about and release bodily fluids. The CDC recommends the following steps to limit contamination:

1. Get out of the immediate area quickly.
2. Remove your outer layer of clothing.
3. Place clothing in a plastic bag or away from others.
4. Wash all exposed parts of your body.
5. Internal contamination may call for medical attention.

If you're exposed to radiation, medical personnel can evaluate you for radiation sickness or poisoning through symptom checks, blood tests, or a Geiger counter, which can locate radioactive particles. Depending on the severity of exposure, there are different types of medical treatment. Decontamination is the first step, and that may be all you need. Blood tests may be recommended every year or so to check for late-developing symptoms.

There are also pills you can take to reduce symptoms of exposure. You may have heard of people taking potassium iodide tablets in a nuclear emergency. These tablets prevent radioactive iodine from concentrating in your thyroid. It's important to understand that potassium iodide offers no protection from direct radiation exposure or other airborne radioactive particles.

Prussian blue is a type of dye that will bind to radioactive elements like cesium and thallium. It will speed up your body's elimination of radioactive particles, reducing the amount of radiation your cells might absorb. Diethylenetriamine pentaacetic acid (DTPA) binds to the metal in radioactive elements like plutonium, americium and curium. The radioactive particles pass out of the body in urine, again reducing the amount of radiation absorbed.

NOTE: Applying Povidine Iodine solution or Betadine in the neck could not eliminate any radioactive particles in the body nor preventing diseases cause by radioactive particles especially in the thyroid area.

PHILIPPINE NUCLEAR RESEARCH INSTITUTE
Emergency Response Bulletin
(15 March 2011 9:00 AM)

1. DOST CLARIFIES THAT THERE IS NO IMMEDIATE DANGER TO THE PHILIPPINES.
2. DOST advises the public not to believe these rumors currently spreading through text messages, emails, the Internet, and other means of communication.
3. DOST also advises the public not to entertain these rumors and to stop forwarding said messages so as not to sow panic among the people.
4. The IAEA Incident and Emergency Center has informed that an explosion was heard at Fukishima Daiichi Unit 2 at 2:10 UTC on March 14. The report also states that there is a possibility the suppression chamber may have been damaged due to this explosion. Further details are being awaited.
5. All 4 Units of the Fukushima-Daiichi Nuclear Power Plants are still in shutdown condition;
6. At unit 1, plant operators were able to restore a residual heat remover system now being used to cool down the reactor core. Efforts are in progress to maintain cold shutdown of the reactor;
7. A hydrogen gas explosion that destroyed the roof of Unit 3 reactor building took place but there has been no notable change in the radiation levels observed in the boundaries of the power plants;
8. There is no scientific and technical basis that radioactive plume or nuclear fall-out from Fukushima-Daiichi Nuclear Power Plants will hit the territory of the Philippines within the next 24 hours;
9. Wind projection according to PAG-ASA states that wind in the Fukushima-Daiichi Nuclear Power Plants is heading East of Japan towards the Pacific Coast and is definitely going thousands of kilometers away from the Philippine territorial seas as of 15 March 2011;
10. The public is strongly advised to call the PNRI trunklines with Tel Nos. 929-6010 to 19 and 920-8787 or refer to the DOST (www.dost.gov.ph), PNRI website (www.pnri.dost.gov.ph) and STII (swww.stii.dost.gov.ph) for further advisories.
11. The public is also advised to access the International Atomic Energy Agency (IAEA) website for the latest development (www.iaea.org) of the incident. The IAEA is considered the international watchdog which issues verified information about the events happening in Fukushima.

Health Effect of Radiation

Radiation and Health

How does radiation cause health effects?

