Condet

Robert C. Groom, MS, CCP

• Associate Vice President of Cardiac Services
• Director of Cardiovascular Perfusion
• Maine Medical Center
• Portland, Maine

Culture symptoms nausea headache fatigue leflunomide 10mg visa, illness medications grapefruit interacts with leflunomide 20mg with mastercard, and care: clinical lessons from anthropologic and cross-cultural research symptoms 4 days post ovulation trusted 20 mg leflunomide. Describe the correlation between specific communication skills and clinical outcomes medicine hat tigers buy leflunomide 20mg mastercard. Describe how sex, sexuality, gender, and sociocultural factors affect communication by and with female patients. Working Group on Promoting Physician Personal Awareness, American Academy on Physician and Patient. Effect of physician and patient gender concordance on patient satisfaction and preventive care practices. Describe how sex and gender differences affect the power differential and the formation of a therapeutic relationship between the clinician and patient. Effectively communicate with patients, demonstrating awareness of gender and cultural differences. Demonstrate how to gather comprehensive information regarding issues that are unique to or manifest differently in women, including menstrual and reproductive history, body image, substance abuse, mental health, sexual history, personal violence, contraception, and incontinence. Module 2 (Psychosocial Factors - Substance Abuse, Intimate Partner Violence and Sexual Assault, Gender Issues and Health Care); Module 3 (Communication); Module 6 (Contraception) [modules on the Internet]. Integrate appropriate screening questions for the identification of substance abuse, high-risk sexual activity, and interpersonal violence or abuse in a manner that demonstrates empathy, respect, and cultural sensitivity. Module 2 (Psychosocial Factors - Substance Abuse, Intimate Partner Violence and Sexual Assault, Race/Ethnicity and Health Disparities Overview); Module 3 (Communication); Module 4 (Sexually Transmitted Diseases/Sexual History Taking) [modules on the Internet]. Demonstrate the ability to perform a danger assessment in a woman who discloses violence or abuse. The National Consensus Guidelines on Identifying 5c and Responding to Domestic Violence Victimization in Health Care Settings. Module 2 (Psychosocial Factors - Intimate Partner Violence and Sexual Assault) [module on the Internet]. Demonstrate skills that build trust by addressing contextual factors, such as culture, ethnicity, gender, language/literacy, socioeconomic class, spirituality/religion, age, sexual orientation, disability, and care-giving responsibilities. Defining cultural competence: a practical framework for addressing racial/ethnic disparities in health and health care. The challenges of cross-cultural healthcare-diversity, ethics, and the medical encounter. Discussing religious and spiritual issues at the end of life: a practical guide for physicians. Patient gender and communication with physicians: results of a community-based study. Physician empathy: definition, components, measurement, and relationship to gender and specialty. Gender differences in health care provider-patient communication: are they due to style, stereotypes, or accommodation? Demonstrate a strategy to provide counseling about family planning and safe sex methods. Contraceptive counseling in managed care: preventing unintended pregnancy in adults. Module 3 (Communication); Module 4 (Sexually Transmitted Diseases - Sexual History Taking); Module 6 (Contraception). Demonstrate shared responsibility for health decisions by identifying and negotiating areas of agreement and disagreement, and by identifying gender and cultural barriers and enablers to adherence. Medical disclosure and decision-making: excavating the complexities of physician-patient information exchange. Beliefs and expectations of women under 50 years old regarding screening mammography: a qualitative study. Propose a plan to explain both normal and abnormal results in a sensitive manner, and to educate the patient about the follow-up process using words and written information the patient can understand. Shapiro for Education and Research, Harvard Medical School and Beth Israel Deaconess Medical Center, 2004 [cited 2004 Oct 15].

