Nurse In Diversion. In a major shift, California will impose tough new standards on drug- abusing health professionals, strictly scrutinizing those in treatment and immediately removing from practice anyone who relapses.“The bottom line is we’re in the business of protecting consumers,” said Brian Stiger, director of the state Department of Consumer Affairs, which announced the rules Thursday. And any restrictions to their licenses will be listed on public websites, easing the long- standing confidentiality protections that have shielded participants and kept their patients in the dark. The changes appear to address problems raised in a July investigation by The Times and the nonprofit newsroom Pro. Publica, which detailed how registered nurses were able to treat patients without permission and steal drugs while participating in the confidential recovery program known as diversion. Even when the state Board of Registered Nursing kicked them out, labeling them “public safety risks,” it took a median 1. The standards were drafted by a committee created by the Legislature last year after repeated audits revealed that the recovery program for doctors poorly monitored participants and failed to terminate those who relapsed. The Medical Board of California shut down that program June 3. Until now, each of the state’s 2. The new rules would apply directly to the seven boards that operate diversion programs, in which licensees avoid discipline by agreeing to drug tests, support group meetings and heightened monitoring. More than 3. 00 people entered those programs in fiscal 2. But the rules also would apply more broadly, even to the medical board and other agencies without diversion programs, if a licensee has been placed on probation for a substance abuse problem. Julianne D’Angelo Fellmeth, who audited the medical board’s program, said the changes address gaping holes in the oversight of potentially dangerous caregivers.“The state is finally taking responsibility for protecting the public,” said D’Angelo Fellmeth, administrative director of the Center for Public Interest Law at the University of San Diego. It won’t keep people from abusing substances. It will keep them out of the system, where they’ll be sicker before anybody can do anything about it.”Diversion programs, used in many states, were designed to encourage health workers to fight their addiction in a safe environment without ruining their careers. D’Angelo Fellmeth said those who want to pursue confidential treatment still can enter private programs. What is the Intervention Program? What is the Intervention. To complete the Intervention Program, a nurse with a substance use disorder must demonstrate a change in lifestyle that supports continuing recovery and have a. Board of Registered Nursing Diversion Program. Nurse Directors/Managers/Supervisors. Read more; Footer link. A diversion program agreement shall specify terms and conditions related to matters, including. Upon enrollment in a training program for nurse assistant certification, and prior to direct contact with residents. Hello i'm interested in communicating with and offering information to, those of us rn's, who are in the diversion program, or should be. Narcotic use and diversion in nursing is a growing problem. Signs of diversion can be subtle. The nurse may volunteer to administer. If the nurse decides to participate in an alternative program. Many turn to state- run programs, she said, only to avoid discipline — because they are on the verge of being turned in by their employers or have been arrested in or convicted of drug- or alcohol- related offenses.* Licensees suspected of drug abuse must undergo a clinical evaluation at their own expense to determine whether they can still practice safely. During this process, their licenses will be placed on inactive status, meaning they cannot work, and they must submit to drug tests twice a week. They can’t return to work until they have at least one month of negative test results. During their first year of participation, professionals will be randomly tested at least 1. After that, it drops to at least 5. Current programs require testing only 1. Stiger said.