Radioactive materials that decay spontaneously produce ionizing radiation, which has sufficient energy to strip away electrons from atoms (creating two charged ions) or to break some chemical bonds. Any living tissue in the human body can be damaged by ionizing radiation in a unique manner. The body attempts to repair the damage, but sometimes the damage is of a nature that cannot be repaired or it is too severe or widespread to be repaired. Also mistakes made in the natural repair process can lead to cancerous cells. The most common forms of ionizing radiation are alpha and beta particles, or gamma and X-rays.

What kinds of health effects does exposure to radiation cause?

In general, the amount and duration of radiation exposure affects the severity or type of health effect. There are two broad categories of health effects: stochastic and non-stochastic

Stochastic Effects
Are associated with long-term, low-level (chronic) exposure to radiation. ("Stochastic" refers to the likelihood that something will happen.) Increased levels of exposure make these health effects more likely to occur, but do not influence the type or severity of the effect.

Cancer is considered by most people the primary health effect from radiation exposure. Simply put, cancer is the uncontrolled growth of cells. Ordinarily, natural processes control the rate at which cells grow and replace themselves. They also control the body's processes for repairing or replacing damaged tissue. Damage occurring at the cellular or molecular level, can disrupt the control processes, permitting the uncontrolled growth of cells--cancer. This is why ionizing radiation's ability to break chemical bonds in atoms and molecules makes it such a potent carcinogen.

Other stochastic effects also occur. Radiation can cause changes in DNA, the "blueprints" that ensure cell repair and replacement produces a perfect copy of the original cell. Changes in DNA are called mutations.

Sometimes the body fails to repair these mutations or even creates mutations during repair. The mutations can be teratogenic or genetic. Teratogenic mutations are caused by exposure of the fetus in the uterus and affect only the individual who was exposed. Genetic mutations are passed on to offspring.

Non-stochastic Effects
Appear in cases of exposure to high levels of radiation, and become more severe as the exposure increases. Short-term, high-level exposure is referred to as 'acute' exposure.

Many non-cancerous health effects of radiation are non-stochastic. Unlike cancer, health effects from 'acute' exposure to radiation usually appear quickly. Acute health effects include burns and radiation sickness. Radiation sickness is also called 'radiation poisoning.' It can cause premature aging or even death. If the dose is fatal, death usually occurs within two months. The symptoms of radiation sickness include: nausea, weakness, hair loss, skin burns or diminished organ function.

Medical patients receiving radiation treatments often experience acute effects, because they are receiving relatively high "bursts" of radiation during treatment.

Is any amount of radiation safe?

There is no firm basis for setting a "safe" level of exposure above background for stochastic effects. Many sources emit radiation that is well below natural background levels. This makes it extremely difficult to isolate its stochastic effects. In setting limits, EPA makes the conservative (cautious) assumption that any increase in radiation exposure is accompanied by an increased risk of stochastic effects.
Some scientists assert that low levels of radiation are beneficial to health (this idea is known as hormesis).
However, there do appear to be threshold exposures for the various non-stochastic effects.

Event: Nuclear Power Plant + Earthquake in Japan = Nuclear Meltdown

Nuclear power is produced by controlled by nuclear reactions. Commercial and utility plants currently use nuclear fission reactions to heat water to produce steam, which is then used to generate electricity.In 2009, 13–14% of the world's electricity came from nuclear power. Also, more than 150 naval vessels using nuclear propulsion have been built.

A nuclear meltdown is an informal term for a severe nuclear reactor accident that results in core damage from overheating. A meltdown occurs when a severe failure of a nuclear power plant system prevents proper cooling of the reactor core, to the extent that the nuclear fuel assemblies overheat and melt. A meltdown is considered very serious because of the potential that radioactive materials could be released into the environment. A core meltdown will also render the reactor unstable until it is repaired. The scrapping and disposal of the reactor core will incur substantial costs for the operator.

CAUSE:
A meltdown occurs when a severe failure of a nuclear power plant system prevents proper cooling of the reactor core, to the extent that the nuclear fuel assemblies overheat and melt. A meltdown is considered very serious because of the potential that radioactive materials could be released into the environment. A core meltdown will also render the reactor unstable until it is repaired. The scrapping and disposal of the reactor core will incur substantial costs for the operator.