Allow 0 IntrauterIne DevIces (IuDs) N N N Fever (a possible sign of infection); Abdominal pain symptoms women heart attack purchase leflunomide 20mg line, or pain during intercourse; Purulent or foul smelling discharge; 70 N treatment restless leg syndrome buy leflunomide 20 mg cheap. Finally medications 142 buy leflunomide 20 mg fast delivery, have Px help compile a definitive list of local specialists or clinics to which clients may be referred medicine daughter 20mg leflunomide overnight delivery, procedures for referral, and ways to obtain information back from the specialist. During clinical practicum, Px will participate in management of clients with side effects or complications. For problem visits and management of side effects and complications, follow protocols and recommendations in the Px Handout 2. Allow Px 15 min to complete the course evaluation form Pass out the post-test for Unit, Px Handout 2. Client Records Client records should be stored in a way that facilitates easy retrieval. Lifelines Purpose: To help participants get to know each other Time Required: 0 ­ 0 minutes Materials Required: Flip chart paper and markers Description: Ask participants to draw a line on a piece of flip chart paper turned sidewise. Along the line participants should record the important events in their life that "shaped" the person they have become today. After each participant completes their "lifeline" they should explain it to the group. Time Required: 15-0 minutes Materials Required: None Description: Ask each participant to introduce themselves to the group by giving their name and one unusual thing about themselves. Time Required: 10 minutes Materials Required: None Description: N N N N N Ask participants to stand in a circle. The person whose name you called should then take your place in the center of the circle. After the interviews ask each person to introduce their partner to the rest of the group. The Cocktail Party Purpose: For larger groups to get acquainted with as many people in the group as possible. Materials Required: None Description: Ask each person to introduce themselves to someone and spend a minute learning about each other. N N After one minute ask everyone to find a new person to get acquainted with for one minute. Common Ground Purpose: this introduction works for small groups, especially for a small group working as a team. It also works well when there are several small groups that make up a larger group. Time Required: 10-15 minutes Materials Required: Pen and paper Description: Instruct each group to list everything they can find that they have in common. Give them a time limit (five minutes or so) and tell them to avoid the obvious things like, we are all in this work shop, etc. N N Ask each group to assign one person to write down the things the group has in common. Purpose: To help participants and the trainer to learn something about each other. Time Required: 0 minutes Materials Required: A slip of paper for each participant and a bowl IntrauterIne DevIces (IuDs) 81 Description: N N N N N Hand out a slip of paper to each participant Ask each participant to write several things about themselves that would help other participants recognize them such as tall or thin, hair, glasses, etc. Ask participants to fold the slips of paper and put them into a bowl Ask each participant to pick a slip of paper from the bowl One at a time ask participants to identify the person described on their slip of paper 8. Purpose: To help participants learn each others names Time Required: 0 minutes Materials Required: A ball, preferably large and easy to catch Description: N N N N Have participants form a circle. The person who caught the ball throws it to another person who names him or her and the game continues. Variation: With small groups it is possible for each person who catches the ball to recite the names of all the people who have already thrown the ball. Pass the Fruit Purpose: To help participants learn something about each other Time Required: 0 minutes depending on the size of the group Materials Required: A piece of fruit big enough for participants to pass to each other without using their hands.

