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Birth centre confinement at the Queen Victoria Medical Centre. Obstetric and neonatal outcome. The design, structure and function of hte Birth Centre is described and the safety of the programme demonstrated. There were satisfactory obstetric and neonatal outcomes in all pregnancies.

The first year's experience has allowed a reassessment of the risk factors, which will permit greater use of the Birth Centre without any increases risk to mothers or babies.

Medical applications of accelerators at Tata Memorial Centre. The Tata Memorial Centre constitutes the national comprehensive cancer centre for the prevention, diagnosis, treatment and research on cancer.

It is well equipped with sophisticated state-of-the-art equipment capable of delivering External Beam Radiotherapy Ebert and Brachytherapy. Nearly patients receive Ebert daily at the institute from a team of highly skilled and dedicated radiation oncologists, medical physicists and technologists, making it one of the busiest centres in the country. A total of patients underwent surgical treatment of incontinence. Birth centre confinement at the Queen Victoria Medical Centre: A review of the first four years of the functioning of the birth centre at the Queen Victoria Medical Centre is presented.

In that time, pregnant women were accepted for confinement there. Of these, 52 withdrew for non-obstetric reasons, while were transferred to alternative obstetrical care because of antepartum complications and because of intrapartum problems. Therefore, women were delivered in the birth centre. The care of the women is entrusted almost entirely to a team of midwives and this review demonstrates an enviable safety record.

A series of protocols were defined and developed to facilitate the delivery of intensity modulated radiotherapy for prostate cancer. These included the following: Physical Simulation including bowel and bladder preparation and immobilization 2. Contouring Definitions including target and organ at risk volumes as well as IMRT optimization and evaluation volumes 4. Radiotherapy Planning including constraint definition, inverse planning and CMS Focus specific parameters 5.

Verification including action limits and pre-treatment online EPID verification 7. Radiotherapy Delivery being that of step and shoot 8. Quality Assurance including physics testing and documentation The protocol development and testing has lead to the precise clinical delivery of IMRT for prostate cancer at ARMC that exceeds most of the parameters that were previously measured with our conventional and 3D conformal radiotherapy.

Further development is now underway to allow it to be implemented as the routine treatment of prostate cancer at ARMC. The clinical implementation of IMRT for prostate cancer involves a collaborative team approach including radiation oncologists, radiation therapists, and radiation physics.

This is necessary to develop the appropriate protocols and quality assurance for precision radiotherapy that is required for IMRT. Orthopaedic injuries in children: Federal Medical Centre , Umuahia Worldwide, trauma is a recognized leading cause of childhood morbidity, mortality and disability. To review the causes and consequences of orthopaedic injuries in children. A retrospective study of all injuries in children 14 years and below seen at the Federal Medical Centre Umuahia from 1st Describes the basic characteristics of the "carnivalesque enactment" and its therapeutic potential.

Explains a case study of the drama project at the Rabin Children's Medical Centre , how the carnivalesque enactment was developed step by step, and the kind of effect it stimulated among the children. Suggests new theatrical experiments with…. Isolates from wound infections at federal medical centre , bida A total of wound swabs from patients in Federal Medical Centre , Bida were studied.

Samples were collected between Jan to Dec. Swabs were plated within one hour after collection unto blood, chocolate and Mac Conkey after plate, and incubated aerobically for 24hrs. The chocolate plated swabs were Proposed medical applications of the National Accelerator Centre facilities.

The complex will house a MeV separated-sector cyclotron which will provide high quality beams for nuclear physics and related diciplines as well as high intensity beams for medical use. The medical aspects catered for will include particle radiotherapy, isotope production and possibly proton radiography. A bed hospital is to be constructed on the site. Building operations are well advanced and the medical facilities should be available for use by the end of Learner- centred medical education: Improved learning or increased stress?

Globally, as medical education undergoes significant reform towards more "learner- centred " approaches, specific implications arise for medical educators and learners. Although this learner-centredness is grounded in educational theory, a point of discussion would be whether the application and practice of these new curricula alleviate or exacerbate student difficulties and levels of stress.

This commentary will argue that while this reform in medical education is laudable, with positive implications for learning, medical educators may not have understood or perhaps not embraced "learner-centredness" in its entirety. During their training, medical students are expected to be "patient- centred ". They are asked to apply a biopsychosocial model, which takes cognisance of all aspects of a patient's well-being.

While many medical schools profess that their curricula reflect these principles, in reality, many may not always practice what they preach. Medical training all too often remains grounded in the biomedical model, with the cognitive domain overshadowing the psychosocial development and needs of learners.

Entrusted by parents and society with the education and training of future healthcare professionals, medical education needs to move to a "learner- centred philosophy", in which the "whole" student is acknowledged. As undergraduate and post-graduate students increasingly apply their skills in an international arena, this learner-centredness should equally encapsulate the gender, cultural and religious diversity of both patients and students. Appropriate support structures, role models and faculty development are required to develop skills, attitudes and professional behaviour that will allow our graduates to become caring and sensitive healthcare providers.

Medical data transmission system for remote healthcare centres. The main motivation of this project is to improve the healthcare centres equipment and human resources efficiency, enabling those centres for transmission of parameters of medical interest. This system facilitates remote consultation, in particular between specialists and remote healthcare centres. Likewise it contributes to the qualification of professionals.

The electrocardiographic ECG and electroencephalographic EEG signals are acquired, processed and then sent, fulfilling the effective norms, for application in the hospital network of Cordoba Province, which has nodes interconnected by phone line. As innovative aspects we emphasized the low cost of development and maintenance, great versatility and handling simplicity with a modular design for interconnection with diverse data transmission media Wi-Fi, GPRS, etc.

Successfully experiences were obtained during the acquisition of the signals and transmissions on wired LAN networks.

As improvements, we can mention: The medical social centres in support of Roma in Greece. Medical social centres operate in 33 Roma settlements all over the country. These centres provide vaccination, health promotion, disease prevention and health education services, as well as support in issuing documents and making appointments with health and social services. We recommend that the National Roma people form the largest ethnic-minority group in Europe.

They account for around 10 to 12 million people, and they face racism, discrimination and social exclusion in most countries. The Roma population of Greece currently numbers around individuals. They have Greek nationality Nevertheless, Roma in Greece face multiple inequalities and social exclusion in terms of housing, employment, education, and health and social services.

In this report we present the outcome of a bestpractice initiative Theory-based practice in a major medical centre. This project was designed to improve care quality and nursing staff satisfaction. Nursing theory structures thought and action as demonstrated by evidence of improvement in complex health-care settings. Nursing administrators selected Modelling and Role-Modelling MRM for the theory-based practice goal in their strategic plan.

An action research approach structured implementation of MRM in a 1-year consultation project in Quality of health care improved according to national quality assessment ratings, as well as patient satisfaction and nurse satisfaction.

Modelling and Role-Modelling demonstrated capacity to structure nursing thought and action in patient care in a major medical centre. Uniformity of patient care language was valued by nurses as well as by allied health providers who wished to learn the holistic MRM style of practice.

The processes of MRM and action research contributed to project success. A positive health-care change project was carried out in a large medical centre with action research. Introducing MRM theory-based practice was a beneficial decision by nursing administration that improved care and nurse satisfaction. Attention to nursing practice stimulated career development among the nurses to pursue bachelors, masters, and doctoral degrees.

Patient participation in the medical specialist encounter: Physicians' patient- centred communication is assumed to stimulate patients' active participation, thus leading to more effective and humane exchange in the medical consultation.

We investigated the relationship between physicians' patient- centred communication and patient participation in. Challenges of Repatriation and Development. Couverture du livre Palestinian Refugees: Rex Brynen et Roula El-Rifai. The classification of medical issues and the dispatched pre-hospital units varied with patient age.

We believe our results might help focus the paediatric training received by emergency medical dispatch staff on commonly encountered This study aimed to investigate these calls, specifically the medical issues leading to them and the pre-hospital units dispatched to the paediatric emergencies.

We analysed the data using descriptive statistics. Of a total of emergency calls in February , 6. The mean age was 1. Two hundred and thirty eight of them were males while of them were females giving a sex ratio of 1. Conclusion Birth asphyxia and malaria associated deaths were responsible for most deaths during neonatal and beyond neonatal periods respectively.

