2. medical Nurse specialist
"alternate is a relentless for me. i really like the excitement of discovery," says Jocelyn Sese (correct), a CNS at Maimonides clinical middle in Brooklyn, N.Y. "Even in any case these years of nursing, there are nevertheless new issues to learn and introduce to the workforce."Median pay: $86,500Top pay: $126,00010-yr job growth: 26p.cTotal jobs*: 3,449,300
What they do all day? With Obamacare elevating the power to control fitness charges, it be no shock this is a hot healthcare profession. These change brokers use their scientific advantage and organizational impact to improve policies designed to increase affected person effects and carry health care extra effectively.
the way to get the job? The most appropriate specialists are a combination of nurse, chief, educator and researcher. a big part of the position includes educating and motivating others to adopt new practices and innovations. Graduate-level practicing in a nursing uniqueness is a have to.
What's remarkable? What's now not? It can also be extremely gratifying to mentor different personnel contributors and have a true influence on affected person care. but making an attempt to steer skilled staffers to embrace new approaches can be tough. --Grace Wong
What they do all day? With Obamacare raising the force to control health fees, it's no surprise here is a sizzling healthcare profession. These alternate brokers use their clinical advantage and organizational have an effect on to boost guidelines designed to enrich affected person effects and carry fitness care greater effectively. --Grace Wongfirst-class of life ratings:
by means of Ravi Parikh August 5 at 9:00 AM
we are within the core of a well-documented epidemic of health care provider burnout. doctors document greater dissatisfaction than ever, and facts presented at this yr’s American Psychiatric association annual meeting indicates that physicians commit suicide at twice the price of the customary inhabitants. but as hospitals address this by appointing “chief wellness officers” and as medical faculties revamp their curriculums, the health-care gadget as a whole is ignoring one obvious treatment: docs seeing greater fit patients.
I currently had a busy day on the sanatorium where I see americans with melanoma. My first two visits have been challenging: all the way through the first, I defined to a affected person and his spouse that his kidney cancer changed into now not responding to remedy. next, I suggested that a patient extend his holiday to endure treatment for an aggressive malignancy. i was already dreading my last appointment, when i'd tell a Vietnam veteran with liver and coronary heart failure that he would now not be able to withstand the chemotherapy mandatory to control his Stage four melanoma.
It changed into going to be a protracted day.
but sandwiched between these appointments, a well-known face showed up in my workplace. a few yr in the past, he had gone through surgery to get rid of a lung tumor. I hadn’t viewed him in months. He seemed healthy, having regained many of the weight he’d misplaced. He turned into happy to get again to fishing and taking lengthy walks. in a while, I gave him a clear invoice of health: “Your labs and scans seem to be outstanding. Why don’t you come returned in three months?”
He appeared a bit surprised: “If things appear decent, do I need to maintain seeing you?”
This didn’t suggest that he disliked me. (I feel.) somewhat, he explained that each talk over with to the oncology health facility became a reminder that he had once had cancer. besides, he lived greater than an hour away and he trusted his basic-care doctor to evaluate his scans. And it became very viable that his lung cancer would in no way return. He would be satisfied to on no account have to come again to look me.
I informed him that, whereas I sympathized, most patients in remission should see their oncologist periodically after finishing remedy to display screen their melanoma and handle possible facet outcomes. He agreed and scheduled an appointment.
What I didn't say — or even consciously recognise at the time — turned into that I obligatory to look him as tons as he obligatory to see me.
cancer specialists call these appointments “survivorship” visits. They’re where we frequently tackle medicine-connected facet consequences and display for different cancers and illnesses reminiscent of diabetes. Survivorship visits are a means for us to stay in contact with sufferers, and many suppose reassured that the doctor who beat returned their cancer is carrying on with to retain a close eye on them. in all probability it is why ladies with breast melanoma say they decide upon their oncologists to stay connected with them even after therapy.
however there is a movement in drugs to push fit sufferers out of the doctor’s office, propelled through the 20 million newly insured patients who got extended entry to the health-care system after the reasonably priced Care Act handed in 2010. fresh articles in fundamental client and academic venues argue towards the annual physical, noting that fit or asymptomatic patients can also no longer advantage from these visits, which, of route, can charge our system funds. Telemedicine and residential health functions also substitute in-adult care.