* For the first time, the public will be able to review any restrictions placed on a health professional. Boards won’t be allowed to directly say that someone is in substance abuse treatment, but they must publicly disclose that a person has an inactive license or is subject to increased supervision or limited work hours. If someone is kicked out of the program, disciplinary proceedings will begin immediately, Stiger said. North Carolina, for instance, immediately suspends the licenses of nurses for a minimum of one year after a single relapse. In California, all boards will be required to provide detailed information on their performance to the Legislature and the Department of Consumer Affairs. The committee that drafted the new rules is calling for each program to successfully graduate every participant, but Stiger said officials haven’t determined the consequences if they don’t. Last year, the nursing board’s program had a 5. The new standards are part of a broader effort to revamp the disciplinary process for health professionals in the state, speeding it up and prioritizing the most serious cases. To that end, Stiger appointed Paul Riches to a new post of deputy director for enforcement and compliance. Riches was previously executive officer of the Board of Behavioral Sciences. The timetable for the new standards has not been finalized. The standards are due to the Legislature by Jan. Lawyers are still reviewing whether certain rules will require formal approval by the Legislature, Stiger said. If these diversion programs cannot prove their worth soon, they could be eliminated, according to proposals under consideration.“Quite frankly, we don’t run them very well,” Stiger said. Their previous stories about the California Board of Registered Nursing can be found at www. November 2. 0, 2. In a major shift, California will impose tough new standards on drug- abusing health professionals, strictly scrutinizing those in treatment and immediately removing from practice anyone who relapses.“The bottom line is we’re in the business of protecting consumers,” said Brian Stiger, director of the state Department of Consumer Affairs, which announced the rules Thursday. Read the rest of this entry ».
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Download the add-on you want or use the Add-on Manager from the application; Unzip the files in the installation folder of Remote Desktop Manager; Restart Remote Desktop Manager; Create a new session with. Introduction This document describes how VPN Tracker can be used to establish a connection between a Mac running Mac OS X and a Juniper Networks firewall/IPsec VPN device running the ScreenOS firmware. IP address for each network host. NAT. allows multiple machines to connect to the Internet using a single public. IP address. Additionally, using NAT for Internet access protects internal. Practically, this means that NAT allows you to receive one IP. Internet Service Provider and that everyone on your. IP address to access the Internet. It also. allows you to select one or more software services (web server, file. Internet but to limit. IP port numbers. m. NAT: Inbound NATOutbound NATServer NAT1: 1 NATCaution. Although a NAT rule can redirect traffic into your network you. There are two most commonly used and most familiar types of NAT. Port Address. Translation, or PAT. In both cases m. 0n. IP header of. packets that traverse the NAT enabled interface but NAT and PAT each. IP header. NAT translate the IP address in the IP packer header. NAT rules. can be applied to TCP or UDP packets that are either incoming and/ or. Ethernet interfaces except the LAN interface. For example. you can translate port traffic arriving on the WAN at TCP port 8. When PAT is combined with NAT you. Internet traffic for port 8. Note. Since only TCP and UDP packets are using port numbers, only. PAT based translation rules. PAT configuration is included in the NAT configuration pages. Other uses. for PAT include: hiding common ports to make them less obvious for script. Normally, an Ethernet interface which has an IP address being. ARP request to say. IP address exists and that the Ethernet interface is. Without Proxy ARP you can still assign multiple IP addresses to. WAN interface but your Internet Service Provider must edit their. Note. PPPo. E connections do not use ARP requests. If you are. assigning multiple IP addresses to y PPPo. E WAN interface then the. Inbound NAT allows you to open up TCP and/or UDP ports or port. You may need to open. NAT- unfriendly applications and protocols to. Also if you run any services or applications that. NAT. Inbound traffic is incoming data that arrivs on the selected. NAT interface that has not already travelled througn th m. For example, inbound traffic on the WAN interface coming directly. Internet can have inbound rules applied to it but traffic from. LAN network that goes through the WAN interface cannot have inbound. WAN interface. Caution. It is not possible to access NATed services using the WAN IP. LAN (or an optional network). Only external traffic. Inbound NAT rules applied. By default, m. 0n. NAT rules to all interfaces. NAT your internal hosts to your WAN IP address for outbound traffic. Therefore, if you are using public IP addresses on any of the. NAT. behavior by enabling advanced outbound NAT. If you are using public IP addresses on all the interfaces behind. Now nothing will be NATed by m. If you have a public IP subnet off one of your interfaces behind. IP subnet behind another interface, you will need. NAT mappings on this screen. For example, if you have a. LAN subnet of 1. 