Presence of trained personal at all deliveries will help to reduce neonatal asphyxia. Efforts should be made to reinforce the existing effective malaria control tools.

Full Text Available Objective: Birth asphyxia and malaria associated deaths were responsible for most deaths during neonatal and beyond neonatal periods respectively. We performed a retrospective, observational study on paediatric medical emergency calls managed by the EMDC in the Region of Southern Denmark in February We examined EMDC dispatch records to establish how the medical issues leading to these calls were classified and which pre-hospital units were dispatched to the paediatric emergencies.

We excluded 19 and analysed the remaining The reported medical issues were commonly classified as: The overall most common pre-hospital response was immediate dispatch of an ambulance with sirens and lights with a supporting physician-manned mobile emergency care unit We believe our results might help focus the paediatric training received by emergency medical dispatch staff on commonly encountered medical issues, such as the symptoms and conditions pertaining to the symptom categories "seizures" and "sick child".

Furthermore, the results could prove useful in hypothesis generation for future studies examining paediatric medical emergency calls. Medical issues pertaining to the symptom categories "seizures", "sick child" and "unclear problem" were common and the calls commonly resulted in urgent pre-hospital responses.

The costs of repatriating an ill seafarer. Repatriating an ill seafarer is a costly operation and employers have a financial interest in promoting the health of seafarers by introducing or further strengthen Seafarers sail the high seas around the globe. In case of illness, they are protected by international regulations stating that the employers must pay all expenses in relation to repatriation , but very little is known about the cost of these repatriations.

The objective of this study We applied a local approach, a micro-costing method, with an employer perspective using four case vignettes: Direct cost data were derived The state repatriation programme: Full Text Available This article analyses the problems of the state voluntary repatriation programme and describes its key functions and implementation mechanisms.

The author identifies the causes of deceleration in the repatriation process as well as the weak points of the Programme and the ways to improve it. The article offers data on the resettlement of compatriots over the three years of the Programme implementation, its demographic structure, and the regions of resettlement.

Cross-sectional analysis of Dutch repatriated service members from Southern Afghanistan — A systematic analysis of the complete medical support organization of the Dutch Armed Forces regarding repatriated service members from Afghanistan has not been performed so far.

All information were collated in a specifically designed electronic database and gathered from the. Radiation safety status at a bio medical research centre. Radioisotopes are being used for biomedical research purpose at School of Life Science, Jawaharlal Nehru University for the last twenty five years. Present paper analyses the overall status of radiation safety at this Centre. A Path to Career Growth and Success. The purpose of this paper is to examine repatriate career exploration as a continuing growth-oriented process and introduce repatriate hope as its crucial driver.

Through a review of relevant literature, the framework of hope theory is introduced to argue for a more "agentic" view of the repatriate that can…. Full Text Available This study reveals the technique for to achive the shapes of the mathematical models which put in evidence the distributions of the values concerning the number of Hospitals, respectively Medical Centres , in our country, in the time horizon In the same time, we can to observe the algorithm applied for to construct forecasts about the evolutions regarding the number of Hospitals and Medical Centres in Romania.

Generic patient-accessible medical records have shown promise in enhancing patient- centred care for patients with chronic diseases. We sought to design, implement and evaluate a patient-accessible medical record specifically for patients undergoing a course of assisted reproduction IVF.

Registered nurses' experiences of their decision-making at an Emergency Medical Dispatch Centre. To describe registered nurses' experiences at an Emergency Medical Dispatch Centre. It is important that ambulances are urgently directed to patients who are in need of immediate help and of quick transportation to a hospital.

Because resources are limited, Emergency Medical Dispatch centres cannot send ambulances with high priority to all callers. The efficiency of the system is therefore dependent on triage. Nurses worldwide are involved in patient triage, both before the patient's arrival to the hospital and in the subsequent emergency care. Ambulance dispatching is traditionally a duty for operators at Emergency Medical Dispatch centres , and in Sweden this duty has become increasingly performed by registered nurses.

A qualitative design was used for this study. Fifteen registered nurses with experience at Emergency Medical Dispatch centres were interviewed. The participants were asked to describe the content of their work and their experiences. They also described the most challenging and difficult situations according to the critical incidence technique. Content analysis was used. Two themes emerged during the analysis: The results showed that the decisions to dispatch ambulances were both challenging and difficult.

Difficulties included conveying medical advice without seeing the patient, teaching cardio-pulmonary resuscitation via telephone and dealing with intoxicated and aggressive callers.

Conflicts with colleagues and ambulance crews as well as fear of making wrong decisions were also mentioned. Work at Emergency Medical Dispatch centres is a demanding but stimulating duty for registered nurses. Great benefits can be achieved using experienced triage nurses, including increased patient safety and better use of medical resources. Improved internal support systems at Emergency Medical Dispatch centres and striving for a blame. Spinal injuries admitted at the Federal Medical Centre , Umuahia The treatment was mostly conservative.

The most frequent complication were bowel dysfunction, urinary bladder dysfunction , urinary tract infection and pressure ulcers. The epidemiology and type of medication errors reported to the National Poisons Information Centre of Ireland. Medication errors are widely reported for hospitalised patients, but limited data are available for medication errors that occur in community-based and clinical settings. Epidemiological data from poisons information centres enable characterisation of trends in medication errors occurring across the healthcare spectrum.

A 3-year prospective study on medication errors reported to the NPIC was conducted from 1 January to 31 December inclusive. Data on patient demographics, enquiry source, location, pharmaceutical agent s , type of medication error, and treatment advice were collated from standardised call report forms. Medication errors were categorised as i prescribing error i. Medication errors were reported for individuals, representing 9.

The majority of enquiries were received from healthcare professionals, but members of the public accounted for Medication errors with prescription medication predominated for. Experiences of violence, burnout and job satisfaction in Korean nurses in the emergency medical centre setting. The aim of this study was to examine the experience of violence in relation to burnout and job satisfaction in Korean nurses in the emergency medical centre setting.

Participants were nurses in the emergency medical centre setting of three metropolitan areas in Korea. Measures included a general characteristics form, characteristics related to experiences of violence, the Maslach Burnout Inventory and the Minnesota Satisfaction Questionnaire.

Data were collected from June to February In the prediction model, The greatest influence on burnout was handling violence, followed by verbal abuse. The greatest influence on job satisfaction was physical threat, followed by handling violence. The study shows that burnout and job satisfaction of Korean nurses in the emergency medical centre setting are related to experiences of violence such as verbal abuse, physical threat and physical violence, as well as handling violence.

Medical waste management in primary and secondary healthcare centres in the occupied Palestinian territory was assessed. The overall monthly quantity of solid healthcare waste was estimated to be In the centres that treated waste, open burning was the main method of treatment. The results indicate that Palestinians are exposed to health and environmental risks because of improper disposal of medical waste and steps are needed to improve the situation through the establishment and enforcement of laws, provision of the necessary infrastructure for proper waste management and training of healthcare workers and cleaners.

Optimism is associated with increased positive psychological health in those afflicted by extreme trauma or illness Vietnamese International Student Repatriates: The main purpose of this qualitative study is to explore the experiences of Vietnamese international students who returned to Vietnam after graduation from a U. Areas to be explored include the transitional period, perceptions of the relevance of the U.

Medical encounter as a control apparatus at a primary care centre in Barcelona. Full Text Available Medical practice is driven by technology, discourses, and knowledge about health and illness. This has resulted in its gaining a dominating position in power relations achieved by means of diagnosis, medicalization , and habit and conduct creation and maintenance.

Interaction at primary care centres is built on mainstream biomedical views of both the medical discourse and the social practices related to health, illness and the human body.

Moreover, it is also rooted on the ideologies conveyed by those social concepts, which in turn, permeate interaction all through with power relations. The present paper takes ethnographic data and in-depth interviews as a departing point to analyse how diagnosis, medicalization , and biopolicies for health prevention and improvement carried out in primary care centres in Barcelona make up a control apparatus.

