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By John P. Higgins,Asif Ali,David M. Filsoof
The best point-of-care Q&A advisor to medical cardiology – up to date with the newest protocols and guidelines
Cardiology medical Questions, moment Edition solutions greater than one-hundred of the medical cardiology questions most commonly asked of the authors in the course of session. The solutions supplied are concise, particular, evidence-based, and supported through the most up-tp-date references and medical perform instruction recommendations.
The e-book is logically divided into 9 sections: Diagnostic checking out, Acute Coronary Syndrome, Valvular illnesses, Cardiac ailments, exam, Arrhythmias, Congenital center ailments, middle Failure and high blood pressure, and Medications.
• Covers almost each subject noticeable at the wards
• Simulates the session strategy: seek advice query →data assortment→ synthesis of information → solution
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Read Online or Download Cardiology Clinical Questions, Second Edition (Cardiolgy) PDF
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CURRENT Medical Diagnosis and Treatment Flashcards, 2E (Lange Current)
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Radiofrequency Ablation for Small Hepatocellular Carcinoma
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Extra resources for Cardiology Clinical Questions, Second Edition (Cardiolgy)
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Property Description
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At first glance, its beauty unveils. Exquisite elegant tile flooring enhances the lower level. Soaring ceilings, crown moldings & unique architectural accents add to the experience. Gorgeous cabinetry, granite countertops, spacious walk-in pantry & Bertazzoni oven/range combine to create a truly extraordinary kitchen. Downstairs bedroom & adjacent bath serve as an ideal guest suite. Upstairs, discover bamboo floors, open loft & spacious bedrooms, each offering beautiful full baths & large walk-ins. One feature a private balcony. Your master retreat is a dream within a dream. Vaulted ceilings, romantic fireplace, sitting area, 2 tremendous walk-ins & an ultra luxurious bath with soothing roman tub & custom separate stand-up shower. A vast array of windows captures all the nature beauty that surrounds. Outside, a refreshing pool & spa await. Short stroll to the Blvd & great schools in the proximity area. PROPERTY TO BE SOLD "AS IS" and Seller NOT PAYING ANY TERMITE REPORT OR REPAIR WORK.
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ATOS SPAIN SA (Spain)
Digital Single Market (DSM) strategy
DSM - Connecting Europe Facility
CEF Digital portal
Innovation and Networks Executive Agency (INEA)
eIDAS Regulation
The CEF eID Digital Service Infrastructure (DSI) helps public administrations and private online service providers to easily extend the use of their online services to citizens from other EU Member States.
The Action aims to bundle together "Know Your Customer" (KYC) data with the eIDAS identification process, in order to achieve enhanced KYC Due Diligence operations in multiple business scenarios. GRIDS will showcase how digital KYC providers can use eIDAS identity verification to create and maintain a consistent single view of their customers and perform effective and accurate screening.
To achieve this, the Action will build a platform (GRIDS platform) that re-uses the functionality of the eID DSI. The platform will include the Service Provider HUB (SP HUB) that will provide eIDAS authentication functionality and Business Attributes Aggregator (BAA), which will enrich the data obtained from additional sources, such as KYC information resulting in the bundled token ("eIDAS eID + KYC" data facility), which will be further shared with the KYC Data Consumer.
Moreover, to allow for the seamless integration of end-users with KYC services, the Action will develop Application Programming Interfaces (APIs) the BAA and prepare guidelines for end-users to connect with the service.


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'A Baylor Christmas' shares holiday music from Waco all over the country
For half a century now, the combined choirs and orchestra of Baylor's School of Music have heralded the arrival of Christmas with a joyful worship performance. This month, a remastered presentation of their Emmy-nominated and Telly Award-winning "A Baylor Christmas" production will air on stations across Texas and 23 other states.
During sold-out performances in 2018, KWTX Television captured the brilliant voices of the Baylor Combined Choirs who, along with the talented musicians in the Baylor Symphony Orchestra, resounded throughout Jones Concert Hall as they performed traditional favorites. All told, the production features the talent of more than 450 Baylor students and faculty, performing such favorites as "I Heard the Bells on Christmas Day" and "What Child Is This?".
A full listing of stations airing "A Baylor Christmas" can be found here (check local listings for broadcast dates/times). And even if you're not in one of the cities airing the special, you'll still be able to view it on the Baylor YouTube channel; subscribe now and you'll be notified when the complete program is available. While you're waiting, check out this playlist of Christmas music from the McLane Carillon, past "A Baylor Christmas" recordings, and more.
(And for those wondering "Why is it the 2018 performance?" In recent years, KWTX has gone to an every-other-year schedule for recording and producing the broadcast, so this year should have been the debut of the 2020 performance — but COVID-19 threw a wrench in those plans last year. The good news: Baylor's 2021 concert was recorded earlier this year and will be produced to make its broadcast premiere in December 2022.)
Sic 'em, Baylor music students!
[Looking for even more Baylor Christmas content? Check out Baylor's free online Advent devotional and the School of Music's "Countdown to Christmas," with a new musical gift posted each day from Dec. 13 through Christmas.]


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The Orlando-based owner of Planet Hollywood is in discussions to bring back Winter Park's Brio Italian Mediterranean and could also return Bravo Fresh Italian to Orlando after taking over the two restaurant chains.
Earl Enterprises has acquired a minimum of 45 leases from FoodFirst Global Restaurants, chairman Robert Earl said, but he is hopeful that number ends up being considerably higher. FoodFirst, which moved from Columbus, Ohio, to Orlando in 2018, filed for Chapter 11 bankruptcy protection in April.
"We feel that there is a lot of growth in the brand but stage one is to restore it to its old glory," Earl said.
Earl Enterprises has reached out to the landlord for the Winter Park Brio, formerly called Brio Tuscan Grille, to bring back the restaurant. There is also a Brio at Mall at Millenia.
Bravo Fresh Italian, previously called Bravo Cucina Italiana, had a Sand Lake Road restaurant that closed in 2018. Earl wants the restaurant chain back in Orlando, but he didn't name a specific location.
"I was a big customer of that one," Earl said.
Brio and Bravo had 110 restaurants when they were acquired by FoodFirst in 2018. Ten locations were closed in January, and the company was looking to close more restaurants in its April bankruptcy filing.
The acquisition by Earl Enterprises — which owns Planet Hollywood, Buca di Beppo, Bertucci's, Earl of Sandwich, and Chicken Guy — gives the company four Italian brands, which Earl believes can let it compete with large chains.
He added he was proud to "preserve about 4,000 jobs" and the Orlando corporate offices have merged.
FoodFirst had cited the coronavirus pandemic as part of its bankruptcy filing.
"FoodFirst's difficult position prior to the pandemic makes its current situation even more precarious," a bankruptcy document stated. "In order to save jobs and the viable restaurants it will be necessary to pursue a company sale and an accompanying management services agreement."
Contact Austin Fuller at firstname.lastname@example.com or 407-420-5664; Twitter @afullerreporter


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- Table of Contents
In normal conditions, mutated antigens from tumor cells will lead to the activation of T cells that bind to and trigger apoptosis in target cancer cells. On the surface of T cells are PD-1 (programmed cell death-1) receptors whose ligands include PD-L1 and PD-L2.
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757-488-1964 | 4650 Portsmouth Blvd Portsmouth, VA 23701
Norfolk Auto Repair
John's Service Center - For Auto Repair Near Norfolk, VA
For quick, honest and affordable auto repair near Norfolk come to John's Service Center. Talk with any of John's Service Center's auto repair experts about your car or truck. We complete your repairs quickly and get you back on the road in a jiffy.
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InPoker announces partnership with Investment Solutions, a venture firm in the blockchain industry
InPoker and Investment Solutions are pleased to announce they have entered into a strategic partnership.
