Hospitals & Asylums
Well, in exchange for the offer of an honorary PHD, the federal government has decided Swine Flu doesn’t come from pigs. HINI comes from hog nosed snakes found in the Plague, like Meridian Bio-Science HA-15-4-05 a major contributor to advances in the Korean mafia. Apparently, now that they have a prosecutor, they don’t suffer plaintiffs to live. We pray that satan will be satisfied with so many deaths as have been saved from execution under the newly reviewed Mexico v. USA in January 2009. I regret the case does not render a final decision that Mexican nationals shall not be executed, it only sets the stage for more applications. Perhaps the ICJ needs to render a final order that the US should not execute Mexican nationals, or other foreign nationals without the representation of their diplomatic emissaries, to dismiss swine influenza for good, and start accepting them from China. I don’ think Mexico is very eager to try again.
The PHD is however an arduous task that cannot be completed working two hours a week, to more fully study the debilitating affects of fibromyalgia, used in health insurance sales, on all parts of the human anatomy, and its completion has been postponed until this month of May when the postdoctoral degrees of PHD and MD shall be awarded the attention they need in regards to EVE No biological experimentation and torture. Would somebody catch that serpent from the Garden of Education and inform them that they do not enjoy the human intelligence of confidentiality in the law of health theology and are in fact in breech of national security wherefore the spy networks and malicious investigators shall be denied clearance. This serpent is probably usually the credit bureau but there is a high degree of genocide in the family of military and college recruits in the US and I presume the only qualification required is the facility to call not having morals, integrity or rights – honor – in this case it looks like Enza flew in under Art 101 of the UN Charter.
Ulcerative Colitis and Fatigue: Is Fatigue Manageable? HA-20-4-09
Sharon Sanders reports on Ulcerative colitis (UC), a type of inflammatory bowel disease (IBD), closely associated with Crohn’s disease. Ulcerative colitis is distinguished by continuous inflammation and ulceration of the colonic mucosa usually extending proximally from the rectum. UC is a chronic disease, whose trajectory is characterized by periods of remission and exacerbation consisting of severe abdominal pain, cramps, diarrhea, rectal bleeding, and fatigue. Fatigue is a fairly common symptom with UC. In a survey of 1,595 UC patients 49% reported low energy levels. Fatigue is defined by the North American Nursing Diagnosis Association (NANDA) as an immense and prolonged feeling of exhaustion that decreases physical and mental capabilities, and is not relieved by sleep or rest. In a Crohn’s and Colitis Foundation of America sponsored survey of people with UC 46% of the respondents reported spending less time out of their house and 37% reported attending fewer social activities. In a study among people with IBD in Sweden, 11.7% of those interviewed were unemployed, much greater than the 4% national unemployment average. The constant severe diarrhea can make it difficult for someone suffering from an exacerbation to sleep throughout the night. Depression is also a component to the symptom of fatigue. The current first-line pharmacological treatment of UC is with aminosalicylates (5-ASA and mesalamine) or only corticosteroids to treat relapses. Eating a low-fiber low residue diet is recommended to reduce symptoms of gas, bloating, and cramps.
Night Shift: What you should know. Is it worth it? HA-20-4-09
Sharon Sanders weighs the pros, cons and survival tips for a nurse to work the night shift. 30.1% of health care workers are shift workers and 24.6% work only the night or evening shift. Night shift workers make up to 20% more per hour. Night shift workers typically work 12 hour shifts three or four days a week. The negatives for working the night shift are long, psychological, social, and health problems are all attributed to working the night shift in the literature. These problems are attributed to the body’s natural circadian rhythm that causes the body temperature to begin to drop two hours before sleep, reaching a low around four am, when night shift workers report the most fatigue, during this time melatonin production increases. In the morning Cortisol surges, peaking around 4 pm, causing alertness. Difficulty sleeping makes fatigue a problem for night shift workers. Eighteen hours without rest lowers performance standards the same as a blood alcohol level of 0.10%. In one study 95% of intensive care night shift nurses reported car accidents or near accidents while driving to and from work. Working twelve hours doubles the chance of making errors over an eight hour shift. The decrease in performance also increases after consecutive days at work. The error rate increases by 6% on the second consecutive night shift, 17% on the third, and 35% on the fourth consecutive night on the job. Naps are reported to help but naps of 10 minutes improve cognitive functioning whereas naps of 30 minutes reduce performance. Being a successful night shift worker hinges on the balance of work, sleep, personal needs and normal daily activities.
