CDC Preparing Vaccine for New Swine Flu

FRIDAY, Aug. 3 (HealthDay News) – Only 29 human cases of a new strain of “swine” flu have been identified in two years, but the U.S. Centers for Disease Control and Prevention is making sure it’s prepared should the H3N2 strain become more widespread.

“This virus is still principally a swine virus, but it doesn’t seem to have onward spread. It’s still not a human virus,” Dr. Joseph Bresee, from the CDC’s influenza division, stressed during a noon press conference Friday.

“Even so, a H3N2 candidate vaccine has been prepared and clinical trials are being planned for this year,” he said.

The reason the CDC is concerned about this particular virus is that it contains an element seen in the pandemic 2009 swine flu strain, H1N1, which may make it more likely for the virus to spread from person-to-person.

All 29 cases were infected with strains of H3N2 “that contained the matrix (m) gene from the influenza A H1N1 pandemic virus,” Bresee explained. “This ‘m’ gene may confer increased transmissibility to and among humans, compared with other variant influenzas viruses.”

In addition, the virus appears to have become more active recently, the CDC said. “The virus was first detected in humans in July 2011, and since then there have been 29 total cases of H3N2 variant virus detected, including the 16 cases occurring in the last three weeks,” Bresee said.

Of the 12 cases reported this week, 10 were from Ohio and one each came from Hawaii and Indiana, the CDC said.

According to Bresee, “29 cases of infection with this H3N2 virus since 2011 is a significant increase for these types of viruses that we have seen in recent years.”

Flu viruses commonly circulate in pigs, Bresee noted. But they are generally different from those that spread to people. Sometimes these viruses can spread to people, however, which happens most often when someone comes into close contact with an infected animal, he explained.

“Swine influenza viruses have not been shown to be transmissible to people through eating, or handling pork or other products derived from pigs. It is not a food-borne disease,” Bresee said.

Each of the recent 16 cases were among people who had direct contact with pigs. In 15 cases, contact happened at a county fair, he added.

It may yet be possible, however, to transmit this virus from one infected person to another, Bresee said.

No human-to-human transfer of the virus occurred in the more recent cases, Bresee said, although scientists did find evidence of limited human-to-human transmission in three cases in 2011.

Fortunately, sustained person-to-person transmission of the virus hasn’t happened yet, he added.

Of the 16 new cases, 13 arose in children, according to the CDC. Studies indicate that children may be more susceptible to the infection than adults, as occurred during the 2009-2010 pandemic H1N1 flu outbreak, Bresee said.

Right now, there is no cause for alarm, the CDC said. Symptoms of this flu are similar to seasonal flu, none of the recent 16 cases required hospitalization and there were no deaths. This flu did hospitalize three people with underlying disease last year, he noted.

“We expect more cases from contact with pigs and through limited human-to-human spread,” Bresee said. “We also suspect that some of the cases might be severe.”

Reported cases usually represent a small number of actual cases, since most people don’t see a doctor and many doctors don’t report flu cases.

Bressee said, however, it’s too early to hazard a guess about how many cases of this flu there might actually be.

“Because influenza viruses are always evolving, we will watch closely for signs that the virus has gained capacity for efficient and sustained human-to human transmission,” Bresee said.

“Thus far, we have not seen this type of transmission and therefore are not seeing features consistent with an influenza pandemic.”

To prevent contracting this flu, the CDC advises people to limit their contact with swine and avoid contact with sick swine. People who have contact with these animals should take precautions such as washing their hands, not eating or drinking in areas with swine and controlling their cough.

Take Western School’s CE course – Influenza: A Vaccine-Preventable Disease – and gain essential information on the newest recommendations of the Advisory Committee on Immunization Practices for the current flu season. For a complete course description, including course objectives, visit www.westernschools.com.

Influenza: A Vaccine-Preventable Disease


Author: Sharon Krystofiak, MS, MT (ASCP), CIC
1 Contact Hour
Item No. N1373

Posted in Infectious Disease, Nurse CE, Nurse Continuing Education (Nurse CE), Respiratory | Tagged , , , , , , , , , , , , , , | Leave a comment

Low Vitamin D Levels May Raise Death Risk in Older Adults: Study

FRIDAY, Aug. 3 (HealthDay News) – Older adults with low vitamin D levels – especially those who are frail – have an increased risk of death.

That’s the finding of Oregon State University researchers who analyzed data from a survey of more than 4,300 U.S. adults older than 60.

