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The Dedication of the Nell Hodgson Woodruff - Emory (University) School of Nursing

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In honor of Miss Nell Hodgson Woodruff, the Nell Hodgson Woodruff / Emory School of Nursing is elected as a leader in training nurses for beginning and advanced practice in Atlanta, Georgia.

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Graduates of the Nell Hodgson Woodruff / Emory School of Nursing are forefront leaders that are also much honored for their service as excellent role models in the nursing practice and recognized the world over - much like their mother patron.

Nell Hodgson Woodruff had a passion for nurse caring ever since she was a little girl. She started to fulfill her promise of service when she entered training at the St. Mary's Hospital in Athens Georgia, but stopped from her nursing studies when she became wife to Mr. Robert Woodruff. During the First World War though, Nell Woodruff recalled her calling and volunteered as an aid to the Red Cross nurses. To be able to help train other nurses, Nell also took up an additional training of 80 diligent hours. Her active service soon earned her authorization to be a nurses' aide in any of the United States military hospitals.

Mrs. Nell Woodruff's career and service flourished in 1932 when she began as volunteer at the Emory University Hospital. The Emory immediately recognized her excellent skills and allowed (only) her to work in the maternity ward.

When the Second World War broke, Mrs. Woodruff again donated her service to the Red Cross and in the US hospitals while also recruiting other women to nurse the wounded.

Her undying devotion to nurse care made her the first ever female member of the Emory Hospital Administration Committee, and soon enabling her to establish the Emory (University) School of Nursing. Mrs. Nell Woodruff was also named as an honorary member of the Emory Nurses' Alumni Association in 1946, then an honorary member of the Georgia Nurses Association. Finally, in the year 1954, the President Eisenhower appointed Mrs. Nell Hodgson Woodruff as the American delegate to the World Health Organization.

Mrs. Nell Woodruff's commitment to the nursing service stamped her name permanently in history when she became honored by the Emory University Board of Trustees renaming the Emory (University) School of Nursing into the Nell Hodgson Woodruff School of Nursing in 1967. And until these days, Nell Hodgson Woodruff / Emory (University) School of Nursing continues to carry the name and the service as it fully invests its excellence in the scholarship of discovery, teaching, and application in acute care settings, home, and the community.

In its interdisciplinary partnership with the Robert W. Woodruff Health Sciences Center and the entirety of the Emory University, the Nell Hodgson Woodruff / Emory (University) School of Nursing dedicates its scholarship, leadership, and social responsibility to Mrs. Nell Hodgson Woodruff in all its service to the world.

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What's the Meaning of Blood in My Poop?

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What does it mean if I see blood in my poop?

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First, don't get scared. At least for younger people, the reason is not always serious. It could be hemorrhoids, it could be medicine you're taking, it could be colitis, and (usually in older people) it could be cancer.

If you actually see blood, then most likely it's red, but sometimes it can be black. Blood that mixes with stomach acid turns black and means the bleeding is coming from high in the gastrointestinal tract (the stomach or duodenum). If you see unusually dark or black-colored stools (called melena), or ones that look like tar, it may be blood that's passed all the way down from your stomach through your intestines. A stomach ulcer or irritation is commonly the culprit. Since this can be serious, see your doctor right away.

Now if the blood is red, first a question: is it a streak on the outside of the bowel movement, or blood in the toilet water, or blood mixed in with the stool (poop)?

If there's a streak on the outside of the bowel movement, it's often caused by external hemorrhoids. There may be pain associated with this type of bleeding, which is commonly seen with constipation or large stools.

If there's blood on the stool and perhaps some dripping into the toilet water, this may be internal hemorrhoids, which are often painless. These, too, are associated with constipation and hard stools, but also with diarrhea and straining.

You should confirm these conditions with your doctor, but hemorrhoids are probably the "best case" scenario and are easily treated (most of the time). Occasionally a tumor (such as cancer) will present this way as well. Anyone over age 50 should be checked for colon cancer.

