Archive for July 23rd, 2007

Mixed Martial Arts???

Posted by Street Fighting And Mixed Martial Arts on Monday, July 23rd, 2007 @ 11:50 pm in Miscellaneous.

Saudi Arabia urgently needs more nurses, other health workers

Posted by Philippine Nurses - Nursing Board Exam Result June 2007 on Monday, July 23rd, 2007 @ 11:32 pm in Miscellaneous.

Davao City (24 August) -- The Kingdom of Saudi Arabia (KSA) is in urgent need of additional nurses and health-related workers.

Francis B. Domingo, chief of the Philippine Overseas Employment Administration (POEA) Mindanao area yesterday (August 22) said the Ministry of Health (MoH) through the Royal Embassy of Saudi Arabia, Saudi Recruitment Office (SRO) has requested their assistance regarding the immediate deployment of health workers particularly nurses.

While the KSA has requested earlier the screening of at least 2,000 nurses, Domingo said the additional number is on top of their original request. The SRO has requested at least 5,100 licensed nurses, 100 of which must have had at least 2 years experience in the ICU, MICU, CCU, CHU and CSICU, he said.

Minimum monthly rate for nurses is between US$ 600.00 - 2,133.00 with 45 days annual paid vacation with free round trip ticket, free housing and transportation. Work contract is renewable every year, Domingo said.

Domingo stressed that no placement fees will be collected since this is a government to government hiring program.

He likewise said, this could be the start of a lucrative nursing career as the benefits/incentives are being offered liberally to the employees.

Interested applicants must submit immediately to the POEA Regional Center office at the 2F AMYA II Bldg., Quimpo Blvd-Tulip Drive, Ecoland, Davao City, the following requirements: (1) typewritten bio-data with detailed job description, (2) photocopy of school records-diploma and transcript of records, (3) photocopy of employment certificate, (4) photocopy of marriage contract, if married; 5) photocopy of board certificate rating-for nurse & x-ray technician 6) photocopy of letter of no objection 7) photocopy of passport or birth certificate 8) 6 copies 2 x 2 ID photo 9) training certificate, if applicable 10) OMA certificate for Muslim applicants.

Others vacancies include: Female x-ray technicians- 200; Female ECG technicians - 25; Female electrocardiogram technicians - 25 ; medical secretarial instructors - 20; medical records instructors - 20; English instructors - 20; printing press maintenance staff - 1.

For further inquiries, those interested may call POEA-Mindanao : 297-7640; 297-7428; 297-7650 or the POEA Government Placement Branch in Manila, (02)722-1174; (02)722-1175 or thru email address at gpb@poea.gov.ph.

Domingo also announced the holding of POEA Jobs Fair on August 25 at the POEA-Mindanao and August 26 in Tagum City. On August 29-30, a 2-day Jobs Fair will also be held in Zamboanga City, he stressed. (PIA/bcgomez)

Source: http://www.gov.ph/news/default.asp?i=12547

Beginning mixed martial art and street fight..

Posted by Street Fighting And Mixed Martial Arts on Monday, July 23rd, 2007 @ 10:46 pm in Miscellaneous.

Fluttering like a Butterfly

Posted by Mad Coffee on Monday, July 23rd, 2007 @ 8:02 pm in Personal - Philippines.

Butterfly I Butterfly II My loving parents God's cloud

Show us a butterfly. A moment to steal from my so-called busy life. I took those photos two days ago when the whole family went to Tagaytay to celebrate my mother's 63rd birthday. I can say that it was also a good reason to break away from the c...

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NCLEX Review - Integumentary Practice Test

Posted by Philippine Nurses - Nursing Board Exam Result June 2007 on Monday, July 23rd, 2007 @ 6:03 pm in Miscellaneous.

1. A nurse is caring for a burn client who has sustained thoracic burns and smoke inhalation and is risk for impaired gas exchange. The nurse avoids which action in caring for this client?

a. repositioning the client from side to side every 2 hours
b. maintaining the client in a supine position with the head of the bed elevated
c. suctioning the airway as needed
d. providing humidified oxygen as prescribed

2. A client sustains a burn injury to the entire right arm, entire right leg, and anterior thorax. According to the rule of nine’s the nurse determines that what body percent was injured?