Lecture Notes: Nursing Thesis Proposal Format

Nursing Thesis Proposal Format

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Video Guide: Withdrawing Medication From A Vial

Medical Equipments:

* Medication administration record (MAR)
* Sterile syringes and needle
* Alcohol swab
* Medication vial
* Sterile needle


Nursing Procedures:

1. Wash your hands
2. Prepare the vial
3. Open the alcohol swab
4. For new vial: remove metal cap from vial and cleanse the rubber top of vial
5. For used vial: cleanse the rubber top of the vial
6. Choose a syringe of appropriate size
7. Grasp needle and turn barrel of syringe to the right
8. Remove the needle cap and pull back on plunger to fill syringes with an amount of air as much as the amount of solution to be withdrawn from the vial
9. Insert the needle into the center of the upright vial and inject air into the vial
10. Invert the vial and keep it at the eye level and the needle's bevel below the fluid level, and remove the exact amount of medication while touching only the syringe barrel and plunger tip.
11. Remove air from the syringe while needle remains within the inverted vial by tapping the syringe side by your finger
12. Check the amount of medication in the syringe
13. Turn vial upright and remove the needle
14. Replace the needle cap and replace with new needle. Remove used needle and dispose it in the sharps container
15. Attaché the new needle to the syringe by turning the barrel to the right
16. Compare the medication in the syringes with the prescribed dosage

Video Guide: Withdrawing Medication From An Ampule

Medical Equipments:

* Medical administration record (MAR)
* Sterile syringe and needle
* Extra needle of proper gauge and length according to the site of injection
* Ampule of prescribed medication
* Sterile gauze or alcohol swab
* Filter needle


Nursing Procedures:

1. Wash your hands
2. Hold the ampule and tap the top chamber quickly and lightly until all fluid flows into the bottom chamber
3. Place a sterile gauze or alcohol swab around the neck of the ampule
4. Firmly grasp the neck of the ampule and quickly snap the top off away from your body, and put the ampule on a flat surface
5. Withdraw the medication from the ampule while maintaining the sterile technique
6. Check the connection of needle to syringe turning barrel to right while the needle guard is held
7. Use a filter needle if recommended
8. Remove needle guard and hold syringes in domain hand
9. With non dominant hand, grasp ampule and turn upside down, or stabilize ampoule on a flat surface
10. Insert the needle into the center of the ampule and do not allow the needle tip or shaft to touch the rim of the ampule
11. Keep needle tip below level of meniscus
12. Aspirate the medication by pulling on the plunger
13. If air bubbles are aspirated, remove the needle from the ampule, hold syringes with needle pointing up and tap sides of the syringes. Draw back slightly on plunger, and gently push the plunger upward to eject air. Reinsert the needle in the middle of the ampule and continue withdraw the medication
14. Remove excess air from the syringe and check the dosage of medication in the syringes. Recap
15. Discard any unused portion of the medication, and dispose of the ampule top in a suitable container after comparing with medical administration record
16. Change needle discard used needle properly. Secure needle to syringes by turning the barrel to right while holding the needle guard
17. Wash hands

46 Facts About Women

1. Women love to shop. It is the one area of the world where they feel like they’re
actually in control.

2. Women especially love a bargain. The question of "need" is irrelevant, so
don’t bother pointing it out. Anything on sale is fair game.

3. Women never have anything to wear. Don’t question the racks of clothes in the
closet; you "just don’t understand".

4. Women need to cry. And they won’t do it alone unless they know you can hear them.

5. Women will always ask questions that have no right answer, in an effort to trap you into feeling guilty.

6. Women love to talk. Silence intimidates them and they feel a need to fill it, even if they have nothing to say.

7. Women need to feel like there are people worse off than they are. That’s why soap
operas and Oprah Winfrey-type shows are so successful.