Investment Solutions AG is a venture fund located in Zug, Switzerland who invest in early-stages of cryptocurrency startups all over the world and manage capital of family offices, institutions, and high net worth individuals. Investment Solutions is led by general partners who are the founders of successful companies and have knowledge in the field of information technology, blockchain and financial services. The firm is passionate about influence marketing to help projects in promotion. The company works with Key Opinion Leaders (KOLs) in crypto theme.
Investment Solutions aims to connect blockchain architects, advisors, community managers, social institutions, investors and others via our well-built network of top media and marketing resources. The firm will help InPoker project to achieve marketing goals and fully realize the potential.
Visit Investment Solutions: https://solution.ventures/
Stay tuned for more exciting developments on inpoker.app
Join our official Telegram Channel
View our tutorials and other useful information on GitBook


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Midwest Renewable Energy Association (MREA) is seeking qualified solar installation firms to submit proposals for the design, procurement, and installation of new, residential and small commercial, direct-owned photovoltaic systems at a per-watt price lower than the typical, single solar electric installation.
The group buy is being led by Midwest Renewable Energy Association. The goal of the group buy is to increase solar education and installations in McLean County through a group purchase involving free information sessions and a competitive selection process.
The group buy is offered with the support of the Ecology Action Center (EAC) with high visibility in the area. MREA and EAC will coordinate and deliver a minimum of 20 free, public Solar Power Hour information sessions and market them widely with physical posters, email blasts, paid social media promotion, yard signs, and in the press.
Click here to download the Request for Proposals
RFP Announced March 2, 2018
RFP Questions Due/Posted March 16, 2018
RFP Proposals Due March 23, 2018
Firm Selected April 11, 2018
- Is there a formal scoring rubric and will it be made available?
Scoring rubric is available by request.
- Is each committee stakeholder equally responsible for the final contractor selection?
- What are the specific roles for all stakeholders on the committee?
Each committee member is responsible for scoring each proposal using a scoring rubric provided by MREA.
- What details of the scoring process/outcomes will be publicly available after the winning vendor(s) are announced?
While proposals are kept confidential, we can provide feedback to installers who are not selected based on which factors of the scoring rubric they were scored lower than the selected installer.
- Please define "commercial" participant in the context of this RFP.
In the context of this RFP, the term commercial means any non-residential solar array, including solar arrays for non-profit organizations.
- Has a Power Hour presenter already been selected and if so, who is it?
The Ecology Action Center will be presenting Solar Power Hours on MREA's behalf.
- Have the Power Hour schedule and venue list already been set? If so, can it be shared and how many events are expected during the program duration?
The schedule and venue list has not yet been established. We expect to host 20 Solar Power Hours.
- Are any of the municipalities offering special priority or discounted permit processing as part of this program?
None that we are aware of.
- Please expand upon the criteria & outcomes of a potential "second round" program extension referenced in Exhibit A.
This is to be determined.
- Please more specifically define the term "Flush mount systems" in Exhibit C.
The term flush-mounted in Exhibit C refers to roof-mounted PV arrays that are mechanically integrated to minimize diversion from the roof plane.
- Please elaborate upon or explain through examples the guidance provided in "IX Pricing Schedules, Para F. 'Pricing based solely on specific individual system size will not be considered.'"
Please do not submit proposals with pricing exclusively for a specific set of system sizes, i.e. a "one-size-fits-all" or "ready-made" approach. We expect pricing to reflect the custom, site-specific nature of solar installation.
- Finally, are the sponsors aware that an IL administrative judge last week decided that co-op & muni utilities will NOT be allowed to participate in the higher-value 15-Year Adjusted Block Program but only the lower-value 1-Year Spot SREC program? While this decision is currently under appeal, are the sponsors planning any adjustments to the RFP or their program goals in light if this decision should it come to stand?
We do not plan to make any changes to the RFP or RFP process as a result of this contingency.
- How does MREA want bidders to address any possible mounting and balance of system cost increases that will likely result from a potential steel and aluminum tariff implemented near or after the bid submission deadline?
Any proposed increases will be reviewed by MREA and, if required, the Advisory Committee, if US trade policies or other market forces cause widespread price increases that cannot be quantified at the time of the proposal.


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Senior Software Developer/Principle Engineer
Roles and ResponsibilitiesWe are hiring for worlds leading platform and products which helps in connecting to the network of human knowledge. They are one of the pioneers Online, Scholarly, Academic Publications, Academic Journals, Encyclopedias, Books and transforming into eBooks, Online Journals, Databases, Textbooks, digital, and Digital Transformation.
Role: Senior Software Developer/Principle Engineer
Work Location: Bangalore
You will be working with highly motivated and extremely talented engineers on creating frontend and backend vertical services with quality, performance and scale in mind at every step of the way. We are using a Microservices based architecture composed of multiple services joined into one API. Our architecture uses Angular2/React and Node for the web and Typescript and Java on the backend.
As a Senior Software Developer/Principle Engineer you will part of a talented team of likeminded engineers in enriching the experience of our users and partners. As we grow the network of human knowledge, you will deliver software services positioned to harness it to accelerate our business.
What we are expecting from you:
Minimum 5+ years experience for Senior & 7+ years for Principle Engineer
Passionate about coding on Java, Spring Framework, Hibernate, Scala, Node.js, MongoDB, etc.
Willing to work as an individual contributor
Software development fundamentals (data Structures, algorithms, problem solving, OO design, and system architecture).
Working experience on Microservices, AWS is must
Good to have experience in TDD/BDD all day
Designing or Architecture experience will be added advantage
Should be able to clearly communicate to technical and stakeholders
Someone who can take complete ownership.
Role:Technical Lead
Salary: Not Disclosed by Recruiter
Functional AreaEngineering - Software & QA
Role CategorySoftware Development
Employment Type:Full Time, Permanent
Key Skills
UG:B.Tech/B.E. in Computers
PG:MS/M.Sc(Science) in Computers,MCA in Computers,M.Tech in Computers
Doctorate:Doctorate Not Required,Any Doctorate
Company Profile
Squareroot Consulting Pvt Ltd.
With industries facing many problems in a globalized world where recruitment is one of that. Squareroot is a flagship organization in rendering end to end recruitment solution in IT and Non IT related industry. Our company is located in Indian Silicon Valley Bangalore. And with great Experience people in search industry. We have team which has helped the many people from premier institutes like IIT, IIM and other global institutes full fill their dreams in industry. We endeavor assisting right people to right organization. Specialize in Executive Leadership Hiring along with Recruitment Process Outsourcing, Permanent Staffing, Contract Staffing, Payroll Management. We provide creative and innovative solution to challenging and complex recruitment problems.
Company Info
View Contact Details+
Recruiter Name:Pawan Walveker
Contact Company:Squareroot Consulting Pvt Ltd.


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The relationship of a diet low in fibre with mortality has not been evaluated. This study aims to assess the burden of non-communicable chronic diseases (NCD) attributable to a diet low in fibre globally from 1990 to 2019.
All data were from the Global Burden of Disease (GBD) Study 2019, in which the mortality, disability-adjusted life-years (DALY) and years lived with disability (YLD) were estimated with Bayesian geospatial regression using data at global, regional and country level acquired from an extensively systematic review.
All data sourced from the GBD Study 2019.
All age groups for both sexes.
The age-standardised mortality rates (ASMR) declined in most GBD regions; however, in Southern sub-Saharan Africa, the ASMR increased from 4·07 (95 % uncertainty interval (UI) (2·08, 6·34)) to 4·60 (95 % UI (2·59, 6·90)), and in Central sub-Saharan Africa, the ASMR increased from 7·46 (95 % UI (3·64, 11·90)) to 9·34 (95 % UI (4·69, 15·25)). Uptrends were observed in the age-standardised YLD rates attributable to a diet low in fibre in a number of GBD regions. The burden caused by diabetes mellitus increased in Central Asia, Southern sub-Saharan Africa and Eastern Europe.
