This document summarizes challenges and efforts related to asbestos-related disease (ARD) in Indonesia between 2008-2016. It discusses 3 collaborative research studies conducted during this period that identified few cases of asbestosis. It also describes a 2016 training conducted for 40 doctors on diagnosing ARD using ILO radiograph methods. Additionally, the document reports on a survey of 103 Indonesian doctors that found most diagnosed ARD based on patient history of asbestos exposure rather than additional examinations. It concludes by recommending increasing awareness of ARD, doctor diagnostic capacity, coordination among stakeholders, and developing an ARD reporting system.
The future always feels like it’s running late. Human imagination works harder than human enterprise, but at any given moment, scientists and engineers are redesigning future technology and the world around us in big and small ways
Slaughterhouse zoonoses: Leptospirosis and Q fever in KenyaILRI
Poster by E.A.J. Cook, W.A. de Glanville, L.F. Thomas, B.M.D. Bronsvoort, S. Kariuki and E.M. Fèvre presented at the 3rd International One Health Congress, Amsterdam, the Netherlands, 15-18 March 2015.
Chronic Rhinosinusitis and Its Impact on PregnancyAI Publications
Nasal congestion is the most common symptom of pregnancy rhinitis, which disappears once the baby is born. Pregnant patients with rhinitis report symptoms in 18 to 30 percent of cases. As a result, pregnant rhinitis may have a negative impact on the pregnancy and may result in obstructive sleep apnea, which may have an adverse effect on the outcome of the pregnancy. Previous studies on the prevalence of pregnant rhinitis at various stages of pregnancy have come up with conflicting results. The purpose of this study was to investigate the prevalence of rhinosinusitis during various stages of pregnancy. At a private hospital in the Kurdistan area of Iraq, a cross-sectional observation study of patients in the second and third trimesters of pregnancy was undertaken using the 22-item Sino-Nasal Outcome Test (SNOT-22). The participants were women in their second and third trimesters of pregnancy. The study comprised 76 patients who were considered to be at low risk of becoming pregnant. Thirty-two patients were in their second trimester of pregnancy and 44 patients were in their third trimester of pregnancy when the study was conducted. When comparing the third trimester to the second trimester, the average item scores for the complete questionnaire were considerably higher (P value =0.041), indicating a more severe deterioration of cognitive function. In both the second and third trimesters, a comparison between women with and without preexisting allergic rhinitis reveals that the allergic group has significantly higher SNOT-22 scores (P value =0.007). In individuals with rhinosinusitis, the risk of miscarriage was reduced in the third trimester (P value =0.011). Rhinosinusitis is less common in the third trimester of pregnancy when compared to the second trimester, as well as when compared to patients who do not have rhinosinusitis in the first place.
A Ozonioterapia é uma ferramenta terapêutica muito útil, aplicável no manejo de várias condições clínicas infecciosas, vasculares e/ou que envolvem modulação inflamatória ou imunológica.
The future always feels like it’s running late. Human imagination works harder than human enterprise, but at any given moment, scientists and engineers are redesigning future technology and the world around us in big and small ways
Slaughterhouse zoonoses: Leptospirosis and Q fever in KenyaILRI
Poster by E.A.J. Cook, W.A. de Glanville, L.F. Thomas, B.M.D. Bronsvoort, S. Kariuki and E.M. Fèvre presented at the 3rd International One Health Congress, Amsterdam, the Netherlands, 15-18 March 2015.
Chronic Rhinosinusitis and Its Impact on PregnancyAI Publications
Nasal congestion is the most common symptom of pregnancy rhinitis, which disappears once the baby is born. Pregnant patients with rhinitis report symptoms in 18 to 30 percent of cases. As a result, pregnant rhinitis may have a negative impact on the pregnancy and may result in obstructive sleep apnea, which may have an adverse effect on the outcome of the pregnancy. Previous studies on the prevalence of pregnant rhinitis at various stages of pregnancy have come up with conflicting results. The purpose of this study was to investigate the prevalence of rhinosinusitis during various stages of pregnancy. At a private hospital in the Kurdistan area of Iraq, a cross-sectional observation study of patients in the second and third trimesters of pregnancy was undertaken using the 22-item Sino-Nasal Outcome Test (SNOT-22). The participants were women in their second and third trimesters of pregnancy. The study comprised 76 patients who were considered to be at low risk of becoming pregnant. Thirty-two patients were in their second trimester of pregnancy and 44 patients were in their third trimester of pregnancy when the study was conducted. When comparing the third trimester to the second trimester, the average item scores for the complete questionnaire were considerably higher (P value =0.041), indicating a more severe deterioration of cognitive function. In both the second and third trimesters, a comparison between women with and without preexisting allergic rhinitis reveals that the allergic group has significantly higher SNOT-22 scores (P value =0.007). In individuals with rhinosinusitis, the risk of miscarriage was reduced in the third trimester (P value =0.011). Rhinosinusitis is less common in the third trimester of pregnancy when compared to the second trimester, as well as when compared to patients who do not have rhinosinusitis in the first place.
