Wednesday, July 16, 2014

MRI decibel levels?

We've been asked the question, "How many decibels is an MRI"?

According to this page posted at AnaesthesiaUK: "Noise levels above the safe level of 85 decibels can be produced during MRI due to the rapid switching of the gradient coils."

6. High level acoustic noise

Noise levels above the safe level of 85 decibels can be produced during MRI due to the rapid switching of the gradient coils.2,4 The exact magnitude of this noise depends on the sequence of images being collected and the strength of the magnetic field. Staff working in MRI units should protect themselves by remaining in the MR control room during sequence acquisition, or by wearing earplugs should they need to remain in the examination room.
All patients should be given ear protection, regardless of if they are awake or anaesthetised.2,4 The anaesthetist should be aware that high ambient noise levels may mask normal auditory alerts such as monitor alarms or sound the sound of partial airway obstruction, so vigilance and attention to visual
cues is essential.7


References

1. Davis PD, Kenny GNC. Basic Physics and Measurement in Anaesthesia, Fifth Edition.
Butterworth – Heinemann, 2002; 269 – 71

2. Peden CJ, Twigg SJ. Anaesthesia for magnetic resonance imaging. Continuing Education in Anaesthesia, Critical Care and Pain. 2003; 3: 97 – 101

3. Bricker S. The Anaesthesia Science Viva book, First edition. Greenwich Medical Media Ltd,
2004; 256 - 57

4. Association of Anaesthetists of Great Britain and Ireland. Provision of anaesthetic services in magnetic resonance units. May 2002. Website: www.aagbi.org

5. Roth JL, Nugent m et al. Patient monitoring during Magnetic resonance imaging.
Anaesthesiology. 1985; 62: 80 – 83

6. Taber KH, Thompson J et al. Invasive pressure monitoring of patients during magnetic resonance imaging. Canadian Journal of Anaesthesia. 1993; 40: 1092 – 5

7. Sesay M, Tauzin-Fin P et al. Audibility of anaesthesia alarms during magnetic resonance imaging: should we be alarmed? European Journal of Anaesthesiology. 2009; 26: 117 – 122





Wednesday, June 18, 2014

Veterans Resources - Helping Our Veterans

Veterans Resources  - Resources for USA Veterans



Veterans Affairs Services
  • Every year, The Salvation Army serves hundreds of thousands of veterans in need. The ministry of The Salvation Army for veterans has grown from serving coffee and doughnuts in World War I, to providing various programs of comfort and cheer.
  • Services rendered to the veterans are as unique as the communities they live in. It can range from lending assistance with wheelchairs to get veterans outside for some fresh air to experiencing a weekend at camp. Some are provided phone cards and large print Bibles. From coast to coast, Salvation Army programs recognize the sacrifices our veterans have made for their country.
  • For services in your area, please contact your local Salvation Army by using the location search on this page

Veterans And Family Center -- Offered by the Salvation Army
  • SALVATION ARMY VETERANS AFFAIRS INFORMATION
  • 14825 SW FARMINGTON RD., BEAVERTON, OR  97007
  • RICK STOLLER -- DIRECTOR
  • FRONT DESK: (503) 239-1259



Homeless Veterans

The St. Cloud Salvation Army and the Department of Veteran Affairs have partnered to provide hope and help to homeless veterans since 2009 through the Veterans Grant & Per Diem (VGPD) program.
The goal-oriented program operated at The Salvation Army has warm beds available for up to seven veterans.  The program promotes sustained wellness and ultimately strives to find veterans permanent housing. Goals, which are determined by the veteran and an assigned Salvation Army case worker, may include:

  • Recovery from addiction with 60 days of continuous sobriety
  • Securing employment that adequately provides for basic needs
  • Pursuing further education
  • Participating in volunteerism
  • Receiving ongoing outpatient care at the local Veteran Affairs Medical Center
  • Reintegrating into society
While in the program, veterans must meet with their assigned case worker and follow the designated Salvation Army guidelines.
To request assistance, stop by our office at 400 U.S. Highway 10 S. in St. Cloud during normal business hours.  Or, call 320-257-7429 to speak with the veterans’ case manager.

Online Discussion Groups
  • Dogs Helping Wounded Veterans -- Hero Dogs, Inc. is a Maryland 501(c)(3) non-profit corporation whose mission is to provide independence and improved quality of life to our nation's veterans by raising, training, and placing service dogs (Hero Dogs) with injured or disabled military veterans who have served honorably in the United States Armed Forces. Service Dogs for Wounded Veterans.