8. Women hate bugs. Even the strong-willed ones need a man around when there’s a spider or a wasp involved.

9. Women can’t keep secrets. They eat away at them from the inside. And they don’t view it as being untrustworthy, providing they only tell two or three people.

10. Women always go to public restrooms in groups. It gives them a chance to gossip.

11. Women can’t refuse to answer a ringing phone, no matter what she’s doing. It might be the lottery calling.

12. Women never understand why men love toys. Men understand that they wouldn’t need
toys if women had an "on/off" switch.

13. Women think all beer is the same.

14. Women keep three different shampoos and two different conditioners in the shower. After a woman showers, the bathroom will smell like a tropical rain forest.

15. Women don’t understand the appeal of sports. Men seek entertainment that allows
them to escape reality. Women seek entertainment that reminds them of how horrible things could be.

16. If a man goes on a seven-day trip, he’ll pack five days worth of clothes and will wear some things twice; if a woman goes on a seven-day trip she’ll pack 21 outfits because she doesn’t know what she’ll feel like wearing each day.

17. Women brush their hair before bed.

18. Women are paid less than men, except for one field: Modeling.

19. Women are never wrong. Apologizing is the man’s responsibility, "It’s there in
the Bible". Hmmm, who was it that gave Adam the apple?

20. Women do not know anything about cars. "Oil- stick, oil doesn’t stick?"

21. Women have better restrooms. They get the nice chairs and red carpet. Men just get a large bowl to share.

22. The average number of items in a typical woman’s bathroom is 437. A man would not be able to identify most of these items.

23. Women love cats. Men say they love cats, but when women aren’t looking, men kicks cats.

24. Women love to talk on the phone. A woman can visit her girlfriend for two weeks,
and upon returning home, she will call the same friend and they will talk for three hours.

25. A woman will dress up to go shopping, water the plants, empty the garbage, answer the phone, read a book, or get the mail.

26. Women will drive miles out of their way to avoid the possibility of getting lost
using a shortcut.

27. Women do NOT want an honest answer to the question, ‘How do I look?’

28. PMS stands for: Permissible Man-Slaughter. (Or at least men think it means that.
PMS also stands for Preposterous Mood Swings and Punish My Spouse.

29. [This one omitted: not suitable for this website]

30. Women are insecure about their weight, butt, and breast sizes.

31. Women will make three right-hand turns to avoid making one left-hand turn.

32. "Oh, nothing," has an entirely different meaning in woman- language than
it does in man- language.

33. Lewis Carroll’s Caterpillar had nothing on women.

34. Women cannot use a map without turning the map to correspond to the direction that they are heading.

35. All women are overweight by definition; don’t agree with them about it. Women
always have 5 pounds to lose, but don’t bring this up unless they really have 5 pounds to gain.

36. If it is not Valentines day and you see a man in a flower shop, you can probably
start up a conversation by asking, "What did you do?"

37. Only women understand the reason for "guest towels" and the "good china".

38. Women want equal rights, but you rarely hear them clamoring to be let into the
draft to cover the responsibilities that go with those rights. All women seek equality with men until it comes to sharing the closet, taking out the trash, and picking up the check.

39. Origin of the word "woman" is: woo-man.

40. If a man ticks off a woman she will often respond by getting a fuzzy toilet cover which warms their rear, but makes it impossible for the lid to stay up thus it constantly gets peed on by the guys. (which gets them in more trouble)

41. Women never check to see if the lid is up. They seem to prefer taking a flying butt leap towards the bowl and then chewing men out because they "left the seat up"
instead of taking two seconds and lowering it themselves.

42. Women can get out of speeding tickets by pouting. This will get men arrested.

43. Women don’t really care about a sense of humor in a guy despite claims to the
contrary. You don’t see women trampling over Tom Cruise to get to Gilbert Gottfried, do
you?