Answer: __45%___

3. A nurse assesses a burn injury and determines that the client sustained a full-thickness fourth-degree burn if which of the following is noted at the site of injury?

a. a wet shiny weeping wound surface
b. a dry wound surface
c. charring at the wound site
d. blisters

4. A client is brought to the emergency room following a burn injury. In assessment the nurse notes that the client’s eyebrow and nasal hairs are singed. The nurse would identify this type of burn as:

a. thermal
b. electrical
c. radiation
d. chemical

5. A nurse assesses the carbon monoxide level of a client following a burn injury and notes that the level is 8%. Based on this level, which finding would the nurse expect to note during the assessment of the client?

a. tachycardia
b. tachypnea
c. coma
d. impaired visual acuity

6. A nurse assesses the client’s burn injury and determines that the client sustained a partial-thickness superficial burn. Based on this determination, which finding did the nurse note?

a. a wet, shiny, weeping wound
b. a dry wound surface
c. charring at the wound site
d. absence of wound sensation

7. A nurse assesses the client’s burn injury and determines that the client sustained a partial-thickness deep burn. Based on this determination, which finding did the nurse note?

a. a wet, shiny, weeping wound surface
b. a dry wound surface
c. charring at the wound site
d. total absence of wound sensation

8. On assessment of a child, the nurse notes the presence of white patches on the child’s tongue and determines that they may be indicative of candidiasis (thrush). The nurse understands that the white patches of candidiasis (thrush):

a. adhere to the tongue even when scraped with tongue blade
b. cause the tongue to bleed continuously around the patch
c. produce a red circle in the center of the white lesion
d. will occur only in the tongue

9. On assessment, a nurse notes a flat brown circular nevi on the skin of a client that measures less than one centimeter. The client asks, “Is this cancer?” The nurse makes which response to the client?

a. “These are likely to be benign moles.”
b. “These require immediate attention because they are probably cancer.”
c. “These indicate malignancy.”
d. “These are probably verrucae.”

10. A nurse is performing a skin assessment on a client. The nurse understands that moles with variegated color, irregular borders, and/or an irregular surface should be considered:

a. suspicious
b. normal
c. common
d. benign

11. A client is diagnosed with herpes zoster (shingles). Which pharmacological therapy would the nurse expect to be prescribed to treat this disorder?

a. tetracycline hydrochloride (achromycin)
b. erythromycin base (e-mycin)
c. acyclovir (zovirax)
d. indomethacin (indocin)

12. A nurse reviews the record of a client diagnosed with pemphigus and notes that the physician has documented the presence of Nikolsky’s sign. Based on this documentation, which of the following would the nurse expect to note?

a. client complains of discomfort behind the knee on forced dorsiflexion of the foot
b. a spasm of the facial muscles elicited by tapping the facial nerve in the region of the parotid gland
c. carpal spasm elicited by compressing the upper arm
d. the epidermis of the client’s skin can be rubbed off by slight friction or injury

13. A hospitalized client is diagnosed with scabies. Which of the following would a nurse expect to note on inspection of the client’s skin?

a. the appearance of vesicles or pustules
b. the presence of white patches scattered about the trunk
c. multiple straight or wavy threadlike lines beneath the skin
d. patchy hair loss and round, red macules with scales

14. A client is seen in the health care clinic and the physician suspects herpes zoster. The nurse prepares the items needed to perform the diagnostic test to confirm this diagnosis. Which item will the nurse obtain?

a. a biopsy kit
b. a wood’s light
c. a culture swab and tube
d. a patch test kit

15. A nurse reviews the health care record of a client diagnosed with herpes zoster. Which finding would the nurse expect to note as characteristic of this disorder?

a. a generalized red body rash that causes pruritus
b. small blue-white spots with a red base noted on the extremities
c. a fiery red edematous rash on the cheeks and neck
d. clustered and grouped skin vesicles

16. A client returns to the clinic for a follow-up treatment following a skin biopsy of a suspicious lesion performed 1 week ago. The biopsy report indicated that the lesion is a squamous cell carcinoma. The nurse plans care knowing that which of the following describes the characteristic of this type of a lesion?

a. it is highly metastatic
b. it does not metastasize
c. it is characterized by local invasion
d. it is encapsulated

17. A nurse reviews the record of a client scheduled for removal of a skin lesion. The record indicates that the lesion is an irregularly shaped, pigmented papule with a blue-toned color. The nurse determines that this description of the lesion is characteristic of:

a. melanoma
b. basal cell carcinoma
c. squamous cell carcinoma
d. actinic keratosis

18. A nurse is reviewing the nursing care plan for a client for whom a stage 4 decubiti ulcer has been documented. Which of the following would the nurse expect to note on assessment of the client?

a. a reddened area that returns to a normal skin color after 15 to 20 minutes of pressure relief
b. intact skin
c. an area in which the top layer of skin is missing
d. a deep ulcer that extends into muscle and bone.