Veterans Program At Rutgers University, New Jersey
http://veterans.rutgers.edu/about-us
  • Rutgers, The State University of New Jersey, is a center of excellence for veteran and military students among the nation's military services, the U.S. Department of Veterans Affairs, and institutions of higher education nationwide.


eBenefits directory for Veterans
ebenefits.va.gov/ebenefits/nrd
  • This website offers information on eBenefits directory for Vets.


Veterans Health Administration
http://www.va.gov/health/cwt
  • Compensated Work Therapy (CWT) is a Department of Veterans Affairs (VA) program that supports work-ready veterans in competitive jobs and consults with business and industry regarding their specific employment needs. Services include job matching and employment supports, vocational case management, work site and job analysis, assistive technology, reasonable accommodations, and ADA regulations compliance.

  • HirePotential is a national, woman-owned firm offering staffing and consulting services to corporations and government agencies. The firm helps corporations in recruiting, hiring, and retaining people with disabilities and veterans to meet OFCCP and ADA Compliance, Diversity Initiative Solutions, and Website Accessibility.

One Stop Career Centers
www.servicelocator.org
  • CareerOneStop is a source for employment information sponsored by the U.S. Department of Labor and includes tools to help job seekers, students, businesses and career professionals. If you are an employer looking to hire people with disabilities and/or veterans with disabilities, use this service locator website to find your local One Stop by entering your zip code. Once you have found your local branch, ask for the the Disability Program Navigator (DPN) or the Local Veterans Employment Representative (LVER) to speak to them directly about qualified applicants with disabilities.

WoundedWarrior

  • We Know What's Important

  • OUR MISSION:To foster camaraderie among United States veterans of overseas conflicts. To serve our veterans, the military, and our communities. To advocate on behalf of all veterans. 
  • OUR VISION: Ensure that veterans are respected for their service, always receive their earned entitlements, and are recognized for the sacrifices they and their loved ones have made on behalf of this great country. 
OUR CORE VALUES:

  • Always put the interests of our members first
  • Treat donors as partners in our cause 
  • Promote patriotism
  • Honor military service
  • Ensure the care of veterans and their families 
  • Serve our communities
  • Promote a positive image of the VFW
  • Respect the diversity of veteran opinions 


Learn more about us:


PTSD FOUNDATION OF AMERICA
       Our Mission: To combat Post Traumatic Stress


National Resource Directory on Linkedin.com (LOGIN REQUIRED)
From their Linkedin.com page here:
  • Recruit Military is a veteran-owned and-operated firm specializing in military-to-civilian recruiting and provides resume search and job posting resources for employers. Recruit Military uses online and offline products to connect employers, franchisers, and educational institutions with men and women who are transitioning from active duty to civilian life, veterans who already have civilian work experience, members of the National Guard and reserve forces, and military spouses.
  • Hire Heroes USA (HHUSA) -- Hire Heroes USA (HHUSA) works with corporate partners to provide career placement services to veterans from all branches of the military, especially those injured or disabled in Iraq or Afghanistan. HHUSA will match the required skills and location of each position with those of veterans in their database and present qualified candidates for companies' consideration.
  • Vet Success -- A service of the U.S. Department of Veteran Affairs's (VA), VetSuccess provides resources that allow employers to find veterans with (and without) disabilities by posting available positions and by working with Vocational Rehabilitation & Employment staff (VR + E) to find qualified candidates.
  • America's Heroes at Work -- America's Heroes at Work provides information to support employers of returning veterans with traumatic brain injury (TBI) and/or post-traumatic stress disorder (PTSD). Resources available on the web site include answers to Common Employer Questions, Presentations and Training Tools, Fact Sheets, and other Helpful Links.
  • Veterans and the Americans with Disabilities Act (ADA): A Guide for Employers
    Each year, thousands of military personnel stationed around the world leave active duty and return to jobs they held before entering the service, or begin the search for new jobs. Recent veterans report high rates of service-connected disabilities (i.e., disabilities that were incurred in, or aggravated during, military service).[1] About twenty-five percent of recent veterans report having a service-connected disability, as compared to about thirteen percent of all veterans.[2] Common injuries incurred by these veterans include missing limbs, burns, spinal cord injuries, post traumatic stress disorder (PTSD), hearing loss, traumatic brain injuries, and other impairments.

Uniformed Services Employment and Reemployment Rights Act (USERRA) Information
www.dol.gov/vets/programs/userra
  • This resource provides information from the Department of Labor’s Veterans Employment And Training Service, including an introduction to rules and regulations related to employing veterans, fact sheets and access to the USERRA elaws Advisor, an interactive-tool that answers questions about the rights and responsibilities for employers.

