#clinical study report san diego

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The Perfect Match

Every third week in March, fourth year medical students find out where they'll be going for their residency. A quick 2.2K word one-shot of Jake's girlfriend going through that process.

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The nervous energy in the auditorium was almost overwhelming as the clock ticked closer to 11:50AM. All across the US, fourth-year medical students gathered in ceremonies like this, ready to find out where they would be headed in just a few months to begin their residency. It had been a long week - on Monday, everyone received an email letting them know if a residency program had selected them. For those who got one, it was a waiting game to see where they would be moving. Those who hadn't been selected went through the nerve-wracking SOAP process, hoping to secure a job after graduation. With the number of medical graduates increasing faster than residency positions, it wasn't always a guarantee. 

You, however, already knew where you were going and what specialty you would be practicing. For months last year, you'd flown across the country, interviewing with residency programs at different installations and civilian hospitals—backups in case you didn’t match with a base hospital and had to compete for a civilian spot. And a perk of matching through the military was getting notified of your posting in mid-December, while civilians had to wait until the third week of March. 

On December 15th, you received that wonderful email alerting you that you had matched into Emergency Medicine at Naval Medical Center San Diego. Not only was Emergency Medicine a competitive specialty, but the location meant that you would finally be able to be close to your long-distance boyfriend, Jake, after seven long years.

A chance encounter over Spring Break freshman year led to late-night calls when he returned to Annapolis and you to College Park. For four years, you lived 35 minutes apart in Maryland, stealing as much time as possible together over the weekends. And after graduation, you had a long conversation about your future.

Jake had been clear from the beginning that he wanted to be a pilot, just as you had been firm about attending medical school. He supported you as you struggled through Organic and Biochemistry and tutored you in Physics. He would try not to laugh as you traced his skin, naming the muscles, bones, and systems as you reviewed for anatomy. Care packages showed up at your apartment when you spent as much time as you could getting clinical hours, volunteering in a research lab, and studying for the MCAT. Jake knew how important getting your CV ready was and tried not to complain too much when your weekends spent together were mainly catching up on chores or sleep.

Senior year, you were offered a spot at Florida State University College of Medicine. Jake had been notified in his junior year that he had been accepted into the flight program.

After graduation, you and Jake packed up your things and drove to Florida together. He had a few weeks until he had to report to Pensacola, just a 3-hour drive down I-10 from where you would be in Tallahassee. The apartment you got was right across the street from the med school, a small one-bedroom, but you knew you wouldn’t spend much time there anyway. It would be a place to eat and sleep, but most of your time would be spent on campus or driving to Jake’s in Pensacola. He would only be there for a few months until transitioning to the next base, and you wanted to spend as much time together as possible. 

Unlike other medical schools, FSU required students to start in the summer to complete the Anatomy course. Over the short term, students would complete a full-body dissection. The smell of formaldehyde became commonplace, and the TAs warned you to wear shoes and scrubs you wouldn’t hate to throw away in August. 

They were right. 

It was a rough transition to med school, but it was manageable. And you loved it. Your professors ensured you treated the cadavers with the utmost respect while gently encouraging competition by announcing a dissection team winning each week. The faculty brought you to a rural community to learn about rural medicine, sharing food and stories with those less fortunate. The physician assistant students joined on the trip, and you learned about an inter-professional day that you’d be expected to participate in later - role-playing a case with MD, PA, pharmacy, and social work students. 

And while you were working toward your dream, Jake was getting closer to his. Nights were spent catching up, and he was so excited to tell you about his flight training. He promised to get his civilian pilot license as soon as possible and rent a plane to take you up in the air. On the rare weekend you didn’t need to spend in the anatomy lab cramming for an exam, you drove to his place late Friday night and headed back to Tally on Sunday morning. 

In August, Jake requested time off to come and see you celebrate finishing your first semester. Seated in the audience, he watched as your faculty member helped you don your first white coat, and you recited the Hippocratic oath. The one-week vacation before Fall term started wasn’t long enough, but you enjoyed waking up in Jake’s bed and going to the beach.  

Joining the military had never been in your future, but the longer you spent around Jake and his friends, the more commissioning in the Navy seemed attractive. A medical officer recruiter spoke at the college, and you signed your paperwork. After spending a few weeks working in a clinic during the summer after the first year, you headed to Rhode Island to complete Officer Training. Jake called you as soon as you graduated, welcoming you into the service with only some light teasing about outranking you. As an Ensign, you would be forced to salute your Lieutenant boyfriend when you saw him. 

It was harder to see each other when he graduated from flight school and was stationed in California, but you managed to get by with phone calls and vacations. Toward the end of your second year, Jake was sent on deployment as you studied for the Step 1 exam - testing your foundational knowledge and one of the most intimidating exams you faced. The school gave you dedicated study time, and you took advantage of his offer to study at his apartment in Lemoore. His buddy, Coyote, met you at the airport and drove you to Jake’s apartment. A bouquet of flowers was sitting on the counter, and you stared at them as you mentally ran through Anki decks to quiz yourself.  

Jake came home the last week you were there. Fully recovered from the 8-hour exam, you greeted him with all the other family members on the flight line. It was the first time you saw him in his jet, and you made sure he knew how much you appreciated the sight. But too soon, you had to return to Florida and pack up your apartment in Tally to move to Pensacola for your last two years of medical school. On your last night in Lemoore, Jake took you out dancing and promised he would request leave to visit soon. 

Between your rotations and his shitty schedule as a junior officer, it was hard to see one another. At the end of your third year, you hit a rocky spot and talked about breaking up. But cooler heads prevailed, and you promised to do your best to match into a residency near him. He agreed to try and get orders to be closer to you once you graduated. 

Jake had been your first call on December 15th. Sobbing, you told him you’d join him in San Diego, where he’d been stationed for the last four months. 

The last-minute plane tickets had been expensive, but it had been so worth it to spend Christmas with him, making plans to move your stuff across the country, and finally be together. He’d held your hand as you pulled your name from the NBME Match Database, officially alerting the civilian hospitals you’d interviewed at that you were no longer hoping to match with them. 

So, while your friends waited anxiously to open their envelopes, you felt a sense of calm. In nine short weeks, you would be back in this auditorium wearing your dress whites under your cap and gown. After getting your diploma, your new orders would be published, and you would be promoted to Lieutenant. And after? Jake was scheduled to return from a deployment in a month and requested leave to help you pack up your apartment and start the cross-country road trip. 

Eight years of hard work would culminate in moving in with the man you loved. Who could support you in person as you went through the hell of residency and got used to being a full-time Naval officer. 

The Dean crossed the stage and welcomed everyone. As the clock struck noon, she encouraged everyone to open their envelopes.

Tearing it open, you stared at the words confirming your future - Emergency Medicine, Naval Medical Center San Diego. 

Jake.

Cheers broke out, and you turned to hug your friends as they screamed with happiness or smiled to hide disappointment on not getting their top choice. 

The ceremony began with each regional campus called up to allow the students to announce their match.

You hadn’t planned on going on stage. The trip back to Tally had only been to see your favorite staff members and to support your friends as they found out where they would be moving. They had brought their family members, partners, and kids to share in the moment. You had come alone, preferring your family to go to graduation instead. But your friends dragged you into the line and handed your name card to the smiling staff. 

“Hi,” you said, leaning into the microphone after the Regional Campus Dean introduced you. “I just wanted to say thank you to all of my friends and family. Without you, I wouldn’t have made it through all of this. I matched in Emergency Medicine and will be moving across country to be with my boyfriend, who kept me sane throughout all of this. And I’ll be at Naval Medical Center San Diego

The crowd cheered louder than they had for any of your classmates. Blushing, you lifted your hand and waved, stepping back and quickly walking toward the Campus Dean to shake his hand. But as you neared, he smiled and took a step back.