92. DMZ subnet with public IP addresses. NAT, and click the plus at the. NAT mapping for your LAN network. For this. scenario, you will want to add a rule for interface WAN, source. Note. If advanced outbound NAT is enabled, no. NAT rules will be automatically generated anymore. Instead. only the mappings you specify will be used. With advanced outbound. NAT disabled, a mapping is automatically created for each interface's. WAN) and any mappings specified on the Outbound NAT screen. If. you use target addresses other than the WAN interface's IP address, then. WAN connection is setup, you may also need. ARP. Server NAT gives you the ability to define extra IP addresses, other. WAN IP, to be available for Inbound NAT rules. This can be used. IP addresses to be accessible from the selected. Note. Depending on the way your WAN connection is setup, you may also. ARP. 1: 1 NAT maps one public IP address to one private IP address by. This means having an otherwise local network. Internet through the WAN interface of your. From a security perspective this also means that all. WAN interface is forwarded into your network to. Be sure that you have secured the internal. Additionally entire subnets can be passed through the NAT. This. could be used for situations when multiple connected networks are using. Note. Depending on the way your WAN connection is setup, you may also. ARP. 6. 6. Choosing the appropriate NAT for your network. So by now you may be thinking . If you have more servers than. IP addresses, you will need to use Server and Inbound NAT, or 1: 1. NAT combined with Server and Inbound NAT. If you have sufficient public IP. NAT for them. all. Inbound and Server NAT is most suitable when you have more servers. IP addresses. For example, if you have three servers, one. HTTP, one SMTP, and one FTP, and have only two public IP addresses, you. Server and Inbound NAT. For small deployments, this isn't bad to. As the number of hosts increases, things get far more. You'll end up having to remember things like for public IP. A, port 2. 5 goes to server B, port. C, etc. If you are using software applications that open many rrandom ports. Internet, such as certain video/voice IP software, you might need. NAT to be sure that whatever port is needed can get through to. If you can't clearly picture a network in your head while. With ports. going all over the place like this, once you get a number of ports. Once you have IPSec properly configured you. Support incoming mobile connections (for instance from a. Connect and encrypt two or more Monowall devices over the Internet. Communicate with 3rd party IPSec capable devices (Cisco. Checkpoint and others)The Example VPN Configurations. IPsec links. with some third party IPsec devices. Although it might seem confusing, in. Its use in m. 0n. Virtual Private Networks (VPN's). After two or more. The two points can be on a local. Internet. There are two general types of IPsec VPN capabilities in m. Site to site will connect entire. The IPsec specification includes many features and services. Below. is a list of IPsec features, including features not currently. Table 8. 1. IPSec Feature List. Feature 1. 2. 1. 3. Site to site xx. Mobile user to site xx. Tunnel mode xx. Transport mode Perfect Forward Security (PFS) xx. Main Mode xx. Aggressive Mode xx. Remote gateway hostname/domain support x. IKEv. 2 support Phase 1 local IP, Domain, FQDN Identifier xx. Phase 1 local RSA Cert Subject Identifier x. Phase 1 Authentication Hashes md. Phase 1 Authentication Hashes tiger. Phase 1 Authentication Preshared Key support xx. Phase 1 Authentication RSA / PKI X. Certificate. support xx. Phase 1 Authentication DSA Certificate support XAUTH Authentication Phase 2 Diffie- Hellman Key support 7. Modp) xx. Phase 2 Diffie- Hellman Key support 2. Modp) Encryption Ciphers DES,3. DES, Blowfish, CAST1. Encryption Cipher AES (Rijndael) x. Encryption Ciphers Twofish, Serpent, IDEA NAT- T Traversal x. Dead Peer Detection x. IPSec diagnostic logs xx. Dynamic DNS remote site support x. IPSec Traffic filtering DHCP over IPSec L2. TP Authentication Manual Key support Certificate Revocation List 8. Site to Site VPN Explained. Site to site VPN's connect two locations with static public IP. Prior to VPN's, much more expensive private Wide. Area Network (WAN) links like frame relay, point to point T1 lines. Some organizations are. VPN links between sites to take advantage of reduced. Site to site VPN's can also be used to link your home network to a. While site to site VPN's are a good solution in many cases. WAN links also have their benefits. IPsec adds processing. Internet has far greater latency than a private. VPN connections are typically slower (while maybe not. A point to. point T1 typically has latency of around 4- 8 ms, while a typical VPN. Internet between the two VPN endpoints. Tip. When deploying VPN's, you should stay with the same ISP for all. ISP's that use the. Geographic proximity usually has no relation. Internet proximity. A server in the same city as you but on a. Internet- backbone provider could be as far away from you. Internet distance (hops) as a server on the other side of the. This difference in Internet proximity can make the. VPN with 3. 