Friday, November 29, 2019

Nephrologist Career Overview - Job Description, Skills, Duties, Education, Training, Job Outlook Salary

Nephrologist Career Overview - Job Description, Skills, Duties, Education, Training, Job Outlook SalaryNephrologist Career Overview - Job Description, Skills, Duties, Education, Training, Job Outlook SalaryNephrologists Job DescriptionNephrologists are physicians, who are expert in the diagnosis and treatment of disorders related to the kidneys. Nephrology is a branch of internal medicine, which focuses on non-surgical treatment and management of renal disorders. A Nephrologist focuses on kidneys and the entire renal system of the body.A Nephrologist specializes in the management of patients with a wide range of renal disorders which include glomerulonephritis, renal cancer, hydronephrosis, etc. Occasionally, Nephrologists may also perform transplant procedures in some patients or assist a surgeon in performing the transplant surgery.Create this ResumeNephrologists Skills/DutiesThe primary task of a Nephrologist is to diagnose, treat and manage any condition or disease which affect s the kidney functions. This need not necessarily mean only the management of disorders of the kidney, but also the management of a wide range of systemic disorders, which may be responsible for malfunctioning of the kidneys which include high blood pressure, cancers or diabetes.A Nephrologist would have to interact with the patient, take a detailed case history and determine an appropriate action plan to treatment and management of the condition. The treatment regimen may include the use of dialysis therapy, which is acts as an artificial kidney or kidney transplant, in cases of severe and non treatable disorders.Many Nephrologists specialize in specific domains of nephrology, like pediatric nephrology or glomerulonephritis.Nephrologists Education and Training There are three stages in the education and training requirement of a Nephrologist. Firstly, a medical doctors degree is imperative to purse this profession. Next, a completion of the Accreditation Council of Graduate Medical Education residency program in internal medicine for two years is essential to purse this career. A certification in internal medicine by the Accreditation Council is mandated by the American Board of Internal Medicine, to purse Nephrology. Following this, a three year fellowship in nephrology and a National Examination conducted by the Board are required for certification and license to practice Nephrology in the United States.Nephrologists Job OutlookAs per the Bureau of Labor Statistics, the outlook for this profession is good, especially in low income areas, where kidney transplant is considered fairly expensive. The training to become a Nephrologist is fairly extensive but the profession has a bright future.Nephrologists work primarily in hospital setting, while a few may have their own private practice. Long work hours during a week and irregular schedules to handle critically ill patients are a way of life for most Nephrologists.Nephrologists SalaryAs per details available f rom salary.com, the median annual salary of a Nephrologist is approximately $212,000 and the profession is expected for grow by 22 % within the next decade, as per the Bureau of Labor Statistics indicative of professional and financial growth. The salary of a Nephrologist also depends upon the area in which he serves and the overall experience in handling critically ill patients. Customize ResumeMore Sample Career ArticlesNephrologist Career Night Shift Supervisor Career Otolaryngologist Career