The burdens of disease attributable to a diet low in fibre in Southern sub-Saharan Africa and Central sub-Saharan Africa and the age-standardised YLD rates in a number of GBD regions increased from 1990 to 2019. Therefore, greater efforts are needed to reduce the disease burden caused by a diet low in fibre.
Some parasitic plants are major pests in agriculture, but how this might be affected by climate change remains largely unknown. In this study, we assessed this question for five generalist holoparasitic Cuscuta species (smoothseed alfalfa dodder [Cuscuta approximata Bab.], alfalfa dodder [Cuscuta europaea L.], soybean dodder [Cuscuta chinensis C. Wright], Peruvian dodder [Cuscuta australis R. Br.], and Japanese dodder [Cuscuta japonica Choisy]) and two of their main Leguminosae host crop species (soybean [Glycine max (L.) Merr.] and alfalfa [Medicago sativa L.]. For each of the five Cuscuta species and the two crop species, we ran MaxEnt models, using climatic and soil variables to predict their potential current distributions and potential future distributions for 2070. We ran species distribution models for all seven species for multiple climate change scenarios, and tested for changes in the overlap of suitable ranges of each crop with the five parasites. We found that annual mean temperature and isothermality are the main bioclimatic factors determining the suitable habitats of the Cuscuta species and their hosts. For both host species, the marginally to optimally suitable area will increase by 2070 for all four representative concentration pathway scenarios. For most of the Cuscuta species, the marginally to optimally suitable area will also increase. While the suitable areas for both the hosts and the parasites will increase overall, Schoener's D, indicating the relative overlap in suitable area, will change only marginally. However, the absolute area of potential niche overlap may increase up to 6-fold by 2070. Overall, our results indicate that larger parts of the globe will become suitable for both host species, but that they could also suffer from Cuscuta parasitism in larger parts of their suitable ranges.
Chest tube drainage placement, a standard procedure in video-assisted thoracoscopic surgery, was reported to cause perioperative complications like pain and increased risk of infection. The present study was designed to evaluate the necessity of chest tube drainage inpaediatric thoracoscopic surgery.
Thirty children admitted to our hospital from April 2018 to April 2020 were included in the current study and were grouped as the tube group (children receiving video-assisted thoracoscopic surgery with chest tube drainage) and the non-tube group (children receiving video-assisted thoracoscopic surgery without chest tube drainage). Laboratory hemogram index, length of hospitalisation, post-operative performance of involved children, and psychological acceptance of indicated therapy by guardians of the involved children were investigated.
Laboratory examination revealed that the mean corpuscular haemoglobin concentration in the non-tube group was significantly higher than that in the tube group on post-operative day 1 (p < 0.05). Children in the non-tube group had a shorter length of hospitalisation (7–9 days) than that of patients from the tube group. Additionally, the frequency of crying of children was decreased and psychological acceptance by patients' guardians was improved in the non-tube group when compared with the tube group.
This study showed that chest tube drainage placement may not be necessary in several cases of paediatric video-assisted thoracoscopic surgery. Rapid recovery with decreased perioperative complications in children operated by video-assisted thoracoscopic surgery without tube placement could also reduce the burden of the family and society both economically and psychologically.
The current study evaluated the associations between different forms and sources of Fe and breast cancer risk in Southern Chinese women.
Case–control study. We collected data on the consumption of Fe from different forms and food sources by using a validated FFQ. Multivariable logistic regression and restricted cubic spline (RCS) analysis was used to reveal potential associations between Fe intake and breast cancer risk.
A case-control study of women at three major hospitals in Guangzhou, China.
From June 2007 to March 2019, 1591 breast cancer cases and 1622 age-matched controls were recruited.
In quartile analyses, Fe from plants and Fe from white meat intake were inversely associated with breast cancer risk, with OR of 0·65 (95 % CI 0·47, 0·89, Ptrend = 0·006) and 0·76 (95 % CI 0·61, 0·96, Ptrend = 0·014), respectively, comparing the highest with the lowest quartile. No associations were observed between total dietary Fe, heme or non-heme Fe, Fe from meat or red meat and breast cancer risk. RCS analysis demonstrated J-shaped associations between total dietary Fe, non-heme Fe and breast cancer, and reverse L-shaped associations between heme Fe, Fe from meat and Fe from red meat and breast cancer.
Fe from plants and white meat were inversely associated with breast cancer risk. Significant non-linear J-shaped associations were found between total dietary Fe, non-heme Fe and breast cancer risk, and reverse L-shaped associations were found between heme Fe, Fe from meat or red meat and breast cancer risk.
Drug-induced liver injury (DILI) is a common adverse drug reaction leading to the interruption of tuberculosis (TB) therapy. We aimed to identify whether the hepatitis B virus (HBV) infection would increase the risk of DILI during first-line TB treatment. A meta-analysis of cohort studies searched in PubMed, Web of Science and China National Knowledge Infrastructure was conducted. Effect sizes were reported as risk ratios (RRs) and 95% confidence intervals (CIs) and calculated by R software. Sixteen studies with 3960 TB patients were eligible for analysis. The risk of DILI appeared to be higher in TB patients co-infected with HBV (RR 2.66; 95% CI 2.13–3.32) than those without HBV infection. Moreover, patients with positive hepatitis B e antigen (HBeAg) were more likely to develop DILI (RR 3.42; 95% CI 1.95–5.98) compared to those with negative HBeAg (RR 2.30; 95% CI 1.66–3.18). Co-infection with HBV was not associated with a higher rate of anti-TB DILI in latent TB patients (RR 4.48; 95% CI 0.80–24.99). The effect of HBV infection on aggravating anti-TB DILI was independent of study participants, whether they were newly diagnosed with TB or not. Besides, TB and HBV co-infection patients had a longer duration of recovery from DILI compared to non-co-infected patients (SMD 2.26; 95% CI 1.87–2.66). To conclude, the results demonstrate that HBV infection would increase the risk of DILI during TB therapy, especially in patients with positive HBeAg, and close liver function monitoring is needed for TB and HBV co-infection patients.
Dietary salt intake may vary depending on different lifestyles. We aimed to estimate the different salt intakes and evaluate the knowledge and self-awareness about salt among people speaking the Teochew, Teochew–Hakka and Hakka dialects in the Chaoshan region of southern China.
The study followed a cluster sampling of residents in Chaoshan region. General characteristics, lifestyles, health status as well as knowledge and self-awareness related to salt intake were investigated using a questionnaire. Anthropometric variables as well as Na and K excretion in a 24-h urine collection were measured.
Chaoshan region of China.
Four hundred fifteen adults who spoke only one of these three dialects.
The salt intake of adults who spoke the Teochew, Teochew–Hakka and Hakka dialects was 7·19 (interquartile range (IQR) 5·29–10·17), 9·03 (IQR 6·62–11·54) and 10·12 (IQR 7·61–12·82) g/d, respectively, with significant differences between Teochew and Teochew–Hakka speakers and between Teochew and Hakka speakers (both P < 0·05). The Na:K ratio for adults who spoke the three dialects was 3·00 (IQR 2·00–4·11), 3·50 (IQR 2·64–4·82) and 4·52 (IQR 3·35–5·97), respectively, and differed significantly among the groups (all P < 0·05). Multiple linear regression analysis showed increased Na:K ratio associated with hypertension (β = 0·71, P = 0·043) in Hakka speakers. Knowledge and self-awareness about salt intake were poor in this population.
Salt intake was closely related to lifestyles and was higher than the upper limit (5 g/d) recommended by the WHO in adults of Chaoshan, especially those speaking the Hakka dialect.
