martes, 1 de noviembre de 2011

St. Francis ER selected nationally to test ways to reduce overcrowding

INDIANAPOLIS – As viagra cialis online pharmacy pharmacy emergency rooms across the nation strive to operate more efficiently and effectively to reduce overcrowding and related issues, St. Francis Hospital & Health Centers is one of six hand-selected hospitals to participate in a program designed enhance its overall performance.

The ER department at St. Francis Hospital-Indianapolis has implemented Urgent Matters, a Robert Wood Johnson Foundation-funded learning network. “Team ER,” as the department has dubbed itself, is developing ways to work collaboratively, devise performance measures, assess existing operation and develop strategies to improve ER operations.

“Emergency room crowding is a well known and critical issue hospitals need to understand and address with the goal of providing the best possible care to the patients in their communities,” said Jason Kaufman, R.N., director of Emergency Services for St. Francis’ hospitals in Indianapolis, Beech Grove and Mooresville. “Overcrowding is not just an emergency room problem – it’s a challenge to all hospitals with ERs.”

As part of Urgent Matters, St. Francis has established a standardized triage process (evaluation of incoming patients’ conditions) and is working to educate and train emergency staff on new polices and procedures, designed collaboratively by staff and tested using rapid cycle change processes. This collaborative approach led to the development of informal leaders and improved communication between the emergency and other hospital departments.

Patty Heffner, R.N., ER manager and Urgent Matters project leader at St. Francis-Indianapolis, says the improved communications as one of the most successful outcomes and that the hospital plans to use the Urgent Matters structure in other quality improvement projects.

“The St. Francis team is addressing the sustainability of the Urgent Matters project by creating an ER workgroup to monitor and improve triage processes, and develop a training program for the new patient intake policies and processes,” Heffner said.

Patient volumes at St. Francis emergency rooms have been steadily on the increase. In 2009, the Indianapolis campus saw 41,000 patients; Beech Grove, 42,000, and the recently opened Mooresville ER had 5,000 visits.

The U.S. Centers for Disease Control report that from 1996 to 2006, the number of annual ER visits grew from 90.3 million to 119.2 million nationally. Meanwhile, the number of hospitals with ERs has fallen from 5,000 to 4,000 during that period.

Other hospitals participating in Urgent Matters: Good Samaritan Hospital Medical Center and Stony Brook University Medical Center (both of New York), Hahnemann University Hospital, Thomas Jefferson University Hospital and Westmoreland Regional Hospital (all of Pennsylvania).

St. Francis-Indianapolis and these hospitals are collaborating through a network structure to test new ideas, quantify results and share lessons they have learned. Program successes will be shared nationally that can be adopted at other hospitals.

lunes, 23 de mayo de 2011

Women's Supplements for Sexual Health

Wednesday, October 8, 2008


Women's Supplements for Sexual Health

By: Stephen Todd
Sometimes you need a little extra help when it comes to achieving a certain level of intimacy.

There are many supplements for sexual cheap viagra and satisfaction on the market, but women’s supplements for sexual cheap cialis tend to be a little known or discussed topic.

Below you will encounter a variety of women’s supplements for sexual health available, when a female wishes to enhance some of her sexual experiences, as well as energy.

Natural Products

When looking for a 100% natural product to stimulate pleasure, there is an item called “SEX for Women,” - a herbal supplement geared towards enhancing a women’s sexual health. The main ingredients of this selection include Saw Palmetto and Siberian Ginseng, said to increase a woman’s sex drive.

Another women’s supplement used for sexual health is “Alpine Root,” which is marketed as an alternative for ginseng. It has been proven to show overall positive changes within women’s sexual performance, desire, energy, as well as stamina. Not only does this product aid women’s sexual health, and used to treat poor memory and depression.

Lubricants

Women’s supplements for sexual health could also include lubricants created from a variety of natural ingredients. The Forever Virgin Vaginal Toner and Lubricant, created to awaken the body’s senses. This European formula has passed the test within the United States, Zurich, Paris, and Amsterdam. The product claims to encourage multiple orgasms through its unique combination of flowers, seeds, and plants. You should know that this item does not contain spermicides, artificial perfumes, colors or flavors.

Nutrients

The GH Female Super Formula is supposed to improve women’s sexual health and well being by supplying her body with necessary nutrients, as well as creating a balance within her body. Women suffering from PMS or menopause may find comfort with this product, as well as females who wish to increase their sexual desire and mood. This selection of women’s supplements helps with the sexual health of the user by improving their overall health.