You froze.

Jake grinned. 

Wearing his dress whites, he quickly strode toward you, pulling you into his arms. “What are you doing here?” you demanded, blinking away tears. 

“Wasn’t gonna miss your Match Day, darlin’,” he replied.

“You’re supposed to be on the carrier!” 

“Might have lied about that.” There wasn’t a trace of regret on his face. “You worked so hard for this, and I wanted to surprise you. My beautiful, smart, adrenaline junky doctor girlfriend.”

“Not yet - won’t be a doctor for another few weeks.” 

“You’ve got it in the bag. But I figured since you’re already trading in a couple of ranks - med student and Ensign…” Taking your left hand, he reached into his pocket and lowered himself to one knee. 

Vaguely, you heard the crowd get louder, but you couldn’t tear your gaze away from Jake as he held out a diamond ring. 

“I thought maybe we could change girlfriend to wife. Will you marry me?” 

Unable to speak, you nodded quickly. Jake leapt to his feet and kissed you, smiling against your mouth. 

The next few minutes were a blur. You hugged the Deans while Jake shook their hands, and your parents met you off stage - Jake had called to let them in on his plan. His parents texted him after watching the proposal on the school’s livestream. After promising to meet up after the ceremony, Jake joined you in the student section while your parents returned to their seats. Your friends hugged you, whispering excitedly as you showed them your engagement ring. 

And later, after a celebratory dinner with your family and drinks at the beer garden with your classmates, you tumbled into bed with Jake. You could taste the beer on his tongue as he licked into your mouth, and you grinned when your ring caught the light and shimmered.

“Lieutenant and Lieutenant Seresin,” Jake chuckled, catching your hand and kissing your ring. “Sounds kinda nice.” 

“Mmmm,” you hummed. “My diploma will be issued in two months, Seresin. Then I’m applying for my medical license and getting all my onboarding paperwork done for NMCSD. I might have to go by my last name for a bit… but I kinda like how it sounds with Lieutenant…”

 “It does sound nice,” he agreed. “You sayin’ I’ve got 2 months to get it official, or are you telling me you wanna keep your last name?” 

“Dunno,” you shrugged. “I’ve spent the last four years thinking I’d practice under my own name.”

“How do you feel about hyphenating?” 

Your eyebrows shot up, “You’d be okay with that?” 

“Darlin', you did the hard work, and it’s your name. As long as I can call you Doctor Seresin at home, I don’t care.”

In the middle of May, you stood at attention on stage in your whites, having quickly changed out of your cap and gown. The medical recruiter, a local chief petty officer, had been called onto the stage to publish your orders. Forcing yourself not to smile, you pressed your lips together as he read out your name — your new, hyphenated last name and all. 

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Notes: I used to work in a medical school, and went through three years of working on Match Day. It was one of my favorite events because of the level of excitement. (And yes, we did have a proposal one year.) But it can also be a really hard day - as state above, the number of residency spots is lower than the number of people who graduate. Every year, people go through the SOAP process and don't match. Which means they have to find something to do for a year, and then start the process over again.

Definitely didn't plan on writing this - I think in about an hour? - but I watched a class I worked with Match today and it kicked up a lot of feelings. I had the pleasure of watching young students grow into doctors, and play some small part in that.

As always, thank you to @mamachasesmayhem for encouraging me to write this, and for giving feedback.

[beardedmrbean]

SAN DIEGO — One of two teenagers charged in connection with the death of a homeless woman texted he intended to go "hobo hunting" before the violence, a prosecutor alleged Monday, according to NBC San Diego.

William Innes, 18, faces the most serious count, first-degree murder, in Monday's charges against the pair in connection with the homicide of Annette Pershal, 68.

Armed with an air rifle loaded with pellets, Innes fatally shot Pershal in San Diego's Serra Mesa neighborhood on or about May 8, authorities allege.

Police responded to reports of a woman down in Serra Mesa on May 8 and called paramedics, who couldn’t determine why Pershal was unconscious, San Diego police said in a statement.

She was taken to a hospital, where doctors determined that she had been shot several times with a pellet gun and that the injuries were not survivable, police said.

Deputy District Attorney Roza Egiazarian said Monday that Pershal was shot in the head, a leg and the torso, according to NBC San Diego. One pellet ruptured her aorta, the prosecutor said. 

Pershal was declared dead three days after she was found, police said.

Egiazarian said in court Monday that Innes sent a group text to contacts who included his co-defendant, Ryan Hopkins, 19, according to NBC San Diego.

It said, "I'm going hobo hunting with a pellet gun," according to the prosecutor.

Egiazarian said authorities found the possible weapon, a Gamo Shadow Whisper air rifle, in a search of Innes’ home, according to station.

Innes faces additional charges of possession of an assault weapon, banned in California, and failure to apply for serial numbers for two would-be firearms under state legislation designed to thwart ghost guns, essentially untraceable firearms that can be 3D-printed.

Hopkins is charged with assault with a deadly weapon. Prosecutors said he drove Innes to the scene, which NBC San Diego described as a parking lot.

Both teenagers, who live in the area, pleaded not guilty after their arrests last week. They remained in jail without bail, according to jail records.

Hopkins was scheduled to appear in court Thursday, when he will ask for bail, said his attorney, Vikas Bajaj, the station reported.

In court Monday, Bajaj disputed the timing of the “hobo hunting” text, saying it was sent 12 hours after the shooting, the station reported.

He described Hopkins as “a good kid with a warm heart.”

Attorneys for Innes and Hopkins did not immediately respond to requests for comment from NBC News.

The San Diego County medical examiner’s office determined Pershal’s death was a homicide. The cause of death is pending, and the office is “still working on the case,” county spokesperson Chuck Westerheide Jr. said.

Homicides by air-powered guns are rare. “The literature on air weapon deaths yielded only three murders in the United States,” a 2019 study by the journal Clinical Practice and Cases in Emergency Medicine found.

Pershal's death comes as the city's homeless — a population that has grown beyond 10,000 — face crackdowns by police.

Responding to complaints about blocklong encampments on sidewalks and in front of businesses, the city has taken the hard-line approach, seen in Los Angeles and elsewhere, of essentially outlawing "unsafe camping" outdoors.

People living on the streets also continue to be victimized. In Los Angeles last year, nearly 1 in 4 murder victims was homeless, NBC Los Angeles found.

The state has set aside at least $12 billion to address homelessness.

Residents and patrons of the area where Pershal, known as Granny Annie, was found unresponsive told NBC San Diego she lived on the streets there for at least seven years.

[ovaruling]

Radiation from nail dryers may damage DNA and cause cancer-causing mutations in human cells, a study has found — and that might have you wondering whether your regular gel mani-pedi is worth the risk.

Some dermatologists say the findings, in a study published in January in the journal Nature Communications, aren’t new when it comes to concerns about ultraviolet, or UV, light from any source. In fact, the results reaffirm the reason why some dermatologists have changed the way they get their gel manicures or have stopped getting them altogether.

“The findings contribute to data already published regarding the harmful effects of (ultraviolet) radiation and show direct cell death and damage to tissue that can lead to skin cancer,” said Dr. Julia Curtis, an assistant professor of dermatology at the University of Utah, who wasn’t involved in the study.

“Tanning beds are listed as carcinogenic and UV nail lamps are mini tanning beds for your nails in order to cure the gel nail,” Curtis said.

