Hello everyone just letting you guys know my I-130 is finally approved! maybe my timeline will help others
PD - June 23, 2022
Actively Reviewed - June 27, 2022
Case Approved - June 7, 2023
First my case went to Nebraska center but an approval notice came from Potomac center
Last week processing time went from 2 months to "taking longer than expected" then finally approved today!
My wife is from Thailand I don't know if that matters

I found this series of surprisingly good animated diagrams explaining safe and unsafe cycling practices on the roads in traffic, from an unlikely source "KiDZ Neuroscience Center / WalkSafe / BikeSafe" (the University of Miami, Florida; https://www.youtube.com/@Kidzneurosciencecentevideos ):

• Riding Safely on Sidewalks: https://www.youtube.com/watch?v=j-mFhO4scPQ (2m40s)
  
• Riding on the Street: Navigating Intersections: https://www.youtube.com/watch?v=j8zkpZVmyww (3m10s)
  
• The Dangers of Riding Against Traffic: https://www.youtube.com/watch?v=Sz7h0yJINMQ (3m30s)
  
• Riding in Unprotected Bike Lanes: https://www.youtube.com/watch?v=_VjWGLzatv0 (3m00s)
  
• Riding on the Street: Claiming the Lane: https://www.youtube.com/watch?v=eImfY3IwAO4 (3m20s)
  
• Protected Bike Lanes & More: https://www.youtube.com/watch?v=jCeSeUBmXwE (7m30s)
  

I like these videos because they not only state the rules but explain why they exist. They show dangerous situations and collisions that result from not following the rules. They include humor, road rage, and other everyday problematic situations.
Many examples: 0, 1, 2, 3, 4, 5, 6, 7, 8, 9, 10

Best Nursing Research Topics and Ideas

Best Nursing Research Topics and Ideas

Evidence-Based Practice in Nursing

This topic explores the integration of current research evidence into clinical decision-making. It covers the importance of staying updated with the latest research, identifying credible sources, implementing evidence-based interventions, and evaluating outcomes to improve nursing care.

Evidence-based practice (EBP) is an essential nursing approach that combines the best available research evidence, clinical expertise, and patient preferences to guide clinical decision-making and enhance patient outcomes. It focuses on the utilization of current research findings to inform nursing interventions, policies, and procedures.

Key elements of evidence-based nursing practice include:

• Research Evidence: This refers to the most recent and relevant research studies, systematic reviews, and meta-analyses that demonstrate the efficacy of nursing interventions, diagnostic procedures, and patient care outcomes. Evidence of research can be obtained from credible sources such as scholarly journals, databases, and guidelines for evidence-based practice.
• Clinical Expertise: Nurses contribute to the decision-making process with their clinical expertise, knowledge, and experience. This requires integrating their practical skills, critical thinking skills, and knowledge of patient preferences into the framework of evidence-based practice.
• Patient Values and Preferences: In evidence-based practice, it is essential to recognize and incorporate the values, beliefs, and preferences of individual patients. This involves gaining an understanding of the patient's unique circumstances, cultural heritage, and personal objectives in order to provide individualized care.

The implementation of evidence-based nursing practice typically entails the following steps:

1. Asking Clinical Questions: Formulating well-defined and answerable clinical questions is a crucial starting point. Questions are often framed using the PICO (Patient/Problem, Intervention, Comparison, Outcome) framework to guide the search for relevant evidence.
2. Literature Search: Conducting a comprehensive search for the best available evidence related to the clinical question. This involves using databases, scholarly journals, and trusted sources to locate research studies, systematic reviews, and clinical practice guidelines.
3. Appraisal of Evidence: Evaluating the quality, validity, and relevance of the identified research articles. This step involves critically analyzing study designs, sample sizes, data collection methods, statistical analyses, and potential biases.
4. Integration of Evidence: Combining the findings from multiple studies and assessing their applicability to the specific patient population or clinical setting. This involves synthesizing the evidence to determine the most appropriate and effective nursing interventions.
5. Application of Evidence: Implementing the evidence-based interventions or recommendations into nursing practice. This includes adapting the evidence to the specific patient's context, considering any potential barriers or facilitators, and collaborating with interdisciplinary healthcare teams.
6. Evaluation and Continuous Improvement: Assessing the outcomes of the implemented interventions and evaluating their effectiveness. This step involves monitoring patient outcomes, identifying areas for improvement, and adjusting the nursing practice based on the feedback received.

Remember that this is only a concise overview of evidence-based nursing practice. Feel free to inquire for more precise information or if you have any other inquiries!

Evidence Based Practice Nursing Research Topics

• Is it possible to improve the quality of care through the implementation of evidence-based nursing practices?
• What is the prevailing viewpoint regarding the implementation of evidence-based palliative care practices in U.S. inpatient settings?
• This paper aims to explore the ways in which evidence-based nursing approaches can be utilized to accommodate patient preferences in healthcare settings.
• What are the pragmatic ramifications of the theoretical underpinnings of evidence-based nursing?
• Examine the empirical backing for the stipulations of Continuing Professional Development in the realm of nursing education. In what ways does the utilization of evidence-based practice facilitate the process of treatment selection in the provision of nursing care?
• The present study examines the perspectives of senior nurses regarding the implementation of evidence-based practice in the provision of nursing care. What is the correlation between nursing education and the attainment of professional excellence in the field?
• The utilization of an evidence-based approach in the recruitment and screening of nursing staff carries significant implications.
• The implementation of evidence-based nursing practices for individuals with disabilities in inpatient facilities.
• The utilization of evidence-based practice in the delivery of mental health nursing care.
• The evidence-based nursing approach is widely recommended due to its effectiveness in improving patient outcomes and enhancing the quality of care provided.
• The historical context of evidence-based nursing practices will be elucidated in this discourse.
• Examine the disparity that exists between factual knowledge and nursing practices that are grounded in evidence.
• What are the primary obstacles encountered in the implementation of evidence-based nursing practice?
• What is the nursing staff's disposition towards the implementation of evidence-based practice?
• In what ways can social media be utilized to deliver nursing care that is grounded in evidence-based practice?
• What is the definition of safety in the context of evidence-based nursing care?
• Examine the application of the evidence-based approach within a practical setting.
• In what ways can a nurse utilize evidence-based practice in order to facilitate self-care?