Even in cancer care, patients who are cured or in remission regularly don’t see their doctor constantly. Survivorship becomes the domain of providers equivalent to nurse practitioners and health care provider assistants. consequently, lots of the sufferers we physicians see have new cancer diagnoses or are receiving medication.
In different words, almost every one of them is sick. That’s surely what any doctor signed up for. And the value of a health center talk over with is much larger for a unwell patient than for a fit one.
however as one who treats americans on the verge of life and loss of life each day, i'm beginning to respect the emotional toll. Between the intestine-wrenching conversations about mortality and managing lifestyles-threatening problems of a remedy that my crew prescribed, a full day of hospital can go away me drained, guilty or, even worse, depressed. That feeling is amplified for sufferers with ailments akin to pancreatic melanoma, where the opportunity of lengthy-time period survival is bleak. and i am nonetheless in practicing; imagine how exhausted a professional cancer specialist or essential-care health care provider must think on the end of their day, after seeing 25 sick sufferers and answering 10 mobile calls from involved family members.
Even among oncologists, who self-opt for into a career it's emotionally charged, fees of burnout are excessive. In a 2014 study published in the Journal of scientific Oncology, well-nigh 1,500 oncologists surveyed said at the least some burnout, and it was worse amongst those that noticed greater sufferers. These numbers were bigger among vital-care docs and internists in the most recent Medscape health care professional lifestyle report, which surveyed of more than 15,000 physicians practising in 29 specialties.
Surviving the hard days
On most of my tough days, I don’t suppose of seeing a match affected person as a waste of health center time. On the contrary, once I noticed that my patient who had survived lung melanoma changed into on the time table, I felt relieved. With sufferers like him, medical doctors can find the money for to spend quarter-hour discussing a toddler’s commencement or a recent vacation. These interactions remind doctors that remedy can let somebody lead a normal existence.
These are the sufferers who steer clear of me from burning out.
I went into drugs to make certain that sick sufferers may return to dwelling a normal life. even though that’s now not at all times the influence, it is nice to look it take place.
Even in less-important instances than cancer medication, “neatly visits” can also be essential. doctors can center of attention on smoking cessation, pastime counseling and intellectual fitness — critical themes that are often unnoticed all the way through a ailing talk over with.
Of path, if a in shape patient doesn't need to go to the doctor, that’s their prerogative. and i take into account that both sufferers or their insurers need to pay for in-person visits, transportation, medicinal drugs and lab checks. however I consider those charges can also be justified by means of the stronger cost of care that refreshed, happier docs give.
As more physicians develop into burned out and fearful about working towards medicine, we should realize that there are limits to what chief wellness officers, counseling, and pep talks can accomplish. best techniques-level changes in how medical doctors treat and see patients will curb the upward push in health professional burnout. in all probability healthy patient visits can be therapeutic for everyone.
Parikh is a fellow in hematology and oncology at the institution of Pennsylvania and is an adviser at the Coalition to radically change superior Care.
Teresa T. Goodell is an award-profitable trauma nurse and educator. She has greater than 35 years of experience in nursing. She is board licensed in wound care and trauma care, and as an adult scientific nurse professional. Goodell is obsessed with advocating for sufferers and improving patient care.
organizations have awarded her greater than $four hundred,000 in analysis and educational delivers. Peer-reviewed journals have posted her articles. She has additionally been on peer evaluation panels for a couple of journals.
Goodell decided to pursue nursing as a result of she might make a change in americans’s lives.
“I might see that what i would be doing would contribute to society,” Goodell spoke of. “I didn’t just like the theory of making funds for some organisation. i used to be basically energized with the aid of the theory that i will be able to use science and aid people on the identical time.”
Goodell obtained her first nursing license in 1982 and took a job at St. Joseph clinic in Ohio. She labored within the coronary care unit. After three years, she moved to Mt. Sinai clinical core in Cleveland, the place she labored as an ICU nurse
while working toward her grasp’s diploma, she did research for the clinic. She earned her grasp of Science degree as an adult clinical Nurse expert in 1993.
The first-class of affected person care Goodell followed as a nurse troubled her. She saw doctors pursue aggressive remedy with little regard for particular person option or great of lifestyles.
“It made me wish to combat tougher to change things,” Goodell spoke of. “i used to be being requested to do things that I didn’t basically trust and have been no longer within the affected person’s ultimate hobby.”
This drove her to look for other roles in health care the place she may help patients.