If the blood is mixed in with the stool but you have no other symptoms, cancer is again a possibility, along with colitis, diverticulitis, and medication effects. If you are taking aspirin, ibuprofen, naproxen, or other anti-inflammatory drug or blood thinner, stopping these medicines and consulting your doctor is advisable. If you have infection or inflammation (such as diverticulitis, colitis, or inflammatory bowel disease) you'd probably have some sort of symptom other than just bleeding: abdominal discomfort, cramping, gas, bloating, diarrhea. However, some patients just have bleeding. Either way, having blood mixed in with the stool is usually serious and you should have this evaluated promptly.

Sometimes people have diarrhea (with or without blood) after taking an antibiotic. This may be due to antibiotic-related colitis (clostridium difficile colitis, " c. diff") and requires prompt attention. Report these symptoms to your doctor right away, as you'll probably require a second antibiotic to treat this condition. However, certain antibiotics may cause diarrhea on their own without causing c. diff colitis.

Lastly, sometimes red dye or red food can look like blood, but isn't. Beets, red jello, and other red foods have been known to be confused with blood, but don't attritube red discoloration to food unless you're sure.

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Insurance Companies Listings and Ratings Guide For Insurance Agents & Brokers

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Here is the newest, revised version of the best insurance companies listings. These are compiled in a top 100 ratings guide format. The listings are in alphabetical order helping insurance agents & brokers locate an insurer. Find out how your opinion compares. How can you possibly rate an insurance company? I will mention briefly the various ways, show you the method I is used for this article, and why.

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BY NUMBER OF AGENTS

This ratings guide listing method evaluates the insurer by the sheer number of insurance agents & brokers currently licensed and under contract. with carrier. I feel this evaluation to be worthless for a multitude of reasons. First of all there are a number of career health and life insurance agencies that have thousands of representatives. However, of these,up to 80% of the total agents are relatively new in attempting to establish credibility in the industry. Four years down the line only 6% of many an insurance company agency force will maintain enough production to stay career representatives.

Moreover, my findings uncover inaccuracy of this method due to licensing renewal process state insurance departments impose on the insurer. Most state departments of insurance send the renewal report forms on a yearly basis. There is a fee to be paid by each ins agent renewed. What makes it difficult is the variation of different paperwork procedures by individual states for removing non-active ins reps. The paperwork consists of costly, time consuming forms and procedures for the insurance company to make any changes. Renewing all the sales representatives is often cheaper, and thus the route the insurer frequently takes. This also gives the insurance company bragging rights to how many sales people write for them.

Personally I was shown in state insurance department records as licensed for 11 years after I wrote my last case.

INSURANCE CO FINANCIAL RANKING LISTINGS
There are four or five top independent firms that employ this insurer rating of a company based on a multitude of financial factors. A lot has to do with projecting the financial stability of the insurer. This is accomplished by closely dissecting past and present financial history. It covers how the insurer investments perform, and the rate of return. An insurance evaluation also takes in consideration the amount of cash on hand, and how much exists in reserves to pay present and future claims.

There is a consensus among life insurance association members into believing that the highest rated insurers are the best of the bunch. Yet association members make up less than 12% of the total producer base. The other insurance agents and brokers, (the majority), do not agree that these are always the best ones to use for their client's needs. Logic tells you that a newer quality insurer does not have past history to start out top ranked. In my situation, clients bought what I presented them. Nearly half the time it was NOT the highest rated company by the rating firms. I however sold the client what their emotional needs demanded. Many past insurance companies with rankings in the best 100 later financially failed, and still frequently do in today's world.

BY RANKING OF PREMIUMS COLLECTED

This is a very common type of insurance company listing & ranking to produce. Insurance companies are rated by total number of premiums they collected that year. It seems rather unfair to mix annuity premiums in with all dollars collected. Producers know it is easier to sell a ,000 annuity than a ,000 premium term insurance policy. The other fault I find with using total premiums collected is with who actually contributed a chunk of the premiums collected. With some companies an enormous amount of these premiums were not collected by the average sales person. A lot of institutional buyers directly bought hundreds of thousands of dollars of annuity premiums.