19. A nurse notes documentation of a stage 3 pressure ulcer in a client’s record. Which of the following would the nurse expect to note on assessment of the client?

a. a deep ulcer that extends into muscle and bone
b. a deep ulcer that extends into the dermis and the subcutaneous tissue
c. an area in which the top layer of skin is missing
d. a reddened area that returns to normal skin color after 15 to 20 minutes of pressure relief

20. A client is in the health care clinic for complaints of pruritus. Following diagnostic studies, it has been determined that there is not a pathophysiological process causing the pruritus. The nurse prepares instructions for the client to assist in reducing the problem and tells the client to:

a. use a dehumidifier in the home
b. ensure that the temperature in the home is high, especially during the winter months
c. use a cool-mist vaporizer, especially during the winter months
d. avoid use of skin moisturizers following a bath

21. A client is seen in the health care clinic because of complaints of lesions on the elbows and the knees. The lesions are red raised papules, and large plaques covered by silvery scales are also noticed on the elbows and the knees. Psoriasis is diagnosed and the nurse provides information about treatment to the client. The nurse determines that the client needs additional information if the client states that which of the following is a component of the treatment plan?

a. tar baths
b. ultraviolet light treatments
c. topical lubricants
d. systemic corticosteroids

22. A client is seen in the health care clinic and a biopsy is performed on a skin lesion that the physician suspects malignant melanoma. The nurse prepares a plan of care for the client based on which characteristics of this type of skin cancer?

a. it is an aggressive cancer that requires aggressive therapy to control its rapid spread
b. it is a slow-growing cancer and seldom metastasizes
c. it can grow so large that an entire area, such as the nose, the lip, or the ear must be removed and reconstructed if it occurs on the face
d. it is the most common form of skin cancer

23. A nurse is caring for a client brought to the emergency room following a burn injury that occurred in the basement of the home. Which initial finding would indicate the presence of inhalation injury?

a. expectoration of sputum tinged with blood
b. the presence of singed nasal hair
c. absent breath sounds in the lower lobes bilaterally
d. tachycardia

24. A nurse is caring for a client who arrives at the emergency room with the emergency medical services team following a severe burn injury from an explosion. Once the initial assessment has been performed by the physician and life-threatening dysfunctions have been addressed, the nurse reviews the physician’s orders anticipating that which pain medication will be prescribed?

a. intravenous (IV) morphine sulfate
b. aspirin with oxycodone (percodan) via nasogastric tube
c. acetaminophen (tylenol) with codeine sulfate
d. morphine sulfate by the subcutaneous route

25. A nurse is assessing the operative site in a client who underwent a breast reconstruction. The nurse is inspecting the flap and the areola of the nipple and notes that the areola is a deep red color around the edge. The nurse takes which action first?

a. document the findings
b. elevate the breast
c. encourage nipple massage
d. notify the physician

26. A nurse performs a skin assessment on an assigned client and notes the presence of lesions that are red-tan scaly plaques. The nurse documents this findings as:

a. seborrhea
b. xerosis
c. pruritus
d. actinic keratoses

27. A community health nurse has provided fire safety instructions to a group of individuals who are part of a disaster response team. Which statement by a group member indicates a need for further instructions?

a. “the victim may be rolled on the ground to extinguish the flames”
b. “a blanket or another cover can be used to smother the flames”
c. “flames should be doused with water”
d. “keep the victim in standing position so flames won’t spread to other parts of the body”

28. A community health nurse is providing a teaching session to firefighters in a small community regarding care to a victim at the scene of a burn injury. The community health nurse instructs the firefighters that in the event of a tar burn the immediate action would be to:

a. cool the injury with water
b. remove all clothing immediately
c. remove the tar from the burn injury
d. leave any clothing that is saturated with tar in place

29. The client who sustained an inhalation injury arrives in the emergency department. On assessment of the client, the nurse notes that the client is very confused and combative. The nurse determines that the client is experiencing:

a. anxiety
b. fear
c. hypoxia
d. pain

30. The client is diagnosed with stage I of Lyme disease. The nurse assesses the client for the hallmark characteristic of this stage. Which assessment finding would the nurse expect to note?

