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Specialized skills and knowledge required to safely manage patients' highly technical critical care needs. This situation was exacerbated in our institution by a 2-day BMT education program originally designed for experienced oncology nurses, but evaluated by recently hired staff as inadequate to meet their needs for understanding the basic principles underlying BMT nursing care. This abstract describes the transformation of our institution's BMT nursing education program based on changed needs reported by our newly hired nurses. The educational content of the programs and improvement in evaluation scores will be explained. Nurses' response to the educational programs and the relationship of job satisfaction, performance and retention to education will be discussed. After reviewing program evaluations, our BMT nursing education was changed from a 2-day program offered 2-3 times annually to three sequential programs: a one-day program, the "BMT Core Curriculum", followed by two half-day classes, "Essential BMT Nursing Skills" and "BMT Supportive Care Issues". Each is offered quarterly, and presented by experienced clinicians from our own staff. Educational content and time allotments were further adjusted to meet the specific educational needs of newly hired BMT nursing staff. Newly hired BMT staff nurses' response to these educational programs was overwhelmingly positive, ranking consistently higher on a 1 point Likert scale than the previous programs. In addition, several of our experienced staff subsequently asked to attend, and a review process has been designed by BMT Program leadership to maintain the program's relevance and currency in 2007. The focus and content of our BMT nursing education programs were substantially revised to better meet the expressed needs of our nurses. Further, a periodic review process was implemented to ensure the program continues to evolve with the science of transplantation and feedback of our nursing staff. Similar nursing education programs geared specifically to the needs identified by the target audience could be implemented in other facilities to improve nursing knowledge, skills, satisfaction and retention. The distinguishing morphological features of R. vannielii are the attachment of the cells by means of a slender, branched filament and the mode of reproduction, which we believe to be by budding rather than fission. Figure 2 illustrates typical cell groups taken from a 7-day-old culture and photographed while suspended in dilute gentian violet. The individual cells at maturity are ovoid in shape with dimensions of approximately 1.2 by 2.8 microns. The connecting filaments vary greatly in length but are uniformly about 0.3 microns in diameter. The electron micrograph shown in figure 3 reveals that a short portion of the filament connecting two mature cells is generally constricted and considerably more opaque to the electron beam than the remainder of the filament. It can be observed that many of the terminal cells of cell groups possess filaments that vary in length from very short protuberances to structures several microns long. The tips of the filaments may be undifferentiated figure 6, left ; or swollen figure 6, right ; to various degrees. We believe that these globose structures at the tips of the filaments are new cells in various stages of development. The size range of the terminal cells is well illustrated in figure 2. Cell multiplication appears to be initiated by the outgrowth of a new filament from the pole of a mature or immature cell, or from some point along a filament connect and ginger.

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Chilean Tax Considerations In the Company's opinion, the following described the material Chilean income tax consequences of an investment in the ADSs or shares of Common Stock by an individual who is not domiciled or resident in Chile or a legal entity that is not organized under the laws of Chile and does not have a permanent establishment located in Chile a "foreign holder" ; . This discussion is based upon Chilean income tax laws presently in force, including Ruling No. 324 of January 29, 1990 of the Servicio de Impuestos Internos the "Chilean Internal Revenue Service" ; and other applicable regulations and rulings. The discussion is not intended as tax advice to any particular investor, which can be rendered only in light of that investor's particular tax situation. Under Chilean law, provisions contained in statutes such as tax rates applicable to foreign investors, the computation of taxable income for Chilean purposes and the manner in which Chilean taxes are imposed and collected may only be amended by another statute. In addition, the Chilean tax authorities issue rulings and regulations of either general or specific application and interpret the provisions of Chilean tax law. Chilean tax may not be assessed retroactively against taxpayers who act in good faith relying on such rulings, regulations and interpretations, but Chilean tax authorities may change said rulings, regulations and interpretations in the future. There is no income tax treaty in force between Chile and the United States. Taxation of Dividends Gener is currently subject to income tax the "First Category Tax" ; which is imposed at a rate of 10%. Dividends paid by Gener with respect to shares held by a Foreign Holder will be subject to Chilean withholding tax at a rate of 35% the "Additional Tax" ; . The First Category Tax paid by Gener in respect of its profits to which the dividends are attributable will be credited against the Additional Tax, although the credit will also increase the base upon which the Additional Tax is imposed. Consequently, dividends which are attributable to current profits will be subject to an effective dividend withholding tax rate of 27.6%, calculated as follows: Company taxable income . First Category Tax 10% of Ch0 ; . Net distributable income. Dividend distributed by Gener. Additional Tax . 35% of the sum of Ch plus Ch First Category Tax Paid ; . Credit for First Category Tax. Net Additional Tax withheld . Net dividend received. Effective dividend withholding tax rate. 100 10 ; 90 27.6!
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