She moved to Portland, Oregon. There, she took a job at Oregon fitness & Science institution as a trauma clinical nurse professional and coordinator. She graduated with her PhD in 2004. In a subsequent put up-doctoral fellowship, she studied problems of hospitalization in older adults and developed gerontological nursing schooling suggestions.
She taught for eight years at Oregon health & Science college however discovered the politics of academia didn’t swimsuit her. So, she took a job as school with Visionem, Inc. This allowed her to train practicing trauma nurses all over the nation.
Now, she teaches nurses about trauma care, evidence-based nursing practice and humanizing the hospital ambiance.
Goodell believes that prescribed drugs and surgical procedure shouldn’t be the only alternatives for patients. As a nurse, she endorses holistic care. She is passionate that nutrients, recreation and even handed use of medication and surgery can work collectively to offer the most appropriate remedy plan.
As a feminist, she also cares about gender bias in health care. She believes that each person should still have equal satisfactory of care even with gender, race and other factors. She also believes that science should still be more inclusive to supply the foremost information on safety and effectiveness of treatments.
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Savant syndrome comes in diverse forms. In congenital savant syndrome the surprising savant means surfaces in early childhood. In bought savant syndrome extraordinary new advantage, customarily in song, artwork or arithmetic, appear unexpectedly in average men and women after a head injury, stroke or other imperative worried gadget (CNS) incident the place no such talents or interests have been latest pre-incident.
however in surprising savant syndrome a regular adult and not using a such prior pastime or capacity and no precipitating damage or other CNS incident has an unanticipated, spontaneous epiphanylike second the place the guidelines and intricacies of song, artwork or mathematics, for example, are experienced and revealed, producing virtually instantaneous giftedness and potential within the affected enviornment of skill units. as a result of there is not any underlying incapacity corresponding to that which occurs in congenital or got savant syndromes, technically unexpected savant syndrome can be enhanced termed surprising genius.
The Case of ok. A.
A 28-year-old gentleman from Israel, okay. A., sent his description of his epiphany second. He became in a mall where there changed into a piano. Whereas he may play essential accepted songs from rote memory earlier than, “ at age 28 after what i will highest quality describe as a ‘just getting it second,’ it all seemed so basic. I changed into taking part in like a smartly-proficient pianist.” His pals were astonished as he performed and understood tune in a wholly elaborate method. “I suddenly realized what the major scale and minor scale were, what their chords had been and where to put my fingers with a purpose to play certain ingredients of the dimensions. i was immediately in a position to recognize harmonies of the scales in songs I knew as neatly because the means to play melody by using interval attention.” He began to look the internet for counsel on track conception and to his amazement “most of what they had to teach I already knew, which baffled me as to how may i do know whatever I had not ever studied.”
okay. A. has a high IQ, is now an attorney and has no background of any developmental disorder. He makes part of his residing now doing musical performances. He described his musical epiphany in a good deal more detail in a posting in the article element of www.savantsyndrome.com
The Case of M. F.
This 43-12 months-historic lady woke up one night in December 2016 with what she referred to as “the pressing need to draw a large number of triangles, which promptly evolved to an internet of complicated summary designs. I stayed up into the morning with a compulsive need to draw, which endured over the subsequent three days at an extreme stage.” She had no prior hobby or working towards in paintings. by way of the third day she became working on a chunk of artwork she named “the Mayan,” which took her two weeks to complete. Three months later she had created 15 items whose styles were reminiscent of artists together with Frida Kahlo and Picasso. She at this time spends about eight hours a day on her craft in addition to her work as a true estate agent. incorporated into most of her pieces of paintings is mandalic style of which she was totally unaware just before her sudden artwork means.
The Case of S. S.
When she changed into in her mid-40s, S. S. all started noticing adjustments in her notion of the physical world round her. She observed when she looked at issues like timber and flora, she began to see hues, textures and shadows in approaches she had by no means viewed before. This new way of seeing issues compelled her to categorical her “new vision” on paper. She had by no means painted before in her lifestyles and become no longer relaxed with a paintbrush, so she purchased an affordable set of pastel pencils at activity foyer, discovered a image of a gorilla on the cover of an historical countrywide Geographic magazine, and sat down to draw it. The result—a prosperous, advanced pastel painting with uncanny realism—shocked her pals and family, chiefly in light of the fact she had in no way shown a flair for art or even an pastime for that depend, and he or she certainly not took an paintings class transforming into up.