a. dizziness and headaches
b. enlarged and inflamed joints
c. arthralgias
d. skin rash

31. The emergency department nurse is performing an assessment on a client who has sustained circumferential burns of both legs. Which assessment would be the priority in caring for this client?

a. assessing peripheral pulses
b. assessing neurological status
c. assessing urine output
d. assessing blood pressure

32. The nurse is reviewing the discharge instructions for a client who had skin biopsy. Which statement by the client indicates a need for further instructions?

a. “I will watch for any drainage from the wound”
b. “I will return tomorrow to have the sutures removed”
c. “I will use antibiotic ointment as prescribed”
d. “I will keep the dressing dry”

33. The nurse preparing to assist the physician to examine the client’s skin with a Wood’s light would do which of the following?

a. obtain an informed consent
b. tell the client that the procedure is painless
c. shave the skin site
d. prepare a local anesthetic

34. The nurse provides discharge instructions to a client following patch testing. Which instruction would the nurse provide to the client?

a. return to the clinic in 2 weeks for the initial reading
b. reapply the patch if it comes off
c. continue all current activities
d. keep the test sites dry

35. A nurse is preparing a client for skin grafting and notes that the physician has documented that the client is scheduled for heterograft. The nurse understands that the heterograft used for the burn client is skin from:

a. another species
b. a cadaver
c. the burned client
d. a skin bank

36. Following assessment and diagnostic evaluation, it has been determined that the client has Stage II of Lyme disease. The nurse expects to note which assessment finding that is most indicative of this stage?

a. erythematous rash
b. cardiac conduction defects
c. arthralgias
d. enlargement of joints

37.The clinic nurse reads the chart of a client that was seen by the physician and notes that the physician has documented that the client has Stage III of Lyme disease. Which clinical manifestation would the nurse expect to note in the client?

a. a generalized skin rash
b. a cardiac dysrhythmia
c. complaints of joint pain
d. paralysis in the extremity where the tick bite occurred

38. A female client arrives at the health care clinic and tells the nurse that she was bitten by a tick and would like to be tested for Lyme disease. The client tells the nurse that she removed the tick and flushed it down the toilet. Which nursing action is appropriate?

a. refer the client for a blood test immediately
b. inform the client that the tick is needed to perform the test
c. inform the client that she will need to return in 6 weeks to be tested because testing before this time is not reliable
d. ask the client about the size and color of the tick

39. The client suspected of having Stage I of Lyme disease is seen in the health care clinic and is told that the Lyme disease test is positive. The client asks the nurse about the treatment for the disease. The nurse responds to the client, anticipating which of the following to be part of the treatment plan?

a. no treatment unless symptoms develop
b. a 3-week course of oral antibiotic therapy
c. treatment with intravenous penicillin G
d. ultraviolet light therapy

40. The client with acquired immunodeficiency syndrome (AIDS) is suspected of having cutaneous Kaposi’s sarcoma. The nurse prepares the client for which test that will confirm the presence of this type of sarcoma?

a. sputum culture
b. liver biopsy
c. punch biopsy of the lesion
d. white blood cell count

41. The client who is newly admitted to the hospital for treatment of acute cellulitis of the lower left leg asks the nurse about the nature of the disorder. The nurse would respond that cellulitis is actually:

a. a skin infection into the deep dermis and subcutaneous fat
b. an acute superficial infection
c. an inflammation of the epidermis
d. an epidermal infection caused by Staphylococcus

42. A nurse is preparing a plan of care for a client with a diagnosis of acute cellulitis of the lower leg. The nurse anticipates which measure will be prescribed to treat this condition?

a. warm moist compresses to the affected area
b. cold compresses to the affected area
c. heat lamp treatments 4 times daily
d. alternating hot to cold compresses every 2 hours

43. A clinic nurse provides instructions to a client who will be taking isotretinoin (Accutane) for severe cystic acne. Which statement by the client indicates the need for further instructions?

a. “I need to return to the clinic for a blood test to check my triglyceride level”
b. “The medication may cause my lips to burn”
c. “The medication may cause dryness and burning in my eyes”
d. “I need to take vitamin A supplements to improve the effectiveness of this treatment”

44. A client sustained full-thickness burns to both hands from scalding water. A sheet graft was surgically applied to the wounds. The nurse tells the client that this type of graft is indicated for which of the following primary purposes?