Supplements

The next time you are looking for women’s supplements for sexual health, you may want to consider a female pleasure enhancer named “Sensuality.” This product provides quick results and delivers a maximum strength dose that does not disrupt a woman’s daily routine. Women of all ages can find comfort with this product, which contains isoflavones, ginko biloba, as well as a stamina blend.

The name may sound funny, but there is a women’s supplement for sexual health, called “Desire-X Horny Goat Weed.” This product aims to help a woman find their desire and pleasure. The main ingredient’s common name comes from the plant known as Epimedium Grandiflorum, which hails from China and Japan where it’s aphrodisiac properties have been respected for centuries. This product seeks results through increasing the sexual hormone production level within the user.

Another women’s supplement for sexual health is a product referred to as Maca 500mg, which is used to increase a female’s stamina and endurance. Maca is actually a root vegetable found in areas such as Peru. There is a high concentration of iodine, zinc, amino acids, as well as vitamin C, which are essential for promoting the progress of sexual fulfillment and functions.

Article Source: http://www.dietarticles.info

martes, 17 de mayo de 2011

Viagra Chronicles

stpats
St. Patrick's Cathedral, on Fifth Ave.

Monsignor Eugene V. Clark, the 79-year-old rector of St. Patrick’s Cathedral, in New York, recently resigned as the head of the most famous Catholic church in the country. St. Patrick’s is the church the faithful proudly parade past on St. Patrick’s Day. St. Patrick’s is the church in the background when Judy Garland and Fred Astaire are singing their way down Fifth Avenue in the movie Easter Parade.

Monsignor Clark resigned after it was reported in the New York Times and other news sources that he was accused of having an affair with his married, long-time secretary, who reportedly annually earns between $70,000-$100,000. Though no spring chicken herself, she is 33 years his junior. Theirs is more like a December-September than a September-May romance. The monsignor did not pull a Palmeiro; that is, he did not unequivocally deny having an affair. He did not say “never ever,” as Rafael Palmeiro did about steroids. He did not accuse his alleged accusers of being “crap.” But the monsignor has not admitted to having the affair, either. In a statement released by his lawyer, he said “events and circumstances have been portrayed in such a false and sensational manner that I will no longer be able to effectively serve the archdiocese.” “False and sensational” may refer, among other things, to the video footage that shows the monsignor and his secretary going into a motel room during the day and then leaving five hours later dressed in different clothes. If he was hearing her confession for five hours, it will go into the Guinness World Records. His secretary, accompanied by her two children, sometimes spent weekends with the monsignor in his beachside retreat, leaving her husband at home. Her husband is suing for divorce, charging her with adultery.

The almost-octogenarian monsignor may be suffering from an overdose of the same recreational drug that Palmeiro hawks on TV, the same cialis that appears for long spells in ads behind home plate on televised baseball games where they imprint themselves on the brains of millions of aging, unathletic American males interested in improving their sexual performance when they step up to the plate, so to speak. Those old enough may remember the 1978 so-called “Twinkie defense,” when the homophobic San Francisco supervisor Dan White shot and killed Mayor Moscone and Harvey Milk, and the best defense White's lawyers could come up with was that he had done it because he was deeply depressed as a result of binging on junk food and Coke.

I would not be surprised if the monsignor’s lawyers come up with a “Viagra defense,” which may include testimony from an underpaid Latin-American immigrant housekeeper that the monsignor is a baseball nut who constantly watches games on TV. His lawyers could argue that the Viagra ads behind home plate had brainwashed him and that the monsignor had fallen victim to one of Viagra’s widely publicized dangerous side-effects. “Warning! Erections may last up to four hours.” Not to be outdone or outsold, a rival product’s warning goes Viagra more than one better: “If erections last as long as 24 hours, seek immediate medical assistance.” These of course are intended not so much as warnings as enticements, but if the monsignor had been using the rival brand he might not have gotten out of the motel room except on a stretcher.

Not only does Viagra cause blindness in some men, the defense will argue, but it can turn pious old prelates who watch too much TV into Brad Pitt-bulls, men who abandon their families for more alluring sexual partners, and priests who betray their flock and break their celibacy vows. So that’s what it could come down to: the monsignor was a helpless senior citizen victimized by Viagra.

When I was the president of the Shawnee Education Association, the faculty union, and on the union negotiating team, I suggested that we exclude Viagra and other costly recreational drugs from coverage under our faculty insurance. The administration appeared to be very determined to cut the costs of faculty medical coverage during the negotiations, but they seemed unwilling to touch my proposal with a ten-foot pole, apparently fearing a terrible backlash from an aging male faculty.