BY RATINGS IMPORTANT TO HEALTH & LIFE SELLERS

This is my way. As fair and balanced from an sales representative perspective as feasible. Premiums are collected from the 1,500,000 agents, trying to make a living by selling insurance policies in this industry. Often these sales are done one by one. Plus, of this 450,00 independent brokers, semi-independent agents and some career reps write, depending on which company, 50% to 100% of that insurance co business.

This rankings method is imposed because I find the insurance companies listing is intended to be a beneficial directory. One that independent brokers, semi-independent representatives, along with some career reps can turn to. This is a guide directory to other insurers that you may consider writing production for.

The insurance companies listing and ratings guide to the top 100 is purposely placed in alphabetical order instead of by premium or financial data. You may not agree completely with the listing, because we have left in some companies with a strong percentage of business sold in annuities, and investment products.

In the eyes of a typical health and life broker, this guide is of health and life insurance companies is about as accurate as possible.

1. Aetna 2. AIG Life Insurance Company** 3. Allianz Life Insurance Company of North America 4. American Family Life Assurance Co of Columbus 5. American Fidelity Assurance Company 6. American General Life and Accident INS Co** 7. American General Life Insurance Co** 8. American Income 9. American Memorial 10. American National Life 11. Americo Financial Life And Annuity 12. Anthem Blue Cross 13 Aurora National Assurance 14 Aviva Life and Annuity Company 15. AXA Equitable 16.Bankers Life and Casualty Company 17. Banner 18. Beneficial Life 19. C.M. Life Ins 20. Colonial Life & Accident 21. Columbus Life 22. Conseco Life 23. Farmers New World 24. First-Penn Pacific 25.Forethought 26. General American 27. Genworth 28. Gerber 29. Great American 30. Great-West Life & Annuity 31. Guardian 32. Hartford Life and Accident Ins Company 33. Hartford 34. Homesteaders 35. Indianapolis Life 36. ING 37. Jackson National 38. John Hancock 39. John Hancock Life Insurance Company USA 40.. Kansas City Life 41.. Lafayette 42.. Liberty Life Assurance Co of Boston 43.. Liberty National 44.. Life Ins Company of North America 45. Life Ins Company of the Southwest 46. Life Investors Ins Co of America 47. Lincoln Benefit 48. Lincoln Heritage 49. Lincoln National 50. Massachusetts Mutual 51. Metropolitan 52. Midland National 53. Minnesota Life 54. Monumental Life 55. MONY - America 56. MONY - New York 57. National Guardian 58. National Life 59. New England Life 60. New York Life Ins and Annuity Corporation 61. New York Life 62. North American Co for Life & Health Ins. 63. Northwestern Mutual 64. Ohio National Life 65. OM Financial 66. Pacific Life 67. Penn Mutual 68. Phoenix Life Ins 69. Primerica 70. Principal 71. Protective 72. Provident Life and Accident 73. Pruco 74. Prudential - America 75. Reassure America 76. Reliance Standard 77. ReliaStar 78. Riversource 79. Security Life of Denver y 80. Standard 81. Stonebridge 82. Sun Life and Health 83. Sunset 84. Surety 85. Symetra 86. Transamerica 87. Transamerica Occidental 88. Trustmark 89. U.S. Financial 90. Union Central 91. Union Security 92. United Healthcare 93. United Ins Company of America 94. United Investors 95. United of Omaha 96. United States Life 97. Unum 98. West Coast 99. Western and Southern Life 100. Western Reserve Life Assurance Co of Ohio Note: Sagicor Life, Foresters, and Illinois Mutual should appear on the bottom 3 listings, replacing the companies listed above as #6, 2, and 7.

**AIG Life Insurance Company, American General Life, American General Life and Casualty Comments

This group of companies USED to be one the highest premium generating, and highest ranked insurance companies in the United States. Still, after two massive Federal Bailouts, the future is uncertain. Therefore, AIG Life is no longer deserving of being on this top 100 list guide.