44. It’s okay for women to dance with each other and not be gay, You don’t see straight men dancing together.

45. Women will spend hours dressing up to go out, and then they’ll go out and spend
more time checking out other women. Men can never catch women checking out other men; women will always catch men checking out other women.

46. The most embarrassing thing for women is to find another woman wearing the same
dress at a formal party. You don’t hear men say, "Oh-my-GOD, there’s another man wearing a black tux, get me outta here!

Source: Rowland Croucher

World Facts: Ten Facts About Reproductive Heath in the Philippines

FACT: Eleven Filipina mothers die in childbirth every day, from causes that could have been prevented by family planning.

Poor Filipina mothers without access to reproductive health information nor contraceptives endanger their health by having babies one after another. The World Health Organization, United Nations Population Fund, and medical journal The Lancet are unanimous in asserting that correct and consistent use of contraceptives can help prevent one-third of maternal deaths. Studies conducted by the WHO also conclude that proper birth spacing reduces the risk of death for newborns and infants by 50%. The World Health Organization underscores that 99% of all maternal deaths happen in developing countries like the Philippines. This is why a national policy on reproductive health is crucial in order to drastically lower maternal mortality rates in the country.

FACT: The Philippines has the highest fertility rate in Asia.

Over three children per woman.

FACT: The poor have three times as many children as the rich.

The Total Fertility Rate for the poorest 20% of Filipinas, is 5.9 children per woman, three times higher than the wealthiest 20% of Filipinas who have only 2 children per woman. The TFR for Filipinas with a college education is 2.3, about half that of Filipinas with only an elementary education (4.5).

FACT: More than half of large families are poor.

In Population and Poverty, Aniceto Orbeta, Jr, showed that poverty incidence is higher among big families: 57.3% of Filipino families with seven children are in poverty while only 23.8% of families who have two children live below the poverty threshold.

FACT: Rapid population growth exacerbates poverty.

According to the UN State of the World Population Report 2002, “family planning and reproductive health are essential to reducing poverty”. The report declares that “countries that invest in reproductive health and family planning and in women’s development register slower population growth and faster economic growth”. The Asian Development Bank in 2004 also listed a large population as one of the major causes of poverty in the country.

FACT: Fertility reduction economically helps individual households as well as the national economy.

Smaller families and wider birth intervals resulting from the use of contraceptives allow families to invest more in each child’s education, health, nutrition and eventually reduce poverty and hunger at the household level. At the national level, fertility reduction cuts the cost of social services with fewer people attending school or seeking medical care and as demand eases for housing, transportation, jobs, water, food and other natural resources.

FACT: Reproductive Health is a fundamental human right, according to both domestic Philippine law and international convention.

Reproductive health is a fundamental human right and was affirmed as such in the Proclamation of Tehran during the International Conference on Human Rights 43 years ago in 1968. The right to reproductive health and family planning was subsequently reiterated in numerous other UN Conventions of which the Philippines is likewise a party.

FACT: Nearly half of all pregnancies in the Philippines are unplanned.

According to the 2003 NDHS, 44.3% of all pregnancies in the country are unplanned principally because of the lack of information on and access to family planning services. It is for this reason that the incidence of induced abortion in this country is 500,000 annually.

FACT: As contraceptive use increases, abortion decreases.

Contraceptive use and abortion have an inverse correlation. The more women use effective contraception, the less likely they have unwanted pregnancies that will be terminated through abortion. Research by the Guttmacher Institute also reveals that the use of contraceptives can reduce abortion rates by 85%.

FACT: Almost half of poor Filipinas who want to avoid another pregnancy do not know how to do so.

The 2006 Family Planning Survey results also show that among the poorest women who want to avoid another pregnancy, at least 41% do not use any contraceptive method because they lack information on and access to family planning methods.