Why the Tobacco Tax Needs Amendment HA-20-4-09
As of April 1 the Children’s Health Insurance Reauthorization Act of 2009 (Public Law 111-3) raised the tax on hand-rolling tobacco 2,159%, small cigars 2,653%, cigarettes and most tobacco products 158% and large cigars 0%. The new tax is not only hypocritical on the part of the President, who failed to keep his campaign promise to quit smoking, it regressively increases the taxes on the products preferred by the poor 20 more, doesn’t increase the tax on large cigars smoked by the rich, and makes no provision for appropriating the Attorney General Tobacco Master Settlement that is exact change for S-CHIP. The price of regulate cigarettes went up about a dollar but is still hovering around $5 a pack, many hand-rolling tobacco products doubled in price and in many stores certain brands were removed from the shelves. In 2008 total S-CHIP expenditures were $2.7 billion from States and $6 billion from the federal government for a total of $8.7 billion. The Attorney General Tobacco Master Settlement is a total of $206 billion over 25 years, an average of $8 billion a year. The rhetoric, that every 10% increase in the price of cigarettes reduces youth smoking by seven percent and overall smoking by four percent, is probably inaccurate because the price of child-proof roll-your-own cigarettes increased and many of those smokers are switching to pre-rolled. To protest tax and spend liberalism without representation American Solution hosted Tax Day Tea Parties around the nation and refused to allow free speech on the issue of the tobacco tax, as many as half a million people attended and they all agree to throw the 111th Congress in the harbour. To be fair the tobacco tax legislation must do two things, first it must increase the tax on all products equally at 158%, second the legislation must appropriate every last penny of the Attorney General Tobacco Master Settlement to defray nearly the entire cost of S-CHIP because that is the money that is inciting the gun violence at Virginia Tech and on the news.
CHAPTER 4 State Mental Institution Library Education (SMILE)
To amend Chapter 4 St. Elizabeth’s Hospital §161-230, transfer §321-329 from Chapter 9 Hospitalization of the Mentally Ill National Returned from Foreign Countries to §189-194 of this Chapter and change the name of the Substance Abuse Mental Health Service Administration (SAMHSA) to the Social Work Administration (SWA) to administrate a review tribunal of hospitalizations by licensed social workers. Globally mental illness and psychological disorders stemming from substance abuse are estimated to affect a combined total of 450 million people, 7.3% of the population. 55% of Americans suffered from mental illness at some time in their life and 1 in 5 Americans experience a diagnosable mental disorder in any given year. In 1997 30,535 people died from suicide in the U.S, it was the 11th leading cause of death in 2000. Mental illness is the second leading cause of disability, costing disability insurance an estimated $24 billion and medical insurance $65 billion annually, with mental organizations accounting for around $38 billion in expenditures. The de-institutionalization movement has been successful in reducing the psychiatric inpatient population by half from 515,572 in 1970 to 198,195 in 1998. During 1999 there were 1.7 million admissions to inpatient psychiatric treatment, 424,450 were involuntary commitments. The District of Columbia Mental Health System was successful in reducing the inpatient population of the hospital from 7,000 to 600. This precedence needs to be followed around the nation for the number of inpatient hospital beds to decline by 75%, but for the overall number of beds in the mental health system to double in five years, due to the increase in the number of residential treatment beds. MIRROR form…pp 449
CHAPTER 4 Test Questions HA-20-4-09
An estimated 55% of Americans will suffer from mental illness at some point in their life. In any given year 20% of the population will suffer a diagnosable mental, 5.6% a serious mental illness, 1.2 million will hospitalized, 450,000 of those involuntarily. To counsel the plus or minus 50 million Americans suffering from mental illness every year there are more than 1 million peer support professionals, social workers, family counselors, psychologists, and psychiatrists. The purpose of this test is to teach you to apply the basic principles of the scientific method, philosophy and human rights to your way of thinking about mental health and mental illness, as should have been done in secondary school. First, you will learn to disregard harmful thoughts and courses of action, such as substance abuse, suicide, acting out the diagnosis of mental illness, slavery or otherwise failing to admit that to error is human, particularly in circumstances that are more complicated or out of your control than you are accustomed to. Second, you will learn several methods of psychotherapy, and to determine when it is the behavior of the alleged mentally ill or accuser who harms self or others, to make appropriate referrals, and to counsel individuals and families to mental health. Third, you will learn to respect, respond to, avoid and reform the mental health system until the day when it is wisely governed by a Social Work Administration.
CHAPTER 7 National Cemeteries (NC)
To Amend Chapter 7 National Cemeteries
and repeal Chapter 7a Private and Commercial Cemeteries §298,
free wills and
trusts from obligatory registration with the Court, set forth requirements for
the Probate Courts to change their name to the Justice of the Peace and improve
death and estate statistics, third draft. It can be estimated that 56,597,030 people died
around the world in 2004 an average of 863 deaths per 100,000, 0.86% of the
population. The preliminary number of deaths in
CHAPTER 7 Test Questions HA-15-4-09
An estimated 2.4 million Americans die every year. Including estate lawyers, but excluding personal representatives and executors who are nearly as numerous as the deceased, there are an estimated 200,000 people involved in the death care industry. Death is, for the most part, a family affair, but it is also of interest to the community and the nation. This test is designed to prepare you, the citizen, to plan your estate in the eventuality of your death, to manage the estate of a departed loved one who designates you personal representative or to counsel a grieving family. This test is designed to enable you to detect and respond to fatal epidemics and bio-terrorism at the county, state and national levels through the tabulation and analysis of death statistics. This test is designed to enable you to judge the ethics of funeral and cemetery corporations as well as estate lawyers and others involved in the end of life and death care industries. Most of all this test is designed to enlist you as an advocate for the improvement of the accuracy, integrity and transparency of county, state and federal death statistics, for the reduction of American fatalities to less than 2 million, and to call for the National Conference of Commissioners on Uniform State Laws to legislate a 111 page degree program for the Probate Court to cease slaving the mentally ill as a condition for changing the name of their Court, that adjudicates wills and estates, to the Justice of the Peace.
Send comments to Tony Sanders at firstname.lastname@example.org
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