Those with low vitamin D levels had a 30 percent greater risk of death during the study period than those with higher levels. Frail people had more than double the risk of death than those who were not frail. And those who were both frail and had low vitamin D levels were three times more likely to die than those who were not frail and had higher vitamin D levels.

The study was published online recently in the European Journal of Clinical Nutrition.

“What this really means is that it is important to assess vitamin D levels in older adults, and especially among people who are frail,” lead author and nutritional epidemiologist Ellen Smit said in a university news release. “Older adults need to be screened for vitamin D.”

The researchers could not determine whether low vitamin D levels contributed to frailty or if frail people had low vitamin D levels due to health problems, but that may not be important, the researchers said.

“If you have both, it may not really matter which came first because you are worse off and at greater risk of dying than other older people who are frail and who don’t have low vitamin D,” Smit said.

“This is an important finding because we already know there is a biological basis for this,” she concluded. “Vitamin D impacts muscle function and bones, so it makes sense that it plays a big role in frailty.”

According to the news release, about 70 percent of Americans and up to 1 billion people worldwide have insufficient levels of vitamin D, which the body produces in response to sun exposure. Other sources of vitamin D include certain foods and supplements.

Although the study found an association between vitamin D levels and death risk in older adults, it did not prove a cause-and-effect relationship.

Take Western School’s CE course – Geriatric Assessment – which provides practical guidance for using standard methods of evaluating older adults, with consideration given to a racially and culturally diverse population. For a complete course description, including course objectives, visit www.westernschools.com.

Geriatric Assessment

Author: Suzanne Fitzsimmons, MSN, ARNP
12 Contact Hours
Item No. N1242

Posted in Geriatrics, Nurse CE, Nurse Continuing Education (Nurse CE), Nutrition | Tagged , , , , , , , , , , , , , , , , , | Leave a comment

Olympians Who Overcame Health Problems

A recent article by the Huffington Post highlighted the more “human” side of our tough-as-nails Olympic athletes. Below you’ll find an excerpt of the article and a sampling of the many health stories of these incredible individuals.

As if their record-breaking, medal-winning performances weren’t inspiring enough, a number of the top Olympians at this summer’s Games have overcome life-altering obstacles to reach the podium.

Many of these challenges have presented in the form of health problems and conditions that are difficult enough on their own, without the added pressure of competing on a global stage.

But that hasn’t stopped these Olympians. Here’s a look at how some of London’s stars have succeeded in the face of illness.

Jake Gibb – U.S. Beach Volleyball Player

The American beach volleyball player was flagged for abnormal hormone levels by a drug tester – the reason, it turned out, was that he had testicular cancer. Doctor were able to successfully remove the tumor, meaning Gibb didn’t need chemotherapy and could return to the beach with enough time to qualify for the 2012 Games, where he and partner Sean Rosenthal continued to compete.

“I realized the things that matter to me, and that’s health and family,” he said of the experience.

Get the most up-to-date information on issues relevant to the treatment and care of patients with cancer – including in-depth case studies – by checking out our Cancer Nursing: A Solid Foundation for Practice, 2nd Edition CE course.

Cancer Nursing: A Solid Foundation for Practice, 2nd Edition

Author: Ellen Carr, RN, MSN, AOCN
36 Contact Hours
Item No. N1167

Paula Radcliff – U.K. Long Distance Runner

She may be the female world record holder in the marathon, but Radcliffe hasn’t won a single Olympic medal in four Games – and she’s now officially out for London, as well. The long-distance runner was declared unfit to compete due to a foot injury, the BBC reported.

But she’s continued running despite another health concern since she was a teenager: asthma. “I always take my reliever inhaler before and after I run and am extra careful when I have a cold, as that can make the symptoms more severe,” she has said, Health.com reported. And she told the BBC, “Asthma didn’t stop me doing what I love.”

While it might not seem like a condition that makes sports infinitely more difficult, around eight percent of Olympic athletes have asthma, making it the most common chronic disease among these star athletes, a recent study found.

Explore the course and management of asthma for each age population and the nurse’s role in promoting positive care outcomes by checking out our Asthma: Nursing Care Across the Lifespan CE course.