Cruciferous vegetables contain high levels of glucosinolates (GSL) and isothiocyanates (ITC). ITC are known to induce glutathione S-transferases (GST) and thus exert their anticarcinogenic effects. This study explored the combined effects of cruciferous vegetable, GSL and ITC intake and GST polymorphisms on breast cancer risk. A total of 737 breast cancer cases and 756 controls were recruited into this case–control study. OR and 95 % CI were assessed by multivariable logistic regression. Higher cruciferous vegetable, GSL and ITC intakes were inversely associated with breast cancer risk, with adjusted OR of 0·48 (95 % CI 0·35, 0·65), 0·54 (95 % CI 0·40, 0·74) and 0·62 (95 % CI 0·45, 0·84), respectively. Compared with women carrying the GSTP1 rs1695 wild AA genotype and high cruciferous vegetable, GSL or ITC intake, carriers of the AA genotype with low cruciferous vegetable, GSL and ITC intake had greater risk of breast cancer, with adjusted OR of 1·43 (95 % CI 1·01, 1·87), 1·34 (95 % CI 1·02, 1·75) and 1·37 (95 % CI 1·05, 1·80), respectively. Persons with the GSTM1-null genotype and lower intake of cruciferous vegetables, GSL and ITC had higher risk of breast cancer than those with the GSTM1-present genotype and higher intake, with OR of 1·42 (95 % CI 1·04, 1·95), 1·43 (95 % CI 1·05, 1·96) and 1·45 (95 % CI 1·06, 1·98), respectively. Among women possessing the GSTT1-present genotype, low intake of cruciferous vegetables, GSL or ITC was associated with higher risk of breast cancer. But these interactions were non-significant. This study indicated that there were no significant interactions between cruciferous vegetable, GSL or ITC intake and GST polymorphisms on breast cancer risk.
B vitamins (including folate, vitamin B2, vitamin B6 and vitamin B12) and methionine are essential for methylation reactions, nucleotide synthesis, DNA stability and DNA repair. However, epidemiological evidence among Chinese populations is limited. The objective of this study was to evaluate B vitamins and methionine in relation to colorectal cancer risk in a Chinese population. A case–control study was conducted from July 2010 to April 2019. A total of 2502 patients with colorectal cancer were recruited along with 2538 age- (5-year interval) and sex-matched controls. Dietary data were collected using a validated FFQ. Multivariable logistic regression was used to assess OR and 95 % CI. The intake of folate, vitamin B2, vitamin B6 and vitamin B12 was inversely associated with colorectal cancer risk. The multivariable OR for the highest quartile v. the lowest quartile were 0·62 (95 % CI 0·51, 0·74; Ptrend < 0·001) for folate, 0·46 (95 % CI 0·38, 0·55; Ptrend < 0·001) for vitamin B2, 0·55 (95 % CI 0·46, 0·76; Ptrend < 0·001) for vitamin B6 and 0·72 (95 % CI 0·60, 0·86; Ptrend < 0·001) for vitamin B12. No statistically significant association was found between methionine intake and colorectal cancer risk. Stratified analysis by sex showed that the inverse associations between vitamin B12 and methionine intake and colorectal cancer risk were found only among women. This study indicated that higher intake of folate, vitamin B2, vitamin B6 and vitamin B12 was associated with decreased risk of colorectal cancer in a Chinese population.
The effect of dietary vitamin D, calcium and dairy products intake on colorectal cancer risk is controversial. This study aims to investigate the associations between dietary vitamin D, calcium, dairy products intake and colorectal cancer risk among Chinese population.
During July 2010 to December 2018, 2380 incident, first primary, histologically confirmed colorectal cancer cases and 2389 sex and age-matched (5-year interval) controls were recruited. Dietary intake information was collected by face-to-face interviews using a validated food frequency questionnaire. Energy and other nutrient intakes such as dietary calcium were computed on the basis of the 2002 Chinese Food Composition Table, and the dietary vitamin D intake was calculated according to the United States Department of Agriculture Food Composition Database. Unconditional multivariable logistic regression models were used to calculate the odds ratios (ORs) and 95% confidence interval (CI) after adjusting for various confounders, including socio-demographic characteristics, lifestyle factors, BMI, family history of cancer, energy intake and several nutrient intakes.
The energy-adjusted mean dietary vitamin D, calcium and total dairy products intakes were 5.69μg/d, 406.94mg/d, 4.02g/d for cases and 6.81μg/d, 468.21mg/d, 9.50g/d for controls. Compared with the controls, cases had a lower intake of dietary vitamin D, calcium and total dairy (P < 0.001). A higher intake of dietary vitamin D and calcium was found to be associated with 43% and 51% reduction in colorectal cancer. The ORs of the highest quartile compared with the lowest quartile intake were 0.57 (95% CI: 0.46, 0.70, Ptrend < 0.001) for dietary vitamin D and 0.49 (95% CI: 0.39, 0.61, Ptrend < 0.001) for dietary calcium. We observed a statistically significant inverse association of dairy products intake with colorectal cancer risk. Compared with the lowest tertile, the adjusted ORs for the highest tertile were 0.31 (95% CI: 0.26, 0.38, Ptrend < 0.001) for total dairy. The inverse associations of dietary vitamin D, calcium and dairy products intakes with colorectal cancer risk were observed in both men and women, colon and rectal cancer.
Our study indicated that higher dietary vitamin D, calcium and dairy products intakes were associated with a lower colorectal cancer risk.
The effects of dietary vitamin D, Ca and dairy products intakes on colorectal cancer risk remain controversial. The present study investigated the association between these dietary intakes and the risk of colorectal cancer in Guangdong, China. From July 2010 to December 2018, 2380 patients with colorectal cancer and 2389 sex- and age-matched controls were recruited. Dietary intake data were collected through face-to-face interviews using a validated FFQ. Unconditional multivariable logistic regression models were used to calculate the OR and 95 % CI after adjusting for various confounders. Higher dietary vitamin D and Ca intakes were associated with 43 and 52 % reductions in colorectal cancer risk, with OR of 0·57 (95 % CI 0·46, 0·70) and 0·48 (95 % CI 0·39, 0·61), respectively, for the highest quartile (v. the lowest quartile) intakes. A statistically significant inverse association was observed between total dairy product intake and colorectal cancer risk, with an adjusted OR of 0·32 (95 % CI 0·27, 0·39) for the highest v. the lowest tertile. Subjects who drank milk had a 48 % lower risk of colorectal cancer than those who did not (OR 0·52, 95 % CI 0·45, 0·59). The inverse associations of dietary vitamin D, Ca, total dairy products and milk intakes with the risk of colorectal cancer were independent of sex and cancer site. Our study supports the protective effects of high dietary vitamin D, Ca and dairy products intakes against colorectal cancer in a Chinese population.
Few studies have examined the association of various types of Fe with colorectal cancer risk. The aim of this study was to investigate different forms and sources of Fe in relation to colorectal cancer risk in a Chinese population. A total of 2138 patients with colorectal cancer and 2144 sex- and age-matched (5-year interval) controls were recruited from July 2010 to November 2017. Dietary information was assessed by face-to-face interviews using a validated FFQ. Multivariable logistic regression was used to estimate the OR and 95 % CI on models. Intake of Fe from plants and Fe from white meat were inversely associated with the risk of colorectal cancer, while haem Fe and Fe from red meat were positively associated with colorectal cancer risk. The multivariable OR for the highest quartile v. the lowest quartile were 0·72 (95 % CI 0·59, 0·87, Ptrend<0·001) for Fe from plants, 0·54 (95 % CI 0·45, 0·66, Ptrend<0·001) for Fe from white meat, 1·26 (95 % CI 1·04, 1·53, Ptrend=0·005) for haem Fe and 1·83 (95 % CI 1·49, 2·24, Ptrend<0·001) for Fe from red meat intake, respectively. However, no significant association was found between the consumption of total dietary Fe, non-haem Fe, Fe from meat and colorectal cancer risk. This study showed that lower intake of Fe from plants and white meat, as well as higher intake of haem Fe and Fe from red meat, were associated with colorectal cancer risk in a Chinese population.