Impact of Technology in Nursing Practice

This topic explores how technology advancements have affected nursing care, patient outcomes, and ethical considerations. It could cover areas such as electronic health records, telehealth, wearable devices, and the integration of technology into nursing workflows.

In recent years, technological advancements have had a profound impact on nursing practice, transforming how nurses provide care, communicate, and manage patient data.

Here are a few significant ways in which technology has affected nursing practice:

EHRs have supplanted paper-based documentation systems and are now an integral element of nursing practice. Electronic health records (EHRs) allow nurses to access patient information, monitor medical histories, document care provided, and share information with other healthcare professionals. This improves care coordination, increases accuracy, and facilitates the exchange of patient information between various healthcare settings.

• Telehealth and Remote Monitoring: Telehealth technology enables nurses to provide remote care, bridging the divide between patients and healthcare providers. It enables video conferencing and digital platforms for virtual consultations, remote monitoring of vital signs, and the delivery of healthcare services. Telehealth has expanded access to care, particularly for rural or marginalized patients, and enhanced healthcare outcomes through early detection and prompt interventions.
• Wearable Devices and Health Apps: The proliferation of wearable devices, such as fitness monitors and smartwatches, and health-related mobile applications have enabled patients to actively partake in their own health management. The data collected by these devices can be utilized by nurses to monitor patients' physical activity, sleep patterns, vital signs, and medication compliance. This data can facilitate personalized care planning, health education, and preventative measures.
• Point-of-Care Technology: Point-of-care technology consists of devices such as portable diagnostic instruments, barcode scanners, and infusion pumps. These tools allow nurses to collect immediate and accurate patient data, confirm medication administration, and conduct diagnostic tests in real time. By providing nurses with up-to-date information to guide their clinical decisions, point-of-care technology improves efficiency, reduces errors, and enhances patient safety.
• Clinical Decision Support Systems (CDSS) are computer-based instruments that support clinical decision-making by providing evidence-based recommendations, alerts, and reminders. These systems allow nurses to receive real-time alerts regarding potential drug interactions, allergies, and preventative care interventions. CDSSs advance evidence-based practice, minimize errors, and improve patient outcomes.
• The use of robotics and automation in healthcare settings is progressively increasing. Such duties as medication delivery, patient transportation, and disinfection can be aided by robots. Automation technologies expedite workflows, reduce manual duties, and free up nurses' time to focus on direct patient care.
• Data Analytics and Health Informatics: As the volume of healthcare data continues to grow, nurses can use data analytics and health informatics tools to extract meaningful insights, identify trends, and make informed decisions. Data analysis can assist in recognizing disease outbreak patterns, monitoring quality indicators, and enhancing patient outcomes.

It is essential to recognize that the incorporation of technology into nursing practice raises ethical concerns, such as patient confidentiality, data security, and assuring equitable access to technology.The impact of technology on nursing practice has resulted in numerous positive outcomes, including increased efficiency, enhanced communication, improved access to information, and increased patient engagement. To provide high-quality, patient-centered care, nurses must continue to adjust to technological advances, embrace continuous learning, and effectively leverage technology.Please contact me if you require additional information or have any other queries!

Ethics and professionalism in nursing practice

Ethics and professionalism are fundamental aspects of nursing practice that govern nurses' interactions with patients, coworkers, and the healthcare system as a whole. Professionalism comprises the behaviors, attitudes, and responsibilities that reflect the nursing profession's commitment to providing safe, compassionate, and ethical care.

Here are a number of essential elements of nursing ethics and professionalism:

• Ethical Principles: Nurses adhere to ethical principles which serve as decision-making frameworks. Common ethical nursing principles include:
• Autonomy: respecting the right of patients to make their own decisions and providing them with the information they need to make educated decisions.
• Beneficence entails acting in the best interest of patients, promoting their well-being, and ensuring that the benefits of care transcend the risks.
• Avoiding injury to patients and avoiding actions or omissions that could cause harm.
• Justice: Allocating healthcare resources fairly and equitably, promoting equitable access to care, and treating all patients impartially.

Maintaining trust, maintaining promises, and accepting responsibility for one's actions and professional responsibilities constitutes loyalty.Sincerity, candor, and openness in communication with patients, families, and colleagues constitute veracity.Nurses uphold patient confidentiality by recognizing their right to privacy and protecting their personal health information. When managing patient data, they adhere to legal and ethical standards, such as the Health Insurance Portability and Accountability Act (HIPAA), and ensure that information is shared only when necessary.