Furthermore, this essay also explores how the apparatus is developed in the medical encounter and turns the body into an organism. The role of the counsellor in a medical centre. The counsellor is one member of the para- medical team being used more and more frequently by doctors. His role is allied to, but distinct from the doctor.

He is not an authority figure who diagnoses and prescribes, but acts so as to help the patient diagnose the nature of his own dysfunction and assist him to draw on his own resources for growth and change.

The methods the counsellor uses vary, but his goal harmonises with the doctor--the removal of disease from the psychosomatic unity of the patient.

In the last two decades, undergraduate medical education in the United Kingdom has undergone several important changes. Many of these have revolved around a paradigmatic shift from "paternalistic" to "patient- centred " approaches to healthcare.

Adopting a Foucauldian understanding of power and borrowing from Freire's critical…. Austin and Repatriation Medical Centre. PET is a non-invasive technique based on the use of biologically relevant compounds labelled with short-lived positron-emitting radionuclides such as carbon, nitrogen, oxygen and fluorine The basic equipment consists of a medical cyclotron 10 MeV proton and 5 MeV deuteron , six lead-shielded hot cells with associated radiochemistry facilities and a whole body PET scanner.

During its first five years of operation, the Melbourne PET Centre , has pursued a strong radiolabelling development program, leading to an ambitious clinical program in neurology, oncology and cardiology. This presentation will describe the basic principles of the PET technique and review the cyclotron-produced radioisotopes and radiopharmaceuticals.

Radiolabelling development programs and clinical applications are also addressed. Needlestick injuries and infectious patients in a major academic medical centre from to To implement adequate preventive measures in a hospital, the number and nature of occupational exposures to blood must be known. In the Amsterdam Academic Medical Centre a standardised procedure was used to assess all reported occupational exposures to blood from to The academic medical centre and nongovernmental organisation partnership following a natural disaster.

The global response to the 12 January earthquake in Haiti revealed the ability to mobilise medical teams quickly and effectively when academic medical centres partner non-governmental organisations NGO that already have a presence in a zone of devastation. Most established NGOs based in a certain region are accustomed to managing the medical conditions that are common to that area and will need additional and specialised support to treat the flux of myriad injured persons. Furthermore, an NGO with an established presence in a region prior to a disaster appears better positioned to provide sustained recovery and rehabilitation relief.

Academic medical centres can supply these essential specialised resources for a prolonged time. This relationship between NGOs and academic medical centres should be further developed prior to another disaster response. This model has great potential with regard to the rapid preparation and worldwide deployment of skilled medical and surgical teams when needed following a disaster, as well as to the subsequent critical recovery phase.

Safeguards Workforce Repatriation , Retention and Utilization. Gallucci, Nicholas [Brookhaven National Lab. Brookhaven National Laboratory was tasked by NA to assess the transition of former IAEA employees back to the United States, investigating the rate of retention and overall smoothness of the repatriation process among returning safeguards professionals.

Upon conducting several phone interviews, study authors found that the repatriation process went smoothly for the vast majority and that workforce retention was high.

However, several respondents expressed irritation over the minimal extent to which their safeguards expertise had been leveraged in their current positions. This sentiment was pervasive enough to prompt a follow-on study focusing on questions relating to the utilization rather than the retention of safeguards professionals.

A second, web-based survey was conducted, soliciting responses from a larger sample pool. Results suggest that the safeguards workforce may be oversaturated, and that young professionals returning to the United States from Agency positions may soon encounter difficulties finding jobs in the field. Teaching and training programmes in nuclear medicine for medical and paramedical personnel at the Radiation Medicine Centre , Bhabha Atomic Research Centre.

Prior to , the Radiation Medicine Centre had conducted 12 short courses of five weeks' duration on medical uses of radioisotopes. A total of medical and scientific personnel attended the courses from various parts of India. Owing to the rapid advances made in nuclear medicine these courses were becoming inadequate, and in the Centre introduced one-year full time training courses for doctors and science graduates, peparing them for examinations for the Diploma in Radiation Medicine DRM and the Diploma in Medical Radioisotope Techniques DMRIT of the University of Bombay.

Besides the formal one-year training courses, the Centre has conducted advanced courses of two weeks' duration on scintigraphy and thyroid function tests. The Radiation Medicine Centre has been the regional reference centre in nuclear medicine for the World Health Organization and International Atomic Energy Agency for more than ten years. The Centre has trained sponsored personnel from other countries of the region.

It's more than money: Objectives Regional centres and their rural hinterlands support significant populations of non-metropolitan Australians. Despite their importance in the settlement hierarchy and the key medical services provided from these centres , little research has focused on their issues of workforce supply and long-term service requirements. In addition, they are a critical component of the recent growth of 'regional' hub-and-spoke specialist models of service delivery.

Methods The present study interviewed 62 resident specialists in four regional centres , seeking to explore recruitment and retention factors important to their location decision making. The findings were used to develop a framework of possible evidence-informed policies. Results This article identifies key professional, social and locational factors, several of which are modifiable and amenable to policy redesign, including work variety, workplace culture, sense of community and spousal employment; these factors that can be targeted through initiatives in selection, training and incentives.

Conclusions Commonwealth, state and local governments in collaboration with communities and specialist colleges can work synergistically, with a multiplicity of interdigitating strategies, to ensure a positive approach to the maintenance of a critical mass of long-term rural specialists.

What is known about the topic? Rural origin increases likelihood of long-term retention to rural locations, with rural clinical school training associated with increased rural intent. Recruitment and retention policy has been directed at general practitioners in rural communities, with little focus on regional centres or medical specialists. What does this study add? Rural origin is associated with regional centre recruitment. Professional, social and locational factors are all moderately important in both recruitment and retention.

Specialist medical training for regional centres ideally requires both generalist and subspecialist skills. A Review of Support Practices for Repatriates. The purpose of this paper is to examine the prevalence of repatriate support practices in organizations within the context of the current literature in this field of study.

A total of 42 firms employing 3, expatriates were surveyed regarding human resource practices that support repatriation. Recognition of out-of-hospital cardiac arrest by medical dispatchers in emergency medical dispatch centres in two countries. Cases with missing or non-OHCA dispatch codes were analysed further by auditing emergency call recordings using a uniform data collection template Survival after out-of-hospital cardiac arrest OHCA remains low.

Early recognition by emergency medical dispatchers is essential for an effective chain of actions, leading to early cardiopulmonary resuscitation, use of an automated external defibrillator and rapid dispatching To analyse and compare the accuracy of OHCA recognition by medical dispatchers in two countries. An observational register-based study collecting data from national cardiac arrest registers in Denmark and Sweden during a six-month period in Acute care in Tanzania: Epidemiology of acute care in a small community medical centre.

Respiratory infections, malaria, and skin or soft tissue infections are leading reasons for seeking medical care at a small community medical centre in Arusha, Tanzania, highlighting the burden of infectious diseases in this type of facility. Males may be more likely to present with trauma, burns, and laceration injuries than females. Many patients required one or no procedures to determine their diagnosis, most treatments administered were inexpensive, and most patients were discharged home, suggesting that providing acute care in this setting could be accomplished with limited resources.

The joint cardiovascular research profile of the university medical centres in the Netherlands. Biomedical scientific research in the Netherlands has a good reputation worldwide.

Analysis of the bibliometric output data of the UMCs shows that their research is highly cited. These output-based analyses also indicate the high impact of cardiovascular scientific research in these centres , illustrating the strength of this research in the Netherlands. A set of six joint national cardiovascular research topics selected by the UMCs can be recognised. At the top are heart failure, rhythm disorder research and atherosclerosis. National collaboration of top scientists in consortia in these three areas is successful in acquiring funding of large-scale programs.

Our observations suggest that funding national consortia of experts focused on a few selected research topics may increase the international competitiveness of cardiovascular research in the Netherlands. A patient- centred team-coaching concept for medical rehabilitation.

Team coaching enhances teamwork and subsequently improves patient-centredness in medical rehabilitation clinics. Even though interprofessional teamwork is regarded as a crucial factor in medical rehabilitation, to date no evaluated team-coaching approaches are available for improving interprofessional teamwork in medical rehabilitation in Germany.

