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How awesome would it be to have one of these to play around with for a while? [youtube]AARs00nrW7I[/youtube]

Back in the day, I was huge fan of Sim City, Sim City 2000, and even Sim City 3000. So much so that I put up a small fansite and was constantly bombarded by emailed requests to download Sim City for free. Sim City was a great game but it never was a completely accurate city simulator. In Sim City 2000, for example, filling every square of land with high-rises would only get your population to 100,000 or so. In order to reach the millions, you had to wait past the far-flung future year of 2000 and build arcologies. Now we are seven years past 2000, so where are the arcologies? On their way. There a number of projects being proposed and built that could qualify. First, there's this huge pyramid proposed for Tokyo Bay. Shimizu Mega-City Pyramid is obviously an arcology, just take a look at this clip from Extreme Engineering: [youtube]vfsoBAT27pA[/youtube] Now Simizu may never be built, but another arcology-sized building, Burj Dubai, is well on it's way to completion. When it's completed, it will be the world's tallest building by a huge margin - the current tallest, Taipei 101, is 509.2 m / 1,671 ft. Burj Dubai will be 818 m / 2,684 ft. The tower will have a hotel, offices, apartments, and probably some retail. Still, you could make an argument that it's not intended to be a complete city in a building, so it's not a real arcology. If you include the nearby highrises and Dubai Mall, all surrounded by harsh desert and built in the last ten years, it's hard to argue that this is a totally different way of building human habitat. If you are despairing at the prospect of yet another world's tallest building going up outside of the United States, birthplace of the skyscraper, take heart. The Chicago Spire, planned to hit 609.6 m / 2,000 feet, shows that America is not yet out of the supertall game. This one is even less like an arcology, though, since it will be entirely residential. Apparently architect Santiago Calatrava skipped right on to Sim City 3000.

I left a cliffhanger of a post in Part I of this article. This section of the article will focus more on things to help you be successful and knowledgeable in your clinical skills as a student nurse, even if you do decide to go further for your master's or doctorate degree in nursing. Palm Pilots As I mentioned in the previous article, buying a palm pilot was the smartest thing that I ever did. Going on many websites, your head may swoon when thinking of all that you have to consider when buying a Palm Pilot. There are only three things that you need to worry about: price, compatibility, and memory. Price Most good palm pilots (PDAs) start at a range of $199 and can go as far as $499 or higher. I am not a rich person at all. The Palm Pilots (yes, plural...see below) I have bought took months for me to save up for. In my humble opinion, I would have to say that a PDA for $199-299 might be all that you need. Before you tsk, tsk me, there are several things working for you as a student nurse. The first is that you're a student, a poor, poor student who needs help financially. Most companies offer some kind of student discount if you order PDAs from their website like Skyscape and Epocrates. These two websites offer bundles in which you buy PDAs and medical programs together at a discounted price. There might be more sites out there, but these are the two big sites that I deal with when shopping for medical stuff for my PDA. Secondly, as I said in the last section of this article, you can always hit all of the relatives up for some palm pilot lovin' during Christmas/Hanukkah/birthday or whatever time. Compatibility I have had 4 Palm Pilots in my whole life. The first was lost by family members. Number two was tossed out due to the power button breaking...that was the Tungsten E, which I guess was on the list of many repairs and updates leading to Tungsten E2. The third was a Tungsten E2 that ran out of memory. Epocrates is a memory hog...more on this below. Currently I have a Palm TX, one of the few loves of my life. I only know Palm OS (operating system) as opposed to Windows Mobile. Most of the PDA programs that you're going to buy are going to be Palm OS compatible, so it can work on both a Mac or a PC. The PDAs that are only Windows Mobile compatible can only work with programs built for Windows, not for Macs. There are not many Windows only programs, so you're best bet is buying a PDA that is Palm OS compatible. Memory You want to have at least 32 megabytes of memory on the actual device. Palm's Tungsten E2 has this much memory and did very well for me. Most nurse practitioners (and nurses) who I have seen with a PDA have a Tungsten E2. If you choose to shower your palm with a good reference guide, medical dictionary, and drug book, then you will definitely need a memory card. A memory card with 1 gigabyte should be enough. I'm kind of obsessive about new and cool medical books available on PDAs, and I have a 1 gigabyte memory card. Be sure to know which major programs you would want to buy before buying a PDA. Some software requires a certain amount of memory to be on the actual PDA device, even if you have a huge amount of memory on your memory card. Programs Here's the fun part. The inner nerd in me loves nothing more than to break open a new PDA box or play with a new medical e-book found on the internet. You will find this to be true, too,or maybe I am a freak. Student Nurse Must Haves: 1. Epocrates Essentials Pros:

• Keeps you up to date on current research (depending on how much you update Epocrates)
• A 5-minute Clinical Consult in which you type in symptoms and it gives you the most likely diagnoses and treatment modalities
• You can look up different labs and what they mean, different medical diagnoses/diseases, different drugs different medical math formulas i.e. body mass index, creatinine clearance, and pediatric maintenance fluids.

Cons:

• Epocrates = memory hog. Get a memory card to save you the trouble and heartache
• It sometimes has trouble updating and gives you corrupt files. If you have a PDA with WiFi, like the Palm TX, then do the auto update wirelessly instead of using your hotsync cable. This will save you 5 months of constantly calling Epocrates tech support. You'll know exactly what all this mumbo-jumbo is when you actually have a PDA, I promise.

2. Taber's Cyclopedic Medical Dictionary Pros:

• A full 2439 pages all wrapped up in 10966 kilobytes of memory.  It may sound like a lot of memory, but it's still not as much as Epocrates.
• web access to the dictionary with illustrations.

Cons:

• No illustrations for the PDA version.

3. Lexi Comp Drugs International Pros:

• In-depth description of tons of drugs...far better than Epocrates.
• Many international drugs used in Canada and Europe listed.
• Patient education and monitoring parameters are really spelled out well.

Cons:

• It is a bear to download and update. They are based in Hudson, OH, but their books are used all over. I'm really surprised that they haven't made their website more user-friendly.

Grad Nursing Student Must Haves: 1. Washington Manual Outpatient Medical Survival Guide 2. Washington Manual Internship Survival Guide These two books saved my life a few times when doing my clinical rotations. As student NP, you are basically treated as a resident because many people don't know what your training exactly is. This experience was bittersweet...maybe more sweet in hindsight, because I trained myself to not only think on an advance practice nurse's level, but also on medical level along with all of the residents and docs. Studying many sections of these two books also had prepared me for seeing common problems in all of my rotations that NPs and docs have to deal with all the time. I know it is the end of the school year for many and maybe soon to be the beginning of the school year for some. I get asked these questions all the time from classmates, so I figured if that many people wanted to know about PDAs and medical software, then there has to be hundreds more people out there who haven't even started nursing school, yet. I hope this article has helped you. If you have any questions, post them in the comments section below and I will try to answer or add additional parts to this article. Feedback is always greatly appreciated. Good luck in your future studies!

Does sorting bottles and cans really save the earth? You may have heard the rumor that the whole thing is a big sham - either a misguided to make ourselves feel better about our wasteful lifestyles, or worse a conspiracy of crystal-wearing, tree-hugging hippies. You may have noticed a number of geeky environment-related posts on Unsought Input. Some of our writers like to think of themselves as environmentalists. Now, before you click your back button, I should explain: no one here will ever tell you to stop driving and live in a cave! We are positive, progressive environmentalists who come to our green views through a love of innovation, efficiency, scientific progress, and yes, even market economics. So, is recycling a bunch of bullshit designed to make us all feel better about ourselves? Does putting glass and plastic in a green bin actually damage the environment more than help? Penn and Teller seemed to think so in an episode of their show, Bullshit. Bullshit is a great show, it's very entertaining, and they call out psychics and feng shui practitioners on their unsupportable claims. It's also filled with things that are less objective debunkery and more Penn and Teller opinion. The duo have a number of reasons for disliking recycling. For example, there is no shortage of landfills and believe recycling uses more energy than it saves. They liken it to a dogmatic religious practice. Are they right? should we give up and put throw our used printer paper in with the coffee grounds and litter box tailings? Well, according to The Economist, recycling is worth it in almost every case. For those of you unfamiliar, The Economist is hardly a bastion of feel-good hippyism. In American terms the magazine is notoriously fiscally conservative (which is sometimes called economic liberalism in Europe). In a recent article they report the results of a study by the Technical University of Denmark and the Danish Topic Centre on Waste:

The researchers then looked at more than 200 scenarios, comparing the impact of recycling with that of burying or burning particular types of waste material. They found that in 83% of all scenarios that included recycling, it was indeed better for the environment.