A Ozonioterapia é uma ferramenta terapêutica muito útil, aplicável no manejo de várias condições clínicas infecciosas, vasculares e/ou que envolvem modulação inflamatória ou imunológica.
Use of the EIS (Electrical Impedance Segmentography System) in Less-Invasive ...semualkaira
Electrical Impedance Segmentography System simultaneously detects transthoracic impedance
changes, which are directly proportional to the amount of gas volume in the lung, allowing regional and dynamic monitoring of pulmonary ventilation in real time. It is a complementary technique
to the most common methods used in the context of respiratory
failure in the new-born. We want to demonstrate how a simple,
non-invasive, free of radiation bedside monitoring method can
provide us extemporaneous feedback about the ventilatory condition of the new-born suffering from respiratory failure and treated
with surfactant administration, even before the aid of an X-ray is
required.
Chest sonography images in neonatal r.d.s. And proposed gradingiosrphr_editor
BACKGROUND : Lung sonography has been used to monitor the patients of R.D.S. in
N.I.C.U. in recent times.
AIMS : To Describe and Grade the changes of R.D.S. by lung sonography.
SETTING & DESIGN : Tertiary care institutional set up in a rural medical college.
STUDY DURATION : September 2014 to May 2015. Follow-up variable, upto 2 weeks.
PROSPECTIVE, ANALYTICAL STUDY.
MATERIALS AND METHODS -This was a single institute study approved by the institutional ethics
committee. Prior informed consent was obtained from the parents. 100 consecutive patients admitted in
N.I.C.U. WITH gestational age < 36 weeks with respiratory complaints were enrolled. Chest x-ray was
obtained within few hours of admission and lung sonography was performed within 24 hours. Follow – up
sonography was performed as and when necessary. Sonography image was graded and correlated with chest
xray and clinical picture
Assessment of Entrance Skin Dose in routine x-ray examinations of chest, skul...IOSR Journals
It is assumed that children are more susceptible to the effects of ionizing radiation and so deserves
special attention. Entrance skin doses (ESD) and Effective dose (E) to pediatric patients were estimated during
chest, skull, abdomen and pelvis examination in five Nigeria hospitals using DoseCal software. The mean ESD
for Chest (PA) in age range 1 – 5 in the five hospitals (H1 – H5) were 70, 139, 130, 105 and 111μGy,
respectively. The median ESD values in all the examinations were compared with the NRPB and EC reference
level and were found to be lower except for Chest PA and Chest Lateral examinations. The mean effective doses
were compared with those found in literature and were found to be comparable. Data shows that there is
variation in the result of the ESD obtained and so adherence to guidelines should be demonstrated
The Role Bacteria Biofilm Have in Identifying, Classifying and Defining UTI in Laboratory and Clinical Screenings of NB Patients That Use CIC in Clinical Settings
Use of the EIS (Electrical Impedance Segmentography System) in Less-Invasive ...semualkaira
Electrical Impedance Segmentography System simultaneously detects transthoracic impedance
changes, which are directly proportional to the amount of gas volume in the lung, allowing regional and dynamic monitoring of pulmonary ventilation in real time. It is a complementary technique
to the most common methods used in the context of respiratory
failure in the new-born. We want to demonstrate how a simple,
non-invasive, free of radiation bedside monitoring method can
provide us extemporaneous feedback about the ventilatory condition of the new-born suffering from respiratory failure and treated
with surfactant administration, even before the aid of an X-ray is
required.
Chest sonography images in neonatal r.d.s. And proposed gradingiosrphr_editor
BACKGROUND : Lung sonography has been used to monitor the patients of R.D.S. in
N.I.C.U. in recent times.
AIMS : To Describe and Grade the changes of R.D.S. by lung sonography.
SETTING & DESIGN : Tertiary care institutional set up in a rural medical college.
STUDY DURATION : September 2014 to May 2015. Follow-up variable, upto 2 weeks.
PROSPECTIVE, ANALYTICAL STUDY.