Asthma: Nursing Care Across the Lifespan

Author: Anne Meng, MN, CPNP, RNC, AE-C
23 Contact Hours
Item No. N1262

See the entire article here: http://www.huffingtonpost.com/2012/08/02/olympians-health-problems_n_1730452.html#slide=1318078

Posted in Nurse Continuing Education (Nurse CE) | Leave a comment

Hepatitis C

The recent news item about the hospital technician who allegedly stole drugs, reused syringes and infected 30 patients in a New Hampshire Hospital with hepatitis C highlights the importance of education in reducing the risk of exposure and preventing the spread of infection.

Check out the news article below (taken from cbsnews.com) and then help reduce the risk of exposure on the job by ordering this Western Schools CE Course today:

Hepatitis C: The Silent Killer
Author: Sharon Krystofiak, MS, MT (ASCP), CIC
3 Contact Hours
Item No. N1164

In the United States, it is estimated that 4 million people have been infected with the hepatitis C virus (HCV). This course is designed to provide an overview of the history of the virus, its presentation, and the methods available to diagnose and monitor its progression. Provide education to your patients and reduce your risk of exposure on the job.

Visit: http://www.westernschools.com/Courses/CourseDetail.aspx?pid=588 for complete information and course objectives.

Lab tech David Kwiatkowski, indicted in N.H. hospital hepatitis C outbreak, denies drug use

(CBS/AP) David Kwiatkowski, a former technician accused of infecting 30 patients with hepatitis C at a New Hampshire hospital, denies taking or selling drugs.

Kiwatkowski, 33, stands accused of stealing syringes containing the powerful anesthetic Fentanyl from the hospital’s cardiac catheterization lab where he worked, then refilling the syringes with another liquid and putting them back, enabling them to be used on patients.

He was arrested Thursday morning at a Massachusetts hospital where he was receiving treatment. Once he is well enough to be released, he will be transferred to New Hampshire to face federal drug charges, said U.S. Attorney John Kacavas.

“The evidence gathered to date points irrefutably to Kwiatkowski as the source of the hepatitis C outbreak at Exeter Hospital,” Kacavas said in an FBI statement. “With his arrest, we have eliminated the menace this ‘serial infector’ posed to public health and safety.”

Authorities in at least six states are investigating whether Kwiatkowski, who was a traveling hospital technician, also exposed earlier patients to the liver-destroying disease.

When asked how patients at Exeter contracted it, he said, “You know, I’m more concerned about myself, my own well-being.”

Hepatitis C is a blood-borne viral infection that can cause liver disease and chronic health issues.

An FBI affidavit said Kwiatkowsi told police on July 2 he first became aware of his own hepatitis C diagnosis in May. Kacavas, however, said there is evidence Kwiatkowski had the liver-destroying disease since at least at least June 2010.

The FBI said in a press release that the charges against the former hospital employee relate to suspected thefts of the controlled substance Fentanyl, “a powerful anesthetic that is substantially more potent than morphine.”

Fentanyl is a synthetic opiate used to treat patients with severe pain or manage pain following surgery, according to the National Institute on Drug Abuse. Similar to opioids such as heroin and morphine, the drug binds to the receptors in the brain to produce a state of euphoria and relaxation. The NIDA says some users amplify the drug’s potency by mixing it with street-sold heroin or cocaine.

Kwiatkowsi said he is “not a shooter” and he is scared of needles.

“I did not take any drugs or do any drugs … and I’m gonna stick to that,” he told investigators. When he was told that a syringe bearing a fentanyl label was found in a bag in his vehicle, he said it was not his and suggested that it had been planted by a co-worker.

According to the affidavit, Kwiatkowski was observed at times leaving the lab sweating profusely and attending procedures on his off days. One witness said he appeared to be “on something.” At least once, he was sent home for the day after a colleague told a supervisor that he was unfit to perform medical care, Kacavas said.

Kwiatkowski also said he “fabricated my life,” saying two of the biggest lies he had told were claiming he played baseball at the University of Michigan and that his fiancée had died.

Originally from Michigan, Kwiatkowski worked at Exeter’s cardiac catheterization lab from April 2011 through this past May, when he was fired.

Though state and local health departments aren’t required to report such outbreaks to the Centers for Disease Control and Prevention, in a report released in June, the agency said it was notified of 13 outbreaks nationwide between 2008 and 2011. Of those, seven occurred in outpatient facilities; most were traced to unsafe injection practices.

At least two have resulted in criminal charges, however, including a Colorado woman who was convicted of stealing syringes filled with painkillers from two hospitals where she worked and replacing them with used syringes. The syringes were later used on surgical patients, and up to three dozen patients were found to have hepatitis C after being exposed.