Sunday, November 24, 2019

12 ways to be ready for anything

12 ways to be ready for anything12 ways to be ready for anything1) Have smartfriendsAll of my friends are smarter than me. Even (especially) the ones who dont have college degrees.Being intelligent isnt really about knowing everything. Its about knowing one person who knows the most about SEO, one person who knows the most about building a house, one person who knows about taxes, and one person who knows the rules of grenzberschreitend negotiation.Follow Ladders on FlipboardFollow Ladders magazines on Flipboard covering Happiness, Productivity, Job Satisfaction, Neuroscience, and more2) BeHealthyYesterday I listened to a scary podcast about the state of American health.(Every podcast about American health is scary)While the health of a nation is complicated, health for you is not. Take a walk every hour. Eat whatever you want, so long as you are cooking it. Be in the physical presence of other people often. Make sure you are pooping once per day.The positive impact you can make while you are sick in bed is exactly zero.3) Know how to make a crap ton ofmoneyThis has absolutely nothing to do with your intellectual readiness and everything to do with your emotional readiness.Heres why.Dan Ariely (ofthis TED talkandthis book), wanted to unpack extrinsic motivation. He and his team ran an experiment where they offered three groups of participants three different amounts of money to complete a series of random memory and concentration tasks.The first group was offered a days salary for good performance. They did pretty well.The second group was offered two weeks salary for good performance. They did fine as well.The third group was offered a jaw-droppingfive months salaryfor good performance. Time to shine, right?Wrong.This group performeddramaticallyworse. The extreme amounts of money triggered the fight-or-flight response in their bodies.A large reason many people with a medium income do not rise above that level is because they lack the confidence to pursue OR rec eive big checks.Do you want to know when the results in Arielys study flipped? When the people in the big bonus groupperceived the task as easy. At that point, they confidently flew through the challenges and walked away with big money.People who earn the most make hard work look and feel easy.4) BeNaiveOne of the great ironies of human nature is thisWe want to know every step of the process before we start. Yet, if we were truly aware of all it takes, there is probably no way we would evermove.Initial ignorance protects you from becoming overwhelmed. Do what you can do today. Start now. Figure out the rest later.5) RememberFlikFlik is an ant from the movie A Bugs Life.While all the other ants were standing in line, doing what was expected of them, and enjoying their comfortable living, Flik knew there must be more.One day, he understood he would neverfullybe ready. So he strapped on a backpack and dove headfirst into the unknown.Hmmm.6) Invent projects foryourselfEric Thomas (afair lysuccessful speaker) recently admitted that he completely botched his first voiceover job.Although he knew he had a great voice, talking to a microphone in a studio was another monster entirely.So what did he do?He invented scripts and read them into his own microphone.Heres what I learned. If I stay ready, I never have to getready.- EricThomasDid the coffee shop down the street commission you to rebrand them? No. Do it anyway.Did HGTV call you to edit their new show about (get this) a spunky couple who is flipping houses? No. But one day they might.Will anybody ever hold you to a standard worthy of the best work? Probably not. Butthats why you should.7) Have a safetynetAt least, financially.It is a lot easier to take the risks necessary for success when you arent wondering how each decision will affect your ability to pay Wells Fargo, Bank of America, Chase, Capital One and the IRS. (Trust me. This is not a hypothetical list.)The freedom to act without fear is probably the best t hing you can buy.8) Dont have a safetynetAt least, not emotionally.Lets pretend you are working a traditional 95er right now. But you are ambitious. You have goals of your own. You have a side hustle. You wont spend your whole life selling your soul.The temptation, of course, is to take it easy during the key hours of the day in order to conserve your best thinking.This is the exact wrong instinct.Everything is momentum, a virtuous cycle. Do you think you will suddenly rise to excellence after a long day of half-heartedness?No. Greatness at a 95 rolls into greatness from 59 which leads to a good nights sleep and that gives us a better option.If anything is going to be attached to your name, please dont do it halfway. You deserve better.9) Know what action to take at any giventimeThe peak of discipline is the ability to work for only five minutes on a project which will take several months.Know how to beat The Three Is of InactionIndifference,Indecision,Ignorance.When you know exactl y what to do and can start doing it at the slightest break in the schedule, doors open.10) Master trustbuildingCan I be honest with you? Continuous trust is one of the perks of working a traditional office job as opposed to clients.With a traditional job, you are exposed to your clients every day. You can charm them. You can buy them coffee and breakfast and learn what they want. It is much easier to convince them you dont have any evil plans (even if you do).Freelancing, this process must take place in 1/10th of the time to meet deadlines most of the time. Fail to do so, and be micromanaged.The faster you build trust, the faster you and your boss are happy.(Unless you have abad boss)11) Know CheatCodesthe band, not a series of buttons. Although they earned their name for the ability to hack their way to the top of the charts.After spending several years learning their craft and finding their voice, Cheat Codes got to tour with Demi Lovato (who had a name far more familiar to pop mu sic fans).When given the chance to collaborate, Cheat Codes did not try and book time with Demi six months down the road. They did not start researching male/female songs. They immediately sent over a song they had already written and said Demi, this would be great for you.In other words12) Always have ideas in your backpocketI once worked with an entrepreneur who sold his company for several billion. He used to tell me thisPeople talk about plan A and plan B. They never talk about plans C through Z. The way I look at things, there are at least 26 chances for success for everyprojectOne reason I will never forget this is because it was the first time I heard someone say zed instead of zee, which made my American heart giggle. The second reason is because I so often fail this advice, choosing instead to balk at any work which takes more than a couple of false starts.Its very short-sighted of me. Maybe one day, I will get better.Speaking ofideasYou may enjoy my free ebook?- ?The Ultim ate Guide to Infinite Ideas?- ?which I am giving away for the price of an schmelzglas address.Get your copy right here.This article first appeared Medium.You might also enjoyNew neuroscience reveals 4 rituals that will make you happyStrangers know your social class in the first seven words you say, study finds10 lessons from Benjamin Franklins daily schedule that will double your productivityThe worst mistakes you can make in an interview, according to 12 CEOs10 habits of mentally strong people