a. better adherence to the wound bed
b. better cosmetic result
c. better donor site availability
d. easier to care for initially

45. A client sustained a major burn is beginning to take an oral diet again. The nurse plans to encourage the client to eat variety of which of the following types of foods to best help in continued wound healing and tissue repair?

a. high carbohydrate and low protein
b. high fat and low carbohydrate
c. high protein and high fat
d. high protein and high carbohydrate

46. A client with a major burn is admitted to the emergency department. The nurse anticipates that which of the following routes will be ordered for analgesics for this client?

a. intramuscular
b. intravenous
c. oral
d. subcutaneous

47. A nurse is performing a skin assessment of a client who is immobile and notes the presence of partial thickness skin loss of the upper layer of the skin in the sacral area. The nurse documents these findings as a:

a. stage 1 pressure ulcer
b. stage 2 pressure ulcer
c. stage 3 pressure ulcer
d. stage 4 pressure ulcer

48. A student nurse is instructed by the registered nurse to monitor a client who has dark skin for cyanosis. The registered nurse determines that the student needs instructions regarding physical assessment techniques for the dark-skinned client if the student states that the best area to assess for cyanosis was in the:

a. nail beds
b. lips
c. sclera of the eye
d. tongue

49. A client with severe psoriasis has a nursing diagnosis of Chronic Low Self-Esteem. The nurse uses which therapeutic strategy when working with this client?

a. listening attentively
b. pretending not to notice affected skin areas
c. keeping communications brief
d. approaching the client in a formal manner

50. A nurse caring for a client who sustained a high-voltage electrical injury analyzes the client’s test results. Which finding would the nurse interpret as increasing the client’s risk of developing acute tubular necrosis?

a. myoglobin in the urine
b. carbonaceous sputum
c. hyperkalemia
d. cloudy cerebrospinal fluid

Source: Saunders Q&A NCLEX Review 3rd edition

Video Resumé? You bet!

Posted by Pinoy Guy Guide on Monday, July 23rd, 2007 @ 4:57 pm in Lifestyle.

Last Sunday I was reading the Inquirer and found out a brand-new (Filipino?) website - VidRes.net What's interesting about it is that you make a video-version of your resumé with you speaking in front of a camera - talk about a monologue version of your resumé. I don't know who has the gutts to do one for their application and what prospect employers would think if you send them a video resumé.

Unwritten…

Posted by A Day In The Life... on Monday, July 23rd, 2007 @ 2:26 pm in Miscellaneous.

You’ve probably heard of “Esmee Denters”… the You Tube signing sensation that finally signed a record deal over at the U.S. because of her wonderful voice.  I just recently stumbled upon another video of her singing but this time as she is singing “Unwritten”, Natasha Bedingfield actually walks in during the second half of the song to lend some backups and harmony.  Loved the video so much… I decided to share it with you guys.

Besides, the message of the song is so positive… and being that I’m just coming out of a troublesome week, I thought it best to be able to listen to tracks that really build you up and give you that confident vibe.

Enjoy the vid!  I know I did!

Interesting Birdy!

Posted by Nakanampucha! on Monday, July 23rd, 2007 @ 1:14 pm in Humor.

Presenting… the one, the only, the incomparable…

Cream Vented Bulbul

HUUWAAAAAAT!!!

Does that mean this bird loves to be in “hairy” situations…?!  Hehehe!  “Cream-Vented”, eh?!

I shall leave it to your imagination…

Biach!!!

Posted by Nakanampucha! on Monday, July 23rd, 2007 @ 1:08 pm in Humor.

Paris Hilton and Nicole Richie would surely enjoy this boat ride… BIACH!!!

Biach!!!

The “White Sand BIACH resort”!!!

That’s Hot!

Entry #84 - On Physical Appearances

Posted by Renewed Soul on Monday, July 23rd, 2007 @ 10:09 am in Personal - International.

Are you a good lover? (and some journalism quotes)

Posted by Bryanton Post on Monday, July 23rd, 2007 @ 10:06 am in Politics.