Kacavas said New Hampshire is working with the federal Centers for Disease Control and Prevention, law enforcement and departments of public health in other states where Kwiatkowski worked.

“I’m unaware of such a scheme with such reach,” he said. “This one has the potential for very far-reaching implications.”

The New Hampshire Department of Health and Human Services, which had been investigating the outbreak since late May, said in an emailed statement to CBS News that it had identified drug diversion as the likely cause of the outbreak early in the investigation.

“This investigation has taken many turns and is still an on-going investigation,” said N.H. Public Health Director Dr. Jose Montero. “We know that this healthcare worker was employed as a ‘traveler,’ working through an agency in healthcare facilities on temporary assignments. We’ve been coordinating efforts with the other states where this healthcare worker previously worked and the CDC.”

In a statement, Exeter Hospital said he underwent drug testing and a criminal background check when he was hired.

“It is deeply disturbing that the alleged callous acts of one individual can have such an impact on so many innocent lives. As a result of his alleged actions, people in our community, who in many cases are the friends and neighbors of the 2,300 people who work here, now face the challenge of a potentially chronic disease,” said Kevin Callahan, president and CEO of Exeter Hospital.

Article Source: cbsnews.com

Read more: http://www.cbsnews.com/8301-504763_162-57476554-10391704/lab-tech-david-kwiatkowski-indicted-in-n.h-hospital-hepatitis-c-outbreak-denies-drug-use/

Posted in Infectious Disease, Nurse CE, Nurse Continuing Education (Nurse CE), Patient Saftey | Tagged , , , , , , , , , , , , | Leave a comment

Childhood Obesity in the News

Our goal at Western Schools is to keep you up-to-date on the latest healthcare issues. Every day, we search the web for the hottest, most current health-related topics. We recently found the HealthDay article on Childhood Obesity (below) at healthfinder.gov and wanted to share it with you.

Remember that Western Schools offers an informative continuing education course – Childhood Obesity – that focuses on the current recommendations for the prevention, assessment, and treatment of childhood obesity. It reviews family relationships and their role in obesity as well as the role of media and marketing. Approaches for how to motivate patients and families to make changes is also discussed. It contains many practical strategies to apply in clinical care and prevention programs.

Childhood Obesity

Author: Bonnie A. Spear PhD, RD
20 Contact Hours
Item No. N1256

Docs Aren’t Coaching Overweight Kids on How to Slim Down
Obese teens often get the diet-and-exercise speech from physicians, but many overweight children don’t.

By Denise Mann
HealthDay Reporter

FRIDAY, June 8, 2012 (HealthDay News) – While U.S. doctors often urge obese teens to eat better and exercise more, overweight kids headed for obesity seldom get the same medical advice, a new study shows.

That’s important, experts say, because preventing obesity is much easier than dealing with it once it’s there.

In the study, fewer than half of all adolescents were advised to eat a healthful diet by their doctor, and only about a third were also told to get more exercise.

This type of advice was more commonly doled out to obese boys and girls than their normal-weight counterparts, but overweight adolescents – those at highest risk of becoming obese – were counseled much less often.

Read more here.
Article Source: healthfinder.gov

Posted in Ebook Format, Nurse CE, Nurse Continuing Education (Nurse CE), Obesity, Pediatric | Tagged , , , , , , , , , , , , , , , , , , | Leave a comment

Bullying

The recent news item about the bullied New York bus monitor underscores the importance of mental health counselors understanding the dynamics of bullying and how bullying affects not only its victims, but also bystanders and the bully him/herself.

Please read the news article below (taken from cnn.com) and then take action by ordering this Western Schools CE Course today:

Bullies, Victims, and Bystanders: From Prevalence to Prevention

Authors: Warren Heydenberk, EdD and Roberta Heydenberk, EdD

4 Contact Hours

Item No. B4078

Bullying is a common phenomenon in our homes, schools, and workplaces. This course examines the characteristics of victims, bullies, and bystanders, the various forms and consequences of bullying behaviors, and their impact on the mental and physical health of each of these affected groups. Intervention methods and prevention strategies are presented to aid healthcare professionals in recognizing, preventing, and effectively intervening with bullying.

Click here for complete information and course objectives.

