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What Are Gallstones? What Causes Gallstones?
Gallstones are lumps or stones that develop in the gallbladder or bile duct. Some of the chemicals which exist in the gallbladder, such as cholesterol, calcium bilirubinate, and calcium carbonate, harden into either one large stone or many small ones. According to Medilexicon"s medical dictionary, a gallstone is "A concretion in the gallbladder or a bile duct, composed chiefly of a mixture of cholesterol, calcium bilirubinate, and calcium carbonate, occasionally as a pure stone composed of just one of these substances". An article describes a gallbladder in the bile duct similar to trying to squeeze a golf ball through a straw.
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Strong Immune Response To New SiRNA Drugs In Development May Cause Toxic Side Effects
Small synthetic fragments of genetic material called small interfering RNA (siRNA) can block production of abnormal proteins; however, these exciting new drug candidates can also induce a strong immune response, causing toxic side effects. Understanding how siRNA stimulates this undesirable immune activity, how to test for it, and how to design siRNA drugs to avoid it are critical topics explored in a timely review article published online ahead of print in Oligonucleotides, a peer-reviewed journal published by Mary Ann Liebert, Inc.
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WHO And UNICEF Call For Strengthened Risk Reduction Measures To Protect Hospitals And Schools From The Impact Of Disasters
The World Health Organization and UNICEF today called on governments to strengthen risk reduction measures in four key areas so that health and education systems are able to cope with disasters, including the risks from climate change. These are:
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Tennessee Nurse-Midwife Honored With Esteemed Award

Frances E. Likis, DrPH, NP, CNM, of Nashville, TN, received the 2009 Kitty Ernst Award, one of the most prestigious honors awarded by the American College of Nurse-Midwives (ACNM), during ACNM"s 54th Annual Meeting & Exposition in Seattle, WA. "Francie"s energy and enthusiasm are clearly evident in her day-to-day work. In just nine years, her contributions to midwifery have been noted and applauded by her peers, including her work on an awardò€winning text, Women"s Gynecologic Health, and authorship of several journal articles and book chapters. She personifies the spirit and drive of a midwife. In addition to her educational and research efforts, Francie is also noted as a dynamic speaker among women"s health care professionals," said ACNM President Melissa Avery, PhD, CNM, FACNM, FAAN. "She demonstrates the vision, leadership, and creativity of a Kitty award recipient." After graduating from the Frontier School of Midwifery and Family Nursing (FSMFN) in Hyden, KY in 2000, Likis practiced fullò€scope midwifery in a birth center and returned to FSMFN as a faculty member in women"s health. Within just two short years, she became the Women"s Health Course Coordinator for FSMFN, where she was later Coordinator of Graduate Education. Likis currently serves as the Editorò€inò€Chief of the Journal of Midwifery and Women"s Health (JMWH), and the Associate Director of Graduate Studies for the Institute for Medicine and Public Health at Vanderbilt University Medicl Center. She has been recognized and honored many times throughout her career, including Top 100 Leader award from Vanderbilt University School of Nursing, Student Choice Award for Teaching Excellence from FSMFN, and the Royster Fellowship at the University of North Carolina. In addition to her work as a member of the JMWH Editorial Board since 2002, her service to ACNM includes the past roles of Chair of the Subcommittee on Structure for the Work Group on Bylaws Revision, Viceò€Chair of the Tennessee Chapter, and member of the 50th Anniversary Ad Hoc Committee. Likis received her bachelor"s and master"s degrees from Vanderbilt University, and her doctorate in public health from the University of North Carolina at Chapel Hill. She is a certified nurseò€midwife, family nurse practitioner, and women"s health nurse practitioner. The Kitty Ernst Award, more affectionately known as the "Young Whippersnapper Award," is named after ACNM"s fourth and youngest President, who is also one of its most dynamic living legends. The Kitty Ernst award was established in 1998 to honor a midwife who has been certified for less than 10 years and has demonsrated innovative, creative endeavors in clinical practice, education, administration, or research relating to midwifery and women"s health. American College of Nurse-Midwives


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