PPE is used to reduce or minimize the exposure or contact to injurious physical, chemical, ergonomic, or biological agents. A hazard cannot be eliminated by PPE, but the risk of injury can be reduced. this slide show explain How to Use PPE's
PPE is used to reduce or minimize the exposure or contact to injurious physical, chemical, ergonomic, or biological agents. A hazard cannot be eliminated by PPE, but the risk of injury can be reduced. this slide show explain How to Use PPE's
micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
Acute scrotum is a general term referring to an emergency condition affecting the contents or the wall of the scrotum.
There are a number of conditions that present acutely, predominantly with pain and/or swelling
A careful and detailed history and examination, and in some cases, investigations allow differentiation between these diagnoses. A prompt diagnosis is essential as the patient may require urgent surgical intervention
Testicular torsion refers to twisting of the spermatic cord, causing ischaemia of the testicle.
Testicular torsion results from inadequate fixation of the testis to the tunica vaginalis producing ischemia from reduced arterial inflow and venous outflow obstruction.
The prevalence of testicular torsion in adult patients hospitalized with acute scrotal pain is approximately 25 to 50 percent
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Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
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.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
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 simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
1. *Instructions for Employee PPE
Training*
• Slides # 10, 15, 19, 25, 29, 33, 39, and 42 must be
filled in by YOU prior to training your employees.
This information should be taken off of your
completed Hazard Assessments. You may add
more bullets/slides for each PPE type if
necessary.
• You may delete sections of this training that do
not apply to your work unit/department. (For
example, if you checked “No PPE needed” for
Respiratory Protection, slides 40-42 can be
deleted from the presentation.)
• Slides 2-5, and 43-46 MAY NOT BE REMOVED.
3. PPE Training-Initial
Personal Protective Equipment (PPE) is any safety
equipment workers wear to prevent injury in the
workplace when engineering and administrative
controls fail to eliminate the hazard.
Training is required by OSHA regulations contained in
29CFR 1910.132-140.
After going through training you will know:
When PPE is necessary
What PPE is necessary
How to properly don, doff, adjust and wear PPE
The limitations of PPE
The proper care, maintenance, useful life, and
disposal of the PPE
PPE 101
4. What is this training based on?
• Supervisors and/or safety officers from your
specific work unit conducted a hazard assessment
to determine any and all jobs that would require
the use of PPE.
• This information was then consolidated into one
document (Appendix C).
• PPE that shows up on Appendix C is required to
be worn.
5. Common Types of PPE
Head
Eyes
Face
Hands
Feet
Body
Hearing
Respiratory
6. Head PPE
Needed when employees are exposed to
hazards that have potential to cause a head
injury.
Examples of hazards:
Flying objects.
Falling objects or materials.
Working near exposed energized electrical
equipment.
Working around or on scaffolds.
Working at construction sites.
Working around overhead tools or machinery.
7. Types of Head Protection
Impact Protection
Type I – Is designed to protect only against objects falling
from straight overhead, hitting the hardhat on the top.
Type II – Is designed to protect against blows on the top of the
head as well as side impacts.
Electrical
Class A (old American National Standards Institute standard) or
Class G (new ANSI Standard) good up to 2,200 volts.
Class B (old ANSI standard) or Class E (new ANSI Standard)
good up to 20,000 volts.
Class C not rated for electrical protection.
8. Donning Head Protection
Hard hat protection is effective only if the hat is adjusted
to fit properly and is worn squared and not cocked at an
angle or perched on the back of the head.
Severe lacerations from relatively light blows have been
incurred by workers wearing hard hats in unusual
positions.
Must not be worn backwards.
9. Care and Maintenance
Check prior to each use for cracks, damaged
suspension and chalky appearance (UV
damage).
Be aware that stickers placed on hardhat can
conceal damage.
Replace as necessary.
Do not store in direct sunlight.
10. Specific Head PPE
• Refer to appendix C for all situations when head protection is
required.
• Or give examples: ex) working in steam plant, cutting tree,
• Or Ex) When you will be (LIST JOB NAME), (LIST HEAD PPE
TYPE FROM HAZARD ASSESSMENT) is to be worn at all
times!