0 ms latency and one with 8. Remote Access IPsec VPNm. VPN, PPTP and IPsec. Open. VPN available in beta versions only for now). This alone eliminates it as a possibility for most. NAT. Many home networks use a NAT router of some sort, as do. Note. NAT- T is supported in m. One good use of the m. IPsec client VPN capabilities is to. This will be described later in this. FIXME - A second limitation is the lack of any really good, free. IPsec VPN clients for Windows. Most of your remote users will likely. Windows laptop users, so this is another major hindrance. For most situations, PPTP is probably the best remote access VPN. See the PPTP chapter for more. IPsec's Tunnel mode is supported on m. This mode. allows secured communication between entire subnets. When the packet. leavs the subnet it will be encrypted, when it gets to the remote. IPSec device the packets are decrypted and routed/ sent into the. The IPsec Specification supports a 2nd mode of operation called. Transport mode. Transport mode limits encrypted communication to the 2. If this was supported it. Transport mode is not. Perfect Forward Secrecy. This option increases security during authentication by assuring. When activated, this means. This can be disabled to. IPsec Software Clients. Most operating systems include IPsec clients. Windows 2. 00. 0 and. IPsec client but it is also difficult to. Mac. OSX 1. 0. 3 and later also includes a free IPsec client but. IPsec called. L2. TP/IPsec. Free configuration tools exist for both operating systems. Windows, are more evolved and. Notem. 0n. 0wall does not support L2. TP so if your IPsec client software. L2. TP it will not work with m. Authentic HP 5. 5X (CE2. X) Black Laser. Jet Toner Cartridge. Genuine HP 5. 5X black toner cartridges produce superior quality and consistency for a wide array of printing needs. This reliable HP high- yield black toner cartridge is designed for your HP printer, so it gives you consistent high- quality results. It holds more toner than a standard cartridge, which saves you money and time since you will need to change the cartridge less frequently. 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Norstar How to program phone how to program voice mail features for Nortel Networks Norstar Phones Meridian. Control Unit or KSU: (Key Service Unit): In smaller. The size of the control unit determines. Most business phone systems have a number. The 8. 24 Norstar phone system is expandable to 5. Note: All key telephone systems have music on hold. Co lines- These. are the incoming phone lines from your local telephone company. They are. extensions of the telephone system. They look like telephones and work. But only work with the control unit and will not work. So, if you ever move, Don't forget the control unit. NORSTAR PHONE SYSTEM M7324, M7310, M7208 T7316, T7208, T7100 SETS Commonly Used Features. To Program Personal Speed Dial: 1. Nortel Networks,Meridian,Norstar,programming and feature codes. Programming your Norstar system. To Program Personal Speed Dial Numbers. Voice Mail- Auto. Attendant- voice mail systems with the auto attendant is like. The voice mail. system is a separate unit from the telephone system, it is wired into. The number of ports on a voice. An example of this would be the . This telephone system supports up to 2. Things to think about. Many companies today have purchased. These are questions you need to consider when. What is the maximum. I can have on my business phone system? If you were running a. Don't put the fax line in. Because if all lines are busy the next caller will get. Product lines such as the. Meridian Norstar are designed with usability and longevity in mind. Nortel’s Norstar phone systems provides. With usability and reliability combined. The Best Free Palm Software — Leslie Franke. This is the time of year where many people are getting Palm handhelds for the first time or upgrading to a new Palm. Thus, I felt is to be appropriate to create a “Palm Best Of” series, laying out what I feel to be the best free Palm software, the best Palm developers, and the best Palm websites. The best free Palm software is presented below, the articles on the best Palm developers and websites are to