Based on a systematic literature search and interviews with staff, managers, and patients of rehabilitation clinics, we developed a team-coaching approach that is standardized in its process but based on the individual needs and requests of each clinic.

It takes a systemic perspective and is goal-oriented and solution-focused. The approach mainly serves to provide impulses to make use of resources within the team and to support a self-directed organisational learning process. It is manualized and can, therefore, be used by professionals aiming to improve interprofessional teamwork in their clinic. A multi- centre , cluster-randomized controlled study that was conducted to evaluate the team-coaching approach showed positive results.

Team organization, knowledge integration, and responsibility can be improved, and, therefore, the implementation of the patient- centred team-coaching approach in interprofessional rehabilitation teams can be recommended. In the United Republic of Tanzania, the incidence of non-neonatal circumcision-related tetanus is probably underreported.

We analysed charts and extracted information on outcome and wound location for non-neonatal cases of tetanus admitted to the intensive care unit of Bugando Medical Centre between and Bugando Medical Centre , which is one of four teaching referral hospitals in the United Republic of Tanzania, has a bed intensive care unit that manages all admitted patients with tetanus.

Within the United Republic of Tanzania, formal programmes of tetanus immunization are targeted at infants or women.

From our inpatient logs, we identified six patients with non-neonatal tetanus among male patients with a recent history of circumcision. Only one of these patients had been circumcised within a subnational programme of voluntary medical male circumcision.

The other five had been circumcised outside of the programme - e. Within the Tanzanian programme of voluntary medical male circumcision, education on wound hygiene probably helps to reduce the incidence of non-neonatal circumcision-related tetanus. The corresponding incidence among the boys and men who are circumcised beyond this subnational programme is probably higher.

The training of all circumcision providers in wound care and a vaccination programme to ensure that male Tanzanians receive tetanus immunization post-infancy are recommended. Agreement on the repatriation of Biharis, July In July , the Governments of Pakistan and Bangladesh signed an agreement to repatriate from Bangladesh to Pakistan more than a quarter of a million Pakistanis known as Biharis, who had been in Bangladesh since Four objectives were set, and four questions were formulated.

A descriptive survey research method was used for the study. A sample size of one hundred and fifty nurses was drawn from eight wards medical and surgical, at FMC, Umuahia. A self-developed questionnaire with seventeen 17 structured questions was the instrument of data collection. Data were collected, analyzed, and presented in tables, pie chart, bar chart, histogram, and percentages.

The results revealed that the nurses were well knowledgeable about nosocomial infection, although little deficiencies existed in the area of infection control practice and compliance, such as hand washing frequency.

Intent To Repatriate Cultural Items: Strengthening patient safety in transitions of care: Patient safety has gained less attention in primary care in comparison to specialised care. We explore how local medical centres LMCs can play a role in strengthening patient safety, both locally and in transitions between care levels. LMCs represent a form of intermediate care organisation in Norway that is increasingly used as a strategy for integrated care policies.

The analysis is based on institutional theory and general safety theories. A qualitative design was applied, involving 20 interviews of nursing home managers, managers at local medical centres and administrative personnel. The LMCs mediate important information between care levels, partly by means of workarounds, but also as a result of having access to the different information and communications technology ICT systems in use.

Their knowledge of local conditions is found to be a key asset. LMCs are providers of competence and training for the local level, as well as serving as quality assurers. As a growing organisational form in Norway, LMCs have to legitimise their role in the health care system. They represent an asset to the local level in terms of information, competence and quality assurance.

As they have overlapping competencies, tasks and responsibilities with other parts of the health care system, they add to organisational redundancy and strengthen patient safety. Teachers' conceptions of learning and teaching in student- centred medical curricula: Gibbs and Coffey have reported that teaching practices are influenced by teachers' conceptions of learning and teaching.

In our previous research we found significant differences between teachers' conceptions in two medical schools with student- centred education.

Frequency of ectopic pregnancy in a medical centre , Kingdom of Saudi Arabia. This retrospective study was done in Royal Commission Medical Centre , Yanbu Industrial City, KSA over a period of four years, where the medical records of patients with the diagnosis of ectopic pregnancy were reviewed.

A total of 66 cases were included in the study. The frequency of ectopic pregnancy was 0. Most frequent gestational age was weeks. Study has found that previous abortions are major etiological factor for ectopic pregnancy. Further more the other factors were IUCD use, previous pelvic surgeries, infertility, previous ectopic and induced conception cycles which may be the result of a previous pelvic infection that may cause tubal sequelae. Communication between general practitioners and the emergency medical dispatch centre in urgent cases.

When general practitioners GPs order an ambulance, their calls are handled by staff at the emergency medical dispatch centre EMDC who then select an appropriate response. Is cost-effective healthcare compatible with publicly financed academic medical centres? Probably more than any country, Singapore has made significant investment into the biomedical enterprise as a proportion of its economy and size. This focus recently witnessed a shift towards a greater emphasis on translational and clinical development.

Key to the realisation of this strategy will be Academic Medical Centres AMCs , as a principal tool to developing and applying useful products for the market and further improving health outcomes. Here, we explore the principal value proposition of the AMC to Singapore society and its healthcare system.

We question if the values inherent within academic medicine--that of inquiry, innovation, pedagogy and clinical exceptionalism--can be compatible with the seemingly paradoxical mandate of providing cost-effective or rationed healthcare.

Key performance indicators' assessment to develop best practices in an Emergency Medical Communication Centre. Emergency Medical Communication Centre EMCC represents a pivotal link in the chain of survival for those requiring rapid response for out-of-hospital medical emergencies.

Assessing and grading the performance of EMCCs are warranted as it can affect the health and safety of the served population. The aim of our work was to describe the activity on an EMCC and to explore the associations between different key performance indicators.

The EMCC performance was assessed with the following key performance indicators: The structural equation model confirmed that the occupation rate was highly correlated with the QS20 standardized coefficient: The occupation rate appeared to be the most important factor contributing towards the QS Our data will be useful to develop best practices and guidelines in the field of emergency medicine communication centres.

Changing trend of viral hepatitis -- 'A twenty one year report from Pakistan medical research council research centre , Jinnah Postgraduate Medical Centre , Karachi'. To determine the frequency and pattern of Hepatitis B and C over the past twenty one years, in a liver research unit of Karachi. A special flow sheet was made where information of all patients with viral liver disease was entered. Patients having complete information of viral markers were included in the analysis.

A total of cases fulfilling all criteria of viral hepatitis were seen in the past 21 years. Of the total Hepatitis B was seen a decade earlier in different age groups than hepatitis C. Overall, out of the total cases, While hepatitis B and hepatitis C both were present in 3 1.

Hepatitis E was 70 Full Text Available Introduction: In early , the Commonwealth government of Australia announced plans to establish Health Care Homes throughout the country based off the PCMH model, beginning with trial sites focused on the bundling of payments.

As a result, the number of Primary Health Networks, policy makers and general practices receptive to establishing Health Care Homes is growing rapidly. The time is ripe to identify how best the elements of the model translate into the Australian context and how to implement its elements with success. As a contribution to the opportunity for a widespread implementation, the North Coast Primary Health Network is engaged in a project to build capacity in general practices to transition into Health Care Homes.

The main outcomes of this project include: Focused on improving advocacy effectiveness, knowledge sharing and keeping stakeholders up to date with unfolding developments. Increasing local preparedness and interest for establishing HCHs Focused on propagation of development of interest locally for transitioning practices into HCHs. A local network of practitioners and collaborators informed of project updates and HCH learning and development opportunities in the region.

Full Text Available Much has been written about service quality impacts on customer satisfaction. However, little research on this perspective has been carried out in military settings. The aim of this study is to examine the relationship between service quality and customer satisfaction, and moderating effects of perceived value in military medical centre. A survey method was employed and data was collected from customers at medical centers under the administration of Malaysian army organization.

Analysis was performed using SmartPLS path model analysis. The results show two important findings: Second, the interaction between one service quality component i.

Further, this study offers discussion, implications and conclusion. Barriers and opportunities in assessing calls to emergency medical communication centre --a qualitative study. Previous studies have described the difficulties and the complexity of assessing an emergency call, and assessment protocols intended to support the emergency medical dispatcher's EMD assessment have been developed and evaluated in recent years. The previous research has primarily been focused on specific conditions, and it is still unclear whether there are any overall factors that may influence the assessment of the call to the emergency medical communication centre EMCC.