• Informed Consent: Nurses play a vital role in obtaining patients' informed consent prior to performing any procedures or treatments. This involves explaining the purpose, risks, benefits, and alternatives of the proposed intervention and ensuring that the patient comprehends the provided information. Nurses advocate for patient autonomy and ensure that assent is voluntary and founded on a comprehensive comprehension of the situation.
• End-of-Life Care: Ethical considerations frequently arise in situations involving end-of-life care. Nurses participate in discussions regarding advance care planning, resuscitation, palliative care, and family support during the dying process. The promotion of comfort, dignity, and reverence for dying patients is guided by ethical principles.
• Ethical Difficulties: Nurses are frequently confronted with ethical dilemmas requiring critical reasoning and ethical decision-making. Ethical quandaries may entail conflicts between patient autonomy and beneficence, justice and resource allocation, or conflicts of interest. To navigate these complex situations, nurses rely on ethical frameworks and consult with colleagues and ethics committees.
• Maintaining professional boundaries is essential in nursing practice to ensure appropriate patient relationships. To safeguard patient autonomy, confidentiality, and trust, nurses must establish distinct boundaries. Dual relationships, conflicts of interest, and personal involvement with patients that could compromise professional judgment or objectivity are avoided.
• Professional Development: To enhance their knowledge, skills, and ethical decision-making abilities, nurses engage in lifelong learning and continuous professional development. They remain current on evolving ethical guidelines, research, and healthcare policies in order to provide care that is both evidence-based and ethically sound.
• Interprofessional Collaboration: Nurses collaborate with counterparts from other healthcare disciplines to provide patients with ethical, holistic care. Optimal patient outcomes require effective communication, respect for diverse perspectives, and the promotion of collaboration.

It is essential for nurses to understand ethical principles, ruminate on ethical dilemmas, and seek guidance when confronted with difficult situations. Codes of ethics, professional organizations, and nursing ethics committees provide nurses with resources and support for upholding ethical standards and maintaining professionalism.Consider this

Nursing Ethics and Professionalism

This topic delves into the ethical issues and dilemmas nurses may encounter, including patient confidentiality, end-of-life care, informed consent, and resource allocation. It focuses on the importance of maintaining professional conduct and upholding ethical principles in nursing practice.

Ethics and professionalism are fundamental aspects of nursing practice that govern nurses' interactions with patients, coworkers, and the healthcare system as a whole. Professionalism comprises the behaviors, attitudes, and responsibilities that reflect the nursing profession's commitment to providing safe, compassionate, and ethical care.Here are a number of essential elements of nursing ethics and professionalism:

• Ethical Principles: Nurses adhere to ethical principles which serve as decision-making frameworks. Common ethical nursing principles include:
• Autonomy: respecting the right of patients to make their own decisions and providing them with the information they need to make educated decisions.
• Beneficence entails acting in the best interest of patients, promoting their well-being, and ensuring that the benefits of care transcend the risks.
• Avoiding injury to patients and avoiding actions or omissions that could cause harm.
• Justice: Allocating healthcare resources fairly and equitably, promoting equitable access to care, and treating all patients impartially.

Maintaining trust, maintaining promises, and accepting responsibility for one's actions and professional responsibilities constitutes loyalty.Sincerity, candor, and openness in communication with patients, families, and colleagues constitute veracity.Nurses uphold patient confidentiality by recognizing their right to privacy and protecting their personal health information. When managing patient data, they adhere to legal and ethical standards, such as the Health Insurance Portability and Accountability Act (HIPAA), and ensure that information is shared only when necessary.Informed Consent: Nurses play a vital role in obtaining patients' informed consent prior to performing any procedures or treatments. This involves explaining the purpose, risks, benefits, and alternatives of the proposed intervention and ensuring that the patient comprehends the provided information. Nurses advocate for patient autonomy and ensure that assent is voluntary and founded on a comprehensive comprehension of the situation.End-of-Life Care: Ethical considerations frequently arise in situations involving end-of-life care. Nurses participate in discussions regarding advance care planning, resuscitation, palliative care, and family support during the dying process. The promotion of comfort, dignity, and reverence for dying patients is guided by ethical principles.Ethical Difficulties: Nurses are frequently confronted with ethical dilemmas requiring critical reasoning and ethical decision-making. Ethical quandaries may entail conflicts between patient autonomy and beneficence, justice and resource allocation, or conflicts of interest. To navigate these complex situations, nurses rely on ethical frameworks and consult with colleagues and ethics committees.Maintaining professional boundaries is essential in nursing practice to ensure appropriate patient relationships. To safeguard patient autonomy, confidentiality, and trust, nurses must establish distinct boundaries. Dual relationships, conflicts of interest, and personal involvement with patients that could compromise professional judgment or objectivity are avoided.Professional Development: To enhance their knowledge, skills, and ethical decision-making abilities, nurses engage in lifelong learning and continuous professional development. They remain current on evolving ethical guidelines, research, and healthcare policies in order to provide care that is both evidence-based and ethically sound.Interprofessional Collaboration: Nurses collaborate with counterparts from other healthcare disciplines to provide patients with ethical, holistic care. Optimal patient outcomes require effective communication, respect for diverse perspectives, and the promotion of collaboration.It is essential for nurses to understand ethical principles, ruminate on ethical dilemmas, and seek guidance when confronted with difficult situations. Codes of ethics, professional organizations, and nursing ethics committees provide nurses with resources and support for upholding ethical standards and maintaining professionalism.Consider this

Nursing Leadership and Management

Analyze the role of nursing leaders in healthcare organizations, including strategies for effective communication, conflict resolution, delegation, and promoting a positive work environment.