From that point ahead drawing and pastel portray started to consume her each waking moment. Her “new vision” wouldn’t allow her to just take a seat round and marvel at the fantastic thing about this “new” world. She felt she had to act on it—she should act on it. From the very starting this present of seeing things in a new manner became inextricably tied to a compulsive need to breed that new world on paper. It grew to become an obsession that each one however took over her life. “I discovered it just about unattainable to put down my pastels and do things I essential to do,” she pointed out, “i was spending means too a whole lot money at activity foyer and art deliver shops. i used to be almost frenzied.”
Even now, when she must center of attention on other more urgent issues in her lifestyles, S. S. must put the pastels and art apart and store them away in a place where she isn't tempted through them, on occasion for months at a time. She worries that “beginning a new portray could absolutely derail her.” in the case of S. S., as with different instances of surprising genius, there isn't any historical past of autism or CNS injury.
The distinctiveness of unexpected genius
Many people pick up a new ability or interest, specifically later in lifestyles. So what is distinctive here?
These situations came to my attention by means of unsolicited e-mails through people in search of clarification or tips from web searches. we're within the process of exploring these instances further with a detailed survey instrument.
Daniel Tammet, a prodigious savant, is writer of "Born on a Blue Day." the manner Daniel can describe his internal world so articulately has given scientists a personal, verbal window into the mind that they in no way had before. In a documentary filmed on the Milwaukee artwork Museum he states: “the road between profound ability and profound disability appears to be basically a surprisingly skinny one. Who knows there may well be advantage hidden inside everyone that may also be tapped come what may.”
certainly, the acquired savant peculiarly, and now the unexpected savant, give a boost to the theory that now not best is the road between savant and genius a really narrow one however additionally underscores the opportunity such savant potential could be dormant, to 1 degree or a different, in anyone. The challenge is to faucet those special knowledge with out head injury or CNS incident but fairly with some nonintrusive, more with no trouble purchasable methods.
we are working on that.
Alabama football: The five biggest questions for fall camp via Ronald Evans
Alabama football: Locks and Tosh talking facets are equal Tide theme via Ronald EvansAlabama soccer all started fall camp on Friday. check out notes from the primary practice session and the post-apply assessment by way of Nick Saban.
The defending country wide champion, Alabama soccer group hit the fall follow container on Friday. For the primary session of fall camp, the gamers labored in helmets and shorts on a heat Tuscaloosa afternoon.
As all the time, media viewing turned into restricted. nonetheless, after the first look at what Nick Saban would describe as now not a countrywide champion, there became information. more on Saban’s observations beneath. First a few observe notes.
Fall camp sets the tone for the upcoming season and one coach, in particular, become raring to move. due to Stephen M. Smith, we have Lupoi fees as he directed the focal point of his gamers.
Y’all been talking all summer long. It’s video game time now…
cease all that running. Too many first rounders have practiced on this field for you to be walking.apply Notes
a number of insiders have stated Saban has been unusually glad with the effects of summer time practicing.
The Alabama football group could have an open observe on Saturday. Nick Saban will additionally communicate to the media once again ahead of the practice.
Angiostrongyliasis became linked with the consumption of raw greens containing larvae of the parasite Angiostrongylus cantonensis (often known as "rat lungworm") in the continental U.S., researchers found.
The CDC identified 12 demonstrated angiostrongyliasis situations within the U.S. from 2011 to 2017, and 6 of eleven patients stated ingesting uncooked greens, mentioned Eugene W. Liu, MD, of the CDC, and colleagues, writing in the Morbidity and Mortality Weekly report.
Rat lungworm infection typically occurs in Asia and the Pacific Islands. The A. cantonensis parasite lives in rats, which pass feces which are then ingested by means of snails and slugs (gastropods) that crawl on garden greens. The parasite is spread to people when gastropods containing mature larvae of the parasite are "inadvertently ingested by humans," the authors referred to.
while infection with A. cantonensis regularly comprises transient light symptoms, larval migration to the brain can lead to eosinophilic meningitis, focal neurologic deficits, coma, and death, the researchers noted.
situations of angiostrongyliasis have been identified via A. cantonensis polymerase chain reaction checking out of cerebrospinal fluid (CSF) submitted to the CDC. All 12 patients had CSF pleocytosis and eosinophilia, according to eosinophilic meningitis. Most suggested subjective fever, generalized weak spot, headache, and numbness or tingling.
although no particular medication for A. cantonensis infection at the moment exists, 11 patients obtained systemic steroids and seven had been handled with the anti-parasitic drug albendazole (Albenza).