The aim of the study was to identify overall factors influencing the registered nurses' RNs assessment of calls to the EMCC. A qualitative study design was used; a purposeful selection of calls to the EMCC was analysed by content analysis.

One hundred calls to the EMCC were analysed. The opportunities appeared in the callers' symptom description and the communication strategies used by the RN. The barriers appeared in callers' descriptions of unclear symptoms, paradoxes and the RN's lack of communication strategies during the call.

Barriers in assessing the call to the EMCC were associated with contradictory information, the absence of a primary problem, or the structure of the call. Opportunities were associated with a clear symptom description that was also repeated, and the RN's use of different communication strategies such as closed loop communication. This may provide the baseline measures for safe abortion practices and to increase the awareness among men and women of reproductive age, the availability of safe abortion services at locality.

The aim of the study is to know the incidence of medical termination of pregnancies in a tertiary level hospital, to study the causes for seeking MTP, to analyse the success of the methods of abortion and adoption of family planning methods. Among them, every 5 th women were selected and thus cases were included in this study. RESULTS Induced abortions were common in women in year age group, more in third gravid, Hindus, from rural areas, living in nuclear family, married and educated.

Most of the women seek 1 st trimester abortion with underlying social cause. Majority had surgical abortion.

Majority adopted transabdominal tubectomy as the concurrent family planning method. Second trimester abortions common in unmarried, uneducated women. Diagnostic x-ray in use in federal medical centre , case study Makurdi metropolis.

Every year more than two thousand patients go for routine medical check-up at the Federal Medical Centre using diagnostic x-rays. This paper is based on a study to determine the entrance surface doses per radiograph of patients that had diagnostic examinations at the Federal Medical Centre Makurdi.

The examinations considered in this study are chest x-ray examinations, abdomen, skull and other extremities, for both adults and children.

The data shows that the entrance surface doses due to the x-ray examination for adult and children are within the ICRP guidance levels. These guidance levels of dose for diagnostic radiography for a typical adult patient are 10 mGy for AP abdomen, 0.

Gender and psychiatric diagnosis: The role of gender in psychiatry disorders is becoming increasingly important. This study is therefore, aimed at identifying gender pattern of admissions to a public mental health centre with regards to demographic characteristic, psychiatry diagnosis and length of stay on admission.

In this retrospective study Hospital records of patients admitted at the psychiatric section of the Federal Medical Centre FMC Makurdi, between January, and December, were studied for gender differences regarding demographic attributes, length of stay and psychiatry diagnoses.

Findings revealed that more men than women were admitted overall. For men the main diagnosis was schizophrenia Most female were single and belong to the lowest occupational group.

The results revealed how psychiatry diagnosis is significantly influence by gender issues. We therefore recommend that; for a more effective psychiatry formulation, it is imperative to pay attention to gender issues that may affect the development of psychopathology. This study examined sleep histories associated with resilience after trauma defined as a continuous lack of psychiatric illness across 37 years.

Data were drawn from a year follow-up examination of the effects of the Vietnam prisoner of war POW experience. The study used a sample of Vietnam repatriated prisoners of war RPWs. Psychiatric disorders were assessed at repatriation and were continued annually by a psychiatrist or clinical psychologist. Sleep issues before, during, and after captivity were assessed upon repatriation during medical examinations. Odds ratios examining presence of sleep symptoms show resilient RPWs reporting fewer symptoms compared to nonresilient RPWS before, during, and after captivity.

In Malaysia, prostate cancer is ranked 6th among male cancer and expected to increase in the future. Several factors have shown to be related to prostate cancer such as sociodemographic, lifestyle, diet, occupational exposure, medical and health status.

This is the first time a similar study was conducted in Malaysia to recognize the risk factors for prostate cancer patients who came for treatment at University Kebangsaan Malaysia Medical Centre UKMMC.

Prostate cancer cases diagnosed between and which met with the inclusion criteria were included in the study. One hundred and twelfth pairs of cases and controls matched by age and ethnicity were analysed. Most of the prostate cancer patients The majority were Chinese Some lifestyle and occupation factors are strong predictors of the occurrence of prostate cancer among patients in UKMMC. More importantly, with the identification of the potentially modifiable risk factors, proper public health intervention can be improved.

Descriptive epidemiology of colorectal cancer in University Malaya Medical Centre , to Colorectal cancer is the second most frequent cancer in Malaysia. Nevertheless, there is little information on treatment and outcomes nationally. We aimed to determine the demographic, clinical and treatment characteristics of colorectal cancer patients treated at the University Malaya Medical Centre UMMC as part of a larger project on survival and quality of life outcomes.

A retrospective-prospective cohort study design was used. Research tools included the National Cancer Patient Registration form. P-value significance was set at 0. Latimer explains the process to pet owners, mails them an application that is then returned with payment. The owner also gets post operation instructions.

The procedures have prevented the birth of millions of unwanted kittens and puppies, Hartness said. The clinics have been going on for about seven years. Wednesday morning was a busy time for thousands of parents and students as the new school year began this morning. This group was headed to Granite Quarry Elementary School. This month, county staff members and two commissioners met and concluded that the southern Rowan service should generate enough call revenue to sustain itself. Karriker then agreed to continue to provide service to southern Rowan at the current funding level.

United Way funds were cut a few years ago, board members said, and other funding options are limited. The rescue squad pays a company called Volunteer Mail Service to contact county residents and ask for contributions.

Donors receive one free photograph with the option of buying more, and the rescue squad keeps all donations. Barber was the only commissioner present Wednesday. The formed in The shuttle meets early in the morning, the animals have the surgery and are returned the next day. Dozens of volunteers help on shuttle days.

The Humane Society also has a food distribution service to help people with pet food. China Grove Animal Hospital spays and neuters cats Also Scott Vaughn began partnering with the organizaany regular price SAS sandal with this ad tion in April He recently did the 1,th procedure on a cat.

He admits the economy has taken its toll on procedures. He performs surgeries on Tuesdays and Thursdays. The surgery also helps males with aggression issues and territorial markings. Vaughn has been in practice for 20 years and at his. I apologize, and I am ent people about my danger- humbled. It was bad enough ous misuse of pronouns.

One of my personal hall of shame. The reader probably Darn it. Cress said the relative cost compared to the revenue brought in still makes the portrait program a good deal. Cress said the company went from being a call service to a mailer service, causing its costs to decrease. Board and squad members also made the following comments Wednesday about expenses they said have been criticized by Post readers: He is not involved in any related contract negotiations.

The rescue squad is just one of several groups that uses its building, board members said. It was bought with grant money. The girls are looking forward to spending their last year of high school hanging out together.

Wednesday was bittersweet for seniors returning to class at East Rowan High School. It marked the last first day of their high school careers and put them one step closer to accomplishing their ultimate goal — graduating. Although she feels ready for the challenges that lie ahead, Shuemaker said the first day of school Wednesday made her a bit nostalgic.

The two girls have been friends since elementary school, remaining close throughout high school. Kayla Morris said she was happy to be an upperclassman. Science teacher Wynne Youngblood said seniors are allowed to eat outside or in the common area during lunch period and get to leave class three minutes early for lunch.

Classes like fashion merchandising and Native American history, athletics, prom, road trips and graduation are highlights for some seniors. Some were left unphased in the move from junior to senior year, while others felt strange to arrive at the end of their high school career. As school began Wednesday, students were already feeling the stress associated with graduation.

Contact Sarah Campbell at Heather Coulter greets Makhiya Lea. R3 Center offering free workshops The R3 Center is offering numerous career development workshops and resume clinics in September for adults in Cabarrus and Rowan counties. All of the programs are provided free-of-charge. Now located at West Ave.

Due to the popularity of its free sessions, the R3 Center strongly encourages clients to call in advance at and reserve a seat. Call also for specific workshop locations. New Client Launch is an orientation program for persons who have never attended an R3 Center workshop or taken advantage of its other services. This is a new workshop for people wanting to pursue a career as a medical paraprofessional. Criminal Record — Free resume clinics The R3 Center also will offer multiple resume clinics to help job searchers improve their current resume or create a new one from start to finish.