Leadership and management in nursing play essential roles in shaping healthcare organizations, fostering effective collaboration, and promoting positive patient outcomes. Nursing directors provide nursing staff with guidance, support, and mentorship, whereas nurse managers supervise daily operations and ensure the deliverance of high-quality patient care. Here are important aspects of nursing management and leadership:

• Leadership Styles: Various leadership styles, including transformational leadership, democratic leadership, and servant leadership, can be adopted in nursing. Transformational leaders inspire and motivate their teams to accomplish shared objectives, whereas democratic leaders involve and value the input of their employees in decision-making. The needs of their team members are prioritized by servant leaders, who support their growth and development. Different situations may call for various leadership styles, and effective nurse leaders are able to adapt their approach accordingly.
• Communication and Collaboration: Nursing leaders and managers must have excellent communication skills. They must be able to communicate effectively with team members, patients, families, and healthcare professionals. Clear and transparent communication facilitates collaboration, encourages partnership, and improves patient safety. Additionally, nurse leaders advocate for their teams by ensuring that their perspectives are heard and contributions are acknowledged.
• Strategic Planning and Decision-Making Nurse leaders and administrators engage in strategic planning to establish organizational objectives, establish priorities, and effectively allocate resources. They are involved in the decision-making processes that affect nursing practice, patient care, and resource utilization. Multiple factors, including patient requirements, evidence-based practices, financial constraints, and quality improvement initiatives, must be considered when making strategic decisions.
• Staffing and Workforce Management: Nurse administrators are responsible for staffing facilities and ensuring adequate nurse-to-patient ratios to ensure the delivery of secure, high-quality care. They supervise nursing personnel recruitment, retention, and development. Leaders in nursing advocate for safe staffing levels and assist their teams with burden management and staffing challenges. In addition, they cultivate a positive work environment that encourages professional development, job satisfaction, and work-life balance.
• Change Management: Nursing leaders play an essential role in influencing and managing change in healthcare organizations. They facilitate the adoption of new policies, procedures, and technological advances. Change management involves confronting resistance, involving stakeholders, and assisting employees during transitional periods. Effective change management facilitates the adaptation of nurses to new practices, enhances patient care, and ensures the successful implementation of innovations in healthcare.
• Quality Improvement and Patient Safety: It is the responsibility of nursing executives and administrators to foster a culture of continuous quality improvement and patient safety. They facilitate the implementation of evidence-based practices, participate in quality improvement initiatives, and monitor patient outcomes. In addition, they promote the reporting and analysis of adverse events, near-misses, and medication errors, nurturing a culture of openness and error-based learning.
• In their responsibilities, nursing executives and administrators are confronted with ethical dilemmas. They must navigate complex situations and make ethical decisions consistent with the patient-centered care, justice, autonomy, and beneficence principles. When confronted with difficult ethical dilemmas, they promote ethical behavior, encourage ethical reflection among employees, and seek guidance from ethics committees or consultants.
• Mentorship and Professional Development: Nurse leaders and administrators support the professional growth of their nursing personnel. They offer mentorship, guidance, and growth opportunities. They foster a culture of lifelong learning, encourage employees to pursue advanced degrees and certifications, and support leadership development programs to cultivate the next generation of nursing leaders.

Leadership and management in nursing are indispensable for optimizing patient outcomes, assuring effective collaboration, and establishing positive work environments. Effective nursing leaders and managers foster a culture of excellence, collaboration, and constant improvement.Remember that this is merely an introduction to nursing leadership and management. Feel free to inquire for more precise information or if you have any other inquiries!

Mental Health Nursing

Explore the challenges and strategies for providing holistic care to patients with mental health disorders, including therapeutic communication techniques, medication management, and promoting recovery.Mental health nursing is a subspecialty of nursing that concentrates on the care and support of people with mental health disorders or difficulties. Here is a more thorough explanation of number 5, particularly as it pertains to mental health nursing:Mental health nurses perform a vital role in the assessment, diagnosis, treatment, and ongoing management of people with mental health disorders. They operate in settings such as psychiatric hospitals, outpatient clinics, community mental health centers, and residential facilities. To provide holistic care for patients, mental health nurses collaborate with other healthcare professionals, such as psychiatrists, psychologists, social workers, and occupational therapists.Assessment and Diagnosis: Mental health nurses conduct comprehensive assessments to collect data on the mental health history, current symptoms, and psychosocial factors of their patients. They use standardized assessment instruments and interview techniques to identify mental health disorders, identify risk factors, and establish a baseline for treatment planning. Alongside psychiatrists and other mental health specialists, mental health nurses may also participate in the diagnostic procedure.The development of therapeutic relationships is a fundamental component of mental health nursing. The establishment of trust, empathy, and rapport between nurses and patients creates a secure and non-judgmental environment in which patients can express their thoughts, emotions, and concerns. Effective communication, collaboration, and the delivery of patient-centered care are facilitated by solid therapeutic relationships.Mental health nurses frequently play a role in the medication management of individuals with mental health disorders. They inform patients about their prescribed medications, including possible adverse effects, dosage instructions, and the significance of medication adherence. Mental health nurses monitor the efficacy of medications, assess for adverse reactions, and collaborate with psychiatrists to make necessary adjustments to medication regimens.Psychoeducation and Health Promotion: Mental health nurses provide psychoeducation about mental health disorders, treatment options, coping strategies, and self-care practices to individuals, families, and communities. They empower patients to actively participate in their own recovery, educate them on relapse warning signs, and offer ongoing support. Additionally, mental health nurses promote mental health and well-being via health promotion initiatives, such as stress management, lifestyle modifications, and community education programs.Mental health nurses are trained in crisis intervention techniques and play a crucial role in the management of psychiatric emergencies. They assess individuals in crisis, provide immediate assistance, and facilitate interventions that ensure safety and stability. Additionally, mental health nurses aid in the development of safety plans, which define strategies and resources for preventing injury and managing crises.Collaborative Care and Interdisciplinary Approach: In order to provide patients with comprehensive care, mental health nursing frequently requires collaboration with a multidisciplinary team. Mental health nurses collaborate with psychiatrists, psychologists, and other healthcare professionals to develop and implement treatment programs, coordinate services, and offer ongoing support. Collaborative care ensures a comprehensive approach that addresses the physical, emotional, social, and psychological requirements of those with mental health disorders.Mental health nurses advocate for the rights and requirements of individuals with mental health disorders. They promote destigmatization, combat discriminatory practices, and work to expand access to mental healthcare services. In addition to providing emotional support and assisting patients in traversing healthcare systems, mental health nurses connect patients to community resources and support networks.To provide care for individuals with mental health disorders, mental health nursing requires specialized knowledge, skills, and a compassionate attitude. Mental health nurses contribute to the recovery and well-being of their patients by addressing their unique requirements and providing support throughout their mental health journey.