Middle Schoolers Bully Bus Monitor, 68, with Stream of Profanity, Jeers

(CNN) — A profanity-laced video of middle school students in upstate New York verbally abusing a bus monitor is sparking an outpouring of support as strangers worldwide rally to her side.

Students taunted Karen Klein, 68, with a stream of profanity, insults, jeers and physical ridicule. Some boys demanded to know her address, saying they wanted to come to her house and steal from her.

One comment from a boy aboard the bus was especially painful, she said. He told her that she does not have family because “they all killed themselves because they didn’t want to be near you.”

Klein’s eldest son took his own life 10 years ago, according to CNN affiliate WHAM.

The bullying continued unabated for about 10 minutes in the video, as a giggling student jabbed Klein’s arm with a book and made fun of her weight.

Recorded by a student with a cell phone camera Monday, the brazen bullying went viral and spurred international outrage.

The incident occurred in Greece, New York, near Rochester. Klein is a bus monitor for the Greece Central School District, and the harassers hail from a district middle school.

In an interview with CNN’s Anderson Cooper, Klein said children misbehaved occasionally, but Monday’s incident was unlike any other she had experienced.

Despite the incident, she said she does not believe her harassers are bad kids.

“Not deep down. But when they get together, things happen,” she said.

As the intimidation unfolded, she tried to disregard the harassment and didn’t hear everything that was uttered, she said.

But she said it hurt deeply.

At one point, she said, she told two children, “I am a person, too. I shouldn’t be treated this way.”

Klein said she kept looking out of the window, counting down the seconds to when the students would get off the bus.

“It was one of those things, I didn’t know what to do,” she said.

No charges have been filed because Klein has decided she does not want to press criminal charges, according to Greece Police Capt. Steve Chatterton.

He stressed that the investigation is continuing and the bus monitor could change her mind.

“I’ve gotten e-mails from the United Kingdom (and) from all over the United States saying prosecute, prosecute,” Chatterton said. “I feel it. I feel it. But we have to follow the law. We can’t tailor the law to meet this case because of public outrage.”

The police captain said the four students pinpointed in the video, all of them seventh-graders, spoke to police voluntarily and without lawyers present.

“As one father put it, his son is sitting back, waiting for his punishment,” Chatterton said. “No one has denied accountability and they’ve taken responsibility for their actions.”

CNN’s Anderson Cooper 360º received statements from two of the accused middle schoolers and the father of a third student apologizing for their behavior.

“When I saw the video, I was disgusted and could not believe I did that,” one boy named Josh said. “I am sorry for being so mean and I will never treat anyone this way again.”

A teen named Wesley said he regretted his actions and “would be really mad” if someone had done the same to a family member.

“If your friend says to bully somebody, please don’t do it,” said the father of Luis, another of the seventh-graders. “We apologize to Ms. Klein. We’re deeply sorry.”

The video prompted an outpouring of support and a fundraiser by international crowd-funding website indiegogo.com that had gathered nearly $600,000 by Friday.

Max Sidorov, who started the fundraising campaign, said the video struck a chord with him because he is a bullying victim and the first thing that popped into his mind was to raise money to get her away from the environment.

“I had no idea I was going to raise anywhere near this amount. I thought maybe a few thousand,” Sidorov said from Toronto. “Maybe to send her somewhere nice. But this is enough for her to retire.”

Southwest planned to provide Klein and nine others with an all-expense paid trip to Disneyland in Southern California. Klein said the outpouring of support is overwhelming.

“I don’t feel like I’ve done anything,” she said after learning of the Southwest offer on CNN. “It’s awesome.”

The school district said its bullying team and the local police are conducting an investigation.

“We have discovered other similar videos on YouTube and are working to identify all of the students involved,” the school district said.

It did not elaborate on whether the additional videos are related to Klein’s case, though school officials say they were all apparently posted by the same user.

“While we cannot comment on specific student discipline, we can say that students found to be involved will face strong disciplinary action,” the school district said.

The students and their family members have received death threats, according to Chatterton.

“We have custody of one of their cell phones, and he had over 1,000 missed calls and 1,000 text messages threatening him. And he is a 13-year-old,” the police captain said. “That must stop.”

Klein said she’s not pushing for criminal charges, but wants the boys to be punished.

She suggested a few disciplinary actions — such as a ban from the bus and athletic activities or community service. But most of all, the grandmother of eight said she hopes this is the end of it.

“I want to make sure that they never do this again, to anybody,” she said.