follow. Best Free Palm Software. Adding additional functionality to your Palm, outside of the built- in applications, does not require a large outlay of money. While there are several programs on my Palm that I have gladly paid for, Agendus, Smart. List. To. Go and ZLauncher come to mind, there are many high quality freeware and/or open- source programs available in the Palm universe. Some of these programs are as good or even better than their commercial counterparts. The following is a list of some of the best and most popular free software for Palm handhelds. This is not in all inclusive list. Strong Currency Converter, free and safe download. Strong Currency Converter latest version: Tool for getting up-to-date exchange rates.Best Free Palm Software. PalmBible+ is a Bible reader program with dual version. Converter is a free unit conversion tool that supports over 200 unit types in.
This free Palm software listing has been split up into three categories: Productivity, Utilities, and Fun with several subcategories in each group. I have not included several free niche and device specific pieces of software and also have not included every piece of free software for each category. For example, there are numerous free high- quality ebook readers. Some of these are not included as I selected what I felt to be the best and most complete of the lot. Productivity. Calendars and Tasks. A5 is a replacement for the default Datebook and Tasks applications. It uses the same database as its built- in counterpart and adds a week view with an uncluttered interface. Support for repeating events and Icon Manager icons is included. Ks. Datebook and Ks. To. Do are replacements for the default Calendar and Tasks Palm applications that use the same database as their built- in counterparts. They add additional features such as weekly view with text as well as text display in monthly view. Today gives a one page overview of current appointments, tasks, mail, etc., along with the current date/time and owner information of the device. It is similar to the Today screen on Pocket PC and to the Agenda view found in the newer built- in Palm Calendar applications. Today is very configurable, can be skinned and will work as a mini- launcher. Databases. Pilot- DB is a flat file database with a strong set of features and a desktop component that will run on multiple platforms. Plugins are available for Mobile- DB and JFile databases, for access to the built- in Calendar, and for external memory card access. Handy. Shopper is a shopping list database application that can also be used to create any simple kind of list. For more information about Handyshopper see this site or visit the Handyshopper Yahoo Group for ideas and samples on how to make lists for almost anything. Memos. Ps. Memo is a replacement for the built- in Palm Memo. Pad that adds several useful features. Si. Ed is a text editor with features such as split screen views, editing of plain text files, and support for external keyboards. Readerse. Reader is an ebook reader that will read ebooks in both the standard Palm. Doc format and in e. Reader format. A variety of translations are available, including foreign language translations. Palm. Ficition is an ebook reader that can read Palm. Doc, z. TXT, Word and text files. Palm PDF is a true PDF viewer for the Palm. Time, Calculations and Conversions. Chime is a utility that presents the time in speech, chime and vibration. Converter is a free unit conversion tool that supports over 2. Snap. Calc is a simple calculator that can be launched, like a DA or hack, with a simple stroke or button sequence. Clock. Pop. 5 is a clock popup application that can display appointments and phone info on the Clock. Pop screen. Power. Palm. OS based emulator for the Hewlett- Packard 4. SX, 4. 8GX and 4. G series of calculators. Watchmaker is a clock application with configurable analog and digital clocks, as well as daily and weekly alarms. Travel. KMaps is a mobile version of Google Maps which uses Google Maps search results, directions and satellite imagery. It requires a connection to the internet to be of any use. Visit the KMaps Wiki to learn more about the software. Metro is a guide to public transport systems with data on over 2. Besides offering a map and schedule, Metro also offers information on nightlife, places of interest, tourist spots for selected cities, and lets you link contacts to specific stations. City data can also be stored on memory cards and beamed to other users. You can access the Yahoo Metro Group here. Tide Tool will compute tides and currents worldwide as well as provides some sun and moon data. Web. Avant. Go is an offline newsreader and web browser. On each hot sync it will copy a specified web page and store it on your Palm allowing you to access web content