Nursing research and evidence-based practice

Nursing research and evidence-based practice are essential components of patient-centered, high-quality care. They involve the systematic collection, analysis, and application of evidence to enhance patient outcomes and inform nursing practice.

Geriatric Nursing

Investigate the specialized care needs of elderly patients, including age-related conditions, medication management, promoting independence, and addressing social and emotional well-being.

Elderly Care Nursing Paper Topics

• Strategies for mitigating cardiovascular risk in geriatric patients.
• Safeguarding the elderly population from Parkinson's disease.
• What are the necessary criteria for the provision of critical care?
• Prevention of Joint Disorders
• Restless Legs Syndrome (RLS) is a neurological disorder that is characterized by an irresistible urge to move the legs, often accompanied by uncomfortable sensations in the legs. This condition can cause difficulty falling asleep or staying asleep, which can lead to daytime fatigue and impaired functioning. RLS affects a significant portion of the population and can have a negative impact on quality of life.
• Analysis of atrial fibrillation.
• Strategies for stroke prevention
• What constitutes the fundamental basis of osteoarthritis management in geriatric individuals?
• The symptoms and interventions associated with age-related hearing loss.
• The etiology, prophylaxis, and management of malnutrition in geriatric individuals.
• Outline a regimen of low-impact exercises aimed at reducing the risk of bone fractures and falls.
• The benefits of individualized geriatric care.
• What are the salient factors to consider in the management of diabetes among elderly patients?
• Strategizing and coordinating the discharge of geriatric patients.
• Explore strategies for identifying and mitigating suicide risk among elderly patients.
• Strategies for enhancing the comfort of a patient in the final stages of life.
• In what ways can technology augment the delivery of care for elderly patients?
• In the event that an elderly individual refuses to take their prescribed medication, what actions should be taken?
• What are the methods for identifying an elderly person who has been subjected to abuse?
• What are the reasons behind the tendency of certain elderly individuals to exhibit defiant behavior?

Pediatric Nursing

Discuss the unique aspects of nursing care for infants, children, and adolescents, including growth and development milestones, immunization schedules, family-centered care, and managing common pediatric conditions.

Pediatric Nursing Research Topics

• The etiology and management of ADH.
• Enhancements to neo-natal wards that may benefit newborns and young mothers.
• Pediatric patients who suffer from poor nutrition require appropriate treatment.
• Addressing the issue of diminished survival rates in pediatric cancer patients.
• Strategies for mitigating child injuries.
• What are the factors that contribute to child mortality?
• What is the influence of proper nutrition on the overall welfare of a juvenile individual?
• Prophylactic measures to mitigate the likelihood of intestinal parasitic infections.
• The emergence of chronic disorders in pediatric populations.
• Strategies for managing constipation in pediatric patients.
• The management of pediatric near-drowning cases is a critical aspect of emergency medicine.
• What is the primary cause of child mortality in the United States?
• What are the changes that have occurred in neonatal care over the past five decades?
• What are the optimal therapeutic approaches for addressing malnutrition in children?
• Do the existing measures aimed at preventing infant injury during childbirth demonstrate efficacy?
• What are the primary ethical considerations in pediatric care?
• What are the recommended strategies for preventing childhood obesity?
• What are the reasons for the ineffectiveness of contemporary approaches towards tackling childhood obesity?
• What are the underlying factors that contribute to seizures in children?
• Conduct an analysis of antibiotic resistance in pediatric populations.

SCORE A+ WITH HELP FROM OUR PROFESSIONAL WRITERS - Popular Nursing Assignment Topics

Didn't have much luck applying to internships last year, but also applied super late in the cycle. Revamped my resume and was wondering if y'all had any feedback. I'd appreciate anything!
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https://preview.redd.it/49ms6a12rm4b1.png?width=1338&format=png&auto=webp&s=5abdcd82760fce7f3613a1ac3688bf5fcc7a6112

Didn't have much luck applying to internships last year, but also applied super late in the cycle. Revamped my resume and was wondering if y'all had any feedback. I'd appreciate anything!
https://preview.redd.it/s80grgkxom4b1.png?width=1338&format=png&auto=webp&s=4bdbbf8fe57729ae8183b47b4e906f7dea081a8f

Company Name	Title	City
University of South Alabama - Stokes School of Marine and Environmental Sciences	Research Assistant Professor	Mobile
Rainbow Technology	Sales Account Manager	Pelham
Russell Do It Center	Outside Contractor Saleperson	Prattville
United States Secret Service	Criminal Investigator	Birmingham
United States Secret Service	Criminal Investigator	Mobile
United States Secret Service	Criminal Investigator	Montgomery
Biolife Plasma Services	Lab Technician	Alabaster
UniFirst	Maintenance Technician I - UniFirst	Birmingham
Lakeview Estates	LPN	Alabaster
Lakeview Estates	Housekeeper	Alabaster
Autumn Cove	Resident Care Associate	Anniston
Harmon Scrap Metal LLC	Roller Operator	Athens
Harmon Scrap Metal LLC	Heavy Equipment Operator	Athens
Heidelberg Materials US, Inc.	Ready Mix Driver- Hiring Now	Auburn
Heidelberg Materials US, Inc.	Ready Mix Driver- $2000 Sign on Bonus	Auburn
Encompass Health	RN	Bessemer
Lakeview Estates	Housekeeper	Birmingham
Cullman Regional Medical Center	REGISTERED NURSE-CRITICAL CARE	Birmingham
Cullman Regional Medical Center	REGISTERED NURSE-CRITICAL CARE	Cullman
Cullman Regional Medical Center	PICC LINE RN	Cullman
Encompass Health	Registered Dietitian	Cusseta
Encompass Health	Registered Nurse $7500 Sign-on Bonus Full-time Nights and Day**	Cusseta
Encompass Health	Nurse Supervisor	Cusseta
Harmon Scrap Metal LLC	Heavy Equipment Operator	Decatur
Encompass Health	RN	Dothan