MATERIALS AND METHODS -This was a single institute study approved by the institutional ethics
committee. Prior informed consent was obtained from the parents. 100 consecutive patients admitted in
N.I.C.U. WITH gestational age < 36 weeks with respiratory complaints were enrolled. Chest x-ray was
obtained within few hours of admission and lung sonography was performed within 24 hours. Follow – up
sonography was performed as and when necessary. Sonography image was graded and correlated with chest
xray and clinical picture
Assessment of Entrance Skin Dose in routine x-ray examinations of chest, skul...IOSR Journals
It is assumed that children are more susceptible to the effects of ionizing radiation and so deserves
special attention. Entrance skin doses (ESD) and Effective dose (E) to pediatric patients were estimated during
chest, skull, abdomen and pelvis examination in five Nigeria hospitals using DoseCal software. The mean ESD
for Chest (PA) in age range 1 – 5 in the five hospitals (H1 – H5) were 70, 139, 130, 105 and 111μGy,
respectively. The median ESD values in all the examinations were compared with the NRPB and EC reference
level and were found to be lower except for Chest PA and Chest Lateral examinations. The mean effective doses
were compared with those found in literature and were found to be comparable. Data shows that there is
variation in the result of the ESD obtained and so adherence to guidelines should be demonstrated
The Role Bacteria Biofilm Have in Identifying, Classifying and Defining UTI in Laboratory and Clinical Screenings of NB Patients That Use CIC in Clinical Settings
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
ASA GUIDELINE
NYSORA Guideline
2 Case Reports of Gastric Ultrasound
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
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We specializes in exporting high quality Research chemical, medical intermediate, Pharmaceutical chemicals and so on. Products are exported to USA, Canada, France, Korea, Japan,Russia, Southeast Asia and other countries.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
These lecture slides, by Dr Sidra Arshad, offer a quick overview of physiological basis of a normal electrocardiogram.
Learning objectives:
1. Define an electrocardiogram (ECG) and electrocardiography
2. Describe how dipoles generated by the heart produce the waveforms of the ECG
3. Describe the components of a normal electrocardiogram of a typical bipolar leads (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
Study Resources:
1. Chapter 11, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 9, Human Physiology - From Cells to Systems, Lauralee Sherwood, 9th edition
3. Chapter 29, Ganong’s Review of Medical Physiology, 26th edition
4. Electrocardiogram, StatPearls - https://www.ncbi.nlm.nih.gov/books/NBK549803/
5. ECG in Medical Practice by ABM Abdullah, 4th edition
6. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Knee anatomy and clinical tests 2024.pdfvimalpl1234
This includes all relevant anatomy and clinical tests compiled from standard textbooks, Campbell,netter etc..It is comprehensive and best suited for orthopaedicians and orthopaedic residents.
8. 2010 20142008
Korea-Indonesia-Japan Research
Spirometry and Cest Radiograph
• Abnormalities in lung that could
be caused by asbestos
• Need environmental data and
further examination
Korea-Indonesia
3 asbestosis cases
Spirometry and ILO
Radiograph :
No case of asbestosis
9. 2016 next2015
ILO-Ministry of Health-Perdoki
Conducted ILO Radiograph
training for 40 doctors
(Radiologist, Pulmonologist
and Occ. Medicine Sp)
FGD of Asbestos
management
Reported : 10
mesothelioma in
20 years
Increase awarness and coordination
among doctors as a part of Inaban
activity to diagnose of ARD
• Find 10 of 20 Asbestosis cases
Develop a pilot project
of management of
occupational asbestos
related disease
regarding Indonesia
regulation.
Communicate with
company
management and
labor ministry
Ministry of Health and Ministry of Labor
develop a new regulation regarding
management of occupational disease
13. DIFFERENCES AMONG FIELD OF OCCUPATION
0
5
10
15
20
25
30
35
40
45
50
DIAGNOSE REFERAL ADDITIONAL
EXAMINATION
SUSPECTED ARB HYSTORY ENVIROMENT
AND WORKPLACE
HYSTORY
OH
PUBLIC HEALTH
OTHER
14. CONCLUTION AND RECOMMENDATION
• Extend the program to increase awarness of ARD
among population
• Increase doctor capacity in diagnosing of ARD
• Strengten coordination and communication
among stake holder
• Develop a system for reporting of ARD
Editor's Notes
Transition effect for timeline, slide 1
(Basic)
Tip: This transition works well for graphics that horizontally span more than one slide.
To reproduce the shape effects on this slide, do the following:
On the Home tab, in the Slides group, click Layout, and then click Blank.