A form of electromagnetic radiation, ultraviolet light has a wavelength ranging from 10 to 400 nanometers, according to the UCAR Center for Science Education.

Ultraviolet A light (315 to 400 nanometers), found in sunlight, penetrates the skin more deeply and is commonly used in UV nail dryers, which have become popular over the past decade. Tanning beds use 280 to 400 nanometers, while the spectrum used in nail dryers is 340 to 395 nanometers, according to a news release for the study.

“If you look at the way these devices are presented, they are marketed as safe, with nothing to be concerned about,” said corresponding author Ludmil Alexandrov in the news release. “But to the best of our knowledge, no one has actually studied these devices and how they affect human cells at the molecular and cellular levels until now.” Alexandrov holds dual titles as associate professor of bioengineering and cellular and molecular medicine at the University of California, San Diego.

Researchers exposed cells from humans and mice to UV light, finding that a 20-minute session led to 20% to 30% of cells dying. Three consecutive 20-minute exposures made 65% to 70% of the exposed cells die. The remaining cells experienced mitochondrial and DNA damage, resulting in mutations with patterns that have been observed in skin cancer in humans.

The biggest limitation of the study is that exposing cell lines to UV light is different from conducting the study on living humans and animals, said dermatologist Dr. Julie Russak, founder of Russak Dermatology Clinic in New York City. Russak wasn’t involved in the study.

“When we’re doing it (irradiating) inside human hands, there’s definitely a difference,” Russak said. “Most of the UV irradiation is absorbed by the top layer of the skin. When you irradiate cells in the petri dish directly, that’s slightly different. You don’t have any protection from the skin, from corneocytes or the top layers. It’s also very direct UVA irradiation.”

But this study, taken with previous evidence — such as case reports of people developing squamous cell carcinomas, the second most common form of skin cancer, in association with UVA dryers — means we should “definitely think harder about just exposing our hands and our fingers to UVA light without any protection,” said Dr. Shari Lipner, an associate professor of clinical dermatology and director of the nail division at the NewYork-Presbyterian Hospital/Weill Cornell Medical Center. Lipner wasn’t involved in the study.

If you’re concerned about gel manicures but don’t want to give them up, there are some precautions you can take to mitigate the risks.

“Apply broad spectrum sunblock that contains zinc and titanium around the nails, and wear UV gloves with the fingertips cut off when it is time to cure your nails,” said Curtis, who doesn’t get gel manicures. “I would recommend alternatives to gel nails, such as the new wraps that are available online.” (Gel nail wraps or strips are stick-on gel nail products that don’t always require being set by UV nail dryers.)

Some salons use LED lights, which “are thought to emit either no UV light or much, much lower amounts,” Lipner said.

Lipner gets regular manicures — which typically last her seven to 10 days — not in an effort to avoid UV light but rather because she doesn’t like the nail-thinning acetone soaking involved with gel manicures.

“Regular manicures are just dried in the air,” she added. “Gel manicures have to be curated or sealed, and the polymers in the polish have to be activated, so that can only be done with the UVA lights.”

If you have regularly gotten gel manicures, Lipner recommends seeing a board-certified dermatologist who can examine your skin for any skin cancer precursors and treat them before they become serious problems. (Ultraviolet light can also age the skin, showing up as sunspots and wrinkles, she said.)

There isn’t enough data for experts to weigh in on how often people can get gel manicures without putting themselves at risk, Lipner said. But Curtis recommended saving them for special occasions.

Russak doesn’t get gel manicures very often but uses sunscreen and gloves when she does, she said. Applying serums rich in antioxidants, such as vitamin C, beforehand might also help, she added.

“As a dermatologist, I change gloves probably three, four times with just one patient. And with a regular nail polish, after three, four glove changes, the nail polish is gone,” Russak said. “The gel manicure definitely has a much better longevity, but is it really worth the risk of photoaging and development of skin cancer? Probably not.”

People with a history of skin cancers or who are more photosensitive due to fairer skin or albinism, medications or immunosuppression should be more careful about taking precautions, experts said. But whatever your risk, the dermatologists CNN spoke with urged caution.

“Unfortunately, full protection is not possible, so my best recommendation is to avoid these dryers altogether,” said Dr. Joshua Zeichner, an associate professor of dermatology at Mount Sinai Hospital in New York City.

[religion-is-a-mental-illness]

By: Alastair Mordey

Published: Jun 4, 2023

You may have noticed over the last decade a steady increase in the promiscuous use of the word ‘trauma’. A word that once referred exclusively to grievous injuries of body and mind (gun-shot wounds, PTSD, that sort of thing) can now describe virtually anything. Psychotherapists and clinical psychologists are the main super-spreaders of this hyperbolic virus, though educators, politicians and of course celebrities are now getting in on the act.  

But trauma is more than just an annoying buzz word. Its inexorable creep into common parlance is the culmination of aa sustained campaign to politicise healthcare that has been going on for 30 years. Along the way it has resurrected some of Sigmund Freud’s more bizarre theories about childhood development, and married them with social justice concerns to become what is effectively a secular religion. 

Anyone who is familiar with the work of Sigmund Freud knows that his psycho-sexual theories developed in two distinct stages. The first posited that people who were mentally or emotionally unwell had repressed traumatic memories (almost always of sexual abuse in their childhood). He eventually gave up on this theory. In its stead he developed his equally infamous theory of infantile sexuality, in which children experienced sexual feelings through different erogenous zones during distinct stages of their development. It may surprise and horrify you to learn that both theories are alive and well in the current mental healthcare establishment, where they have been rebranded into a pseudoscientific theory about childhood trauma that leads to brain damage, addiction, and disease. 

This Freudian reformation began in the 1990s with the Adverse Childhood Experiences Study. The ACE study as it became known, was conducted between 1995 and 1997. The lead researcher was a physician called Vincent Felitti, who worked at Kaiser Permanente’s Department for Preventative Medicine in San Diego. Dr Felitti ran a weight loss programme at Kaiser, and he had a problem. His obese patients kept dropping out. Not only that, it was the ones who were doing well who were dropping off the most. Confused by this, Felitti conducted follow up interviews with as many of those patients as he could, and what he found was shocking. Out of the 286 interviews, a significant amount reported that they had been sexually abused as children. These revelations caused Felitti to reflect on Freud’s psycho-sexual theories. What if his patients had grown up using their obesity as a protective mechanism to deter sexual predation? Maybe that was why they were unwilling to lose too much weight. Or what if comfort eating was some kind of self-medication? An ‘oral fixation’ which compensated for the nurturing they should have received as children? 

Inspired by these hypotheses, Felitti approached colleagues at the Center for Disease Control and set about designing the ACE study. The study asked some 17,000 patients in California’s healthcare system ten questions about adverse experiences in their childhood (which they dubbed ACEs). Specifically they asked them questions about three types of abuse (physical, sexual, and psychological); two types of neglect (physical and emotional); and five different types of household dysfunction (exposure to mental illness, substance abuse, domestic violence, criminal behaviour, and divorce or separation of parents). Those ‘ACE scores’ were then mapped onto the respondents’ current health status as adults. 

The results were stark. Children who experienced four or more of these ACEs were deemed two to four times more likely to smoke, and four to 12 times more likely to become alcoholic or drug addicted as adults, compared to people with an ACE score of zero. Further, the study found that high ACE scores were strongly correlated with ischemic heart disease, cancer, chronic lung disease, and even skeletal fractures later in life. It seemed that childhood trauma wasn’t just causing obesity. It was causing all manner of addictions and health problems in later life. 