GUIDE TO QUESTIONABLE LIFE INSURANCE COMPANY LISTINGS

The following insurance companies listings often could be included in different types of some top 100 Life ins company rankings IF you were evaluating premiums written. Sometimes the premiums consist of considerable amounts of annuity premiums. Also counted in would be insurers where a large portion of sales do not come from representatives and sales people. Instead it is written by security stock brokerage firms, and independent broker-dealers of variable investment contracts not governed by insurance departments. In other cases, products may be directly strictly toward teachers, the military, or credit unions. In a couple cases, there are companies with pending litigation. A representation of this mix of insurers is listed below:

1. Cuna Mutual 2. Genworth Life and Annuity 3. Harford Life and Annuity y 4. John Hancock Variable Life 5. Mayflower National 6. Metlife - Connecticut 7. Metlife Investors USA 8. MML Bay State 9. Nationwide 10. Nationwide Life & Annuity 11. NYLife of AZ 12. PHL Variable 13. Sun Life Assurance Co of Canada 14. Teachers Ins and Annuity Assoc of America 15. USAA 16. Shenandoah -- financial difficulties

There is a grand total of over 600 Licensed Life/Health Companies "active" in every state of the United States. However, some are not currently writing new business. In addition, there are many active in only one or a few states, so you will find them missing from the top insurance company listings. Most states have a true actual listing count of 220 to 330 life and health home offices currently accepting new cases from licensed agents & brokers.

Advisor's predition. If I choose from the provider listings above, Foresters would be my top pick as the next rising star. Its innovative niche products are starting to create a high demand. Also watch Genworth, its stock value has zoomed and the company is very adaptive to market opportunities.

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Effects of Nature On Our Mental Health

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What is nature and how does it affect our health? Well this is one major question that we are coming across these days in relation to have a proper mental health. If we try to understand the meaning of nature in terms of dictionary definition then it clearly states nature as the natural physical world including plants, animals and landscapes etc. It refers to the phenomena of the physical world. In general terms it is also referred to the method related with inanimate objects and the manner in which the particular kind of things exist and change of their own harmony.

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Now looking at the present scenario, today if we try to relate the term nature in relation to health then it won't be wrong. Plants represent a vital element of the original ecological system in which the human species evolved. Perhaps the time has come when we all take a close look at the impact of nature on the health of communities and individuals. Since the evolution of life, the nature has always featured as key components in health promotion models. Our relationship with nature is like a basic component that helps in sustaining good health.

As per the recent study conducted in UK, it was found that more than 75% of people live in urban areas and as a result the detachment with nature has contributed to a drastic rise in mental health problems. Roger Ulrich one of the pioneers of research in this area conducted an experiment to explain that patients suffering and recovering from identical operations were more likely to recover quickly if they had a daily view of nature from their hospital beds.

Studies in this field have also shown that well-being and levels of psychological and physiological stress are significantly influenced by our natural surroundings. These days nature is widely used as an element or modern therapy for people who are suffering from physical and mental health problems. In order to improve your mood, now concepts like hospital therapy gardens, wilderness trips for people bearing from ruthless stress have all shown positive effects on patients. Moreover in past few years, it has also been found that horticultural therapy have a growing body of research data which points to the many mental benefits of engaging with nature.

Research from Netherland and Japan has also revealed that people living close to green ambience live longer and enjoy better and healthy life. A Swedish study concluded that if office personnel could view greenery through their office windows, then it further significantly reduce the stress during their working days.

Latest studies from Germany and Australia have also confirmed the capacity of ecosystem of plants to perform as powerful air purifiers. Virginia Lohr at Washington University performed a computer based test on students, and observed that the systolic blood pressure was lower, and measured the performance level. It was found that the reaction time during the test was higher, if plants were present in the computer lab.

From an economical point of view, it should be of great interest to establish a green surrounding that can benefit your mental health by providing opportunities to be physically active both in terms of physical and mental health.