Article Source: www.cnn.com article by Faith Karimi, CNN. Note: CNN’s Stephanie Gallman, Darrell Calhoun and Randi Kaye also contributed to this report.

http://www.cnn.com/2012/06/21/us/new-york-bullied-bus-monitor/index.html

Posted in Nurse Continuing Education (Nurse CE) | Leave a comment

LGB Best Practices

Rejection. Exclusion. Stigmatization. Discrimination. Harassment. These are what many lesbian, gay and bisexual adolescents face every day. On top of the anxiety of ‘being discovered,’ they often deal with threats to their personal security and social well-being. The result can often be a young person who feels confused, scared and alone. Without a caring support system, these young adolescents could fall victim to violence, depression… even homelessness.

Please read the news article below (taken from Huffington Post) and then order this Western Schools CE Course today to help these young adults create strong support networks:

Best Practices with Lesbian, Gay, and Bisexual Youth and Their Families

Author: Mitchell Rosenwald, PhD, LCSW

4 Contact Hours

Item No. N1356

This basic-level course provides current information on issues and dynamics that affect LGB youth and their families and best practices for working with this population. Exploration of this youth population begins with a definition of terms, a model of identity development, and a focus on diversity considerations. The course then discusses four major areas which affect LGB youth in their development as adolescents. Because issues facing any adolescent are commonly also family issues, particular focus is paid to interventions from a family systems perspective, including an in-depth exploration of three models of family therapy (structural, solution-focused, and narrative) that can be applied to work with LGB youth and their families.

Click here for complete information and course objectives.

New York Homeless Youth Budget Restored but Worries Linger

NEW YORK — On Tuesday afternoon (June 26, 2012), a dozen or so young people milled around a crowded reception room at the Ali Forney Center, an organization that provides housing for the city’s lesbian, gay, bisexual and transgender homeless youth.

They waited for a shower, a sandwich, an AIDS test or an art therapy session. Most of all, they waited for a bed.

Paris Perez, 21, a transgender woman who has been homeless for about two and a half years, could barely conceal her excitement. On Tuesday morning she learned that after a six’s month wait, she had moved off the waiting list. For the next six months, she would be able to sleep in one of the center’s 77 beds. “I’m trying to be normal now, but when I get out of here I’m going to be running in the streets screaming,” Perez said.

Also on Tuesday, City Councilman Lewis Fidler told The Huffington Post that $7 million in cuts to homeless youth services will be restored to next year’s budget to match the previous year’s funding. The mayor’s initial proposed budget would have cut 60 percent from the current funding for homeless youth services, eliminating about 160 of 259 shelter beds. The budget will be voted on later this week by the City Council.

Homeless youth advocates, who protested the cuts last month in front of City Hall, breathed a partial sigh of relief.

“In terms of my terror that we would lose beds, I’m grateful that that’s not the case,” said Carl Siciliano, executive director of the Ali Forney Center. “But on a deeper level, you know, I’m turning away kids every day who have nowhere to stay. Most of them turn to prostitution; enormous numbers are being infected with AIDS.”

The city has 4,000 homeless youth, according to the latest estimate, and funds shelter beds for just 10 percent of them, Siciliano said. Waiting lists are growing, especially at centers like Ali Forney that cater to LGBT youth, who make up about 40 percent of New York City’s homeless young people. At the Ali Forney Center, the waiting list increased by 199 individuals last year, a 40 percent increase over the previous year’s.

Siciliano is the leader of the Campaign for Youth Shelter, a coalition of LGBT providers and advocates that called on the city last month to restore $7 million sliced from the 2013 budget proposal plus add an additional $3 million in funds to finance 100 new shelter beds. Fidler, who chairs the Council’s Youth Services Committee, said he pushed for the additional funds, to no avail. “To the last breath I told them, if there’s any money lying on the table someplace, that’s where they should put it,” he said.

One of the few budget areas in the city slated to receive additional funding were child care and after-school programs, according to Fidler.

“I’m satisfied at least that we didn’t take a step backwards,” Fidler said. Ultimately, strong after-school and child-care programs can reduce the need for homeless services, by catching family problems early on and by providing kids with more structured lives after classes end, Fidler said.

Many of the young people at Ali Forney became homeless after coming out to their parents. When Perez told her mom she was transgender, her mother left their Brooklyn apartment and moved with her younger sister to Pennsylvania, leaving behind Perez to fend for herself. “She couldn’t deal with it,” said Perez, shrugging.