Over the following decade Dr Felitti became something of a hero to mental health professionals. Helping professionals like counsellors and psychologists are almost overwhelmingly left-leaning, so Felitti’s work was well received in such circles. It seemed to vindicate their convictions that social ills like health inequality and addiction had purely sociological causes, and could therefore be solved only by direct government action. 

By the end of the decade the ACE study was so lauded that organisations like the World Health Organisation were adopting the concept. In 2012, they issued their own questionnaire (the ACE-IQ) which sought to measure ACEs across the globe. The WHO noted that ACEs can ‘disrupt early brain development and compromise functioning of the nervous and immune systems.’ So not only were ACEs causing actual organic disease, they were permanently rewiring the brain. As a result, large sums of money began pouring into research which sought to isolate the specific bio-markers of adverse childhood experiences, and the idea that early life adversity might be ‘biologically embedded’ took hold. 

By the 2010s the idea that childhood trauma causes physical illness began to seep its way into popular culture. Magazine and newspaper articles ran headlines linking childhood trauma to migraines, cancer, and autoimmune disease. Numerous cities across America (such as New Orleans and Baltimore) started initiatives to protect children from trauma induced brain damage. Universities and schools ran training seminars to create ‘ACE-awareness’ in their staff. In 2018, first minister Nicola Sturgeon gave an introductory speech to welcome some 2,000 delegates to the first ACE-Aware Nation conference in Scotland. She noted that ACEs can ‘affect children’s physical and mental health’ and vowed to make sure that ‘an understanding of ACEs is embedded right across our services.’ All of these initiatives cited the ACE study as their ‘proof’ that childhood trauma causes addiction, disease and mental illness. 

As of 2023, the original ACE study has been cited more than 15,000 times and ‘replicated’ in hundreds, if not thousands of other studies. But few have seriously questioned its findings, or indeed the veracity of the idea that trauma permanently damages the brain. To my mind the ACE study was misleading, both in the way it presented its findings and the types of questions it asked. The results have proved to be disastrous for the mental health of our increasingly fragile younger generations. 

For example, one of the ACE study’s initial findings was that a child who experienced four or more ACE’s was twice as likely to become a smoker than a child with an ACE score of zero, and that those risks climbed with additional ACE’s. What the blurb emanating from the study didn’t emphasise however, was that only a minority of people with four or more ACEs go on to smoke (13.5 per cent). Even lower rates of prevalence were observed with injection drug use and alcoholism (3.4 and 16.1 per cent respectively). Surely, if childhood trauma is the main cause of addiction, and especially injection drug use (as has been portrayed endlessly by trauma advocates such as Dr Gabor Maté, who recently gained notoriety for his televised ‘trauma-focused’ therapy session with Prince Harry) then we should be seeing more than a 3.4 per cent prevalence rate in those most effected. What this tells us as much as anything else, is that 85 to 95 per cent of traumatised children do not go on to become addicts, alcoholics, or even smokers. 

The way the ACE study presented its findings wasn’t the only problem. There were multiple problems with the questionnaire itself. When we look at the wording of the questionnaire, what we find is that many of these so-called ‘adversities’ weren’t actually that traumatic at all. They were subjective, vague, and a virtual open invitation to self-indulgence and grievance. Take question one for example: 

‘Did a parent or other adult in the household often, or very often, swear at you, insult you, put you down, or humiliate you, or act in a way that made you afraid that you might be physically hurt?’ 

This is a hopelessly wide-ranging question. Given that the ACE questionnaire was quantitative, not qualitative, respondents could only answer yes or no. So if a respondent ‘felt like’ they had been frequently ‘put down’ by their parents during childhood, they could answer yes and would then be categorised as having suffered ‘psychological abuse’. 

Question two asked: ‘Did a parent or other adult in the household, often, or very often, push, grab, slap, or throw something at you, or ever hit you so hard that you had marks or were injured?’ 

Obviously a simple ‘yes’ leaves us completely in the dark as to whether the respondent was beaten up repeatedly by a brutal step father, or simply ‘grabbed’ on occasion by his long-suffering single mother who was fed up with him smoking dope in his room. Nevertheless, any affirmative answer scored a point for ‘physical abuse’. 

Question four was particularly weak: ‘Did you often, or very often, feel that no one in your family loved you or thought you were important or special – or [that] your family didn’t look out for each other, feel close to each other, or support each other?’ Surely this is describing the majority of the planet?  

As for the idea that childhood adversity is toxic to the brain, this is actually a radical claim with little in the way of real evidence. In his brilliant book The Trouble with Trauma, child psychiatrist Michael Scheeringa explains why evidence for the stress-damages-the-brain-theory is so thin on the ground. The only reliable evidence that would clearly demonstrate a link between trauma and subsequent changes in the brain, he says, would be a study that captures brain images before and after the trauma (a pre-trauma prospective study followed by another one after the event). Currently, there are very few of these studies due to the obvious fact that it is not ethical to induce trauma.  

Instead there are lots of cross sectional studies. These studies look at brains after the trauma has occurred, but have no way of knowing what the brain looked like before the trauma (e.g. whether the person had an undersized amygdala, over-active pre-frontal cortex, or other neurological disability which might predispose them to a heightened traumatic response). The few before and after studies that do exist seem to point towards pre-dispositional vulnerabilities. Predisposition has also, so far at least, been the most successful theory explaining other psychiatric conditions like depression, schizophrenia, anxiety and bipolar disorder. 

So the trauma damages the brain theory is the outlier here, and it is frankly incredible that governments, top tier universities, and entire professions have placed all their eggs into this big Freudian-hypothesis basket.  

The reasons for this bias are fairly obvious however. Pre-disposition points to genes, a less headline-grabbing area of study, and therefore not as useful for raising funds for trendy political healthcare projects.  

In the DSM-5 (The American Psychiatric Association’s Diagnostic and Statistical Manual, Fifth Edition) trauma is defined as a psychiatric disorder (Post-Traumatic Stress Disorder) which has horrendous and unmistakable symptoms. These symptoms occur (in some individuals) after being exposed to ‘actual or threatened death, serious injury or sexual violence.’ Things that are certainly outside the realm of ‘normal human experience’. Psychiatrists have known this since the Vietnam war. 

Nevertheless, since the 1990s psychiatrists under the sway of social justice politics (and bolstered by the findings of the ACE study) have been attempting to nudge a more watered-down version of trauma into the DSM. This includes ‘complex-trauma’, ‘developmental-trauma’, ‘relational- trauma’, and other snappy, made-up disorders. These ‘knock-off’ versions of PTSD have proven to be scientifically unverifiable, and have been rejected for inclusion in the DSM on multiple occasions, but nevertheless, they remain incredibly popular with clinicians and the public because they like them, and because they fit with what they believe. This concept creep around trauma is a perfect example of how bad, unscientific ideas can completely capture the zeitgeist when they peddle the right narrative. 

If this politicisation of psychology is not successfully challenged, I have grave fears for what the consequences will be. If we don’t stop using the word trauma, then those who suffer from real trauma (women who’ve been raped, children who’ve been burned, soldiers who’ve been blown up by mines) will have to share their services with those who, frankly speaking, don’t deserve them. And, people with addictions and other conditions that could be turned around with the right treatment will fail, because they are being protected and wrapped up in cotton wool by health professionals who are using them to fulfil their own professional and ideological goals. This cult of trauma must be stopped.  

[oliviaphleb]

Open Your Future: Top Phlebotomy Courses in San Diego for Aspiring Healthcare Professionals

Unlock ​Your Future: Top Phlebotomy Courses in San Diego for ⁢Aspiring Healthcare Professionals

Are⁤ you looking to start a rewarding career in healthcare? Phlebotomy can be an excellent entry point ⁢for ⁣aspiring healthcare professionals. In this thorough guide, we’ll explore the top phlebotomy courses in San⁣ Diego, equipping⁢ you with the ‌knowledge needed ⁤to jumpstart your medical career.