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Condos Near Hahnemann University Hospital

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Every spring, my website is abuzz with new interns, residents, and fellows moving looking to purchase a condo near Hahnemann University Hospital. Be it parents, or students themselves, a number of priorities seem to be similar amongst those looking to buy a condo in the area. I have found a number of Philadelphia condo buildings that seem to be very popular with such buyers- all looking for close proximity to Hahnemann.

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In the high rise segment of the Philadelphia condo market, many such buyers will focus on The Phoenix condominiums at 1600 Arch St. Just a few blocks from Hahnemann, The Phoenix offers a variety of sized condo units, along with a 24 hour doorman, and parking. From studios to large three bedroom penthouse units, The Phoenix certainly has the proximity and the security that many buyers find appealing. In addition to the on-site gym, additional storage, The Phoenix has a Starbucks Coffee shop within its common areas. Also, The Ellington at 1500 Chestnut St. with its plethora of affordable one bedroom condos and tax abatement, makes it a logical choice for incoming Hanneman students and faculty. Also, The Grande at 111 S. 15th St. is an option, not to mention the higher-end Ritz Carlton condos.

In the brownstone/ low rise segment of the market, buyers may find a variety of uniquely styled studio and one bedroom units strewn about the area. Characterized by lower condo fees, no doorman, and usually no parking, the option for unique, one-of-a kind space can be very attractive for those looking for something a bit unique.

I find that security and proximity to Hahneman University Hospital always ranks high when examining the priorities of these buyers. Since many are unsure of the late night schedule that may keep, and may be unfamiliar with the areas in which they seek to purchase, proximity and security are usually buyers top concerns. Certainly a nice interior with stainless steel appliances and granite counter tops don't hurt the equation.

Generally speaking, price ranges for one bedroom condominiums in the area range from the low 0,000 range, up to 0,000 depending upon the building, interior condition, and location of the areas condos. From luxurious to understated, condos near Hahnemann University Hospital come in all shapes and sizes.

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On Death and Dying - Three Signs That Your Loved One is Approaching the Final Months of Life

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When we have a very ill loved one, it occupies our thoughts constantly. Our mind has a way of sifting straight through the data that we hear from their medical providers, rejecting the negative and keeping tight to the positive. Even when confronted with the data that our loved one's situation is dire, we may continue to refuse to see death as a possibility.

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There are many reasons that we do this. First, most of us have never watched someone die, so we don't undoubtedly know what that may look like. Second, we are unable to interpret the physical changes that we are seeing in our loved one. Third, when we allow ourselves to consider that they may die, it can feel like a betrayal, which makes us feel worse.

Our denial is an foremost mechanism that we use to protect ourselves from feeling overwhelmed by our emotions. For a time, it can help us to get straight through the demands of the day. If used for too long a time,however,it can rob us of living what time remains with our loved one. We may miss the chance to make plans that assure their comfort. Even worse than that, it can result in the loss of many foremost shared moments that may reserve us long after they are gone.

So how do we know when their loved one is approaching their final months of life? For many patients, it is simpler than you think. Only ten percent of Americans will die suddenly. The remaining ninety percent will have a slow decline. So what are the signs? First, most patients caress weight loss. In elderly patients 10% loss of weight is important and may be an indicator that they are on a downhill trajectory. That is why weight loss is one of the criteria for patients to enter hospice care. This weight loss will not be reversed with supplements or medications. Weight loss occurs for a whole of reasons. They may not feel hungry or may have issue swallowing. Sometimes eating makes them feel ill and food tastes are altered by the medications that they are taking. Regardless of the reason, if they are in their final months of life, feeding them more or distinct foods will not make them live longer and may instead, them more uncomfortable. Most patients in their final months are also weaker. Frailness may begin with having difficulty arising from the chair as their thigh muscle is often the first to grow weak. This Frailness progresses from their needing aid with walking to being chair bound and then to being bed bound. Often families will insist that they be seen by a physical therapist to "get them walking again." If they are truly in their final months, this will not work.