No published studies have discussed details of the prognosis and survival of patients with severe avian influenza A(H7N9) infection. In this study we analysed 128 laboratory-confirmed cases of severe H7N9 infection in Zhejiang province, the most affected region during the H7N9 epidemic in mainland China. We found that an increase in patient age by 5 years was associated with a 1·41 [95% confidence interval (CI) 1·19–1·67] times odds ratio for fatality. In addition, the time interval between the first clinical visit after symptom onset and hospital admission was inversely associated with survival time since admission. Of the 47 patients who died of the disease, when the time interval between the first clinical visit and hospital admission increased by 1 day, the duration of survival was 0·78 times (95% CI 0·62–0·98) as long. Our results suggest that patients with severe influenza H7N9 infection at older ages were at a higher risk of fatality, and that a delay in hospital admission was associated with more rapid death. More studies are required to corroborate our major findings.
To assess correlations between cruciferous vegetable intake and urinary isothiocyanate (ITC) level, in addition to glutathione S-transferase (GST) genotypes and other individual factors.
The study included cohort participants whose urinary ITC levels had been previously ascertained. Urinary ITC was assessed using HPLC. Usual dietary intake of cruciferous vegetables was assessed using a validated FFQ and total dietary ITC intake was calculated. Recent cruciferous vegetable intake was determined. GST genotypes were assessed using duplex real-time quantitative PCR assays. Spearman correlations were calculated between the covariates and urinary ITC levels and linear regression analyses were used to calculate the mean urinary ITC excretion according to GST genotype.
Urban city in China.
The study included 3589 women and 1015 men from the Shanghai Women's and Men's Health Studies.
Median urinary ITC level was 1·61 nmol/mg creatinine. Self-reported usual cruciferous vegetable intake was weakly correlated with urinary ITC level (rs=0·1149; P<0·0001), while self-reported recent intake was more strongly correlated with urinary ITC (rs=0·2591; P<0·0001). Overall, the GST genotypes were not associated with urinary ITC level, but significant differences according to genotype were observed among current smokers and participants who provided an afternoon urine sample. Other factors, including previous gastrectomy or gastritis, were also related to urinary ITC level.
The study suggests that urinary secretion of ITC may provide additional information on cruciferous vegetable intake and that GST genotypes are related to urinary ITC level only in some subgroups.
Spermatogonial stem cells (SSCs) have the ability to self-renew and offer a pathway for genetic engineering of the male germ line. Cryopreservation of SSCs has potential value for the treatment of male infertility, spermatogonial transplantation, and so on. In order to investigate the cryopreservation effects of different cryoprotectants on murine SSCs, 0.2 M of low-density lipoproteins (LDL), trehalose and soybean lecithin were added to the cryoprotective medium, respectively, and the murine SSCs were frozen at −80°C or −196°C. The results indicated that the optimal recovery rates of murine SSCs in the cryoprotective medium supplemented with LDL, trehalose and soybean lecithin were 92.53, 76.35 and 75.48% at −80°C, respectively. Compared with freezing at −196°C, the optimum temperature for improvement of recovery rates of frozen murine SSCs, cryopreservation in three different cryoprotectants at −80°C, were 17.11, 6.68 and 10.44% respectively. The recovery rates of murine SSCs in the cryoprotective medium supplemented with 0.2 M LDL were significantly higher than that of other cryoprotectants (P < 0.05). Moreover, the recovery rates were demonstrated to be greater at −80°C compared with at −196°C (P < 0.05). In conclusion, 0.2 M of LDL could significantly protect murine SSCs at −80°C. In the freezing–thawing process, LDL is responsible for the cryopreservation of murine SSCs because it can form a protective film at the surface of membranes. However, more research is needed to evaluate and understand the precise role of LDL during the freezing–thawing of SSCs.
The relationship between recurrent major depression (MD) in women and suicidality is complex. We investigated the extent to which patients who suffered with various forms of suicidal symptomatology can be distinguished from those subjects without such symptoms.
We examined the clinical features of the worst episode in 1970 Han Chinese women with recurrent DSM-IV MD between the ages of 30 and 60 years from across China. Student's t tests, and logistic and multiple logistic regression models were used to determine the association between suicidality and other clinical features of MD.
Suicidal symptomatology is significantly associated with a more severe form of MD, as indexed by both the number of episodes and number of MD symptoms. Patients reporting suicidal thoughts, plans or attempts experienced a significantly greater number of stressful life events. The depressive symptom most strongly associated with lifetime suicide attempt was feelings of worthlessness (odds ratio 4.25, 95% confidence interval 2.9–6.3). Excessive guilt, diminished concentration and impaired decision-making were also significantly associated with a suicide attempt.
This study contributes to the existing literature on risk factors for suicidal symptomatology in depressed women. Identifying specific depressive symptoms and co-morbid psychiatric disorders may help improve the clinical assessment of suicide risk in depressed patients. These findings could be helpful in identifying those who need more intense treatment strategies in order to prevent suicide.
Little is known about the association of circulating 25-hydroxyvitamin D (25(OH)D) and blood pressure (BP) parameters, including systolic and diastolic BP, pulse pressure (PP), mean arterial pressure (MAP) and hypertension in non-Western populations that have not yet been exposed to foods fortified with vitamins and seldom use vitamin D supplements. A cross-sectional analysis of plasma 25(OH)D levels in association with BP measures was performed for 1460 participants (1055 women and 405 men, aged 40–74 years) of two large cohort studies in Shanghai. Multivariable linear and logistic regressions were conducted. Overall, the prevalence of vitamin D deficiency was 55·8 % using National Health and Nutrition Examination Survey, USA criteria and 29·9 % using WHO criteria. The median plasma 25(OH)D level in the population was 38·0 nmol/l for men and 33·6 nmol/l for women (P < 0·01) among participants who were not on antihypertensive drugs. Among men, BP parameters (systolic BP, diastolic BP and MAP) were significantly and inversely associated with higher quintiles of 25(OH)D compared with the lowest quintile (Ptrend < 0·05 for all). Vitamin D non-deficient status (WHO criteria) was inversely associated with hypertension (ORadjusted = 0·29; 95 % CI 0·10, 0·82). An inverse association was also found between hypertension and the highest quintile of 25(OH)D (ORadjusted = 0·16; 95 % CI 0·04, 0·65 for ≥ 50·6 nmol/l; Ptrend = 0·02). Among women, no significant associations were found for BP parameters and hypertension. The present study shows that vitamin D deficiency is common among adults in urban China. Circulating 25(OH)D levels were inversely related to the levels of individual BP parameters and hypertension among middle-aged and elderly men but not among women. More research is needed to investigate the potential sex differential associations.