What is ‍Phlebotomy?

Phlebotomy is the practice of ⁣drawing blood from patients for various medical ‌tests,transfusions,or donations. Phlebotomists play a crucial role‍ in the healthcare system, ensuring accurate sample collection and patient comfort. This field is growing⁣ rapidly, and with the right training, you can secure a position in⁣ hospitals, clinics, or laboratories.

The Benefits of Choosing ​a Career in​ Phlebotomy

job ⁤Stability: The demand for trained phlebotomists is on the rise, providing great job security.

Short Training Time: Manny training programs⁤ can be ‍completed in a matter of months.

Hands-On Experiance: Phlebotomy offers a practical approach to ‌healthcare that appeals to many⁤ individuals.

Possibility for ‍Advancement: With additional certifications, you can progress to higher-level healthcare roles.

Top Phlebotomy Courses in San Diego

San Diego⁣ is home to numerous accredited phlebotomy training programs. below ⁣are a few ​of the best options available:

Course Name

Institution

Duration

Certification

Phlebotomy Technician Training

San Diego Continuing Education

4 months

California ⁢Certified Phlebotomy Technician (CPT)

Phlebotomy Training Programme

International Institute of⁢ Health Care Professionals

6 months

National Phlebotomy Association‍ certification

Clinical Phlebotomy

Allied Health Career Training

10 weeks

Phlebotomy ⁢Certification

Phlebotomy ⁤certificate Program

Western Career ⁤College

7 weeks

Certified Phlebotomy Technician (CPT)

How to choose the Right Course​ for You

Choosing the right phlebotomy course in San Diego is crucial for your success. Here ‍are some considerations to keep in mind:

Accreditation: Ensure the program ⁢is accredited and recognized⁤ in California.

Curriculum: ⁤Review the course curriculum to ​ensure it covers​ essential topics like anatomy, safety protocols,⁢ and ⁣patient care.

Scheduling: Look for programs that ⁤offer flexible scheduling to accommodate ⁣your lifestyle.

Hands-On Training: Check if ⁢the course offers practical training, which is critical for skill development.

first-Hand Experience: What​ to Expect from Phlebotomy Training

Many students report a fulfilling‌ experience⁤ during their phlebotomy‌ training. Jessica, a recent graduate from San Diego continuing Education, shares her thoughts:

“The hands-on training was invaluable. I felt supported by ⁢my instructors throughout the process,and I was able to gain ‍confidence in⁢ my skills. Getting certified opened​ the door to numerous job opportunities‍ for me!”

– ‌Jessica, ⁢Phlebotomy Technician

Practical Tips for Aspiring Phlebotomists

To excel ⁣in your phlebotomy career, ‍consider the​ following tips:

Stay Informed: Keep up​ to date with the latest techniques ​and regulations in ⁤phlebotomy.

Develop Soft Skills: Work on communication and empathy,as these are essential when dealing with patients.

Network: ⁤Join local phlebotomy associations or online forums to⁤ connect with other professionals.

Case Study: Growth in the ‌Field of Phlebotomy

According to data from the U.S. Bureau of Labor Statistics, the employment of phlebotomists is projected⁤ to grow‍ by 22% from 2020 ‍to 2030, much faster than the average for all occupations.This surge⁢ is largely driven⁤ by the‍ increasing need for diagnostic tests, providing an‍ excellent opportunity for aspiring phlebotomists in San Diego.

Conclusion: Your Future in Phlebotomy Awaits

Choosing to enroll in one of San Diego’s top phlebotomy courses can substantially impact your career⁣ in ⁤healthcare. With job stability, short training durations, and ​the ability to make a difference in patients’ lives, phlebotomy offers ⁢a fulfilling path for ⁢aspiring healthcare ‌professionals.Explore the options available, choose the right course for you,‍ and unlock your future today!

For further exploration, ⁣contact local institutions or ‌visit their websites for more information on enrollment and upcoming course dates. Good luck on your journey ‍in ​the rewarding field of phlebotomy!

https://phlebotomytechnicianschools.org/open-your-future-top-phlebotomy-courses-in-san-diego-for-aspiring-healthcare-professionals/

[marylcna]

Leading 10 Schools That Offer CNA Classes: Kickstart Your Healthcare Career Today!

Top ‌10 Schools That Offer CNA Classes: Kickstart Your Healthcare Career Today!

Are you looking to start a rewarding career in healthcare? Becoming⁢ a Certified Nursing Assistant (CNA) is an excellent first step! With a growing demand for ⁣healthcare professionals, enrolling in CNA classes can ‌lead you to a fulfilling job helping patients in various settings. In this article, we’ll explore the top 10 schools that offer CNA classes, benefits of becoming a ​CNA, practical‌ tips for success, and personal insights from those who’ve been there. Let’s dive ‍in!

Why Choose⁢ a Career as ‌a CNA?

A career as a CNA offers ⁣numerous benefits, including:

Job Stability: The healthcare ⁢industry is always in need of skilled professionals.

Flexible Schedules: CNAs often have the ability to work various shifts.

Personal Fulfillment: Helping others can be incredibly⁢ rewarding.

Growth ⁣Opportunities: Start as a‌ CNA and ‍advance to higher nursing positions.

Top 10 Schools ⁣Offering CNA Classes

School Name

Location

Program Duration

Tuition⁣ Fee

Bright Futures Academy

Los ​Angeles, CA

4 weeks

$1,200

New York Health School

New York, NY

6 weeks

$1,500

Midwest Nursing Institute

Chicago, IL

8 weeks

$800

Pacific Coast Academy

San Diego, CA

5 weeks

$1,000

Sunrise Health College

Miami, FL

7 weeks

$900

East Coast Healthcare School

Boston, MA

8 weeks

$1,100

West Valley Institute

Phoenix, AZ

4 weeks

$1,250

Silver State Nursing School

Las Vegas, NV

6 weeks

$850

Heartfelt Care Academy

Seattle, WA

5 weeks

$1,150

Golden Gate Nursing Program

San Francisco, CA

8 weeks

$1,400

What​ to⁢ Expect in ‌CNA Classes

CNA training programs⁣ typically include a mix of classroom instruction and hands-on clinical practice. Here are some key components you can expect:

Basic Nursing Skills: Learning essential skills ⁤such ⁢as bathing, dressing, and feeding patients.

Medical Terminology: Familiarizing yourself with common terms used in healthcare settings.

Patient Care: Understanding the emotional and physical⁤ needs ‍of the patients.

Preparation for Certification‌ Exam: Tips and practices that prepare ⁤you to pass the ⁢CNA​ certification exam.

Benefits of Becoming a CNA

Besides the ​job opportunities, becoming a CNA has ‍several other advantages:

Opportunity for Specialization: CNAs can further‌ their education and specialize in fields like pediatrics or geriatrics.

Networking: Working in​ hospitals or clinics allows you to‍ meet professionals who can help ‌guide your career.

Job Satisfaction: Many CNAs report high levels of job satisfaction from helping others.

Practical ⁢Tips for Success‍ in CNA Classes

To effectively navigate ​your CNA training and achieve success, consider the following tips:

Stay Organized: Keep track of assignments, clinical hours, and study schedules.

Practice Hands-On Skills: Make the most of your clinical hours to ‌practice key⁢ skills.

Study Groups: ⁣ Join or ‍form study groups with classmates to enhance‌ learning.