Another sign that they are in the final months of life is that they originate infections. Elderly patients tend to get infections in the bladder and lung. As swallowing becomes difficult, they may cough and inhale liquids into their lungs causing bronchitis or pneumonia. This is called aspiration and is often seen in patients in the final months of life. Antibiotics will work initially but will have less power with repeated infections. Aspiration, once started, often reoccurs. Rescue depends on the power of their cough but because their lungs are weakened, their cough is ineffective. For this reason, pneumonia is the whole one cause of hospitalization and death in patients who are in nursing homes.

Losing someone is painful. We never feel ready for the loss. But study shows that those of us who do confront the reality of a loved one's impending death will emotionally do great after they are gone. We will have the chance to share in their journey and assure that they are comfortable. In our care giving, we will have the chance to thank them for the gifts that they have given us in this life. Finally, we will have time to say goodbye and to let them go with love.

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Hemorrhoids and Alcohol

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So why does immoderate alcohol consumption cause or make hemorrhoids much worse? Alcohol tends to dry the body, has a diuretic action, which increases the flow of urine causing a loss of corporeal fluids producing harder stools development any constipation much worse. This will cause more straining when having a bowel movement. You should try not to strain too hard and instead spend more time to try to ease the motion. Straining will also make any itching and inflammation worse.

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How is Hemorrhoids and Alcohol

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The most tasteless cause of hemorrhoids is straining during a bowel movement because of hard stools which increases the blood pressure in the veins in the anus. Postponing a bowel movement and retention faecal matter too long in the rectum causes pressure to build up in the rectum veins.

A hemorrhoid is an enlarged vein in the anus, also called a varicose vein. In a healthy person, the tissue around the anus fills with blood to regulate bowel movements. However, when there is constant pressure or other factors restricting blood flow, the veins become inflamed. Poor blood flow may corollary in a painful, swollen, protruding hemorrhoid.

External Hemorrhoids are uncomfortable with itching. Blood may appear on toilet paper during bowel movements.Internal Hemorrhoids show rectal bleeding and intense pain. You may well have to push the hemorrhoids back in with your fingers after, but some petroleum jelly or other lubricant will help this.

Internal hemorrhoids often protrude and clot. The nearnessy of mucus and blood is also a sign.

Eating immoderate processed foods, which are low in fiber and move moderately through your colon. Hemorrhoids were not as tasteless 100 years ago when the Western diet was much higher in fiber. The rates of Hemorrhoids increases in countries where the diet becomes more westernised, meaning lots of processed refined foods low in fiber.

Hemorrhoids were mainly seen in the over 50's, but with the increase in drinking culture surrounded by young population the age is advent down. immoderate drinking, even alcoholism in young population is producing hemorrhoid suffers in their early 20's. They are getting even younger.

Also pregnant women perceive increased pressure on these veins and this can cause and aggravate hemorrhoids.

Stress put on the liver will contribute to hemorrhoids. The relationship in the middle of poor liver function and hemorrhoids is well known in medical circles.

If a strain is put on the liver from poor diet, immoderate drinking or cirrhosis, blood flow to the liver will increase to help cope with this and this increases blood pressure to the veins in the anus, thus development the hemorrhoids worse. assuredly this is a very simplistic explanation for it is too complex to go into it here. Alcoholics and very heavy drinkers have a high incidence of hemorrhoids.

General body weakness, poor muscle tone in the anal area from too much drink, lack of exercise and being overweight. Too much alcohol consumption weakens your muscle tone and the muscles cannot hold in the veins around the anal area so they protrude through. Sitting about in chairs at home, work, or a car for long periods. Lounging about drinking instead of retention active. Irregular eating patterns, not getting the right vitamins and minerals in your food. Lack of protein leads to weak muscle tissue in the anal area and slows the medical of wounds.

Having said all this - some population do have a predisposition to constipation or have inherited a feebleness in the colon and rectum area, and are thus prone to hemorrhoids.

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