Two months after their initial contrast, all 12 patients had been alive and eleven had more advantageous indicators. four people had ongoing focal neurologic signs equivalent to cranial nerve palsies or decrease extremity weak point; one patient developed seizures 5 months after preliminary analysis and was treated with anti-epileptic medication.
Six cases had been likely a result of local transmission in the southern U.S., the CDC researchers talked about: "Healthcare providers, particularly these in the southern united states, should trust angiostrongyliasis in patients with eosinophilic meningitis, specifically these with a history of ingestion of gastropods or raw greens contaminated with larvae."
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BlueCoat [2 Certification Exam(s) ]
Brocade [4 Certification Exam(s) ]
Business-Objects [11 Certification Exam(s) ]
Business-Tests [4 Certification Exam(s) ]
CA-Technologies [21 Certification Exam(s) ]
Certification-Board [10 Certification Exam(s) ]
Certiport [3 Certification Exam(s) ]
CheckPoint [40 Certification Exam(s) ]
CIPS [4 Certification Exam(s) ]
Cisco [315 Certification Exam(s) ]
Citrix [46 Certification Exam(s) ]
CIW [17 Certification Exam(s) ]
Cloudera [10 Certification Exam(s) ]
Cognos [19 Certification Exam(s) ]
College-Board [2 Certification Exam(s) ]
CompTIA [74 Certification Exam(s) ]
ComputerAssociates [6 Certification Exam(s) ]
CPP-Institute [1 Certification Exam(s) ]
CSP [1 Certification Exam(s) ]
CWNA [1 Certification Exam(s) ]
CWNP [13 Certification Exam(s) ]
Dassault [2 Certification Exam(s) ]
DELL [9 Certification Exam(s) ]
DMI [1 Certification Exam(s) ]
ECCouncil [21 Certification Exam(s) ]
ECDL [1 Certification Exam(s) ]
EMC [127 Certification Exam(s) ]
Enterasys [13 Certification Exam(s) ]
Ericsson [5 Certification Exam(s) ]
Esri [2 Certification Exam(s) ]
ExamExpress [15 Certification Exam(s) ]
Exin [40 Certification Exam(s) ]
ExtremeNetworks [3 Certification Exam(s) ]
F5-Networks [20 Certification Exam(s) ]
FCTC [2 Certification Exam(s) ]
Filemaker [9 Certification Exam(s) ]
Financial [36 Certification Exam(s) ]
Fortinet [12 Certification Exam(s) ]
Foundry [6 Certification Exam(s) ]
Fujitsu [2 Certification Exam(s) ]
GAQM [8 Certification Exam(s) ]
Genesys [4 Certification Exam(s) ]
GIAC [15 Certification Exam(s) ]
Google [4 Certification Exam(s) ]
GuidanceSoftware [2 Certification Exam(s) ]
H3C [1 Certification Exam(s) ]
HDI [9 Certification Exam(s) ]
Healthcare [3 Certification Exam(s) ]
HIPAA [2 Certification Exam(s) ]
Hitachi [28 Certification Exam(s) ]
Hortonworks [4 Certification Exam(s) ]
Hospitality [2 Certification Exam(s) ]
HP [744 Certification Exam(s) ]
HR [2 Certification Exam(s) ]
HRCI [1 Certification Exam(s) ]
Huawei [21 Certification Exam(s) ]
Hyperion [10 Certification Exam(s) ]
IAAP [1 Certification Exam(s) ]
IBM [1520 Certification Exam(s) ]
IBQH [1 Certification Exam(s) ]
ICAI [1 Certification Exam(s) ]
ICDL [6 Certification Exam(s) ]
IEEE [1 Certification Exam(s) ]
IELTS [1 Certification Exam(s) ]
IFPUG [1 Certification Exam(s) ]
IIA [3 Certification Exam(s) ]
IIBA [2 Certification Exam(s) ]
IISFA [1 Certification Exam(s) ]
Intel [2 Certification Exam(s) ]
IQN [1 Certification Exam(s) ]