11. Eye PPE
Needed when an employee work presents the
potential of causing eye injury from physical, chemical,
or radiation agents.
Examples of hazards:
Machines
Lasers
Impacts
Heat
Tools
Flying Particles / Dust
Electrical work
Chemical handling
12. Types of Eye Protection
Non-Prescription safety glasses.
Prescription safety glasses.
Employees that wear prescription (Rx) lenses can use non-
prescription eye protection worn over prescription lenses as
long as it does not compromise the fit of either piece of eyewear.
All eye protection must be ANSI Z87 approved.
13. Types of Eye Protection
Goggles
Chemical
Laser
Welding
Chemical goggles protect your eyes, eye sockets, and the
facial area immediately surrounding the eyes from impact,
dust, and splashes.
Chemical goggles are generally stronger than safety glasses
and are used for higher impact, particle and chemical splash
protection.
Laser and Welding goggles protect the eyes from harmful
light.
All eye protection must be ANSI Z87 approved.
14. Care and Maintenance
Check prior to each use for cracks or damage.
Replace as necessary.
Store in a clean area.
15. Specific Eye PPE
• Refer to appendix C for all situations when head protection is
required.
• Or give examples: ex) working in steam plant, cutting tree,
• Or Ex) When you will be (LIST JOB NAME), (LIST HEAD PPE
TYPE FROM HAZARD ASSESSMENT) is to be worn at all
times!
16. Face PPE
Needed when work presents the potential
of causing facial injury from physical,
chemical, or radiation agents.
Examples of hazards:
Contents under pressure
Splash hazard
Flying objects / particles
Electrical work
17. Types of Face Protection
Face Shield
Welding Shield
18. Donning Face PPE
Safety goggles or goggles must always be
worn under a face shield.
Once goggles are in place, position face
shield over face and secure on brow with
headband.
Adjust to fit comfortably.
19. Specific Face PPE
• Refer to appendix C for all situations when head protection is
required.
• Or give examples: ex) working in steam plant, cutting tree,
• Or Ex) When you will be (LIST JOB NAME), (LIST HEAD PPE
TYPE FROM HAZARD ASSESSMENT) is to be worn at all
times!
20. Hand PPE
Needed when work presents the potential of
causing hand injury from physical, chemical, or
radiation agents.
Examples of hazards:
Absorbing harmful substances
Sharp objects capable of causing cuts, abrasions, or
punctures
Chemical or thermal burns
Electrical work
High/Low temperatures
21. Types of Hand Protection
Chemical Resistant - (check MSDS) or compatibility charts such as the one
found on EHS webpage:
Puncture / cut / abrasion Resistant
Those with a latex allergy can use vinyl, nitrile, etc. based on the
compatibility charts or MSDSs.
22. Types of Hand Protection
Voltage Rated
Temperature Resistant
Infectious Agent / Biohazard Resistant –
Latex, Vinyl, Nitrile, etc)
24. Care and Maintenance
Check prior to each use for cuts, cracks or
discoloration.
Replace as necessary.
Discard single use gloves after use. (Latex,
Nitrile, Vinyl, etc)
Store in a clean area.
25. Specific Hand PPE
• Refer to appendix C for all situations when head protection is
required.
• Or give examples: ex) working in steam plant, cutting tree,
• Or Ex) When you will be (LIST JOB NAME), (LIST HEAD PPE
TYPE FROM HAZARD ASSESSMENT) is to be worn at all
times!
26. Feet PPE
Needed when work presents hazards that
have potential to cause a foot injury:
Examples of hazards:
Falling objects
Rolling objects
Piercing/cutting injuries
Electrical work
Chemical exposure
27. Types of Foot Protection
Steel toed
Electrical resistant – (will have the letters
“EH” on the tongue)
Chemical resistant
Must be ANSI Z41 or ASTM F2413-05
approved.
28. Care and Maintenance
Check safety shoes prior to each use for cuts, cracks or
other damage. Replace as necessary.
Keep electrical hazard shoes dry and free from
conductive materials. Replace if sole is punctured, cut,
or embedded with conductive materials.
Chemical resistant shoes should be replaced if they are
discolored, disfigured, or exhibit any breaks, cracks, or
other surface degradations.
Store all shoes in a clean, dry location.