Thursday, November 21, 2019

Seismic Protection for Pressure Piping Systems

Seismic Protection for Pressure Piping Systems Seismic Protection for Pressure Piping Systems Seismic Protection for Pressure Piping SystemsWhen it comes to earthquake preparedness in an industrial production facility, the devil is in the details. Seismic experts say most of the damage from earthquakes today is caused not by crumbling walls or collapsing roofs but failures in the less visible, often overlooked, parts of a buildingespecially pressure piping. Nonstructural features like pressure piping ordnungsprinzips and other MEP components are especially vulnerable to earthquake damage, says Jeff Soulages, senior structural engineer at Intel. If companies dont properly detail their piping systems, they risk potentially devastating financial effects from property loss or production shut-downs. Pressure piping systems carry a wide range of fluids and gases around buildings, generally at pressures greater than 15 psi. Systems are usually configured in some combination of horizontal an d vertical runs of pipe suspended overhead or mounted on (and penetrating through) walls, floors or roofs. Seismic Risks Flexible connections are often required at fixed equipment or where piping crosses an expansion joint or seismic separation. Virtually all of these traits come with their own seismic risks, Soulages says. Movement between points of attachment can occur during earthquakes.Improperly supported or unbraced piping can fall or sway into adjacent equipment or structures.Joints, connections to equipment, bends, and penetrations are often the source of breaks and leakage, damaging both the piping system and whatever else happens to be nearby. Another common cause of damage, especially in large industrial complexes, is differential movement between points of attachment, Soulages says. Often, pipelines will span two or more connected buildings that may react differently in a quake. Seismic restraints at the interface of the two buildings should take into account the structu ral aspects of each building, he says. Longitudinal Bracing Proper seismic detailing for suspended pipes requires both transverse and longitudinal braces, installed at spacing intervals that depending primarily on the level of seismic activity at the building site, location within the building, pipe size and type, and the strength of the connections to the structure. Longitudinal pipe bracing requires the use of a pipe clamp, riser clamp, welded lug, or other hardware that positively attaches to the pipe to prevent slippage. Friction connections such as U-bolts are no-nos for longitudinal restraint because they are especially slip-prone. Spring-loaded hangers, couplers and fittings, pipe dampers, preassembled seismic bracing kits, load-rated hardware, and other specialized products to anchor or brace piping systems are available from a wide range of vendors. Many commercial suppliers also offer technical support, design, installation and inspection information, AutoCAD details, and calculation packages. Other emerging computer-based solutions include Virtual Design and Construction (VDC) software and Building Information Models (BIMs). As these 3-D computer models catch on, it will be easier for a wider range of users to coordinate a buildings MEP components with the structural system and other nonstructural components. For engineering and architectural professionals, many standards exist for pressure piping systems and supports, including provisions of Process Piping (ASME B31.3). For the broader audience of managers and facilities professionals, however, the Federal Emergency Management Agency (FEMA) has recently updated its bible of nonstructural seismic damage Reducing the Risks of Nonstructural Earthquake Damagea Practical Guide. Also known as FEMA E-74 and available only online, this definitive resource helps meet the critical need to raise awareness of the risks, consequences, and preventive measures for pressure piping systems. Michael MacRae is an ind ependent writer. Nonstructural features like pressure piping systems and other MEP components are especially vulnerable to earthquake damage.Jeff Soulages, Intel