Hey guys, here are some recent job openings in al. Feel free to comment here or send me a private message if you have any questions, I'm at the community's disposal! If you encounter any problems with any of these job openings please let me know that I will modify the table accordingly. Thanks!

Asking for my coworker, she has 2020 hyundai sonata and re ended yesterday on the expressway. The guy that hit her had expired insurance, can somebody recommend a good place, and also somewhere that can help working around the deductible ?

Hi all -
Since this sub was so helpful while planning my trip, I wanted to share my detailed 12-day itinerary, pricing and reviews for a luxe Bali trip. I lived there for three months 15 years ago on a student budget, so wanted to go back and experience it a bit differently.
Driver: I worked with Kadek at Pemuteran Menjangan Bali Transport. His prices were higher than a lot of other drivers, but of the drivers I reached out to prior to departure he was most responsive, easy to work with and made a ton of itinerary suggestions. His costs included all entrance fees, hiking guides, fast boat arrangements, as well as some lunches. Even though he was the most expensive driver I talked to, not having to plan out logistics every day and just hop in the car made the premium guide costs absolutely worth it in my mind. You can find him on TripAdvisor with the business name above, or I’m happy to share his whatsapp in a DM.
I had zero interest in riding a motor bike there, and saw at least one accident and someone at the airport who very distinctly looked like he had been part of a motor bike accident. Ironically, when we got home to the US we overheard someone at breakfast also talking about their friend who was involved in a motor bike accident in Bali.
High Level Agenda:

• Ubud - 6 nights
• Sanur - 1 night
• Nusa Penida - 2 nights
• Jimbaran - 2 nights

