By C. Reto. Morningside College. 2017.

A useful recent resource is a series of articles representing the output of the Ninth Cambridge Conference on Medical 87 Education which appear in Medical Education (2000) order elocon 5 mg with amex, 34 purchase 5 mg elocon free shipping, No 10. For additional information on practical and laboratory teaching we recommend the following: A Handbook for Teaching and Learning in Universities and Colleges by R. Baillie, HERDSA Gold Guide No 4, 1998 available from HERDSA, PO Box 51, Jamieson, ACT, 2614, Australia. Unfortunately, there is no straightfor- ward formula to guide you in this activity. First, curriculum planning is a complex business involving more than purely educational con- siderations. For example, you will find that full account must be taken of the political and economic context in which you teach. Much curriculum development is a matter of revising and adapting existing courses or materials. And third, there are important differences between individuals – especially between individuals working in different disciplines – in the ways in which they view a variety of educational issues. You may, for instance, see your main function as transmitting appropriate knowledge, skills and attitudes. On the other hand you may perceive your role as being primarily concerned with the personal and social development of your students as well as with their intellectual development. In a book of this kind it is not possible to provide a discussion which can fully take into account these various orientations. However, we believe that you should be aware of these differences and we would encourage you to read further on the matter to help develop your own particular orientation and your own approach to curriculum development. In our view, the key to good curriculum or course design is to forge educationally sound and logical links between planned intentions (expressed as objectives), course content, teaching and learning methods, and the assess- ment of student learning while taking account of student characteristics. In the past, too many courses started with vague intentions, consisted of teaching which had a tenuous relationship to these intentions and employed methods of assessment which bore little or no relationship to either. Such courses then placed students in the unfortunate situation of playing a guessing game, with their academic future as the stake!

Look and listen for any The best pulse to feel in an emergency is the movement 5mg elocon, breathing (other than an occasional gasp) generic 5 mg elocon, or carotid pulse, but if the neck is injured the femoral pulse may be felt at the groin coughing. Turning casualty into the recovery position Expired air resuscitation 2 Basic life support If you are a healthcare provider, and have been trained to do so, feel for a pulse as part of your check for signs of a circulation. If no signs of a circulation are present continue with rescue breaths but recheck the circulation after every 10 breaths or about every minute. Circulation If there are no signs of a circulation (cardiac arrest) it is unlikely that the patient will recover as a result of CPR alone, so defibrillation and other advanced life support are urgently required. Ensure that the patient is on his or her back and lying on a firm, flat surface, then start chest compressions. The correct place to compress is in the centre of the lower half of the sternum. To find this, and to ensure that the risk of damaging intra-abdominal organs is minimised, feel along the rib margin until you come to the xiphisternum. Place your middle finger on the xiphisternum and your index finger on the bony sternum above, then slide the heel of your other hand down to these fingers and leave it there. In an adult compress about 4-5cm, keeping the pressure firm, controlled, and applied vertically. Try to spend about the same amount of time in the compressed phase as in the released phase and aim for a rate of 100 compressions/min (a little less than two compressions per second). After every 15 compressions tilt the head, lift the chin, and give two rescue breaths. Return your hands immediately to the sternum and give 15 further compressions, continuing compressions and rescue breaths in a ratio of 15:2.

So it was just a matter of sitting back and saying generic elocon 5 mg line, ‘Hold it purchase 5 mg elocon with amex, I’ll do my best at school. For many of these informants this means controlling their diet and changing the way they eat and drink. As Marie put it, “If somebody’s drinking thirty cups of coffee a day and they’re having trouble sleeping and they can’t relax, well maybe look at your lifestyle. For instance, Pam said, “I used to read labels to begin with; I read them now even more. You have to learn all the other little names that mean the same thing for the same foods. For instance, Marie, Greg, and Randal all told me of behaviours they engaged in that they now see as unhealthy under their alternative model of health. I used to smoke a pack, a pack and a half a day; I smoke maybe six or seven cigarettes a day now. It wasn’t a permanent improvement, but that probably means that there is still something goofy with the body. I’m just going along following all the bad habits I may have picked up along the way. For Randal also, alternative health requires control of “bad habits”: If you’re going to be out in the cold bundle up! And I was 76 | Using Alternative Therapies: A Qualitative Analysis partying too much at that time. Therefore, alternative health requires control over one’s “mind, attitudes, and belief systems” (Lowenberg 1992:25). According to Richard, “You change destructive behaviour [and] destructive beliefs” in order to pursue alternative health.

The bacterium can also form a the first case of an inhalational anthrax death in the United metabolically near-dormant form known as a spore order elocon 5 mg otc. An indi- States since 1978 and as of June 2002 buy discount elocon 5mg, more than 20 cases and vidual spore is much smaller and lighter than the growing bac- five deaths were attributed to the terrorist attack. Indeed, the spores can drift on air currents, to be Although a relatively new weapon in the hands of mod- inhaled into the lungs. Once in the lungs, the spores can resus- ern potential bioterrorists, the threat of death from the inhala- citate into an actively growing and dividing bacterium. Some scholars argue that it is the sooty “morain” in the Bible’s Although millions of spores can be released from a few grams Book of Exodus, and is likely the “burning wind of plague” (fractions of an ounce) of Bacillus anthracis, only about 5,000 that begins Homer’s Iliad. If left untreated or not promptly treated with bacteria as weapons is not new. Non-inhalation contact with Bacillus anthracis used to poison wells and were catapulted into cities under can result in cutaneous anthrax—a condition more treatable siege. Research into the military use of anthrax was carried out with conventional antibiotic therapy. A report from the duction of five million anthrax “cakes,” designed to be Centers for Disease Control and Prevention, entitled The dropped on Germany to infect wells and the food chain. The Economic Impact of a Bioterrorist Attack, estimated the costs weapons were never used. In just a few months in 2001 alone, biological weapons, including anthrax, been added to the arse- a flurry of anthrax incidents, most of which turned out to be nal of terrorists. For example, the Japanese cult Aum hoaxes, cost the United States government millions of dollars. Shinrikyo (which released sarin gas into the Tokyo subway The choice of anthrax as a weapon by terrorists reflects system in 1995, killing 12 people and hospitalizing 5,000) was the growing awareness of the power of biological research and developing anthrax-based weapons. The ability to released crude anthrax preparations in Tokyo on at least eight grow and disperse infectious microorganisms was once separate occasions in 1993. However, the explosion of biotechnol- that anthrax was used as a weapon against a civilian popula- ogy in the 1980s and 1990s demonstrated that the many basic tion. In addition, state-sanctioned terrorism by the government microbiological techniques are fairly simple and attainable.