Please call to reserve a seat. The resume clinics are scheduled for: The R3 Center helps adult workers assess their skills, aptitudes, training and academic credentials, and future career interests to develop an action plan for career growth. All R3 Center services are provided free-of-charge. Students learn about plants at an agriscience event. Twenty-three students from across Rowan County recently took part in a four-day agriscience camp.

The purpose was to provide a handson learning experience in science and agriculture, to develop an active learning environment that promotes critical thinking and problem solving and to involve the local community in promoting science based careers in agriculture. At this camp, students learned about animal genetics, husbandry and care from Lazy 5 Veterinary Service; organic milk production from Mary L.

In addition to studying about how. To show their findings, each of the students developed a presentation that was delivered to parents and guests on the last day of the camp. WCU holding free informational sessions Representatives from Western Carolina University are hitting the road in September to meet with prospective students and their friends and families at informational receptions in Greensboro, Raleigh and Charlotte.

A brief presentation takes place at 7 p. Staff and faculty also will be available to discuss the admission process, financial aid, scholarships, residential living, the Honors College and more. To learn more about WCU, check out admissions. He is in kindergarten. Granite Quarry Elementary School kindergarten teacher Dawn Young and her students show their patriotism. Granite Quarry Elementary School Principal Vicki Booker, left, and Assistant Principal Kris Wolfe take a few minutes to greet students and give instructions via the live video feed to all of the classrooms.

Funds raised will help provide services to those in the community in need of literacy tutoring. It is estimated that more than 30, adults in Cabarrus County lack basic literacy skills. This means these men and women struggle to fill out job applications, read prescription labels or understand their bank statements. The inability to read or write directly affects success, employment, health, poverty and criminality.

The Literacy Council is still accepting applications for teams. To register a team or to purchase tickets, contact Karen Whichard at kwhichard walker-marketing. School readiness event set for Sept. The event is scheduled Thursday, Sept. Cannon School is an independent Junior Kindergarten through Grade 12 college preparatory institution. Cannon School instills academic excellence and personal responsibility, inspires athletic and artistic accomplishment, and promotes a respect for diversity within a challenging and safe educational environment.

Her doctoral research focused on Environmental Sustainability. A native of Cleveland and the daughter of the Late J. Henderson is a graduate of West Rowan High School.

Gardner-Webb holds summer graduation Gardner-Webb University recently held its summer commencement exercises where a total of students graduated.

Graduates from the local region included the following: Gardner-Webb seeks a higher ground in higher education — one that embraces faith and intellectual freedom, balances conviction with compassion and inspires in students a love of learning, service and leadership.

Kirk presented the award to Stolze during the meeting Monday. Anyone may nominate a RSS employee for this honor. Employees nominated for the month of August are: Keonya Booker joins Pfeiffer staff Dr. Booker most recently served as director of continu-. The funding agencies include the U. Lovell completes driver training program Roehl Transport announces the newest graduate of the Roehl Driver Training Center, Kirk Lovell of Cleveland, who officially completed the education program July 29, Lovell, who attended West Rowan High School in Mount Ulla, says he is happy to work for a good company in the van division.

Rather, Roehl drivers are taught to drive protectively — anticipating, recognizing and adjusting to mistakes that others make. Roehl drivers have a responsibility to drive in a way that protects sons, daughters, mothers, fathers, relatives and friends who share the roads. Cardelle has more than 20 years of experience within both private and public education including more than four years in school administrative and management roles.

Cardelle joined Sacred Heart Catholic School in where he taught social studies, Spanish, and physical education. He was named Assistant Principal and Dean of Students in He has extensive experience with curriculum and instruction, staff development and mentoring and supervisory responsibilities.

They have seven children, Frankie Jr. For more information on Sacred Heart Catholic School, visit www. Roehl pronounced Rail Transport, Inc. Headquartered in Marshfield, Wisc. Smith University JCSU , an initiative designed to enhance the opportunities for career advancement and success among adult students. She assumed her new position at Pfeiffer on Aug. In her new role, Booker will lead the Graduate Student Success Center GSSC and will be charged with the collection and interpretation of retention and success data that impact decisions and campus program implementation.

She will serve on various university and community committees and task forces. Prior to Pfeiffer and in addition to her experience at JCSU, Booker has served as an assistant professor of educational research at UNC Charlotte, assistant professor of educational psychology at the University of Virginia and in similar positions at other colleges and universities in North Carolina and Virginia. She was also assistant dean of students and director of new student and leadership programs at Randolph College in Lynchburg, Va.

Booker earned her Ph. Pfeiffer University is a comprehensive United Methodist-related university, with multiple campuses, including Charlotte and the Triangle, committed to educational excellence, service and scholarship.

Visit the schools website at www. First United Church of Christ recently awarded merit scholarships to seven of its members. Receiving the scholarship for the first time was Miller Sokolowski, son of Mark and Jamie Sokolowski.

He will attend N. State University to study civil engineering. Currently employed as Assistant Dean of administration and the budget and accounting instructor of N. Kennedy scholar of the School of Graduate Studies of N. She is married to John Henderson and is the mother of four adult daughters. It is purple in color, about 4 to 5 inches long and weighs about 6 ounces in healthy people. Because it is protected by the rib cage, it generally cannot be felt unless it enlarges.

The spleen acts as a filter for blood, destroying old and damaged blood cells. It fights bacteria such as meningitis and pneumonia by producing white blood cells known as lymphocytes.

It stores iron from old cells, returning the iron to our bone marrow, where hemoglobin is made. Oddly enough, with all the important things this organ does, we can live without it if necessary.

An enlarged spleen, known as splenomegaly, can occur because of infection, parasites, liver disease, lymphoma, leukemia and a number of other conditions. When the condition occurs, this relatively small organ can weigh up to 4 pounds and becomes palpable on examination. Symptoms can include frequent infections, fatigue, anemia and pain in the left upper abdomen that radiates to the left shoulder. Diagnosis, other than through palpation, can be made by ultrasound, CT scan or MRI and will often provide a physician information such as how large it is and whether it is crowding other organs in its proximity.

Sadly, an enlarged spleen can occur despite doing all the right things. A healthful diet, plenty of exercise and abstaining from smoking, drinking and drugs has likely kept her well all these years. Now, however, she should be under the care of a physician, who can get to the bottom of the issue and get her back on the road to recovery.

She should also address her fear of falling. It might be that she has been so well for so many years that she now perceives the falls to be the beginning of a massive decline in her general health.

Her physician can order appropriate testing to rule out any concerns he might have in this regard or, if appropriate, she might speak with a therapist in an attempt to regain her independence if no medical basis is discovered.

Box , Wickliffe, OH Be sure to mention the title or print an order form off my website at www. His website is www. She buys whatever story she is told and hands over her money. Meanwhile, we work hard, ask nothing of her and drown in bills and debt. What do we do? She is making things worse for them. Clarify your intentions and then urge her to work with a nonfamily adviser who can help her make sounder financial investments than putting her money into her loser relatives.

My huffiness sprang from what I considered to be the overloaded nature of this gesture. It was simply too much. Send questions via e-mail to askamy tribune. Many of these plants are frost tolerant. East was caught napping. West, from his club-three opening lead, had to have at most five clubs. So, if South had the club king, the contract was probably impregnable.

East should have grabbed the third trick with his heart ace and returned the club nine higher of two remaining cards. Then, when declarer played a diamond, East could have won with his other ace and led his last club. The defenders would have taken one heart, one diamond and three clubs for down one. No-trump contracts usually develop into this kind of race, where timing is critical. Bridge is such a great game because, inter alia, deals that at first glance look similar may require different plays.

North, with 10 of his 11 points in his short suits, sensibly decided to eschew Stayman and jump straight to three no-trump. Note that four hearts can be defeated: Against three no-trump, West naturally led the club three, fourth-highest from his longest and strongest: East, hoping his partner was about to take the trick with the heart queen, played low.