Details:
Ubud Bisma Eight, $1,100 USD for 4 nights including airport transit
Hotel impressions: This was a perfect mid-range priced hotel, central to the city center so a great place to walk around from, and probably had our favorite breakfasts during our stay. The vibe was modern, great views from the rooms and infinity pool, wonderful service. Absolutely would stay again.
Day 1 - Arrival / transit day, landed at 7pm, checked in around 9pm Day 2 - Ubud city center We planned this day just to wander around Ubud, lunch at Kafe, window shopping, bought some fruit at the art market. We intentionally avoided making plans this day, since we knew we’d want to acclimate and just enjoy walking around town. Day 3 - East Bali Tour with Kadek - 900k IDR per person including lunch, admissions, snorkeling tour * Snorkeling in Padangbai - Great snorkeling at two different spots * Tirta Gangga - Spent about 30 minutes wandering around the gardens, sitting down, enjoying the scenery. * Tukad Cepung Waterfall - Be prepared for lots of stairs, very cool waterfalls, def a “stand in line to take your photo” kind of experience but overall there weren’t too many people there while we were so didn’t have to wait too long. * Gates of Heaven - We opted NOT to do this, since we weren’t very interested in standing in a long line just for a manufactured photo opportunity. Day 4 - Mt Batur hike 1,050k IDR per person (cost also included hot springs, but we ended up skipping and just going back to Ubud to relax at the pool after the hike). Got socked in with clouds for sunrise, but honestly watching the clouds roll by was almost as enjoyable as a brilliant sunrise would have been. Hike is strenuous but doable, and you definitely want to hire a guide, since we heard at least one person getting harassed for not hiring a guide. Mixed feels on this, but overall it comes down to “respect the local customs and economy” for me. We were done and back to the hotel by 11 or so, and spent the afternoon relaxing by the pool and napping. Day 5 - Sites in and around Ubud, 795k with Kadek covering all admissions * Goa Gajah - Really cool temple that’s worth checking out to enjoy the peaceful atmosphere and old stone temple carvings. Since we did this first thing, we had the place to ourselves. Be sure to check out the caves tucked along the river. * Gunung Kawi Temple - If you only visit one temple, personally, I recommend this one. Lots of stairs but it is STUNNING and you just feel like you’re surrounded by nature and spirituality. Both this trip and when I lived there 15 years ago, it’s one of my favorite spots in all of Bali. * Tegalalang Rice Terrace - Cool to see, but definitely felt like too curated of an experience. Felt like an amusement park located in a rice terrace. * Checked into Mandapa around 2pm so we could enjoy the resort for the full afternoon
Mandapa Ritz Carlton - $1,700 USD for 2 nights
Hotel Impressions: Holy heck, if you have the ability to splurge, do not miss this resort. I have never felt so spoiled or relaxed in my life. The spa was incredible ($400 for 90 minutes couples massage), the free morning yoga overlooked the river, and the service was absolutely unparalleled. The team there would greet you by name, the attention to details with the room - it was absolute perfection and I don’t think I will ever enjoy a resort this much again. It’s a little more removed from city center, but the resort is so beautiful we didn’t really feel like leaving anyway.
Day 6 - Resort day. Yoga, breakfast, massages, pool day - After spending the previous several days doing day trips, we left this as a day to just spend time relaxing, and I’m so glad we did.
Day 7 - Transit from Ubud to Sanur, with shopping stops on the way (650k per person)
Mas (wood carving), Batuan Village (painting gallery), Celuk (gold and silver smith). We wanted to get to Sanur the day before our Nusa Penida trip so we didn’t have to worry about being in a rush to catch the fast boat to Nusa Penida, and I really wanted to do some shopping anyway so it worked out well.
Sanur Klumpu Resort for $158 - Really loved this small villa style resort. Funky architecture, a little less curated feeling than the other resorts we stayed at, and would make for a really great extended stay place close to Sanur beach.
Day 8 - Sanur beach and fast boat to Nusa Penida. Spent the morning walking the path along the beach, stopping for breakfast and coffee, and enjoying the vibes without having an itinerary. Caught one of the last boats to Nusa Penida so we could get there in time for the 3 pm check in at Maua Nusa Penida
Nusa Penida
Maua Nusa Penida - $500 USD for 2 nights. 1,450k IDR for fast boat, nusa penida transit to / from port and beach tour day trips, again all arranged by Kadek.
Hotel Impressions - Newer hotel in Nusa Penida that’s a bit far away from any action, but the hotel was so nice to spend time in we didn’t mind just hanging out there in our private pool and eating at some of their restaurants. They had a special Indonesian Buffet which was actually some of the best food we had there as far as taste and quality went.
Day 9 - Nusa Penida Beach Tour Spent the morning touring Angel Billabong, Broken Beach, Angel Billagong and lounging at Crystal Bay. The sites were absolutely stunning, got some good photos but the iconic beach spots were SO crowded that I’m not sure it was worth it. Crystal Bay was great - very few people at the beach, so this was a nice way to spend a couple hours swimming and enjoying the scenery. Spent the afternoon relaxing at the hotel.
Jimbaran Bay / Uluwatu
Four Seasons Jimbaran Bay, $2,400 USD for 2 nights
Hotel Impressions: We chose to end our visit to Bali here, closer to the airport. There’s a reason this is considered one of the best beach resorts in the world. The villas were older than Mandapa, but the gardens and views were just beautiful. We really enjoyed our time here relaxing, using their beach lounge facility, and wandering around the gardens. The food at Sundara was good - but not memorable. I’d probably stick to just cocktails and snacks there rather than doing a full higher end meal.
Day 10 - Morning transit from Nusa Penida to Four Seasons. The original plan had been to go to Uluwatu for the fire dance, but it was unfortunately sold out. This was a huge bummer since I’d really been looking forward to this part, but we went straight to the hotel and didn’t mind having the day to relax there.
Day 11 - Four seasons resort day
Day 12 - Departure. Spent the morning and afternoon lounging around the resort. Four Seasons were very generous with a 3pm check out, but were happy to let us use the facilities, spa, pools, etc as long as we wanted to since our flight wasn’t until 10pm.
What I loved * Mandapa. We only did two nights and we very strongly considered canceling our Sanur night and staying an extra day. Will absolutely be back for a longer stay. * Sanur - we only had one morning to mosey along the beach, but next time I go back, I would add in three days here with no plans other than just wandering around. It was also great staying at less of a resort and more of a boutique villa that was a great home base. * Gunung Kawi - I explored this temple the first time I was in Bali, and knew I needed to come back.
What I wish I’d done differently * More time just wandering. We did a great job planning out day trips and balancing those with resort days to just relax and decompress, which was a great balance. However, I do wish we’d had more time to just… wander. We had a couple days or mornings like this, and they ended up being some of our favorite days. * Nusa Penida - Maybe I would have liked this more if we actually snorkeled or went diving. I loved the hotel we stayed at, and I suppose I’m glad I’ve been, but the beach tours were just so crowded and spread apart. It was a long day for just a few minutes at each spot. Next time we return, I’m skipping Nusa Penida and would probably stick to Nusa Lembongon or Sanur.

I know this are two different positions to choose from, but I’ve been conflicted for 2 days on which job offer to accept. I must accept one today.
I’ve been an OR nurse for one year then went into utilization review. I decided to go back into the clinical world and this what I have left to choose. I always had an interest in Endo, but this position requires on-call every week and possibly 2 year contract with hefty sign on bonus.
The OR clinical specialists is just a mon-fri job that centers on education and onboarding and training new grad nurses for the periop program.
I do want to go back and get my graduate degree, and I’m not sure if the or clinical specialist would be a good stepping stone to further my career to a more managerial position.

Neuroinflammation within the basal ganglia in long COVID is reflective of this brain region's selective vulnerability following infection. This is similar to what has been observed in Parkinson's disease. While the source of the inflammation in long COVID is unclear, these findings should provide a greater impetus for investigating whether long COVID is a synucleinopathy and a possible harbinger of progressive neurodegeneration. At the same time, note that if progression to Parkinson's and related disease was a certainty that information likely would've already been born out in prior research. Nevertheless, understanding whether long COVID is a synucleinopathy should be treated as priority #1 in long COVID research. It's disheartening to witness the reluctance on the part of scientists to deal with this subject directly in open forums. In private discussions and literature publications these concerns have been raised repeatedly. It is critical to develop a contingency plan in the event that this theory holds true and that this should be done transparently.
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Neuroinflammation After COVID-19 With Persistent Depressive and Cognitive Symptoms
https://jamanetwork.com/journals/jamapsychiatry/fullarticle/2805366

Gliosis may be consequent to inflammation, injury, or both, particularly in the ventral striatum and dorsal putamen, which may explain some persistent depressive and cognitive symptoms, including slowed motor speed, low motivation or energy, and anhedonia, after initially mild to moderate COVID-19 illness.