Ask Questions: Never hesitate to seek clarification‌ on topics you find challenging.

First-Hand Experience: Stories from⁢ CNA Graduates

Here’s what some successful⁤ CNAs have to say about their experiences:

Jane D.,‍ California: “My CNA training was intense but so rewarding. I love being on⁢ the front lines of patient care!”

Michael T., New York: “The skills I developed during my CNA ‍program have been invaluable. It opened⁤ doors for my nursing⁣ career!”

Conclusion

Enrolling in​ a CNA program⁤ is⁤ just the beginning of a rewarding healthcare career. By choosing one of the top schools listed above, you’re setting a foundation that can lead ‍to numerous opportunities in the medical field. Whether you are driven by a passion for patient care or looking for job ‌security, becoming⁣ a CNA ⁤is ⁣a great step in the right direction. Don’t wait—kickstart your healthcare career today!

https://www.cnacertificationschools.net/leading-10-schools-that-offer-cna-classes-kickstart-your-healthcare-career-today/

[isabelwcna]

Open Your Future: Top CNA Training Programs in San Diego, CA-- Start Your Healthcare Career Today!

Unlock Your Future:⁣ Top CNA Training Programs in San Diego, CA – Start Your Healthcare Career Today!

If​ you’re aspiring to kickstart your career in healthcare, becoming ⁣a Certified Nursing⁤ Assistant ⁤(CNA) is a‍ fantastic way ⁢to enter the field. CNA roles are in high‌ demand, especially in urban areas like‌ San Diego, California. The path‌ to becoming a CNA is accessible, and with the right training program, you’ll be equipped ⁣with the​ skills required to excel. This​ article covers the top CNA training programs available in San Diego, providing you with all the information you need to make an informed decision.

What is‌ a CNA?

A Certified Nursing Assistant (CNA) is a vital member of the healthcare ‌team.⁢ CNAs provide essential care ‍and ⁤support⁣ to patients in ​various settings, including hospitals, nursing homes, and⁢ assisted living‍ facilities. Some of their ⁢key⁣ responsibilities include:

Assisting⁣ patients with daily activities ⁣such ⁣as bathing, dressing, and eating

Monitoring patient vitals and reporting changes to nursing staff

Providing companionship and emotional support​ to patients

Maintaining patient hygiene and⁣ cleanliness

Benefits ‍of​ Becoming a ‌CNA

Choosing​ a ⁤career as a CNA ⁢comes with numerous benefits:

High‌ Demand: The healthcare industry is‍ continually​ growing,⁤ leading ⁢to an ⁤increasing ⁢need for ‌nursing ‍assistants.

Flexible Work Hours: Many healthcare facilities⁤ offer flexible ⁣shifts, making‍ it easier to balance work with personal commitments.

Gateway to Further Education: Working as a CNA provides invaluable experience and ⁤can ‍be a stepping⁢ stone⁤ towards advanced nursing degrees.

Rewarding Experience: CNAs make a direct impact on patient ⁤care and contribute positively⁤ to their​ lives.

Top CNA Training Programs in San Diego, CA

When ‍it comes to finding the right training program,​ several institutions in San Diego stand out. Here’s ⁣a ⁣list of the​ top CNA training‍ programs, along with key details:

Training Institution

Program Duration

Location

Certification

San Diego Nursing Academy

4-8 weeks

San Diego, CA

State Certification

American Red Cross

4 weeks

San ⁤Diego, CA

State Certification

Southwestern College

2 semesters

Chula Vista, CA

State Certification

UEI ‌College

5 months

San Diego, CA

National Certification

What⁣ to Look for​ in ⁣a CNA Training Program

Choosing the​ right CNA training program can significantly ‍affect your career. Here are some factors to consider:

Accreditation: Ensure‌ the program is accredited by the ​California Department of‌ Public Health.

Curriculum: Look ⁢for comprehensive training that covers both theoretical knowledge and ⁣hands-on skills.

Instructor Qualifications: ​ Instructors should ⁢be experienced and certified⁤ professionals.

Job Placement ‌Assistance: ⁢Programs that offer​ support ​in finding job ‌placements post-certification can be beneficial.

Practical Tips for CNA Training

Here are some practical tips to enhance your⁢ CNA training experience:

Stay Organized: Keep all your study ⁣materials and resources organized for easy access.

Network: Connect with other students and instructors; they can ‌offer support and opportunities.

Practice Hands-On​ Skills: ‍ Make the most of ⁤your clinical hours. Practice skills like ⁣taking vitals and ‌patient care‍ as much as possible.

Prepare for​ the State Exam: Take‍ practice tests and study relevant materials to ace your certification ⁣exam.

First-Hand Experiences: CNA ​Student Insights

To ⁣give ⁣you a better understanding of what to expect, hear​ from recent graduates of CNA programs in San Diego:

“The‌ training at San Diego Nursing Academy was‌ intense but incredibly⁣ rewarding. The hands-on ⁤training prepared me for real-life scenarios, ‌and I felt confident⁤ during my clinicals.” – Jessica ⁢M.

“I loved⁢ the⁣ supportive environment at ⁢American Red Cross.⁣ The instructors⁤ genuinely care about your success, and I felt prepared‍ for the state exam.” ⁤- Mark R.

Conclusion

Starting your journey as​ a Certified Nursing Assistant in San Diego,⁣ CA,⁢ can unlock numerous opportunities in⁣ the healthcare‌ field. With several quality training programs available, it’s essential ​to find one that aligns with your career goals⁤ and personal circumstances.‍ Remember that becoming a CNA is not just about acquiring​ a certification;‍ it’s about ⁤committing to a ‍rewarding career where you can make a significant ⁣difference⁤ in people’s lives. Take the first​ step today and enroll in ​one of the top CNA training programs to secure your future in healthcare!

https://coursescna.com/open-your-future-top-cna-training-programs-in-san-diego-ca-start-your-healthcare-career-today/

[tocitynews]

California PhD Student Visiting Pittsburgh Pennsylvania Accused Of Killing One Of Friend's Baby Twins And Injuring Another While "Babysitting" Faces Death Penalty If Convicted – New York City reporting

Nicole Virzi was babysitting the twin sons of a Pittsburgh couple when one died of blunt force trauma to the head. The other was found with multiple injuries.

Virzi called the police on the night of June 15, claiming that one of the twins had fallen from a bassinet. The baby, named Leon Katz, was rushed to a nearby children's hospital, where he was pronounced dead.

The next evening, Virzi discovered injuries to Leon’s twin brother, including scratches, bruising and swelling. After the second baby was taken to the hospital, doctors found the injuries sustained by both twins were neither natural nor accidental.

Virzi, who had been staying at an Airbnb property in Pittsburgh, told police that Leon was in a bouncer seat when she left the room to get him a bottle. She then heard the baby screaming and found him on the floor before she contacted police. Virzi also alleged that Leon's twin brother got a scratch to his face when she tried to put him in a car seat and he flailed his arms.

An examination by the medical examiner's office revealed that Leon had suffered from a severe skull fracture and multiple brain bleeds, with the cause of death determined to be blunt force trauma to the head, resulting from homicide.

Virzi was pursuing her doctorate at the University of California, San Diego. According to the university's website, she was studying behavioral medicine in the joint doctoral program in clinical psychology.

She is being held in the Allegheny County Jail without bond.

Pennsylvania is one of 27 states where the death penalty remains legal. Over 100 people remain on death row in the state — including just one woman — but no executions have been carried out since 1999.

When Gov. Josh Shapiro took office last year, he announced that he would not issue any execution warrants during his term. He called on the General Assembly to abolish the death penalty, saying, "The Commonwealth shouldn't be in the business of putting people to death."