Afterward, Perez couch surfed for a couple of months. When she couldn’t find a couch, she slept on the A train, the roof of a friend’s building or in city parks. Recently she has been staying at a shelter that doesn’t specialize in gay youth, where staffers referred to her by her “government-issued name and ‘he,’” Perez said.

At Ali Forney, it’s a different world, Perez said, pointing to the art covering the walls of one room. During an art therapy class, participants in programs — even those who don’t have a shelter bed — can work on art projects to “vent it out,” as Perez put it. Colorful abstract drawings, cardboard cutouts and a paper totem pole lined the walls. “It’s just so good to see that the staff actually takes the time to keep your stuff,” Perez said.

When asked about the city’s budget, Perez raised her arms in exasperation. “You see a problem, and we know how it’s going to be fixed: beds,” she said. Perez has recently begun classes at a beauty school and hopes to graduate so she can find a job and make it on her own. “That bed makes a whole complete difference. When I’m in a bed, I can wake up recharged and go out and apply for a job. Without a bed…” she paused and sunk into silence.

Source: Huffington Post article by Lila Shapiro.

http://www.huffingtonpost.com/2012/06/27/homeless-youth-budget-new-york_n_1628822.html?utm_hp_ref=gay-voices

Posted in Mental Health, Nurse CE, Nurse Continuing Education (Nurse CE) | Tagged , , , , , , , , , , , , , , , , , | Leave a comment

Important Information Regarding DHA

To keep you up-to-date on current healthcare issues, we scour the web for the hottest, most current health-related topics. We recently found the article below at cbsnews.com and wanted to share it with you – our valued healthcare professionals.

Report: DHA ingredient in spray-on tans may wreak havoc on DNA

(CBS News) Could your spray-on tan destroy your DNA? According to a panel of independent medical experts commissioned by ABC News, one of the ingredients used to give you that bronze color – dihydroxyacetone (DHA) – may actually be breaking apart your genes.

Looking over 10 of the most current, publicly-available scientific studies, the six doctors and scientists concluded that they “have concerns.” Though none of the reviewed studies were done on human subjects, DHA was shown to have altered the genes of different kinds of cells and organisms. When inhaled, DHA can enter the lungs and eventually get into the bloodstream and has the potential to create many health problems, including cancer.

The experts concluded that more research was needed to be done to see the extent of the effect DHA could have on humans, including potential birth defects, if the spray-tan client was pregnant when she inhaled the compound. Also, they raised concern about workers because their constant exposure to 15 to 20 spray tans a day could put them at risk of inhaling much of the product.

Perhaps more troubling, ABC News found out that one of the largest manufacturers of spray tan product in the U.S., Norvell Skin Solutions, has mislabeled DHA as a “food grade” product safe for human consumption that was used by the health supplement industry. While it is true that DHA – docosahexaenoic acid – has been shown to reduce the risk of heart disease, the DHA used in spray on tans is a completely different product that the FDA warns consumers not to consume or inhale.

“We were absolutely in error,” Rick Norvell, president of Norvell Skin Solutions, told ABC News. The company said they have since emailed, tweeted and Facebooked around 14,000 to 16,000 of their contacts to tell them of the mistake and have since removed the “food grade” designation from their documents and websites.

Only time will tell if the salons that administer the tans to their clients will adopt these changes. Out of the 12 salons that ABC News visited during their study, nine did not have any eye covers, another nine didn’t have nose plugs and 11 didn’t have protective gear for the mouth. Every salon discouraged the use of the protection, mainly because it would affect the look of the tan, and they were convinced the tanning product was safe.

The European Commission, which advises the European Union on different issues including health, ruled that DHA was safe for human use in 2010. However, many of ABC’s panelists saw problems with the review, saying that the cosmetic industry mostly sent the commission studies about DHA that were never published or peer-reviewed. Many were conducted by the cosmetic companies themselves or industry groups that were tied to the manufacturing of DHA.

One of the panelists, Dr. Darrell Rigel, an NYU professor of dermatology, admitted to ABC News that he used to advise his patients that spray-on tans were safe.

“(I would) tell my patients what every other dermatologist tells them: ‘If you want to be tanned, [tanning with DHA] is effective, it’s not being absorbed and there’s no long-term problems.’ After reading these papers, I’m not sure that’s true anymore,” he said to ABC News.