Source: http://rhbillph.wordpress.com

World Facts: Heath in CHINA

1. Life expectancy: 74.8 years for females; 71.1 years for males.

2. Infant mortally rate: 22 per 1,000 births.

3. The food and health standards are generally below those of European or North American countries. Dysentery, hepatitis, stomach parasites and malaria occur in China. Diseases like tuberculosis and measles that were once thought to have been tamed have returned.

4. Chinese between the ages of 35 and 64 are twice as likely as Americans to die of heart disease. One in five Chinese have high blood pressure. Many blame the trend on more fat- and sugar-laden Westernized diet and fast food which causes obesity and made it more likely for people to have high blood pressure and heart disease.

5. The Harvard School of Public Health has estimated that 65 million people will die from chronic obstructive pulmonary disease and 18 million will die from lung cancer between 2003 and 2033 from smoking and burning fuel indoors with chronic obstructive pulmonary disease accounting for around 19 percent of all deaths and hung cancer, 5 percent.

6. Gastrointestinal cancer is now the number one killer in the countryside. It is estimated that nearly two thirds of China’s rural population—more than 500 million people—use water contaminated by human and industrial waste.

7. About 250 million Chinese are considered overweight and 90 million (about 7 percent of the population) are obese (2006). The number of obese tripled as the economy grew sevenfold between 1992 and 2006.

8. In the mid 2000s, 24 million Chinese suffered from malnutrition. As many as a third of the children in Guizhou and a forth of the children Guangxi are underdeveloped physically.

9. China is home to the world’s largest disabled population. The are 83 million disabled people in China, with a million in Beijing alone. In the 1990s, 60 percent are illiterate, 40 percent are unemployed and nearly half can not find spouses. There are only 250 schools for handicapped children with a total enrollment of only 100,000 students. There are 4.2 million children disabled by congenital diseases alone

10. There are around 12 million blind or visually impaired people in China. Only about 5 percent of the blind in China receive any kind of formal schooling. There are only 105 schools for China's 5 million sight-impaired people.

11. A new law that went into effect in June 1995 banned marriages between people "with certain genetic diseases of a serious nature" unless they agreed to sterilization or long-tern contraception first.

12. Cretinism—mental retardation caused by insufficient consumption of iodine, especially among children born to women with iodine deficiencies—is a problem in the countryside, particularly in China’s poorest provinces. Many villages have a shazi (“idiot”), who is often has no name and is simply called shazi. Many are in their forties or older and are the products of a time when there wasn’t much iodine in the peasant diet.

Source: http://factsanddetails.com

UPDATES: Job Openings for March 2011

1. Convergys : Be a Healthcare Specialist-- San Lazaro

Responsibilities:
A Healthcare Specialist interface with customers via inbound or outbound calls or the Internet for the purpose of passively (i.e., order taking) or actively selling products and services. Responsibilities include processing customer orders and sales providing and receiving various information up-selling client products plus handling miscellaneous customer service and general information calls via the phone or Internet.

Requirements:
Has completed at least a Bachelor's/College Degree , Post Graduate Diploma / Master's Degree, Professional License (Passed Board/Bar/Professional License Exam), Post Graduate Diploma / Master's Degree, any field.
Has experience with a Healthcare program or Healthcare related work
Required language(s): English
Has an ability to retain information
Has an ability to handle irate customers effectively and empathize with a courteous tone
Has an ability to deliver information at customer’s knowledge level
Has an ability to apply a logical problem solving approach to resolving customer problems and inquiries
Has strong interpersonal skills and thinks independently
Has an ability to follow through effectively
Has dependability, keen on details and has strong customer service orientation
Applicants must be willing to work in San Lazaro,Manila.
Applicants must be willing to work on graveyard shifts, shifting/rotation of schedules, working on holidays, working on weekends and rendering overtime.
Applicants should be Filipino citizens or hold relevant residence status

Visit out Recruitment Office located at: 7F Vertex One building, IT Park San Lazaro Tourism & Business Park, Yuseco corner Felix Huertas streeet, San Lazaro Tayuman , Manila

2. ARCHIPELAGO BUILDERS: Nurse

Requirements:
Candidate must possess at least a Professional License (Passed Board/Bar/Professional License Exam) in Nursing or equivalent.
At least 4 year(s) of working experience in the related field is required for this position.
Preferably 1-4 Yrs Experienced Employees specializing in Healthcare - Nurse/Medical Support & Assistant or equivalent.
Full-Time positions available.