[epacer]

Health

San Diego health officials urge HPV vaccination as school year approaches

As summer winds down and the back-to-school season begins, San Diego County health officials are emphasizing the importance of the HPV vaccine to protect children from cancer. HPV is linked to six types of cancer affecting both men and women, making vaccination crucial for both genders, according to the National Cancer Institute.

Dr. Evan Graboyes, a head and neck specialist at the Medical University of South Carolina, said that despite the U.S. goal of 80% adolescent vaccination, current rates remain stagnant at 63%.

His research highlights a surprising trend: 65% of socioeconomically advantaged parents said they would be more likely not to initiate and complete the HPV vaccine series compared to 40% less advantaged parents. While advantaged parents often cite safety concerns, those from less advantaged backgrounds report a lack of knowledge or physician recommendation as barriers.

“This study highlights a group to focus on which is the most sociologically advantaged group, and then potentially also, what the messaging might need to look like if this group were to improve their vaccination rates in the future,” said Graboyes.

Dr. Erik Hogan of Scripps Clinic advocates for early vaccination starting at age 9, noting that HPV-related head and neck cancers in men have now surpassed cervical cancer rates in women.

“The HPV virus is something that about 80% of adults will get in their lifetime. Earlier vaccination has a much stronger prevention against these cancers,” he said.

Although the vaccine is not mandatory, Hogan believes it should be a required school vaccination. He urges parents to view it as a cancer prevention measure rather than associating it with sexual activity.

He said the vaccine is safe and accessible.

“It's been out for 18 years and studied before that for decades. It's time we hit 80% and be done with HPV.” *Reposted article from KPBS by Heidi de Marco on July 29, 2024

[azuredeltaconsulting]

Discover the best submission services in Boston-Cambridge tailored to meet your needs. Our professional team ensures efficient, reliable, and top-quality submissions to help you achieve your goals. From accuracy to speed, we’ve got you covered. Choose trusted experts in Boston-Cambridge for seamless service and outstanding results. Contact us today to get started!

[alicevgcna]

Open Your Healthcare Career with CNA Certification in San Diego: The Ultimate Guide

Unlock Your Healthcare Career with CNA Certification in San Diego: ‌The ‌Ultimate ‌Guide

Are⁢ you ‌looking⁢ to kickstart your career ⁣in the healthcare industry? Becoming a Certified Nursing Assistant (CNA) is ⁣a great way to‌ start. CNA certification in San Diego can open up a world of opportunities for⁤ you, allowing you to⁣ work in ‍hospitals, nursing homes, and other​ healthcare settings.‍ In this guide, we’ll‌ walk you through everything you need to know about CNA certification in San Diego, ​from the ⁢requirements to the benefits and ⁣practical tips for success.

**What is a CNA?**

A Certified⁢ Nursing Assistant (CNA) is a healthcare professional who provides basic care to patients under the supervision of a licensed nurse. CNAs play a crucial role⁢ in the healthcare system, assisting patients with activities of daily living, ‍such ⁤as bathing, dressing, and eating. They also⁢ provide ⁢emotional ​support to patients and report any changes ‌in their condition to the nursing staff.

**Requirements for CNA Certification in San Diego**

To become‍ a CNA in San Diego, ​you must meet the following ​requirements:

– Be at least 18 years ‍old – Have a high ‌school diploma or GED – Complete a state-approved CNA training program – Pass a competency exam

In California, CNAs are required to complete​ a minimum ⁣of 150 hours of training, including both classroom instruction and clinical practice.⁣ Once you have completed your training, you can take the⁣ state competency exam to become certified.

**Benefits of CNA Certification in San Diego**

Obtaining your CNA certification in San Diego ​offers a wide range of ‍benefits, including:

1. Job security: The demand for CNAs is expected to grow in the coming years,​ providing you with a stable⁢ and secure job outlook. 2. ⁤Competitive salary: CNAs in San Diego earn an average salary‌ of $30,000 per year,‍ with opportunities for advancement. 3. Flexibility: As​ a CNA, ⁢you can‍ work in ​a variety of healthcare ​settings,​ including hospitals, nursing homes, and home health agencies. 4. Fulfilling work: CNAs have the opportunity to make a real difference in the lives‌ of their patients,‌ providing compassionate care and support.

**Practical Tips for ‍Success**

– Develop strong communication skills ⁢to effectively interact with patients ‍and their families. – Stay⁤ organized and ‍detail-oriented ⁢to keep track of patient care plans and medical records. – Practice self-care​ to prevent burnout‍ and maintain your ⁤own health and well-being.

**Case ⁤Study: Maria’s Journey to⁢ Becoming a ‍CNA**

Maria always had a passion for⁤ helping others and decided to pursue a career as a Certified Nursing Assistant.⁢ After completing her training program in ⁣San Diego, Maria passed the ⁤state exam ‍and landed a job at⁢ a local hospital. She enjoys the daily interactions with patients and ‌finds fulfillment in providing ⁣compassionate care.

**First-Hand Experience: John’s ​Story as a CNA in San ‍Diego**

John has been working as‍ a⁢ CNA in San‌ Diego for‌ five years and loves his ⁤job. ⁢He appreciates the opportunity ⁣to make a positive impact ⁤on his patients’ lives and enjoys the variety of⁢ experiences he encounters each day. John encourages aspiring CNAs to stay committed to their training⁢ and never lose sight ​of the difference​ they can make in the healthcare industry.

pursuing CNA certification in San Diego can unlock a rewarding and fulfilling career in the healthcare‌ field. By meeting the‌ necessary requirements, gaining practical experience, and ⁤staying​ committed to compassionate care, you can excel ‌as a Certified Nursing Assistant. Start‍ your ‍journey ⁤today ‍and​ embark ‍on a ⁢path to⁢ success in the⁢ healthcare ​industry.

Whether you’re a‌ recent high school graduate or looking⁣ to make a career change, CNA certification in San Diego offers a promising opportunity for personal and professional growth. Take the first step towards a rewarding career in healthcare ​and become a Certified Nursing Assistant ​today.

https://cnaclassesonline.net/open-your-healthcare-career-with-cna-certification-in-san-diego-the-ultimate-guide/

[abigailspinach]

Is modern medicine a hellscape? Yes. But if you want to help make new medicine and get a fair salary and decent bennies plus a very remote friendly field? Message me and I will talk to you about Clinical Research.

You want to be a librarian...we need TMF specialists. You want to travel... try Monitoring. You go at organizing? We need meeting planners. We need supply logistics. We need operations tracking equipment and study drug. We need office admin to take minutes and run reports and manage vendors and anything else throw at you. Do you live in San Fran, Boston, San Diego, Kansas City, NC Research Triangle, Philly, London, etc. That helps get you in the door.

loser-ass website that so many people are afraid of a “soulless” office job, when so many people would KILL for that comfort and security. obviously i get not wanting to work in The Mines (retail, service, manufacturing, etc) but the reality is that like 90% of people who don’t work in The Mines have a 9 to 5. so like what are you expecting? to just never work at all or write fanfiction for a living or become like an astronaut princess rockstar because you haven’t changed your answer to “what do you want to be when you grow up?” since kindergarten? i fear the conservatives may have been right about us.

[ghostlycoffeecollection]

The Scientific research and Spirituality of Psychic Mediumship

Introduction

In this short article, we will certainly delve into the remarkable globe of psychic mediumship, exploring both the clinical and spiritual elements of this remarkable sensation. Psychic mediumship has captivated the human creative imagination for centuries, with individuals declaring to have the ability to communicate with the spirit world. While doubters disregard it as nothing greater than a smart illusion, others believe it to be a real connection with the immortality. We will discover the proof and concepts surrounding psychic mediumship, examining its possible scientific descriptions while acknowledging its indisputable spiritual significance.