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This averaging over many domains may lead to falling average satisfaction if it is difficult to achieve the same degree of satisfaction in multiple domains medications on nclex rn 10 mg leflunomide with amex. One piece of evidence along these lines is that the correlation between happiness and marital happiness is lower for women who work compared with those who are stay at home wives symptoms xylene poisoning order leflunomide 20 mg fast delivery. Subjective wellbeing data have come to be used in the psychology and economics literatures because they have been shown to be correlated with physical evidence of affect such as smiling treatment type 2 diabetes cheap leflunomide 20mg with amex, laughing symptoms e coli order leflunomide 10mg with visa, heart rate measures, and electrical activity in the brain and have relatively high test­retest correlations (Diener 1984). Yet these measures do not necessarily indicate that subjective wellbeing measures are able to capture the positive or negative consequences of largescale social changes over time. In the context of the findings presented in this paper, women may now feel more comfortable being honest about their true happiness and have thus deflated their previously inflated responses. And indeed, Figure 7 shows that contrary to the subjective wellbeing trends we document, female suicide rates have been falling, as male suicide rates have remained roughly constant through most of our sample. While it is plausible that the happiness of those at the tail may have risen, while the happiness of those at the median may have fallen, this difference is not visible in the distribution of responses to the happiness question. In either case, the link between reported wellbeing and suicide has changed over time, possibly as a result of changing responses to the wellbeing question for a given level of happiness. Similarly, women may now compare their lives to a broader group, including men, and find their lives more likely to come up short in this assessment. Or women may simply find the complexity and increased pressure in their modern lives to have come at the cost of happiness. Diener (2000) notes that one of the hallmarks of subjective wellbeing is that it is subjective, stating that "objective conditions such as health, comfort, virtue, or wealth" are "notably absent" and, 26 while influencing subjective wellbeing, "they are not seen as inherent". This aspect of subjective well being makes understanding what is behind declining female happiness a challenging task, yet decoding the paradox identified in this paper may indeed be the key to a better understanding of subjective wellbeing. The Great Risk Shift: the Assault on American Jobs, Families, Health Care, and Retirement And How You Can Fight Back. Bottom panel represents estimates from an ordered probit regression of happiness on a full set of survey*gender fixed effects; bars show the estimated gender wellbeing gap (femalemale) in each survey round. Figures-1 Figure 2: Life Satisfaction in the United States, Virginia Slims Poll g In general, how satisfied would you say you personally are with your life today? Notes: Dashed lines show the proportion of the population reporting that they are very satisfed with their lives. Solid lines represent estimates from an ordered probit regression of life satisfaction on a full set of survey*gender fixed effects; bars show the estimated gender wellbeing gap (femalemale) in each survey round. Diff (Fem-Male) Your job [if employed] the neighborhood where you live Your personal safety the safety of things you own Your educational experiences Your friends & people you spend time with the way you get along with your parents Yourself Your standard of living Time for doing things you want the way you spend your leisure time Your life as a whole these days the way our national government is operating the amount of fun you are having -1 -. Notes: Figure shows estimated coefficients and 95% confidence intervals from estimating an ordered probit of domainspecific satisfaction (rated on a scale from 7="completely satisfied"; 4="neutral" to 1="completely dissatisfied") on separate time trends for men and women (as in equation [1]); these regressions include separate gender controls accounting for the form in which the question was asked. Diff (Fem-Male) Female trend Being successful in my line of work Having a good marriage and family life Having lots of money Having plenty of time for recreation and hobbies Having strong friendships Being able to find steady work Making a contribution to society Being a leader in my community Being able to give my children better opp. Notes: Figure shows estimated coefficients and 95% confidence intervals from estimating an ordered probit of the importance of each domain (rated as either [1] "not important", [2] "somewhat important", [3] "quite important", [4] "extremely important") on separate time trends for men and women (as in equation [1]); these regressions include separate gender controls accounting for the form in which the question was asked. Suicide Rates, by Gender Suicide Rates in the United States Annual suicides per 100,000 people; age-adjusted. Would you say that you are:; [3] Very happy; [2] Pretty happy; [1] Not too happy. All of these controls are interacted with gender to allow for their association with happiness to differ for men and women. Separate dummy variables are also included for missing values of each control variable. No controls regression specification as in column one of Table 1; Full controls, includes interaction of individual level observables with gender, as in the final column of Table 1. Tables-2 Table 3: Trends in Happiness by Demographic Group, United States (Whites Only) Estimated Time Trend in Happiness No Controls Full Controls Women Men Difference Women Men Difference *** *** *** 0. The first three columns are the coefficients on female*time and male*time and the difference in these estimates, from an ordered probit that also controls for a female dummy, as in column one of Table 1. The last three columns report the same coefficients, but from a specification that controls for a rich array of individuallevel controls interacted with gender, as in the final column of Table 1. Ireland) (x100) Greece (x100) Ireland (x100) Italy (x100) Luxembourg (x100) Netherlands (x100) Portugal (x100) Spain (x100) West Germany (x100) #Surveys No Controls Women 0. Would you say you are [4] Very satisfied; [3] Moderately satisfied; [2] a little dissatisfied, or [1] Very dissatisfied"?