Article Source: cbsnews.com
http://www.cbsnews.com/8301-504763_162-57453364-10391704/report-dha-ingredient-in-spray-on-tans-may-wreak-havoc-on-dna/?tag=contentMain;contentBody

Skin cancer continues to be a growing public health concern. Western Schools offers an informative continuing education course – Skin Cancer – which provides an overview of the prevalence and management of the different types of skin cancer. It guides the nurse through modifiable and non-modifiable risk factors, how to perform a risk assessment, physical characteristics and detection strategies, AJCC staging, new treatment modalities and Healthy People 2020 public health initiatives. Inclusion of the latest SPF sunscreen recommendations and skin cancer prevention strategies to share with patients and families make this a must-have course!

Skin Cancer

Author: Suzanne M. Mahon, RN, DNSc, AOCN, APNG.
2 Contact Hours
Item No. N1370

Posted in Nurse Continuing Education (Nurse CE) | Leave a comment

Hospitals Graded on Patient Safety

When you step into a hospital for either yourself or a loved one, the expectation is that you are to be healed. But did you know that, according to a recent article on prnewswire.com…

  • Approximately 400 people die every day because of a preventable hospital error?
  • One in four Medicare patients will leave a hospital with a potentially fatal issue they didn’t have prior to hospitalization?
  • An average of one medication error per day occurs for each hospitalized patient?
  • More than 180,000 Americans die every year from hospital accidents, errors, and infection?

These are some difficult statistics to swallow, but thanks to the PR Newswire article, this issue has been brought to light. And, thanks to the new Hospital Safety Score by The Leapfrog Group – an independent national nonprofit run by employers and other large purchasers of health benefits – we will now have the information we deserve before even entering a hospital.

With the Hospital Safety Score, hospitals will receive a grade of A-F for patient safety. The public can go to www.hospitalsafetyscore.org and simply search for their local hospital to see how they rate.

The Hospital Safety Score highlights the country’s best hospitals and warns against the worst protecting the public from unsafe situations. Now what will you do to help protect your patients?

Western Schools offers an informative CE course – Protecting Patient Safety: Preventing Medical Errors – that discusses the current state of medical errors and patient safety, and how to become an active participant in a culture of safety.

Protecting Patient Safety: Preventing Medical Errors

Author: Eileen S. O’Neill, PhD, RN
2 Contact Hours
Item #N1331

Posted in Accreditation Requirements, Nurse Continuing Education (Nurse CE), Patient Saftey | Tagged , , , , , , , , , , | Leave a comment

Stretched Too Thin?

Ask any doctor or patient who makes up the backbone of a hospital and the answer is clear: nurses. But what happens when nurses aren’t available when they are needed or can’t respond quickly when their patient needs assistance?

A new poll conducted by National Public Radio, the Robert Wood Johnson Foundation and the Harvard School of Public Health, shows that’s exactly what’s happening in hospitals today. According to the poll, “34 percent of patients hospitalized for at least one night in the past year said ‘nurses weren’t available when needed or didn’t respond quickly to requests for help.’”

If you know someone in the nursing profession they, most likely, have the same complaints – they feel overworked, don’t get enough breaks, have no time to eat lunch or dinner and barely have time for a bathroom break. This is mostly due to the fact that the nurse-to-patient ratio is much higher than ideal.

Linda Aiken, a researcher and professor of nursing at the University of Pennsylvania School of Nursing, says it’s not a shortage of nurses that’s the problem… it’s an actual “shortage of nursing care in hospitals and other health care facilities.”

Nancy Foster, a vice president with the American Hospital Association, says hospitals are facing huge financial challenges.
“In part, it’s because our patients are sicker — coming to us with more intense diseases and disorders than they did 25 years ago,” she says. “In part, it’s because there are so many more medications and devices and other interventions at our fingertips; we can help many more patients and restore them to health.”

That is wonderful news, but with a quickly aging population, the fear is that the nursing staff will be stretched much too thin.

Visit www.westernschools.com today and learn more about our CE course – Surviving and Thriving in Nursing – that will help you develop strategies for improving your work environment and more!

Surviving and Thriving in Nursing

Author: Marion Anema, PhD, RN
25 Contact Hours
Item #N1275

Posted in Accreditation Requirements, Critical Care, Emergency, Nurse CE, Nurse Continuing Education (Nurse CE), Uncategorized | Tagged , , , , , , , , , , , , , , | Leave a comment