But now South led a spade to his king and shifted to diamonds to establish nine tricks: Your Fanny, however, must. Because you invited Fanny into the group, you must politely hold the door for her exit. Now that you know how ill-mannered and boorish she is, you should protect your group by asking her to leave. Fanny may stomp and hiss, but she was doing this anyway. Turn the page on this sorry episode and start a new chapter. This was a mistake because she is abrasive, pushy and rude.

Whenever my two close friends other members of the book group and I do something, Fanny confronts us, drilling us about why she was not invited. Unfortunately, at this point the group as a whole does not particularly like Fanny. A member of the book group is planning a camping trip for a special family occasion; several of the members are going because they have known this family for many years. How should we handle this?

A much greater earning cycle is likely to develop for you in the year ahead, allowing you to acquire a significant amount of things that you've always wanted but never could afford previously. Make as much hay as you can while the sun is shinning. However, once it's operational, you'll appreciate its value and what it's doing for you. Embrace every associate who wants in, as long as they can make a contribution.

Others who want to repay you for past deeds want to help. Unexpected benefits could ensue. It looks like it will be OK to be optimistic, as well as a bit bold in certain circumstances. It'll put you in a happy frame of mind that will make you joyful for the rest of the day.

Happily, your yields will turn out to be quite large. Aries March April 19 — Things will go better if you're the one who is in charge of an important endeavor that includes several people. Don't let anyone who truly isn't up to the task call the shots. Taurus April May 20 — It's a sound strategy to confine confidential information only to those who are involved with the matter.

If you tip your hand to someone who personally wants you to fail, you may not like the results. Gemini May June 20 — Everything should go rather well for you in terms of group affairs, mostly because some of your old pals will be included. They won't hesitate to look out for you, and you'll do the same for them. Cancer June July 22 — Don't waste your time and energy on insignificant objectives.

It's a period where you should be elevating your sights and aiming for a large, meaningful target you know you can reach. Use this vital dope in as many ways as you can. Trying to patch up a broken romance? The Astro-Graph Matchmaker can help you understand what to do to make the relationship work.

In order to completely register, each football player and cheerleader will need proof of physical exam dated or later , a copy of your birth certificate and registration fee, proof of school attending. Physicals are at North Rowan Middle School: My friend who lives in another state indicated her mother was diagnosed with an enlarged spleen.

Her diet is exemplary with no white sugar, bread, flour, starchy foods, red or meats luncheon She has DR. Lately, she has complained about being very tired, she fell a couple of times, and now she has a constant fear of falling. How could someone who took such good care of what she put into her body end up with an enlarged spleen? What purpose does it serve, anyway? The spleen is an organ located in the upper.

Drivers Wanted Full or part time. Fax resume to Costumes will be provided. We're also looking for Mrs. Call to apply. Women's clothes, shoes, kitchen items and a lot of books. Industrial Cleaning Technicians Needed Small company seeking dedicated individuals that are looking for a career.

Any type of industrial experience is a plus. Applicants must have a drivers license with clean driving record, able to lift lbs and pass a drug test. Fax resume to or email to: Rowan incl Woodleaf, Mt.

Area 5 - Davidson Co. Area 6 — Davie Co. This is a rough guide to help plan your stops, actual areas are determined by zip code. Please see map in your Salisbury Post or online at salisburypost. Great for grandma's house or small space. More boys' clothes avail. HP DV laptop with remote, webcam, and data burner. I bought a new laptop so I'm selling this one. Call , lv msg. Your authorized farm equipment dealer.

Area 3 - S. John Deere Tractor, , new rebuilt motor, excellent condition, well maintained, new paint job. Ready for a Bar-B-Que. Mission Hills in Kannapolis. Also, I do repairs. Call or Bedroom suite, new 5 piece. Hometown Furniture, S. Oak finish computer desk, 41 x Seats from 4 up to Mission Hills Subdivision in Kannapolis.

Frigidaire Wall Oven Gas, White, 24" with broiler. Used approx 2 yrs. Frigidaire Gallery free standing gas range. A little rust on lid; it should clean up ok. Blade Fence Miter Gauge. Games and Toys Kitchen. Child's dream kitchen; brand new never out of box! Send us a photo and description we'll advertise it in the paper for 15 days, and online for 30 days for only. Poodle, Free chocolate, male, 5 yo, neutered.

Owner has health issues. Dog found in the Leonard Road area. Has collar but no tags. Full grown, large dog. Tan with a little bit of Black mask. Wearing 2 collars, one for invisible fence. Subdivision, Wearing pink collar with bell. Answers to name Cujo. Please call or or China Grove - 3 BR.

However, some fraudulent ads are not detectable. Please protect yourself by checking the validity of any offer before you invest money in a business opportunity, job offer or purchase. Corbin Hills overlooking 4th green. Updated and move in ready. Chatham County, looking for 10 members only. Call for more information.

Piano is old but in good shape. Very heavy, need lots of help to move. Thousands below tax value. Tons of extras, crown molding, work island in kitchen, office upstairs, bonus room. Master on main, Beautiful hard-wood floors. Fireplace, bonus room, many extras! Ready to mount on car. Please call for details.

Also, flags 3 x 5 All 50 states, all countries, military. Will help with your estate or yard sale. Call for all details by owner. Timber wanted - Pine or hardwood. Shaver Wood Products, Inc. Watches — and scrap gold jewelry. China Grove, 3 homes available: All 3 BR, 2 BA.

Detached 24x28 garage and 2 other outbuildings. Call or Corner lot, hardwood floors, formal dining room, fenced back yard, rocking chair front porch. Business Opportunities Building, used, for sale 10' x 12' metal building with wood frame.

Like new will sell for much less than new retail cost. Can be seen at Auction Dr at Webb Rd exit 70 off 85 south. Call or come by and ask about our move-in specials. For immediate info call All new appliances, vaulted ceilings, chandeliers in each room.

Large dressing room in master bedroom, water closet in master bath. Must see to appreciate! West Rowan — Country Club living in the country. Lots of ceramic and granite. For Info Handicap accessible units available. Section 8 assistance available. Master on main, Hardwood and ceramic tile floors. Kerry, Key Real Estate or Faith Rd to L on Rainey. R into Shady Creek. Range, microwave, refrigerator, dishwasher, garbage disposal, washer, dryer, gas logs, outbuilding.

Call or email smills51 carolina. Salisbury, Nice home for price. Looking for 2BR, 2BA in a quiet community setting? Call Bryce, Wallace Realty Near Salisbury VA Hospital Lots of cabinet storage in galley kitchen. Perfect mancave or workshop.

Must see to appreciate. Also joins 37 more acres which can be bought also. Salisbury, 3 BR, 2 BA patio home, hardwoods, great room, bonus room, located on golf course.

Enjoy the evenings on the screen porch or the rocking chair front porch. Deck, garage doors, heating systems, windows newly replaced. Beautiful view and deep water. Please call or Gotta see this one while it lasts! Land for Sale S. Trees and stream at back of property. Old Stony Knob Rd. Restricted, no mobile or mod. Very rural, mostly wooded. Good hunting, deer, small game. Frontage on Hobson Rd.

Safe distance from cities. Needs to be sold this year. No reasonable offer refused. Great income producing potential here. Includes 2 2 bedroom cottages, handicapped accessible, full kitchens, baths, laundry.

We your guarantee a sale within 30 days. Nice, well maint'd, responsible landlord. Please call 2BR, 1BA apt. We furnish refrig, stove, yard maint, and garbage pick up. Call Rowan Properties Airport Rd. Water Sewer tap fees paid. Appliances, water yard work incl'd.

Faith Realty Kann. Nice 3BR, 2BA brick home. Corner of East 27th and Brady Ave. China Grove Swink St. Rebecca Jones Realty Inc. Cute little furnished 5 room house. Large screened porch, garage, large yard. Great location, walking distance to Historic Downtown Salisbury, sq ft to sq ft. Large rooms and great closets. Need a home or Apartment?

Call and let us help you. Very nice sq ft 3 BR 2. Water incl'd, stove, refrig. Land for Sale Salisbury, 2 BR, 1 BA, Almost all new windows, some new carpet, nice home on dead end street, detached garage with dirt floor, beautiful large trees, nice sized lot. The Crescent Tastefully decorated. Salisbury, 3 BR, 2 BA.