3RD FLOOR ARCHIPELAGO BUILDING,
NO. 29 NORTH AVENUE, DILIMAN,
QUEZON CITY
9269056 - 58, 9261326

3. JAPAN Maruko International Corp. : Private Duty Nurse
(Search / Recruitment Firm)
POEA License#: POEA-049-LB-030507-R

Requirements:

Candidate must possess at least a Bachelor's/College Degree , Nursing or equivalent.
At least 1 year(s) of working experience in the related field is required for this position.
With good commands of oral and written English.
Can easily understand instructions and work under minimum supervision.
Must be hardworking.
Age: 24 - 30 years old
2 Full-Time positions available.

JAPAN Maruko International Corp.
2/F Tripple K Bldg., 187 M. Concepcion San Joaquin Pasig City

Video Guide: Intramuscular Injections

STEPS IN ADMINISTERING INTRAMUSCULAR INJECTIONS

1 Assemble equipment and check physician’s order.
2. Explain procedure to patient.
3. Perform hand hygiene.
4. If necessary, withdraw medication from ampule or vial.
5. Do not add air to syringe.
6. Identify the patient carefully. There are three ways to do this.
7. Check the name on the patient’s identification badge.
8. Ask the patient his or her name.
9. Verify the patient’s identification with a staff member who knows the patient.
10. Provide for privacy. Have patient assume a position for the site selected.
Ventrogluteal – Patient may lie on back or side with hip and knee flexed.
Vastus lateralis – Patient may lie on the back or may assume a sitting position.
Deltoid – Patient may sit or lie with arm relaxed.
Dorsogluteal – Patient may lie prone with toes pointing inward or on side with upper leg flexed and placed in front of lower leg.

11. Locate site of choice (vastus lateralis, ventrogluteal, deltoid, dorsogluteal) and ensure that the area is not tender and is free of lumps or nodules. Don disposable gloves.
12. Clean area thoroughly with alcohol swab, using friction. Allow alcohol to dry.
13. Remove needle cap by pulling it straight off.
14. Displace skin in a Z-track manner or spread skin at the site using your nondominant hand.
15. Hold syringe in your dominant hand between thumb and forefinger. Quickly dart needle into the tissue at 72- to 90- degree angel.
16. As soon as needle is in place, move your nondominant hand to hold lower end of syringe. 17. 17. Slide your dominant hand to tip of barrel.
18. Aspirate slowly (for at least 5 seconds), pulling back on plunger to determine whether the needle is in a blood vessel. If blood is aspirated, discard needle, syringe and inject in another site.
19. If no blood is aspirated, inject solution slowly (10 seconds per mL of medication).
20. Remove needle slowly and steadily. Release displaced tissue if Z-track technique was used.
21. Apply gentle pressure at site with small sponge.
22. Do not recap used needle. Discard needle and syringe in appropriate receptacle.
23. Assist patient to a position of comfort. Encourage patient to exercise extremity used for injection if possible.
24. Remove gloves and dispose of them properly. Perform hand hygiene.
25. Chart administration of medication, including the site of administration. This may be documented on the CMAR.
26. Evaluate patient response to medication within an appropriate time frame. Assess site, if possible, within 2 to 4 hours after administration.