At our short refresher lecture on news feature writing by Yvonne Chua in the office today, she asked the staff some of the quotes we remember most from our experience as media reporters. I had a hard time remembering which quote struck me the most--probably because I was hungry at that time plus the fact that in front of us was THE Yvonne Chua, one of only three Jaime V. Ongpin Awards for Excellence in Journalism Hall of Famers and probably one of my few dreaded professors in college. In fact, I even had to tell Ma'am Yvonne a quote I only got from Cheche Lazaro in her Media in Focus program: "But what the public's right to know?" Had she pressed me for more, I would have said: "Are you a good lover?" (This time, from Boy Abunda's ANC program). Haha. Poor me.

Speaking of quotes, here are Public Eye's 10 favorite quotes about The Fourth Estate.

Best. Journalism Quotes. Ever.
Posted by Matthew Felling

Number 10:

The difference between literature and journalism is that journalism is unreadable and literature is not read.
Oscar Wilde

Number 9:

Our liberty depends on the freedom of the press, and that cannot be limited without being lost.
Thomas Jefferson

Number 8:

There can be no higher law in journalism than to tell the truth and to shame the devil.
Walter Lippmann

Number 7:

The liberty of the press is a blessing when we are inclined to write against others, and a calamity when we find ourselves overborne by the multitude of our assailants.
Samuel Johnson

Number 6:

A free press can be good or bad, but, most certainly, without freedom a press will never be anything but bad.
Albert Camus

Click here for Public Eye's Number 5 to 1 and the rest of its entry.

Hmm. Quotes about the Philippine press, anyone?

Another Great Reason to Fly

Posted by Ar-wee-der-yet on Monday, July 23rd, 2007 @ 9:48 am in Lifestyle.


Rich Nations Responsible For Shortage of Doctors?

Posted by Prudence and Madness on Monday, July 23rd, 2007 @ 9:30 am in Personal - Philippines.

For now, I’d like to post an article I found in International Herald Tribune, published last July 20.

I want you, readers, to digest and fully grasp what this news article is trying to say because I think you can glean much about the current situation of healthcare in the country.  And based on this, I fear that we’re still going to be on a downhill for a while longer.

I will post a more detailed reaction about this next time.

*     *     *     *     *

Developed nations draining poor countries of doctors
The Associated Press
Friday, July 20, 2007

WEST POINT, Mississippi: It took primitive conditions at a government hospital to end Dr. Minerva Rasalan’s dream of helping the poor in her native Philippines and send her on a mission toward permanent residency and practice in the United States.

During her time at the underfunded hospital, she found pregnant women assigned two to a cot, patients lining the halls and gloves and needles being sterilized for reuse. Without respirators, relatives sometimes were forced to manually bag their loved ones to keep them alive.

“It’s sad, especially for the pediatric patients who we know how to treat their diseases and most of these are infectious diseases,” said Rasalan. “We know what antibiotics to use, but we don’t have them. So, then we lose the patient.”

Rasalan is among thousands of foreign-born doctors working across the U.S. under special visas that allow them to practice in underserved rural and inner-city areas with the promise of eventual permanent residency. But critics argue the so-called “brain drain” of doctors leaving for work in the U.S. has further strained already faltering health care systems in the developing world.

Dr. Fitzhugh Mullan of George Washington University believes the U.S. — which is facing a shortage of doctors — must stop looking elsewhere to fix its problems. He compares the practice to “poaching” and said it amounts to poor citizenship in the world community.

Every doctor drawn to the U.S, Britain, Australia and Canada from poorer nations leaves a hole that likely will not be filled, he said.

Mullan’s research shows that areas such as sub-Saharan Africa (13.9 percent), the Indian subcontinent (10.7 percent) and the Caribbean (8.4 percent) lose large numbers of doctors to the big four nations. But there is little reciprocation. The U.S. exports less than one-tenth of 1 percent of its doctors abroad, for example.

“That creates enormous problems for the (source) country and for the educational and health leaders in the country who are attempting to provide healers,” he said.

While it is unclear what effect the arrest of the foreign doctors allegedly involved in a recent attempted terrorist attack in Great Britain will have on the ongoing exodus of physicians from developing nations, there is no question why doctors in developing countries are searching for opportunity elsewhere — even in the rural U.S.

While many American doctors shy away from these areas, they have a strong allure for foreign doctors seeking a better life and professional fulfillment.

Like Dr. Sanje Chaube, an Indian emigre who now works in coastal Bay St. Louis, Mississippi, under the J-1 visa waiver program, they often find needy clientele simply waiting for a doctor.

“I’ve had a very rewarding experience,” Chaube said. “My patients love me. This is the kind of patient population that I wanted to work with.”