Well cared for, kitchen with granite, eat at bar, dining area, large living room, mature trees, garden spot, 2 car garage plus storage bldgs. Close to interstate, shopping centers, grocery stores. Office and Commercial Rental sqft office. Lobby, 3 offices and 2 restrooms. Call to 1, sq. Bradshaw Real Estate China Grove. Call Commercial warehouses available.

Corner Lot 12, sq ft building on Jake Alexander Blvd. Could be office or retail. Salisbury, Henderson Estates, 3 BR, 2. Video surveillance and ample parking. Nonsmoker, no children or pets. Numerous Commercial and office rentals to suit your needs.

Ranging from to 5, sq. Call Victor Wallace at Wallace Realty, Large open space with dividers, 2 bathrooms and breakroom. Ample parking Jake Alexander Blvd. Security system; spacious parking. Ashley Shoaf Realty Restaurant fully equipped. Conference room, internet access, break room, ample parking. Conference room, employee break room, tile bathroom, and nice, large reception area.

Perfect location near the Court House and County Building. Want to lease but will sell. Perfect for dual occupancy. Quiet family area, yet close to shops and restaurants. Volkswagen, New GLS 1.

Suzuki, Forenza Fusion. Red Metallic on gray cloth interior. Call Honda, Accord LX 2. Ford, ThunderBird Convertible. Volvo, S80 2. Golf car utility sales. US 52, 5 miles south of Salisbury. Look for EZGO sign. All batteries brand new, not reconditioned or refurbished definition: Toyota, Camry, SE V6 4 door sedan. Stock TB 2 Year Warranty www. Ford, Focus ZX3 Hatch back. Cadillac, Deville Bronze Mist on Oatmeal leather 4.

Honda, Civic Coupe. Jaguar, S-Type 4. Mazda, 5 sport Grey on gray cloth 2. Volvo, S60 2. Toyota, Corolla 1. Wholesale Not Retail If it's a battery, we sell it! We Buy Old Batteries! Chevy, Silverado V8 with auto tranny am, fm, cd, cold ac, bed liner, like new tires.

Highway 29 South, Concord, NC Call for latest prices. Run your ad where it will pay for itself. Daily exposure brings fast results. Ford, Focus SE White over gray cloth interior, 2.

Pontiac, Bonneville V Toyota, Corolla S Sedan. No other local media reaches as large a home-buying audience as the Salisbury Post and salisburypost. Three The m an off. In fact, no one even comes close.

Call your realtor to get your home listed in color in the paper and online at www. This is to notify all persons, firms and corporations having claims against the said decedent to exhibit them to the undersigned on or before the 23rd day of November, , or this notice will be pleaded in bar of their recovery.

All persons, firms and corporations indebted to said estate are notified to make immediate payment. This the 17th day of August, This the 19th day of August, James Mack Evans, Jr. Gray leather interior 4. Automatic, low miles, all power, CD player, bed liner, sliding rear window, premium wheels.

This is to notify all persons, firms and corporations having claims against the said decedent to exhibit them to the undersigned on or before the 1st day of December, , or this will be pleaded in bar of their recovery. All persons firms and corporations indebted to said estate are notified to make immediate payment.

This the 24th day of August, F, Salisbury, NC No. This the 30th day of July, Box , Salisbury, NC No. Ford, Expedition Eddie Bauer Edition. Steering wheel controls, nonsmoker. Jordan, Stokes Ferry Road, Gold Hill, NC , this is to notify all persons, firms and corporations having claims against the said decedent to exhibit them to the undersigned on or before the 9th day of November, , or this Notice will be pleaded in bar of their recovery.

For the estate of Mickey W. All persons indebted to said Estate will please make immediate payment. This the 13th day of August, Hope, Executor Daniel K. KIA, Sorento 3. Chevy, Silverado hd extended 6. Ford, Explorer 2 dr XLT sport. Classifieds give you affordable access to those loyal readers. Call Pastor Rob at Thanks for letting your love shine! Box , Asheville, North Carolina, , on or before the 26th day of November, , or this notice will be pleaded in bar of their recovery.

All persons, firms and corporations indebted to the said estate will please make immediate payment to the undersigned. This 26th day of August, Box , Asheville, NC And Being more commonly known as: Loucks and Melissa E.

Free indoor cat to good home. Indoor only; had 1st shots. Boxer pups, AKC registered born July 4th tails docked, dew claws removed up to date on shots and deworming. Free Lab Pups Kittens, Free! Labs; males and females available. Free to a good home. Very pretty, will make good pets. Ready to go Sept. Call Mom and Dad on site. Call for more information or Being all of Lot No.

If you are a tenant residing in the property, be advised that an Order for Possession of the property may be issued in favor of the purchaser. Also, if your lease began or was renewed on or after October 1, , be advised that you may terminate the rental agreement upon 10 days written notice to the landlord. You may be liable for rent due under the agreement prorated to the effective date of the termination.

Ingle Or Elizabeth B. Lab Mix, Nine months old. To a good home. All vaccines up to date. Any and all responsibilities or liabilities arising out of or in any way relating to any such condition expressly are disclaimed. This sale is made subject to all prior liens and encumbrances, and unpaid taxes and assessments including but not limited to any transfer tax associated with the foreclosure. This sale will be held open ten days for upset bids as required by law.

Failure to remit funds in a timely manner will result in a Declaration of Default and any deposit will be frozen pending the outcome of any re-sale. Salisbury Animal Hospital E. The date of this Notice is August 10, Together with an easement for septic field, described as follows: Ludwick Book Page line thence South 60 deg.

Trustee may, in the Trustee's sole discretion, delay the sale for up to one hour as provided in NCGS Also, this property is being sold subject to all taxes, special assessments, and prior liens or encumbrances of record and any recorded releases. Said property is also being sold subject to applicable Federal and State laws. An order for possession of the property may be issued pursuant to G.

Any person who occupies the property pursuant to a rental agreement entered into or renewed on or after October 1, , may after receiving the notice of sale, terminate the rental agreement upon 10 days' written notice to the landlord.

Upon termination of a rental agreement, the tenant is liable for rent due under the rental agreement prorated to the effective date of the termination. This 12th day of August, Attorneys for Substitute Trustee Services, Inc. Brenda Cooper and Edwardo George, Sr. Beginning at a point or stake on Correll Street, half the distance between the houses three and four of said Wright house and Lot No. Lee Wright which fronts on Correll Street and which is a distance of about forty seven feet, the width of the lot conveyed; thence with the line of said fifth house and lot, being half the distance between houses four and five in a southerly direction, being parallel with Long Street, about seventy eight feet to a point or stake on Correll Street half the distance between houses four and five, fronting on Correll Street; thence with Correll Street in a southwesterly direction about forty seven feet to a point or stake halfway between houses three and four, or the beginning.

This house and lot is one of five houses and lots of R. Together with improvements located thereon; said property being located at Correll Street, Salisbury, North Carolina. This 19th day of August, Hours of daily personal attention and doggie fun at our safe 20 acre facility. Happy Birthday to my grandson, Saylor Earnhardt! We love you more! The Salisbury Post reserves the right to edit or exclude any birthday submission.

Space is limited, 1st come 1st served, birthdays only. Please limit your birthday greetings to 4 per Birthday. Mon, Tues, Thurs, Fri, Sat: Lowest prices in town, residential-commercial References available Please Call for more info: Auctions Auction Thursday 12pm N. Job Seeker meeting at E. Full Service Auction Company. Try selling at auction.

There's no easy fix for bad credit. It takes time and a conscious effort to pay your debts. Learn about managing credit and debt at ftc. Garages, new homes, remodeling, roofing, siding, back hoe, loader Maddry Const Lic G.

Anthony's Scrap Metal Service. Top prices paid for any type of metal or batteries. Professional Services Unlimited Licensed Gen. Pools and Supplies Bost Pools — Call me about your swimming pool. Graham's Tree Service Free estimates, reasonable rates. Wood splitting, lots cleared.

Insured — Free estimates! Beautiful 4 pie ce bedroom se t. Headboard, fo otboard, 2 nigh t tables. Very go od condition.

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