The efficacy of homocysteine (Hcy)-lowering therapy in reducing the risk of CVD among patients with chronic kidney disease (CKD) remains controversial. We performed a meta-analysis to determine whether pooling the data from the few small randomised, controlled trials that address this topic would improve the statistical power of the analysis and resolve some of the inconsistencies in the results. Randomised, controlled clinical trials (RCT) were identified from MEDLINE, EMBASE, www.clinicaltrials.gov, the Cochrane Controlled Clinical Trials Register Database and Nephrology Filters. Independent extraction of articles was performed using predefined data fields. The primary outcome was relative risk (RR) of CVD, CHD, stroke and all-cause mortality for the pooled trials. A stratified analysis was planned, assessing the RR for cardiovascular events between the patients on and not on dialysis. Overall, ten studies met the inclusion criteria. The estimated RR were not significantly different for any outcomes, including CHD (RR 1·00, 95 % CI 0·75, 1·31, P = 0·97), CVD (RR 0·94, 95 % CI 0·84, 1·05, P = 0·30), stroke (RR 0·83, 95 % CI 0·57, 1·19, P = 0·31) and all-cause mortality (RR 1·00, 95 % CI 0·92, 1·09, P = 0·98). In the stratified analysis, the estimated RR were not significantly different for cardiovascular events regardless of dialysis or in combination with vitamin B therapy or the degree of reduction in Hcy levels. Our meta-analysis of RCT supports the conclusion that Hcy-lowering therapy was not associated with a significant decrease in the risk for CVD events, stroke and all-cause mortality among patients with CKD.
In Western countries, a history of major depression (MD) is associated with reports of received parenting that is low in warmth and caring and high in control and authoritarianism. Does a similar pattern exist in women in China?
Received parenting was assessed by a shortened version of the Parental Bonding Instrument (PBI) in two groups of Han Chinese women: 1970 clinically ascertained cases with recurrent MD and 2597 matched controls. MD was assessed at personal interview.
Factor analysis of the PBI revealed three factors for both mothers and fathers: warmth, protectiveness, and authoritarianism. Lower warmth and protectiveness and higher authoritarianism from both mother and father were significantly associated with risk for recurrent MD. Parental warmth was positively correlated with parental protectiveness and negatively correlated with parental authoritarianism. When examined together, paternal warmth was more strongly associated with lowered risk for MD than maternal warmth. Furthermore, paternal protectiveness was negatively and maternal protectiveness positively associated with risk for MD.
Although the structure of received parenting is very similar in China and Western countries, the association with MD is not. High parental protectiveness is generally pathogenic in Western countries but protective in China, especially when received from the father. Our results suggest that cultural factors impact on patterns of parenting and their association with MD.
The prevalence of hypertension has increased over the past decade in many developed and developing countries, including China. This increase may be associated with changes in lifestyle, including dietary patterns. We evaluated the association of dietary patterns with blood pressure (BP) by using data from a large, population-based cohort study of middle-aged and elderly Chinese men, the Shanghai Men's Health Study. The present cross-sectional analysis includes 39 252 men who reported no prior history of hypertension, diabetes, CHD, or stroke nor use of antihypertensive drugs at study enrolment. Three dietary patterns, 'vegetable', 'fruit and milk' and 'meat', were derived using factor analysis. The fruit and milk diet was inversely associated with both systolic and diastolic BP (Ptrend < 0·001). The adjusted mean systolic BP was 2·9 mmHg lower (95 % CI − 3·4, − 2·4), and diastolic BP was 1·7 mmHg lower (95 % CI − 2·0, − 1·4) for men in the highest quintile of the 'fruit and milk' pattern compared with men in the lowest quintile. This inverse association was more evident among heavy drinkers; the highest quintile of the 'fruit and milk' pattern was associated with a 4·1 mmHg reduction in systolic BP v. a 2·0 mmHg reduction among non-drinkers (Pinteraction = 0·003) compared to the lowest quintile. The corresponding reductions in diastolic BP were 2·0 v. 1·3 mmHg (Pinteraction = 0·011). The 'fruit and milk' pattern was associated with a lower prevalence of both pre-hypertension and hypertension, and the associations appeared to be stronger among drinkers. Results of the present study suggest an important role for diet in the prevention of hypertension.
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Selecting a Phlebotomy School near Star City Arkansas
Picking the ideal phlebotomy technician training near Star City AR is an essential initial step toward a fulfilling profession as a phlebotomist. It may seem like a daunting undertaking to investigate and compare each of the training alternatives that are available to you. Nevertheless it's necessary that you do your due diligence to ensure that you get a quality education. In reality, a large number of students start the process by looking at 2 of the qualifiers that first come to mind, which are cost and location. Another factor you may consider is whether to attend online classes or commute to a nearby campus. We'll talk a bit more about online classes later in this article. What's important to keep in mind is that there is much more to comparing phlebotomy training programs than finding the closest or the cheapest one. Other factors such as reputation and accreditation are also significant considerations and must be part of your selection process also. Toward that end, we will furnish a list of questions that you should ask each of the phlebotomy schools you are evaluating to help you select the ideal one for you. But prior to doing that, let's address what a phlebotomist is and does, and afterwards resume our conversation about online schools.
Phlebotomy Technician Work Description
A phlebotomist, or phlebotomy tech, collects blood samples from patients. While that is their primary task, there is in fact far more to their job description. Before collecting a blood sample, a phlebotomist has to check that the tools being utilized are single use only and sterile. Following the collection, the sample has to be correctly labeled with the patient's information. Next, paperwork has to be properly filled out to be able to track the sample from the time of collection through the lab testing process. The phlebotomist then delivers the blood to either an in-house lab or to an outside lab facility where it can be screened for such things as pregnancy, infectious diseases or blood type. Many Star City AR phlebotomists actually work in laboratories and are accountable for ensuring that samples are analyzed properly under the highest quality control procedures. And if those weren't sufficient duties, they can be asked to train other phlebotomists in the collection, delivery and follow-up process.
Where do Phlebotomy Techs Work?
The simplest answer is wherever patients are treated. Their work places are numerous and varied, such as Star City AR hospitals, medical clinics, long-term care facilities, or blood centers. They may be assigned to draw blood samples from patients of all ages, from infants or young children to seniors. Some phlebotomy techs, based on their training and their practice, specialize in collecting samples from a specific type of patient. For example, those practicing in an assisted living facility or nursing home would solely be drawing blood from older patients. If they are practicing in a maternity ward, they would be drawing blood from newborns and mothers exclusively. In contrast, phlebotomists working in a general hospital setting would be drawing samples from a wide variety of patients and would work with different patients on a daily basis.
Phlebotomist Training, Certification and Licensing
There are primarily two types of programs that provide phlebotomist training in Star City AR, which are degree and certificate programs. The certificate program normally takes less than a year to complete and provides a general education together with the training on how to draw blood. It offers the fastest route to becoming a phlebotomist. An Associate of Science Degree in Clinical Laboratory Science, although not specifically a phlebotomy degree, will provide training on becoming a phlebotomist. Available at junior and community colleges, they typically require two years to finish. Bachelor's Degrees are not as available and as a 4 year program furnish a more expansive background in lab sciences. After you have finished your training, you will no doubt want to become certified. While not mandated in most states, most employers look for certification prior to hiring technicians. Some of the main certifying organizations include:
- National Phlebotomy Association
- National Healthcareer Association (NHA)
- American Society for Clinical Pathology (ASCP)
- American Medical Technologists (AMT)
There are some states that do require certification prior to practicing as a phlebotomy tech, including Nevada and California. California and a handful of additional states even require licensing. So it's essential that you pick a phlebotomy training program that not only supplies a premium education, but also readies you for any certification or licensing exams that you are required or elect to take.
Phlebotomist Online Colleges
To start with, let's dispel one likely misconception. You can't obtain all of your phlebotomist training online. A substantial part of the course of study will be practical training and it will be conducted either in an approved Star City AR healthcare facility or an on-campus lab|an on-campus lab or an approved healthcare facility}. Many courses also require completing an internship in order to graduate. But since the non-clinical part of the training may be accessed online, it might be a more convenient option for many students. As an added benefit, some online colleges are more affordable than their traditional competitors. And some expenditures, including those for textbooks or commuting, may be lowered as well. Just make sure that the online phlebotomy school you choose is accredited by a national or regional accrediting agency (more on accreditation later). With both the comprehensive online and clinical training, you can obtain a superior education with this approach to learning. If you are dedicated enough to study at home, then attaining your degree or certificate online might be the right option for you.
