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In addition, this position will assist the Growth Of cer in creating outreach materials and implementing tools that increase the awareness of the role of urban design and result in creating a more livable city. Quali ed candidates will have a bachelor s degree in urban/ environmental design, architecture, landscape architecture, or a related eld, plus ve years of related work experience, two of which were in a lead or supervisory capacity. Pro ciency with CAD drawing systems, 3-D projection and rendering software, geographic information systems (GIS), Photoshop, PageMaker, Freehand/Illustrator strongly preferred. Experience required: ve years of relevant experience, two in lead or supervisory role. Education requirements: bachelor s degree in urban/environmental design, architecture, landscape architecture, or a related eld.
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Care of the delirious and confused patient is of the utmost importance. It has been estimated that 20 to 25 percent of medically ill hospital inpatients will experience some degree of confusion; moreover, elderly patients who are delirious have a signi cant level of mortality, variously estimated at 22 to 76 percent (Weber). Optimal care begins with the identi cation of individuals at risk for delirium, including those who have an underlying dementia, pre-existing medical illnesses, or a history of alcohol abuse or depression. Further, delirium is more common in males and, not surprisingly, is more likely when sensory function is already impaired (loss of vision and hearing) (Burns, Weber). The primary therapeutic effort is directed to the control of the underlying medical disease and discontinuing offending drugs or toxic agents. Other important objectives are to quiet the agitated patient and protect him from injury. A nurse, attendant, or member of the family should be with such a patient at all times if this can be arranged. A room with adequate natural lighting will aid in creating a diurnal rhythm of activity and reduce sundowning. It is often better to let an agitated patient walk about the room than to tie him in bed, which may increase his fright or excitement and cause him to struggle to the point of exhaustion and collapse. The less active patient can be kept in bed by side rails, wrist restraints, or a restraining sheet or vest. The fully awake but confused patient should be permitted to sit up or walk about the room part of the day unless this is contraindicated by the primary disease. All drugs that could possibly be responsible for the acute confusional state or delirium should be discontinued if this can be done safely. These include sedating, antianxiety, narcotic, anticholinergic, antispasticity, and corticosteroid medications, L-dopa, metoclopramide (Reglan), and cimetidine (Tagamet) as well as antidepressants, antiarrhythmics, anticonvulsants, and antibiotics. Despite the need to be sparing with medications in these circumstances, haloperidol, quetiapine, and risperidone are helpful in calming the agitated and hallucinating patient, but they too should
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another bulb until you get a good base and a good bulb from your operation. You could smash a bulb to get a good base, and then rip away the base with wire cutters to get a good bulb. When you do have a good base and a good bulb, you will need to solder a pair of wires into the base so that one wire is connected to the screw part and the other to the point at the bottom of the base, just like the two original wires were once connected in the original bulb. As shown in Figure 8-5, the wires need only be a few inches long, since they will be packed into the base when you are finished. Figure 8-5 also shows the two batteries held tightly together by a plastic zip tie. This is done because tape will not hold the wire and batteries
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Windows 9x includes a converter utility, CVT.EXE, that allows you to convert existing FAT16 volumes to FAT32 without loss of information. This is an important utility, because the conversion of a file system type typically requires repartitioning and reformatting of the volume. When you partition and/or format a volume, all of that volume s data is lost. To use the Windows 98 drive converter utility, click Start, then select Programs | Accessories | System Tools | Drive Converter. It s important to note that, although
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