Vietnam Era Veterans' Readjustment Assistance Act (VEVRAA) of 1974
www.dol.gov/ofccp/regs/compliance/fsvevraa.htm
  • This resource provides information on the Vietnam Era Veterans' Readjustment Assistance Act (VEVRAA) of 1974, explaining affirmative action requirements for outreach, recruitment and advancement in the employment of veterans and specified categories protected by the Act. This page is Federal Compliance Programs information for Veterans.
  • From its inception in 1979, NAMI has been dedicated to improving the lives of individuals and families affected by mental illness. For three decades, NAMI has established itself as the most formidable grassroots mental health advocacy organization in the country. Dedication, steadfast commitment and unceasing belief in NAMI's mission by grassroots advocates have produced profound changes. NAMI's greatest strength is the dedication of our grassroots leaders and members. We are the families, friends and individuals that serve to strengthen communities across the country. Veterans And Military Resource Page


  • A group seeking to end homelessness of Veterans. "NCHV will end homelessness among veterans by shaping public policy, educating the public, and building the capacity of service providers." Information on policy and legislation, media, and guides for employment service providers. National Coalition for Homeless Veterans



George W. Bush launches program to help veterans transition from war
February 24, 2014 - The Chicago Tribune

  • The onetime commander-in-chief, who led the United States into war in Afghanistan in 2001 and Iraq in 2003, said he wants to highlight the challenges facing service members returning from war zones, as well as their families.
  • "I have a duty," Bush said in an interview that aired on Sunday on ABC's "This Week."
  • "Obviously I get slightly emotional talking about our vets because I have an emotional...," Bush said, trailing off.
  • "I'm in there with them," he added.
  • About 2.5 million U.S. service members have served in Iraq and Afghanistan since 2001, according to the Department of Defense. Troops have since left Iraq and are expected to wind down their involvement in Afghanistan within the year.
  • More than 50,000 U.S. and coalition service members have been wounded in more than a decade of war.
  • The Dallas-based Bush Institute, a public policy center founded in 2009 by the former president and his wife Laura, is working with a coalition of government, nonprofits, private companies and universities on the initiative, which also target ways to encourage employers to recruit and retain veterans.

UNITED CHILDREN OF VETERANS
  • Children of veterans, you are not alone. It’s time to tell your story. This is mine. -- by Christal Presley Posted on January 5, 2014
  • Welcome to United Children of Veterans. I’m glad you’re here. My name is Christal Presley, and my goal is to educate the public about how children can be affected by a father’s or mother’s war experience. Thirty Days with My Father:  Finding Peace from Wartime PTSD is my personal story of the devastating effects the Vietnam War had on my family when my father returned home with PTSD. I never understood the war–or my father.  It would be 30 years before I felt brave enough to ask for his story.  It was only then that I began to heal.

More Resources
  • Joining Forces -- Joining Forces initiative is a four-part series developed by HealthPartners in Minneapolis, in cooperation with the local public television station and partnering with the AHA. The series is designed to orient people in community hospitals to the kinds of challenges—medical, social and emotional—that veterans and their families face as they return home.
  • NAMI FaithNet -- NAMI FaithNet was established for as a nonthreatening, supportive environment within the faith community for people living with serious mental illness and their families.
  • Posttraumatic Stress Disorder: A Real Illness -- An easy-to-read booklet on posttraumatic stress disorder created by the National Institute on Mental Health (NIMH). It explains what PTSD is, when it starts, how long it lasts and how to get help. There is also a self-test.
  • Sidran Traumatic Stress Institute -- The Sidran Traumatic Stress Institute offers extensive information online about PTSD, geographic lists of therapists with experience treating people with PTSD and books, articles and referrals to support groups. They also have information about self-injury. The free help desk service is useful for locating trauma resources in your area.
  • What is PTSD? -- This fact sheet from the National Center for Posttraumatic Stress Disorder (NCPTSD) is part of a larger educational resource for veterans, mental health practitioners, researchers and the general public.
  • The American Tinnitus Association -- Tinnitus is basically "ringing in the ears" or "head noise." The American Tinnitus Association exists to cure tinnitus through the development of resources that advance tinnitus research. Since 1980, ATA has awarded more than $5 million providing researchers with “seed” money to launch their work. Some of these researchers have gone on to receive large grants from the U.S. National Institutes of Health (NIH) and more recently the U.S. Department of Defense based on their early, ATA-funded work. Read about our newly funded research, and past ATA-funded research. Tinnitus is basically "ringing in the ears" or "head noise." You may be new to the experience of tinnitus, or you may have been suffering with it for a long time. Perhaps you know someone with the problem. For all of you, we have plenty of information that will help you understand and cope with this condition that affects 1 in 5 people.