Points to Ask Phlebotomist Programs
Since you now have a general idea about what is involved in becoming a phlebotomist, it's time to start your due diligence process. You may have already decided on the kind of program you wish to enroll in, whether it be for a degree or a certificate. As we mentioned earlier, the location of the Arkansas campus is significant in addition to the tuition expense. Perhaps you have opted to enroll in an phlebotomy online college. All of these decisions are an important part of the procedure for selecting a school or program. But they are not the sole concerns when making your decision. Below we have provided some questions that you need to ask about all of the Star City AR schools you are reviewing prior to making your final decision.
Is the Phlebotomist Program State Specific? As previously mentioned, each state has its own laws for practicing as a phlebotomy technician. Some states require certification, while some others require licensing. Every state has its own requirement regarding the minimum amount of clinical training completed prior to practicing as a phlebotomy tech. Consequently, you may have to pass a State Board, certification or licensing exam. Therefore it's extremely important to select a phlebotomy program that satisfies the state specific requirements for Arkansas or the state where you will be working and prepares you for all examinations you may be required to take.
Is the School Accredited? The phlebotomy school and program you pick should be accredited by a highly regarded regional or national accrediting agency, such as the National Accrediting Agency for Clinical Laboratory Sciences (NAACLS). There are a number of advantages to graduating from an accredited program in addition to an assurance of a superior education. First, if your program is not accredited, you will not be able to sit for a certification exam administered by any of the earlier listed certifying organizations. Also, accreditation will help in obtaining financial aid or loans, which are typically not available for non-accredited colleges in Star City AR. Finally, earning a certificate or a degree from an accredited college can make you more desirable to potential employers in the job market.
What is the College's Reputation? In a number of states there is little or no regulation of phlebotomist colleges, so there are some that are not of the highest caliber. So in addition to accreditation, it's imperative to check out the reputations of any colleges you are considering. You can begin by requesting references from the schools from employers where they place their graduates as part of their job assistance program. You can screen internet school reviews and rating services and ask the accrediting organizations for their reviews also. You can also talk to a few Star City AR local hospitals or clinics that you might have an interest in working for and see if they can provide any recommendations. As a closing thought, you can contact the Arkansas school licensing authority and find out if any grievances have been filed or if the schools are in full compliance.
Is Enough Training Provided? First, contact the Arkansas regulator or the state regulator where you will be working to learn if there are any minimum requirements for the amount of training, both clinical and classroom. At a minimum, any Star City AR phlebotomy program that you are reviewing should provide no less than 40 hours of classroom training (most require 120) and 120 hours of clinical training. Anything less than these minimums might indicate that the program is not expansive enough to offer adequate training.
Are Internship Programs Sponsored? Find out from the Arkansas schools you are considering if they have an internship program in partnership with regional health care facilities. They are the optimal way to obtain hands-on clinical training frequently not available on campus. As an additional benefit, internships can help students develop relationships within the local Star City AR health care community. And they are a plus on resumes as well.
Is Job Placement Help Provided? Getting your first phlebotomy job will be much easier with the support of a job placement program. Ask if the programs you are reviewing provide assistance and what their job placement percentage is. If a college has a higher rate, meaning they place the majority of their students in positions, it's an indication that the school has both a good reputation along with an extensive network of professional contacts within the Star City AR health care community.
Are Classes Compatible With Your Schedule? Finally, it's crucial to confirm that the ultimate college you pick provides classes at times that will accommodate your busy schedule. This is especially true if you opt to continue working while going to college. If you need to attend classes at night or on weekends near Star City AR, make sure they are offered at those times. Additionally, if you can only attend on a part-time basis, make sure it is an option also. Even if you have decided to study online, with the practical training requirement, make certain those hours can also be completed within your schedule. And ask what the make-up protocol is should you have to miss any classes because of emergencies or illness.
Why Did You Desire to Be a Phlebotomist?When preparing to interview for a Phlebotomy Tech job, it's a good idea to review questions you might be asked. One of the things that interviewers typically ask Phlebotomy Tech prospects is "What made you choose Phlebotomy as a profession?". What the interviewer is hoping to discover is not merely the personal reasons you may have for being Phlebotomist, but also what characteristics and skills you have that make you outstanding at your profession. You will undoubtedly be asked questions relating primarily to Phlebotomy, in addition to a significant number of routine interview questions, so you must prepare several strategies about how you want to respond to them. Since there are so many variables that go into selecting a career, you can answer this fundamental question in a multitude of ways. When preparing an answer, aim to include the reasons the profession appeals to you along with the talents you have that make you an exceptional Phlebotomist and the perfiect candidate for the job. Don't try to memorize a response, but write down some ideas and topics that relate to your own experiences and strengths. Reviewing sample responses can assist you to prepare your own thoughts, and provide ideas of what to include to wow the recruiter.
Find the Best Phlebotomist Program near Star City AR
Making certain that you enroll in the right phlebotomist training is an important first step toward your success in this fulfilling health care field. As we have addressed in this article, there are several factors that go into the selection of a superior program. Phlebotomy certificate or degree programs can be available in a wide range of educational institutions, including junior or community colleges, vocational schools, and colleges and universities that provide a wide assortment of programs in medical care and health sciences. Course options may vary slightly across the country as each state has its own mandates when it concerns phlebotomist training, licensing and certification. The most critical point is that you need to thoroughly screen and compare each program prior to making your final decision. By asking the questions that we have provided, you will be able to fine tune your options so that you can select the ideal program for you. And with the proper education, you can reach your goal of becoming a phlebotomist in Star City AR.
Learn About Star City Arkansas
Star City, Arkansas
Star City is a city in and the county seat of Lincoln County, Arkansas.[3] Incorporated in 1876, the city is located between the Arkansas Delta and Arkansas Timberlands. With an economy historically based on agriculture, today Star City has developed a diverse economy based on both industry and agriculture.[4] As of the 2010 census, the population was 2,274.[5] Star City is located within the Pine Bluff metropolitan area.
Star City is located at 33°56′27″N 91°50′33″W / 33.94083°N 91.84250°W / 33.94083; -91.84250 (33.940947, -91.842575).[6]
According to the United States Census Bureau, the city has a total area of 4.2 square miles (11 km2), all of it land.
The city is between Monticello and Pine Bluff.[7]
More Interesting Arkansas Cities
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text:
Do you find yourself procrastinating a lot?
This is a sure sign of self sabotage.
If you don't do the thing then you can't fail at it right?
Maybe you have an endless list of other things to be done which prevent you from doing THE thing that will make the difference you desire –
That work project
The live video
That diet
The workout regime
That phone call
Whatever it is for you… all that other stuff you keep putting in the way of doing it is a story you tell yourself in a subconscious attempt to keep you safe.
Safe from rejection.
Safe from trying and failing.
Safe from disappointing others.
Safe from happiness.
Yes that's right happiness is scary shit for many of us!
What if we get happy and it goes away?
What if we get happy and it feels uncomfortable because deep down we don't feel deserving?
If you're a regular procrastinator keeping yourself stuck and preventing yourself from moving forward in your life…?
We need to talk about how I can help break out of these self sabotaging behaviours so that you can get to where you want to be.
So that you can be who you want to be 💜


text:
Create Go apps using SQL Server on RHEL
In this section, you will get SQL Server 2017 on your RHEL machine and then you will install the necessary dependencies to run GoLang.
Step 1.1 Install SQL Server
Note: To ensure optimal performance of SQL Server, your machine should have at least 4 GB of memory.