On the Home tab, in the Drawing group, click Shapes, and then under Block Arrows, click Chevron (second row, eighth option from the left). On the slide, drag to draw a long, horizontal chevron shape.
Select the chevron. Under Drawing Tools, on the Format tab, in the Size group, do the following:
In the Shape Height box, enter 0.7”.
In the Shape Width box, enter 9.48”.
Drag the chevron so that the right end is beyond the right edge of the slide, and the left end of the chevron is approximately one inch to the right of the left edge of the slide.
Select the chevron. Under Drawing Tools, on the Format tab, in the Shape Styles group, click the arrow next to Shape Fill, point to Gradient, and then click More Gradients.
In the Format Shape dialog box, click Fill in the left pane, select Gradient fill in the Fill pane, and then do the following:
In the Type list, select Linear.
Click the button next to Direction, and then click Linear Up (second row, second option from the left).
Under Gradient stops, click Add gradient stop or Remove gradient stop until a total of four gradient stops appear in the slider.
Also under Gradient stops, customize the gradient stops as follows:
Select the first stop in the slider, and then do the following:
In the Position box, enter 0%.
Click the button next to Color, and then under Theme Colors click White, Background 1 (first row, first option from the left)
Select the next stop in the slider, and then do the following:
In the Position box, enter 36%.
Click the button next to Color, click More Colors, and then in the Colors dialog box, on the Custom tab, enter values for Red: 213, Green: 219, Blue: 221.
Select the next stop in the slider, and then do the following:
In the Position box, enter 73%.
Click the button next to Color, click More Colors, and then in the Colors dialog box, on the Custom tab, enter values for Red: 178, Green: 190, Blue: 194.
Select the last stop in the slider, and then do the following:
In the Position box, enter 100%.
Click the button next to Color, click More Colors, and then in the Colors dialog box, on the Custom tab, enter values for Red: 213, Green: 219, Blue: 221.
Also in the Format Shape dialog box, click Line Color in the left pane, and then select No line in the Line Color pane.
Also in the Format Shape dialog box, click Shadow in the left pane, and then do the following in the Shadow pane:
Click the button next to Presets, and then under Outer click Offset Bottom (first row, second option from the left).
In the Transparency box, enter 60%.
In the Size box, enter 100%.
In the Blur box, enter 4 pt.
In the Angle box, enter 90°.
In the Distance box, enter 3 pt.
Also in the Format Shape dialog box, click 3-D Format in the left pane. In the 3-D Format pane, under Bevel, click the button next to Top, and then under Bevel click Circle (first row, first option from the left). Next to Top, in the Width box, enter 4 pt, and in the Height box, enter 4 pt.
On the Insert tab, in the Text group, click Text Box, and then on the slide, drag to draw the text box.
Enter text in the text box, select the text, and then on the Home tab, in the Font group, select Gill Sans MT Condensed from the Font list, enter 26 in the Font Size box, click Bold, click the arrow next to Font Color, and then under Theme Colors click White, Background 1, Darker 50% (sixth row, first option from the left).
On the Home tab, in the Paragraph group, click Center to center the text in the text box.
Select the text box. On the Home tab, in the Clipboard group, click the arrow to the right of Copy, and then click Duplicate. Repeat this process to create a total of three text boxes.
Click in each of the two duplicate text boxes, and then edit the text.
Drag the text boxes onto the chevron shape to form a row.
Press CTRL+A to select all the objects on the slide. On the Home tab, in the Drawing group, click Arrange, point to Align, and then do the following:
Click Align to Slide.
Click Align Middle.
Press and hold SHIFT, and then select all three text boxes. On the Home tab, in the Drawing group, click Arrange, and under Position Objects, point to Align, and then do the following:
Click Align to Slide.
Click Distribute Horizontally.
To reproduce the animation effects on this slide, do the following:
On the Transitions tab, in the Transition to This Slide group, click More, and then under Subtle click Push.
Also on the Transitions tab, in the Transitions to This Slide group, click Effect Options and then click From Right.
Also on the Transitions tab, in the Timing group, in the Duration box, enter 1.00.
Transition effect for timeline, slide 2
(Basic)
Tip: This slide is the second slide in a three-slide sequence.
To reproduce the effects on this slide, do the following:
In the Slides and Outline pane, right-click the previous slide (“Transition effect for timeline, slide 1”) and click Duplicate Slide.
Select each of the three text boxes on the slide and change the text.
Select the chevron shape on the slide. Drag the left sizing handle to the left so that the chevron shape extends past the left edge of the slide.