But emigration by Chaube and others like him is leaving its mark.

India provides the largest number of foreign-born doctors to work in the four developed nations at about 55,000, Mullan’s research shows. About 40,000 of those work in the U.S. The Philippines come next with about 18,000 doctors exported, mostly to the U.S.

At least 20 countries export more than 10 percent of their physician work forces to richer nations. Sub-Saharan Africa alone has nine of the top 20 nations contributing émigrés.

Mullan said the U.S. has about 280 doctors per 100,000 people. India has 60. But doctor-poor Ghana has two per 100,000, while Zimbabwe, where junior doctors make about $45 (€32) a week, is down to one.

The loss of doctors in Africa, where millions have been infected with HIV and AIDS, is especially acute.

Dr. Kgosi Letlape, president of the South African Medical Association, said doctor migration creates a trickle-up effect, of sorts.

“What goes around comes around,” he said. “We are in a continuum. What South Africa loses to the developed world, to the United States say, we gain from Uganda.”

Kenneth Ronquillo, director of the Philippines Department of Health’s Bureau of Human Resources, said the shortage of doctors for rural areas of his country might be as steep as 5,000, though there are no concrete numbers.

He said pay seems to be the factor most likely to chase doctors out of the country. An entry-level physician makes about $320 (€231) a month — as much as some U.S. doctors can make in an hour or two.

“When we visit hospitals, we can already see that they lack doctors,” he said. “Even in metro Manila, there is a lack of trainees for anesthesia, and the hospitals already advertise for their needs. In the past, applicants would queue at the Philippine General Hospital.”

Rasalan has few regrets over coming to America. In addition to good pay and a happy situation for her family, she gets to practice a subspecialty that allows her to work with premature babies.

Her life would have been very different had she stayed in the Philippines.

“Had I done my training back home, I would still be living with my mom,” she said. “She would still be supporting me. They pay nothing there as a resident. You’re tired, you work like 48-hour shifts and they don’t pay you much. I don’t want to be a burden to my mom.”

___

Tess Cerojano in Manilla, Philippines, and Michelle Faul in Johannesburg, South Africa, contributed to this report.

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In this Corner of the Universe-Wilma Galvante, Galit sa Paglipad ni Angel

Posted by CelebritiesCorner on Monday, July 23rd, 2007 @ 9:27 am in Entertainment.

The Sweet Life

Posted by A Day In The Life... on Monday, July 23rd, 2007 @ 9:06 am in Miscellaneous.

My little girl, Isabella, and I recently guested on a taped episode of QTV’s early evening show, “The Sweet Life”, hosted by Lucy Torres-Gomez. The show is scheduled to air on August 22, 2007 and my pretty baby is really excited to watch herself on television when it comes out.

The Sweet Life

I’m posting a few photos taken during the taping but you won’t find me in any of them since I was the proud daddy behind the camera taking the shots. She obviously got more exposure than I did…! Haha… Oh well, the makings of another artista, I guess! She seems to be enjoying the limelight. She even started making handwritten invitations to distribute to her classmates and teachers tomorrow informing them that she’ll be coming out on tv! She even keeps telling me, “Daddy, artista na ako!”… hay! The last time I heard her say it was just earlier over dinner. Hehe!

Anyhow, hope you enjoy the slideshow below!

Entry #83 - Tagged - 10 Random Things About My Mom

Posted by Renewed Soul on Monday, July 23rd, 2007 @ 7:58 am in Personal - International.

August 1 EB: Know The Top 10 Emerging Influential Blogs in 2007

Posted by Prudence and Madness on Monday, July 23rd, 2007 @ 3:30 am in Personal - Philippines.

It’s another blogger event!

If you participated in Ms. Janette Toral’s writing project, The Top 10 Emerging Influential Blogs in 2007, you’re invited to attend the EB on August 1, during which the Top 10 blogs will be announced and ten winners of US$100 each will be drawn. Check if you’re in the masterlist of people who submitted entries for the project.

For those who haven’t submitted their entries yet, you can still submit your choice of top 10 blogs at Ms. Toral’s blog until July 28. Blogs that started anytime from August 1, 2006 up to the present are qualified to be entries. Write a blog post about your entries and link to the Top 10 Emerging Influential Blogs in 2007 post by Ms. Toral. Leave a comment in her blog, so she’d be notified that you’re joining the project. Also, please note that only one entry per blogger is allowed.

For more details and updates, please visit the site.

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