Register the Microsoft Linux repository.
curl https://packages.microsoft.com/config/rhel/7/mssql-server-2017.repo | sudo tee /etc/yum.repos.d/mssql-server-2017.repo
Install SQL Server.
sudo yum update sudo yum install mssql-server
Setup your SQL Server.
sudo /opt/mssql/bin/mssql-conf setup
Microsoft(R) SQL Server(R) Setup To abort setup at anytime, press Ctrl-C. The license terms for this product can be downloaded from http://go.microsoft.com/fwlink/?LinkId=746388 and found in /usr/share/doc/mssql-server/LICENSE.TXT. Do you accept the license terms? If so, please type YES: Please enter a password for the system administrator (SA) account: Please confirm the password for the system administrator (SA) account:
You now have SQL Server running locally on your RHEL machine! Check out the next section to continue installing prerequisites.
Step 1.2 Install GoLang
If you already have GoLang installed on your machine, skip this step. To install GoLang, follow these commands:
Run the following commands:
curl -O https://storage.googleapis.com/golang/go1.8.linux-amd64.tar.gz tar xvf go1.8.linux-amd64.tar.gz sudo chown -R root:root ./go sudo mv go /usr/local
Using your favorite text editor, add these two lines to the ~/.profile file.
export GOPATH=$HOME/work export PATH=$PATH:/usr/local/go/bin:$GOPATH/bin
Step 1.3 Install the ODBC Driver and SQL Command Line Utility for SQL Server
SQLCMD is a command line tool that enables you to connect to SQL Server and run queries.
sudo su
#Download appropriate package for the OS version
#Choose only ONE of the following, corresponding to your OS version
#RedHat Enterprise Server 6
curl https://packages.microsoft.com/config/rhel/6/prod.repo > /etc/yum.repos.d/mssql-release.repo
#RedHat Enterprise Server 7
curl https://packages.microsoft.com/config/rhel/7/prod.repo > /etc/yum.repos.d/mssql-release.repo
#RedHat Enterprise Server 8 and Oracle Linux 8
curl https://packages.microsoft.com/config/rhel/8/prod.repo > /etc/yum.repos.d/mssql-release.repo
sudo yum remove unixODBC-utf16 unixODBC-utf16-devel #to avoid conflicts
sudo ACCEPT_EULA=Y yum install msodbcsql17
# optional: for bcp and sqlcmd
sudo ACCEPT_EULA=Y yum install mssql-tools
echo 'export PATH="$PATH:/opt/mssql-tools/bin"' >> ~/.bash_profile
echo 'export PATH="$PATH:/opt/mssql-tools/bin"' >> ~/.bashrc
source ~/.bashrc
# optional: for unixODBC development headers
sudo yum install unixODBC-devel
After installing SQLCMD, you can connect to SQL Server using the following command:
sqlcmd -S localhost -U sa -P yourpassword
1> # You're connected! Type your T-SQL statements here. Use the keyword 'GO' to execute each batch of statements.
This how to run a basic inline query. The results will be printed to the STDOUT.
sqlcmd -S localhost -U sa -P yourpassword -Q "SELECT @@VERSION"
Microsoft SQL Server vNext (CTP2.0) - 14.0.500.272 (X64)
Apr 13 2017 11:44:40
Copyright (c) Microsoft Corporation
on Linux (Red Hat Enterprise Linux)
1 rows(s) returned
Executed in 1 ns
You have successfully installed SQL Server Command Line Utilities on your Red Hat machine!
You have successfully installed and setup GoLang and mssql-tools on your RHEL computer. You now have everything you need to start writing your Go apps with SQL Server!
Have Questions?
Happy to help! You can find us on GitHub, MSDN Forums, and StackOverflow. We also monitor the #SQLServerDev hashtag on Twitter.


text:
Jul 7, 2021
CW: Isolation, violence, mentions of suicide.
Betrayal. When you put your entire life ready to change. Give up
on your goals in the benefit of another to only have it mean
Yeah it's tough. Gabe will endure.
Reach out for questions to
Written, performed and edited by David Jeffress @crestsphinx
Photo by Soher Photos
Content Editor JaguarQuinn @JaguarQuinn


text:
Stars and Stripes has been trying to find out why but can't get an explanation…
ARLINGTON, Va. — The Army is late in delivering newer, lighter body armor to
soldiers downrange.
In April, an official with Program Executive Officer Soldier (PEO Soldier)
said that soldiers in Iraq and Afghanistan would begin to receive the Improved
Outer Tactical Vests that month.
"The Army will begin fielding the IOTV April 07 as directed by [Headquarters,
Department of the Army/ Army Central Command]," said Steven Pinter in an
e-mailed response to questions to Stars and Stripes last month.
But the Army has not yet awarded a contract for the new body armor, according
to PEO Soldier, the Army's development center for advanced soldier equipment.
Officials at PEO Soldier declined to comment about why no contract has been
"It is not common Army practice to discuss pending contract awards in the
media," an e-mailed response from PEO says. "As soon as contracts are in place,
PEO Soldier would be pleased to conduct an interview with Stars and Stripes."
Asked if he could say why no such contract had been awarded, Lt. Gen. Stephen
Speakes, who handles Army resources issues said, "No, I can't."


text:
Home in Vineland goes for $260K
A 1,685-square-foot unit in Vineland has changed hands. The property at 2419 E. Landis Ave. was sold in November 2019. The $259,900 purchase price works out to $154 per square foot, which is above the Vineland median of $96 for condos and townhomes. Price per square foot is often used to compare differently sized homes, but it does not account for other aspects that factor into a home's price.
These nearby units have also recently changed hands:
- A 1,685-square-foot unit at 2419 E. Landis Ave. sold in September for $259,900, a price per square foot of $154.
- A 1,452-square-foot unit at 2142 E. Chestnut Ave. sold in September for $153,000, a price per square foot of $105.
- A 933-square-foot unit at 2139 E. Chestnut Ave. sold in September for $95,000, a price per square foot of $102.
So far this year, 49 condos and townhomes have sold in Vineland, where the median sales price is $125,000.
See what homes have sold in your area by searching our historical database of New Jersey property sales, and find other useful public information in DataUniverse.
This story was automatically generated using real estate transaction data from the state of New Jersey. If you have a question or find a mistake, please email us at .


text:
If you have missed any of the sermons at SGBC, or wish to go back and listen again, you can catch up right here. Use the menus just above to search by sermon series, books of the Bible, speaker or date.
All the sermons below are in date order, with the most recent first.
Advent Sunday 2021
Lighting the first Advent candle for 2021
Right place, right time
Louise spoke from Acts 8:26-40 about how Philip was in the right place at the right time to speak to the Ethiopian official, and what this means for us.
Jesus Forgives and Heals a Paralyzed Man
Louise leads a discussion and reflection on what this well known passage in Mark 2: 1-12 teaches us about mission.
Stepping out of the boat
On 31st October Paul Round spoke from Matthew 14:22-32 as part of our series on "Called to Grow".
Reality check
On 17th October Louise summarised the Called to Grow series so far, and then spoke from Matthew 13: 24-30, the parable of the weeds.
Mission training 1
On 3rd October we ran a mission training workshop. The recording starts as Louise summarises a discussion we had on "what is mission?" The video which is played halfway through the session is provided by the London Institute of Contemporary Christianity and can be found here: https://vimeo.com/335414371/e16fb387b0
God holds the plan
On September 26th Tim spoke from Acts 16, v6-10, about how we respond to the calling of the Holy Spirit.
Called to grow
On 12th September Louise introduced our new series for the Autumn – "Called to grow" – and started the conversation as we journey together through the next chapter in the life of Seer Green Baptist Church.
Commissioning service for Paul and Alison
Paul and Alison will shortly be travelling to Uganda for missionary work. We met on 5th September with our friends from Holy Trinity to commission them. The recording includes an interview with them, followed by a Bible reading from Acts 1, and the talk.
A time for everything
A short pre-recorded service to introduce our theme for August; "A Time for Everything" from Ecclesiastes 3.