Treatment
  • SAMSA - National Institute of Mental Health (NIMH) -- SAMHSA provides referrals to outpatient, inpatient and residential treatment facilities, including affordable mental health services. Their website has a Substance Abuse Treatment Facility Locator to help find substance abuse and dual diagnosis treatment.
  • Service Dogs For Wounded Veterans -- Hero Dogs, Inc. is a Maryland 501(c)(3) non-profit corporation whose mission is to provide independence and improved quality of life to our nation's veterans by raising, training, and placing service dogs (Hero Dogs) with injured or disabled military veterans who have served honorably in the United States Armed Forces.
  • American Psychiatric Association (APA) -- The APA has information about a broad range of mental health topics. To locate a psychiatrist in your area, you can contact APA's Answer Center using their toll-free number: 1(888) 357-7924.

    Psychiatric Treatment And The Military
    Helping our Troops and their Families at Home
    • It’s important to remember that the mental health challenges that service members experience can have a ripple effect throughout their immediate family while they are serving -- and upon their return home.
    • There are a variety of things military members and spouses can do to understand the warning signs of and treatment options for mental health issues including:
    • --Talking with someone in their network of care (for example: primary care physician, religious leader, or friends and family) about what they are going through.
    • -- Utilizing online resources to learn about common mental health issues associated with serving in a war zone and their symptoms.
    • -- Discussing their concerns with a psychiatrist or other mental health care professional.
    • -- The American Psychiatric Foundation is a proud partner of Give an Hour, a volunteer organization that provides professional mental health and substance use disorder services through a network of professionals who volunteer their services for an hour a week to active and returning military, National Guard, veterans, and their families. 
     
  • Eye Movement Desensitization and Reprocessing - The Eye Movement Desensitization and Reprocessing (EMDR) Institute offers information on EMDR, an emerging treatment for PTSD. NAMI recommends reviewing this option with a psychiatrist who is familiar with it before proceeding. 
  • Dogs Helping Wounded Veterans -- Hero Dogs, Inc. is a Maryland 501(c)(3) non-profit corporation whose mission is to provide independence and improved quality of life to our nation's veterans by raising, training, and placing service dogs (Hero Dogs) with injured or disabled military veterans who have served honorably in the United States Armed Forces.

For Families and Children
  • PTSD And Wives - writing about wives who are living with their husbands’ PTSD, but since we now have women in combat, I imagine this will also apply to their husbands. Provided by The Veterans’ Voice.
  • PTSD Alliance - Post-traumatic Stress Disorder, or PTSD, a serious and common health condition. The Post-traumatic Stress Disorder (PTSD) Alliance is a group of professional and advocacy organizations that have joined forces to provide educational resources to individuals diagnosed with PTSD and their loved ones; those at risk for developing PTSD; and medical, healthcare and other frontline professionals. Post-traumatic Stress Disorder is a complex health condition that can develop in response to a traumatic experience – a life-threatening or extremely distressing situation that causes a person to feel intense fear, horror or a sense of helplessness. PTSD can cause severe problems at home or at work. Anyone can develop PTSD – men, women, children, young and old alike. Learn more about PTSD. What are the symptoms of PTSD? How is PTSD treated?

News and Media

Post-Traumatic Stress Disorder

Also called: PTSD
Post-traumatic stress disorder (PTSD) is a real illness. You can get PTSD after living through or seeing a traumatic event, such as war, a hurricane, sexual assault, physical abuse, or a bad accident. PTSD makes you feel stressed and afraid after the danger is over. It affects your life and the people around you.
PTSD can cause problems like
  • Flashbacks, or feeling like the event is happening again
  • Trouble sleeping or nightmares
  • Feeling alone
  • Angry outbursts
  • Feeling worried, guilty, or sad
PTSD starts at different times for different people. Signs of PTSD may start soon after a frightening event and then continue. Other people develop new or more severe signs months or even years later. PTSD can happen to anyone, even children.
Treatment may include talk therapy, medicines, or both. Treatment might take 6 to 12 weeks. For some people, it takes longer.
NIH: National Institute of Mental Health
Basics Learn More Multimedia & Cool Tools


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Online Discussion Groups


GOD BLESS OUR VETERANS.

Tuesday, June 17, 2014