offline. Opera Mini is a fast, mobile browser. It requires the use of the Web. Sphere Palm Java environment. Plucker is an offline web page browser and ebook reader. Use the excellent Sunrise desktop converter to convert web pages in Plucker format. Utilities. Launchers. Mc. Phling is an application and DA launcher from which you quickly select from a list of your favorite applications or switch from your current application to the previous one. Included in the download are the following DAs: ac. Baklit, ac. Graffiti. Ref, ac. Roman. Kbd, ac. Numkbd, ac. Wordc, Phone, and Simple. Clock. DAOther DAs of Note: Cool DAs – Allows you easy view your palm information, execute some commands and change some perferences. It will launch applications from a SD Card applications if the shortcuts has been created by another program. Switch. 5 is a preference panel application which can switch immediately to the previous app, or will select an app from a list of recently launched apps. Button Customization. Buttons. Ex will customize the Home buttons and the 5. Way button on your Palm. Map. Buttons will remap the Voice and Camera buttons on your Palm. Shark. Button will allow for full customization of how the Palm’s buttons act. File Managers. 3XCommander is a file manager. The information can be presented in one panel or in split screen mode. File. Z is a system utility and file manager application. The file manager provides access to all files on both internal and external memory cards and allows for detailed information about each file to be viewed and/or edited. The general system information provides device, battery, and Hot. Sync information. The system preference manager allows preferences to be viewed and/or removed. Other Utilities. Battery. Graph is a program for monitoring the battery status of a Palm. Font. Hack. V is font substitution tool for Palm OS5 handhelds. To manipulate Palm fonts on the desktop get Palm Font Converters. It requires the use of a DA launcher. ZGrab is a full screen screenshot tool. Fun. Audio/Video. Aeroplayer is a full featured portable music player that will play Ogg Vorbis files stored on an expansion card. It offers features such as equalizer, screen blanking, volume and bass boost, skins, and album art. Note: If you install the MP3 plug- in, you can try it free for 1. If you install the Ogg Vorbis and/or Speex files, Aeroplayer is free. The Core Pocket Media Player is an open- source audio and video player that can play many formats of video and multimedia files such as mp. A high quality, free desktop tool to convert videos to play in TCPMP is Pocket. Div. XEncoder. Games. Sudoku is a placement puzzle game. Pyramid Solitaire is a solitare game. Breakout 4. 80/3. Crosswords is a Scrabble clone. Patience Revisited is a collection of solitaire games including Klondike and Free. Cell. SU: Additions is a collection of sixteen Solitaire games. Feringa is a chess game. Micro. Fluxx is a clone of the Looney. Labs card game Fluxx. Pil. Oth is a clone of Othello. Yahdice is a clone of Yahtzee. The objective is to remove all the tiles from the playing field by following a simple set of matching rules. Graphics. JPGview is an image viewer for JPEG Image files stored on a media card on a VFS compatible PDA. Icon Manager is a icon creator and editor. It will create or edit icon sets for programs like Handy. Shopper, Date. Bk, and Agendus. You can visit the Icon Manager Yahoo Group here. Free Icon Manager Icon Collections. This entry was posted on Wednesday, January 1. Lamotrigine associated with exacerbation or de novo myoclonus in idiopathic generalized. Edad de comienzo, Descripci. Epilepsia mioclonica juvenil, fisiopatologia y tratamiento. However, it was not until 1957 that Janz. Sodium valproate (VPA) is considered the first choice drug in juvenile myoclonic epilepsy (JME). We have analysed the long-term evolution of 22 patients treated from the outset with VPA. The following inclusion criteria were. Epilepsia Mioclonica Juvenil – Un Tipo Particular de Epilepsia. Esta enfermedad descrita por Janz, se caracteriza por la aparici. La epilepsia con crisis miocl. Ciarse como EA juvenil, unidad patog. Estos SE pueden presentarse solos o asociados, con solapamiento entre ellos, y precedidos o no de epilepsia con ausencias infantil (EAI). Download Full-text PDF. Tipo de epilepsia generalizada. A EMJ foi descrita por Janz e Cristian em 1957 com base em estudo de 47. La edad pico de comienzo es a los 1. La causa es posiblemente gen. No obstante, al anochecer pueden tambi. La principal causa por el que un paciente con esta enfermedad visita a un especialista es por la presencia de las crisis convulsivas generalizadas y no por las mioclon. En este estudio, los pacientes con Epilepsia Miocl.
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