The Science Behind Psychic Mediumship Exploring Psychic Capacities in the Brain

Is there a clinical basis for psychic https://www.orlandospiritualpsychiccenter.com/contact-us mediumship? Can these phenomenal capacities be described by our understanding of the human brain? Research study recommends that certain regions of the mind may contribute in promoting psychic experiences. Studies have actually shown that individuals who assert to possess psychic capacities show Psychic increased task in locations connected with instinct and compassion. This recommends that psychic mediumship might involve an enhanced sensitivity to refined powers or details beyond our common perception.

The Function of Quantum Physics in Psychic Phenomena

Quantum physics, a branch of science that checks out the actions of issue at a subatomic level, uses interesting opportunities when it concerns comprehending psychic phenomena. The principles of quantum complexity and non-locality suggest that details can be transferred instantaneously over substantial ranges, bypassing the limitations of time and space. Could these principles give a framework for discussing how psychic tools obtain messages from spirits? While still speculative, some scientists think that quantum technicians might hold the secret to unraveling these mysteries.

Parapsychology: The Scientific Study of Psychic Phenomena

Parapsychology is a field devoted to investigating paranormal phenomena such as telepathy, clairvoyance, and precognition. Within this technique, researchers utilize strenuous clinical techniques to explore psychic capabilities. With regulated experiments and statistical analysis, parapsychologists aim to determine whether these sensations are actual and can be reliably reproduced. While the area continues to be questionable, a number of well-conducted research studies have reported statistically considerable results, providing some clinical Psychic support for tarot card readers san diego the presence of psychic mediumship.

The Duty of Instinct and Empathy

Psychic mediums often explain their abilities as an instinctive or compassionate link with spirits. But exactly what Psychic Source is instinct, and exactly how does it connect to psychic mediumship? Instinct is a form of prompt understanding that bypasses mindful reasoning. It entails tapping into our inner wisdom and accessing details that exists beyond our sensible mind. Compassion, on the various other hand, describes the capability to sense and comprehend the feelings and experiences of others. Both instinct and empathy play essential duties in psychic mediumship, permitting mediums to get in touch with and translate messages from the spirit realm.

The Spirituality of Psychic Mediumship Connecting with Liked Ones in the Afterlife

One of https://crystalmagicpsychiccenter.com/ the most profound elements of psychic m

[jcmarchi]

Study: AI Surveillance Tool Successfully Helps to Predict Sepsis, Saves Lives - Technology Org

New Post has been published on https://thedigitalinsider.com/study-ai-surveillance-tool-successfully-helps-to-predict-sepsis-saves-lives-technology-org/

Study: AI Surveillance Tool Successfully Helps to Predict Sepsis, Saves Lives - Technology Org

Researchers find that utilizing a unique AI algorithm that monitors several patient variables, like vital signs and lab results, can detect sepsis before symptom onset.

Each year, at least 1.7 million adults in the United States develop sepsis, and approximately 350,000 will die from a serious blood infection that can trigger a life-threatening chain reaction throughout the entire body.

In the new study, researchers found that by utilizing a unique AI algorithm in emergency departments at UC San Diego Health, they could quickly predict sepsis infection in high-risk patients and reduce mortality by 17%. Image credit: UCSD

In a new study published in the online edition of npj Digital Medicine, researchers at the University of California San Diego School of Medicine utilized an artificial intelligence (AI) model in the emergency departments at UC San Diego Health to quickly identify patients at risk for sepsis infection. 

The study found the AI algorithm, entitled COMPOSER, which was previously developed by the research team, resulted in a 17% reduction in mortality. 

“Our COMPOSER model uses real-time data in order to predict sepsis before obvious clinical manifestations,” said study co-author Gabriel Wardi, MD, chief of the Division of Critical Care in the Department of Emergency Medicine at UC San Diego School of Medicine. “It works silently and safely behind the scenes, continuously surveilling every patient for signs of possible sepsis.” 

Once a patient checks in at the emergency department, the algorithm continuously monitors more than 150 different patient variables that could be linked to sepsis, such as lab results, vital signs, current medications, demographics and medical history. 

Should a patient present with multiple variables, resulting in high risk for sepsis infection, the AI algorithm will notify nursing staff via the hospital’s electronic health record. The nursing team will then review with the physician and determine appropriate treatment plans.

“These advanced AI algorithms can detect patterns that are not initially obvious to the human eye,” said study co-author Shamim Nemati, PhD, associate professor of biomedical informatics and director of predictive analytics at UC San Diego School of Medicine. “The system can look at these risk factors and come up with a highly accurate prediction of sepsis. Conversely, if the risk patterns can be explained by other conditions with higher confidence, then no alerts will be sent.”

The study examined more than 6,000 patient admissions before and after COMPOSER was deployed in the emergency departments at UC San Diego Medical Center in Hillcrest and at Jacobs Medical Center in La Jolla. 

It is the first study to report improvement in patient outcomes by utilizing an AI deep-learning model, which is a model that uses artificial neural networks as a check and balance in order to safely, and correctly, identify health concerns in patients. The model is able to identify complex and multiple risk factors, which are then reviewed by the health care team for confirmation.

“It is because of this AI model that our teams can provide life-saving therapy for patients quicker,” said Wardi, emergency medicine and critical care physician at UC San Diego Health. 

COMPOSER was activated in December 2022 and is now also being utilized in many hospital in-patient units throughout UC San Diego Health. It will soon be activated at the health system’s newest location, UC San Diego Health East Campus. 

UC San Diego Health, the region’s only academic medical system, is a pioneer in the field of AI health care, with a recent announcement of its inaugural chief health AI officer and opening of the Joan and Irwin Jacobs Center for Health Innovation at UC San Diego Health, which seeks to develop sophisticated and advanced solutions in health care.

Additionally, the health system recently launched a pilot in which Epic, a cloud-based electronic health record system, and Microsoft’s generative AI integration automatically drafts more compassionate message responses through ChatGPT, alleviating this additional step from doctors and caregivers so they can focus on patient care. 

“Integration of AI technology in the electronic health record is helping to deliver on the promise of digital health, and UC San Diego Health has been a leader in this space to ensure AI-powered solutions support high reliability in patient safety and quality health care,” said study co-author Christopher Longhurst, MD, executive director of the Jacobs Center for Health Innovation, and chief medical officer and chief digital officer at UC San Diego Health. 

Source: UCSD

You can offer your link to a page which is relevant to the topic of this post.

[decentralvaccine]

The Concerning Lack Of A Staph Vaccine

Staphylococcus aureus (SA) is an extremely common bacterial infection; about 30% of people have colonies of SA living in their nose. SA is often harmless, but it is also a leading cause of hospital-acquired and community-associated infections.

A vaccine for SA would be a game-changer for public health, but for decades, all vaccine candidates for SA have failed in clinical trials despite successful preclinical studies in mice. Researchers at University of California San Diego School of Medicine have finally explained why.

In a new study, published January 16, 2024 in Cell Reports Medicine, they tested a new hypothesis that SA bacteria can trick the body into releasing non-protective antibodies when they first colonize or infect humans. When the individual is later vaccinated, these non-protective antibodies are preferentially recalled, making the vaccine ineffective.

SA has a unique relationship with humans. While it causes many dangerous health complications, including wound and bloodstream infections, the bacterium is also a normal part of the healthy human microbiome, where it lives peacefully in the nose and on the skin.