Computer Science / 71 Computer Systems Architecture Laboratories Architecture Specialization Laboratory (PolyArch) Anthony J medications that raise blood sugar buy leflunomide 10mg otc. Broadly symptoms nasal polyps generic leflunomide 10 mg online, its approach is to consider how to reform traditional hardware/software abstractions to convey rich information that can make building efficient micro-architectures possible medications ocd discount 10 mg leflunomide fast delivery. Currently symptoms congestive heart failure buy leflunomide 20 mg visa, the laboratory is focused on architecture and design automation for emerging technologies; and customizable domain-specific computing with applications to multiple domains such as imaging processing, bioinformatics, data mining, and machine learning. This is key to developing engineering systems that can "see" and interact intelligently with the world around them. This technology can also be used to analyze images captured in the environment to understand the effects of climate change by monitoring the behavior of animals and plants. Analysis of images of the human body can be used both for diagnostic purposes and for planning interventions. Projects involve both software and hardware, and often focus on parallel and distributed systems in the context of general-purpose as well as embedded applications. Graphics and Vision Laboratories Center for Vision, Cognition, Learning, and Art Song-Chun Zhu, Director vcla. The objective is to pursue a unified framework for representation, learning, inference, and reasoning; and to build intelligent computer systems for real-world applications. Research includes floating-point arithmetic, online arithmetic, application-specific architectures, and design tools. Information and Data Management Laboratories lnformation and Data Management Group (Multiple Faculty). Computer Graphics and Vision Laboratory (GraViLab) Demetri Terzopoulos, Director gravilab. Major research interests include biomimetic simulation of humans and other animals, from biomechanics to sensorimotor control to intelligence; and image/ video analysis combining (deep) learning and modeling paradigms, especially for application to medicine and health care. The laboratory strives to improve global and local public health surveillance, with a resultant reduction in epidemics, increased control over infectious disease, and improved drug safety. Other goals are diminished rate of medical errors; ongoing Natural Language Processing Group Kai-Wei Chang, Director the group focuses on developing reliable machine learning solutions for processing natural languages. Specifically, it targets design of models, algorithms, and learning mechanisms to improve the generalization ability of natural-language processing 72 /Computer Science models such that they can generalize across unseen tasks, unseen inputs, and low-resource languages. Such applications include web pages, mobile apps, video streaming and analytics systems, data analytics platforms, and more. The group uses a cross-layer methodology that aims to understand the impact of decisions at different layers in the end-to-end system; and designs solutions that incorporate fundamental principles at the network, operating system, and application vantage points. These include graph analytics, video analytics, machine learning, smart contracts, etc. To achieve it, the laboratory designs scalable software systems, software analysis algorithms, and automated development tools. It also conducts user studies with software engineers, and carries out statistical analysis of open-source project data to allow data-driven decisions for designing novel software engineering tools. With expertise in software evolution, the laboratory is known for its research on code clones-code duplication detection, management, and removal solutions. The laboratory is a leader in creation and definition of the emerging area where software engineering and data science intersect. It has conducted the most comprehensive study of industry data scientists, and developed automated debugging and testing technologies for widely-used big data systems such as Apache Spark. With its open inclusive structure, the laboratory will help to realize the vision of creating highleverage technologies, as was accomplished years ago with the Internet. Its research efforts focus on design and development of network architecture and protocols, and the challenges in building secure networks and systems. Its focus is on design, implementation, and experimentation of protocols, algorithms, and systems for wireless data networks. The goal is to build high-performance and dependable networking solutions for the wireless Internet. A major focus is analysis and synthesis of router configuration files to avoid major outages that frequently cripple major service providers. This work involves development of new tools inspired by other fields such as programming languages, hardware design, and data mining; but targeted to incorporate the special structure and challenges of networks.

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