This story of the monsignor should be of interest to Portsmouth residents because a prominent Portsmouth cleric, David A. Malone, was reported to be having an extramarital affair with a member of his Kingdom Builders Evangelistic Church. Malone did not deny he had the affair. He reportedly admitted his adultery to his congregation. But instead of resigning, he asked for their forgiveness. Not everyone was willing to forgive, and some left his church. I know how those who left his church feel, because I was one of those who had hoped Malone would see the light and stop voting with the corrupt faction on the Portsmouth City Council, and that he would lead a cleansing moral crusade in Portsmouth.

Kingdom Hall
Rev. Malone's Kingdom Builder's Evangelistic Church, on Waller St.

When I say Malone’s adultery was reported, I am using the term reported loosely, for as far as I know, the “professional” journalists who work for our two local newspapers, the Portsmouth Daily Times and the Community Common have not written a word about this matter. The Daily Times considers a duck rumored to be caught in a storm drain front-page news, but a local preacher who is also a member of the Portsmouth City Council getting caught in an extra-marital affair, that is not fit to be printed on any page of the Daily Times.
dirtyduck

Perhaps one of the reasons for the absence of any reporting on Malone’s infidelity is sexual squeamishness. The Boston Globe reported just today (August 12) about two celebrated swans at the Boston Public Gardens, nicknamed Romeo and Juliet, who had become a symbol of the inspiring life-long sexual faithfulness that has been observed among some bonding pairs of the animal kingdom. It turns out that tests have proved the two swans are both females, so that it would be more accurate to call it not a Romeo and Juliet but a Juliet and Juliet relationship. If a same-sex bonding pair of swans were discovered in the Scioto River, would either Portsmouth newspaper dare to report it? I doubt it.

But it is not sexual squeamishness alone that explains the Daily Times silence on Malone. Even more to the point is political sqeamishness. Rev Malone is not just the minister of the Kingdom Builders Evangelistic Church on Waller St. He is also the Ward 2 representative on the Portmouth City Council, and there’s the rub. A political struggle for the very soul of Portsmouth has been going in the last several years, and Malone has not hesitated to use his alleged closeness to God as a justification for the political positions he has taken. Last year, claiming to be divinely called by God to do so, he opposed the recall of Mayor Bauer. Again, claiming to be divinely called to do so, he held public prayer sessions on the steps of the Municipal Building, with his wife praying in tongues at the foot of the steps. In his prayer “Protection and Deliverance of a City,” Malone said, “Father, thank You for sending forth Your commandments to the earth . . .” Among God’s commandments is “Thou shalt not commit adultery.” One of the impressive things about Malone's congregation is how bi-racial it is. But the fact that Rev. Malone is African-American and his mistress white probably does not impress God.

If Malone was only a minister, a case could be made that it is nobody’s business but his family’s and his congregation’s if he commits adultery. But because he is also a politician, and a politician who has conspicuously mixed religion and politics, he should be held to account by more than his wife and congregation. A man who stands on the steps of the Municipal Building and thanks God for the commandments and then turns around and breaks one of them is a man capable of betraying not only God but the constituents who elected him.

On the sale of the Marting Building, Malone is perhaps voting not his conscience but his pocketbook, or rather his wife’s pocketbook, since she is the breadwinner of the family. And where she earns her bread may be relevant, for I'm told she works for the Portsmouth Metropolitan Housing Authority. In other words, she works in the public sector, and in Portsmouth that carries a great deal of significance, given the degree of control the over-privileged of pork-barrel Portsmouth have over the public sector. As a member of the Portsmouth City Council, Malone is of enormous usefulness to Portsmouth’s over-privileged, especially since he claims to speak in the name of God. In a religious community like Portsmouth, God carries a lot of political weight.

But now those of us who had looked to Malone as a possible savior have to admit he might not be all he claims, that he might in fact be one of those who use religion as a cover for misdeeds. No church, no religion, is free of wolves in sheep’s clothing. No church is too imposing, or too humble, whether it is located on Fifth Avenue or Waller St., to be free of deviltry, though of course there is always the possibility that it was a popular prescription drug, presumably available through the PMHA health plan, that may be the real culprit. If only there were some investigative reporters in this town who were allowed to ask probing questions about something more important than a duck rumored to be trapped in a storm drain.

swans

martes, 3 de mayo de 2011

A Soggy Burns Night; Diving Palawan

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