IRS [1 Certification Exam(s) ]
ISA [1 Certification Exam(s) ]
ISACA [4 Certification Exam(s) ]
ISC2 [6 Certification Exam(s) ]
ISEB [24 Certification Exam(s) ]
Isilon [4 Certification Exam(s) ]
ISM [6 Certification Exam(s) ]
iSQI [7 Certification Exam(s) ]
ITEC [1 Certification Exam(s) ]
Juniper [63 Certification Exam(s) ]
Legato [5 Certification Exam(s) ]
Liferay [1 Certification Exam(s) ]
Lotus [66 Certification Exam(s) ]
LPI [23 Certification Exam(s) ]
LSI [3 Certification Exam(s) ]
Magento [3 Certification Exam(s) ]
Maintenance [2 Certification Exam(s) ]
McAfee [8 Certification Exam(s) ]
McData [3 Certification Exam(s) ]
Medical [25 Certification Exam(s) ]
Microsoft [362 Certification Exam(s) ]
Mile2 [2 Certification Exam(s) ]
Military [1 Certification Exam(s) ]
Misc [1 Certification Exam(s) ]
Motorola [7 Certification Exam(s) ]
mySQL [4 Certification Exam(s) ]
NCLEX [2 Certification Exam(s) ]
Network-General [12 Certification Exam(s) ]
NetworkAppliance [36 Certification Exam(s) ]
NI [1 Certification Exam(s) ]
NIELIT [1 Certification Exam(s) ]
Nokia [6 Certification Exam(s) ]
Nortel [130 Certification Exam(s) ]
Novell [37 Certification Exam(s) ]
OMG [10 Certification Exam(s) ]
Oracle [262 Certification Exam(s) ]
P&C [1 Certification Exam(s) ]
Palo-Alto [4 Certification Exam(s) ]
PARCC [1 Certification Exam(s) ]
PayPal [1 Certification Exam(s) ]
Pegasystems [11 Certification Exam(s) ]
PEOPLECERT [4 Certification Exam(s) ]
PMI [15 Certification Exam(s) ]
Polycom [2 Certification Exam(s) ]
PostgreSQL-CE [1 Certification Exam(s) ]
Prince2 [6 Certification Exam(s) ]
PRMIA [1 Certification Exam(s) ]
PsychCorp [1 Certification Exam(s) ]
PTCB [2 Certification Exam(s) ]
QAI [1 Certification Exam(s) ]
QlikView [1 Certification Exam(s) ]
Quality-Assurance [7 Certification Exam(s) ]
RACC [1 Certification Exam(s) ]
Real-Estate [1 Certification Exam(s) ]
RedHat [8 Certification Exam(s) ]
RES [5 Certification Exam(s) ]
Riverbed [8 Certification Exam(s) ]
RSA [15 Certification Exam(s) ]
Sair [8 Certification Exam(s) ]
Salesforce [5 Certification Exam(s) ]
SANS [1 Certification Exam(s) ]
SAP [98 Certification Exam(s) ]
SASInstitute [15 Certification Exam(s) ]
SAT [1 Certification Exam(s) ]
SCO [10 Certification Exam(s) ]
SCP [6 Certification Exam(s) ]
SDI [3 Certification Exam(s) ]
See-Beyond [1 Certification Exam(s) ]
Siemens [1 Certification Exam(s) ]
Snia [7 Certification Exam(s) ]
SOA [15 Certification Exam(s) ]
Social-Work-Board [1 Certification Exam(s) ]
SpringSource [1 Certification Exam(s) ]
SUN [63 Certification Exam(s) ]
SUSE [1 Certification Exam(s) ]
Sybase [17 Certification Exam(s) ]
Symantec [133 Certification Exam(s) ]
Teacher-Certification [4 Certification Exam(s) ]
The-Open-Group [8 Certification Exam(s) ]
TIA [3 Certification Exam(s) ]
Tibco [18 Certification Exam(s) ]
Trend [1 Certification Exam(s) ]
TruSecure [1 Certification Exam(s) ]
USMLE [1 Certification Exam(s) ]
VCE [6 Certification Exam(s) ]
Veeam [2 Certification Exam(s) ]
Veritas [32 Certification Exam(s) ]
Vmware [57 Certification Exam(s) ]
Wonderlic [1 Certification Exam(s) ]
Worldatwork [2 Certification Exam(s) ]
XML-Master [3 Certification Exam(s) ]
Zend [6 Certification Exam(s) ]
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