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The following consists of GPT4 generated text checked for accuracy and supplementary information taken from Wikipedia.
Function of the Basal Ganglia:
The basal ganglia are a group of nuclei deep within the cerebral hemispheres, consisting of the caudate nucleus, the putamen, the globus pallidus, the substantia nigra, and the subthalamic nucleus. They are interconnected with the cerebral cortex, thalamus, and brainstem.
The basal ganglia play a critical role in voluntary motor control, procedural learning, habit formation, and reward systems. They participate in a complex network of pathways and circuits within the brain that facilitate both movement initiation and inhibition of unnecessary or competing movements. The basal ganglia's functions are not limited to motor control but also extend to roles in cognition and emotion.
The paper found a correlation between neuroinflammation, specifically within the putamen and ventral striatum (includes the nucleus accumbens and olfactory tubercle), and long COVID symptoms.
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Function of brain regions (text from Wikipedia)
Putamen

Through various pathways, the putamen is connected to the substantia nigra, the globus pallidus, the claustrum, and the thalamus, in addition to many regions of the cerebral cortex. A primary function of the putamen is to regulate movements at various stages (e.g. preparation and execution) and influence various types of learning. It employs GABA, acetylcholine, and enkephalin to perform its functions. The putamen also plays a role in degenerative neurological disorders, such as Parkinson's disease.

Nucleus Accumbens

As a whole, the nucleus accumbens has a significant role in the cognitive processing of motivation, aversion, reward (i.e., incentive salience, pleasure, and positive reinforcement), and reinforcement learning (e.g., Pavlovian-instrumental transfer);[4][7][8][9][10] hence, it has a significant role in addiction.[4][8] In addition, part of the nucleus accumbens core is centrally involved in the induction of slow-wave sleep.[11][12][13][14] The nucleus accumbens plays a lesser role in processing fear (a form of aversion), impulsivity, and the placebo effect.[15][16][17] It is involved in the encoding of new motor programs as well.[4]

Olfactory Tubercle

The OT [Olfactory Tubercle] has also been shown to play a role in locomotor and attentional behaviors, particularly in relation to social and sensory responsiveness,[1] and it may be necessary for behavioral flexibility.[2] The OT is interconnected with numerous brain regions, especially the sensory, arousal, and reward centers, thus making it a potentially critical interface between processing of sensory information and the subsequent behavioral responses.[3]

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Gliosis in the Basal Ganglia:
Gliosis is a process of scarring in the central nervous system that involves the production of dense fibrous network of glial cells (astrocytes and microglia) in response to damage. This is generally a protective response intended to limit injury, but it can also interfere with normal functioning.
In the context of the basal ganglia, gliosis can disrupt the delicate balance of neurotransmitters, leading to dysregulation of the motor, cognitive, and emotional functions that these nuclei control. The specific impacts of gliosis would depend on the extent and location of the scarring.
Parkinson's Disease and the Basal Ganglia:
Parkinson's disease (PD) is a neurodegenerative disorder primarily affecting the motor system. It is characteristically associated with degeneration of the substantia nigra pars compacta (SNpc), one of the major components of the basal ganglia. The SNpc normally produces dopamine, a neurotransmitter that is critical for regulating the function of the basal ganglia.
In Parkinson's disease, the loss of dopaminergic neurons leads to decreased dopamine availability, disrupting the balance of neurotransmitter activity in the basal ganglia and leading to the characteristic motor symptoms of PD, including bradykinesia (slowness of movement), resting tremor, rigidity, and postural instability.
Neuroinflammation, including gliosis, has been observed in Parkinson's disease. Reactive gliosis in the basal ganglia could be a response to the ongoing neuronal degeneration. The activation of glial cells could potentially contribute to the pathogenesis of PD through increased oxidative stress and neuroinflammation. It's worth noting that while gliosis may be a reaction to the disease process, it may also contribute to the progression of the disease through these mechanisms.
In conclusion, the basal ganglia play a significant role in voluntary motor control, and gliosis within this region, especially in the context of Parkinson's disease, can significantly disrupt this function. The relationship between gliosis and Parkinson's disease is complex, with ongoing research to fully understand the implications of this process in neurodegenerative disorders.

Wanted to plug a webinar from my host university for the upcoming Fulbright cycle they'll be offering an opening for, specifically looking for applications centered around an MA in Creative Writing. Informally, attending this meeting will certainly make your names familiar come the university's end of the application review, as many of those involved will be there.
https://www.eventbrite.co.uk/e/manchester-writing-school-fulbright-and-usa-applicant-info-webinar-tickets-539479075437?aff=oddtdtcreator

Hi all!
After 4 years of resting on it I’ve finally decided to publish a novelette, and would appreciate any beta readers interested in providing feedback.
Set in December of 1993, the story revolves around Samantha Sayers, whose life was shattered when a devastating cabin fire claimed the lives of her beloved husband and three children during a serene vacation in Lake Tahoe, California. Now, after 15 years, Samantha, aged 58 and confined to Breedlove's Hospice Center, is battling cancer, knowing that her time is running out. However, her impending end is not the only burden she carries.
Hidden within the depths of Samantha's memories lies a sinister secret, casting doubt on the widely accepted belief that the fire was a tragic accident. As her life draws to a close, Samantha embarks on a haunting reflection, determined to uncover the truth that has remained veiled for so long. From cherished moments with her husband to the darkest secrets she alone holds, she navigates the labyrinthine depths of her past.
Amidst the shadows, Samantha clings to the truth, aware that the final chapter of her life will reveal a sinister twist known only to her.
If you're interested in being a beta reader to review please let me know.
Thank you!

I’m currently looking for cheap vaneers as I’m a broke student, yes Ik all the drawbacks but I need them at this point in my life, so please just give me some recommendations, idm going Sharjah to get it, initially I was going to go damas medical center but the reviews haven’t been the best as. Budget 2-4K AED