Video Guide: Subcutaneous Injections

STEPS IN ADMINISTERING SUBCUTANEOUS INJECTION

1. Assemble equipment and check physician’s order.
2. Explain procedure to patient.
3. Perform hand hygiene.
4. If necessary, withdraw medication from ampule or vial.
5. Identify patient carefully. Close curtain to provide privacy. Don disposable gloves (optional).
6. Have patient assume a position appropriate for the most commonly used sites.
-Outer aspect of upper arm- Patient’s arm should be relaxed and at side of body.
-Anterior thighs- Patient may sit or lie with leg relaxed.
-Abdomen-Patient may lie in a semirecumbent position.

7. Locate site of choice (outer aspect of upper arm, abdomen, anterior aspect of thigh, upper back, upper ventral or dorsogluteal area). Ensure that area is not tender and is free of lumps or nodules.

8. Clean area around injection site with an alcohol swab. Use a firm circular motion while moving outward from the injection site. Allow antiseptic to dry. Leave alcohol swab in a clean area for reuse when withdrawing the needle.

9. Remove needle cap with nondominant hand, pulling it straight off.
10.Grasp and bunch area surrounding injection site or spread skin at site.
11. Hold syringe in dominant hand between thumb and forefinger. Inject needle quickly at an angle of 45 to 90 degrees, depending on amount and turgor of tissue and length of needle.

12. After needle is in place, release tissue. If you have a large skin fold pinched up, ensure that the needle stays in place as the skin is released. Immediately move your nondominant hand to steady the lower end of the syringe. Slide your dominant hand to the tip of the barrel.

13. Aspirate, if recommended, by pulling back gently on syringe plunger to determine whether needle is in the blood vessel. If blood appears, the needle should be withdrawn, the medication syringe and needle discarded, and a new syringe with medication prepared. Do not aspirate when giving insulin or heparin.

14. If no blood appears, inject solution slowly.
15. Withdraw needle quickly at the same angle at which it was inserted.
16. Massage area gently with alcohol swab. (Do not massage a subcutaneous heparin or insulin injection site.) Apply a small bandage if needed.
17. Do not recap used needle. Discard needle and syringe in appropriate receptacle.
18. Assist patient to a position comfort.
19. Remove gloves, if worm, and dispose of them properly. Perform hand hygiene.
20. Chart administration of medication, including the site of administration. This charting can be done on CMAR.
21. Evaluate patient response to medication within an appropriate time frame.

Video Guide: Intradermal Injections

STEPS IN ADMINISTERING INTRADERMAL INJECTIONS

1. Assemble equipment and check physician’s order.
2. Explain procedure to patient.
3. Perform hygiene. Don disposable gloves.
4. If necessary, withdraw medication from ampule or vial.
5. Select area on inner aspect of forearm that is not heavily pigmented or covered with hair. Upper chest or upper back beneath the scapulae also are sites for intradermal injections.
6. Cleanse the area with an alcohol swab by wiping with a firm circular motion and moving outward from the injection site. Allow skin to dry. If skin is oily, clean area with pledget moistened with acetone.
7. Use nondominant hand to spread skin taut over injection site.
8. Remove needle cap with nondominant hand by pulling it straight off.
9. Place needle almost flat against patient’s skin, bevel side up. Insert needle into skin so that point of needle can be seen through skin. Insert needle only about ? inch.
10. Slowly inject agent while watching for a small wheal or blister to appear. If none appears, withdraw needle slightly.
11.Withdraw needle quickly at the same angle it was inserted.
12. Do not massage area after removing needle.
13. Do not recap used needle. Discard needle and syringe in the appropriate receptacle.
14. Assist patient into a position of comfort.
15. Remove gloves and dispose of them properly. Perform hand hygiene.
16. Chart administration of medication as well as the site of administration. Charting may be documented on CMAR, including location. Some agencies recommend circling the injection site with ink.
17. Observe the area foe sign of reaction at ordered intervals, usually at 24- to 72- periods. Inform the patient of this inspection.