If you live in a community that does single-stream garbage collection, you might wonder if they really do sort out the recyclables. Chances are they do, and single-stream systems can actually be some of the most efficient:

San Francisco, which changed from multi to single-stream collection a few years ago, now boasts a recycling rate of 69%—one of the highest in America. With the exception of garden and food waste, all the city's kerbside recyclables are sorted in a 200,000-square-foot facility that combines machines with the manpower of 155 employees.

The big question about recycling is really a series of separate, somewhat related questions. First, are we really running out of landfills? Of course not, we have several deserts and oceans just waiting to be filled. Now, to ask the actually meaningful question: are we running out of landfills near large population centers that generate the trash? That answer is a lot closer to yes. It turns out most people don't want to live next to a dump, so dumps are getting harder and harder to build. Suburban sprawl only makes it worse. Second, is recycling economically worth it? Recycling is indeed subsidized in most cities. But the answer to this question depends on things like commodity prices, new technologies and innovations, and whether or not you try to count the market externalities. Finally, does recycling have a net environmental benefit? This is actually a huge question, and life cycle analysis is not easy to do. How far back to you go? If you go all the way back to the energy expended on mining raw materials, transportation, etc., then the answer tends to be yes. Now, does this one study prove for all time that recycling is worth doing? Of course not - that would be rather dogmatic. But it is further evidence, with a thorough methodology. This is how science works. For example, here's another paper that examines the significance of assumptions in life cycle assessments like this one. When was the last time a religion or superstition publish a report examining possible issues in their underlying assumptions? Earlier I called Bullshit a great show, and it is. So how did they get it wrong on this issue? Penn and Teller are absolutely brilliant when it comes to debunking flim-flam artists, because they have years of training and experience as flim-flam artists themselves. Magicians and psychics (and the like) use the exact same techniques in their work --the difference is that magicians tell you it's a trick, and not supernatural god power. When the show ventures into other topics, though, the quality varies depending on the experts they rely on. [youtube]9oloM_dSoW4[/youtube] So, to recap:

1. Recycling? Good.
2. Dogmatic crystal-wearing, tree-hugging hippies? Bad.
3. Penn and Teller on flim-flam artists? Good.
4. Penn and Teller on scientific topics? Not so much.

Pretty much no one nowadays takes any personal responability for their actions. Look at Attorney General Alberto Gonzales. He still refueses to admit he had anything to do with the firing of the attorneys even though all the evidence points to him doing so. All he has done so far is pretend to not remember anything and blame all of his subordinates for what happened. Look at the TB patient who flew all around the globe potentially infecting people. He blames everybody else, even though he was repeatedly told not to travel and to seek medical treatment. Apparently his wedding was more important than the health of anyone else besides himself. Then he has the nerve to say that quarentine procedures are unconsitutional. Ok Mr. Big Shot lawyer good time proving that case while evryone on those planes sues your ass. Akon is the latest egomaniac to emerge. He's already in hot water for dry humping a 14 in the Caribbean. Now at the recent K-Fest in Fishkill Akon hurled a 15 year boy from the stage after he threw something at him. [youtube]yT7Z-uTAbEc[/youtube] He has released a statement from his lawyer saying he did nothing criminally wrong. Um shouldn't there also be an apology in there saying how you were sorry you threw a 15 year old off of a stage? Or is that ok now for a grown man to beat up a kid. If you throw something you deserve to be kicked out of the concert not hurled from the stage. Why is this considered acceptable behavior? Why isn't he being kicked off of the Gwen Stefani Tour and dropped from his record label? Where are Al Sharpton and Jesse Jackson on this one? Oh so when you hurt somebody with something you say on the radio it's not okay and you should be fired, but when you actually try and hurt a 15 year old that's suddenyly fine? All these corporations that claim to care about values apparently don't care either. So wrtie or email Akon's record label Universal Music Group and Verizon Wireless who also sponsors him and tell them that beat up 15 year olds isn't acceptable behavior. Also boycott the Gwen Stefani tour until she kicks him off. Send a message that just because your famous you can get away with whatever you want. People need to be shown that there are consequences to their actions. Otherwise society will just keep going to hell in a handbasket.