29. Specific Foot PPE
• Refer to appendix C for all situations when head protection is
required.
• Or give examples: ex) working in steam plant, cutting tree,
• Or Ex) When you will be (LIST JOB NAME), (LIST HEAD PPE
TYPE FROM HAZARD ASSESSMENT) is to be worn at all
times!
30. Body PPE
Needed when work presents a potential for contamination
or injury to other parts of the body such as legs, arms,
back, chest.
Examples of hazards:
Heat
Splashes
Hot/cold metals and liquids
Impacts
Sharp objects
Chemicals
Electrical work
Radiation
31. Types of Body Protection
Lab coats
Aprons
Chemical resistant sleeves
Tyvek suits
Coveralls
Arc Flash Rated
33. Specific Body PPE
• Refer to appendix C for all situations when head protection is
required.
• Or give examples: ex) working in steam plant, cutting tree,
• Or Ex) When you will be (LIST JOB NAME), (LIST HEAD PPE
TYPE FROM HAZARD ASSESSMENT) is to be worn at all
times!
34. Hearing PPE
Needed when the average (over an 8 hour period) noise level of an
area reaches 90 decibels.
Hearing protection must be made available to employees when
the average (over an 8 hour period) noise level reaches 85
decibels.
Examples of high noise areas can be:
Mechanical rooms
Shops
Construction Sites
When working with machinery/power tools
See PSU Hearing Conservation Program for requirements:
http://www.ehs.psu.edu/occhealth/Hearing_Conservation_Progra
m.pdf
More training is required to satisfy the training requirements for
hearing protection. See EHS.
36. Donning Hearing Plugs
Follow manufacturers recommendations. The
steps below is a commonly used method.
1. Roll the earplug up into a small, thin "snake"
with your fingers. You can use one or both hands.
2. Pull the top of your ear up and back with your
opposite hand to straighten out your ear canal.
The rolled-up earplug should slide right in.
3. Hold the earplug in with your finger. Count to
20 or 30 out loud while waiting for the plug to
expand and fill the ear canal. Your voice will sound
muffled when the plug has made a good seal.
37. Ear Plug Fit Check
Check the fit when you're
all done. Most of the foam
body of the earplug should
be within the ear canal. Try
cupping your hands tightly
over your ears. If sounds
are much more muffled
with your hands in place,
the earplug may not be
sealing properly. Take the
earplug out and try again.
ehstoday.com/images/PPE-fit.gif
38. Care and Maintenance
Check hearing protection for damage prior to each use
for cuts, cracks or other damage. Replace if damage is
found.
Store all hearing protection in a clean, dry location.
Replace disposable ear plugs frequently.
39. Specific Ear PPE
• Refer to appendix C for all situations when head protection is
required.
• Or give examples: ex) working in steam plant, cutting tree,
• Or Ex) When you will be (LIST JOB NAME), (LIST HEAD PPE
TYPE FROM HAZARD ASSESSMENT) is to be worn at all
times!
40. Respiratory PPE
Needed when work presents an inhalation hazard.
Examples of hazards:
Working with uncontained chemicals.
Working with highly toxic chemicals.
Working in dusty environment.
Painting.
Welding.
See PSU Respiratory Protection Program for
requirements:
http://www.ehs.psu.edu/occhealth/Respiratory_Protection_
Program_Manual.pdf
More training is required to satisfy the training
requirements for hearing protection. See EHS.
42. Specific Respiratory PPE
• Refer to appendix C for all situations when head protection is
required.
• Or give examples: ex) working in steam plant, cutting tree,
• Or Ex) When you will be (LIST JOB NAME), (LIST HEAD PPE
TYPE FROM HAZARD ASSESSMENT) is to be worn at all
times!
43. PPE Cleaning and Care
PPE must be kept clean and sanitary. Clean PPE with mild soap
and water . Some PPE may require special cleaning, in these cases
use the manufacturer’s recommendations.
If PPE is contaminated and cannot be decontaminated safely, it may
need disposed of in a special manner to protect other employees
from exposure to the hazard. EHS shall be contacted.
PPE shall be stored in such a way that it will not become
contaminated such as plastic bags, lockers, closet, drawers.
44. PPE Maintenance and Repair
Do not use PPE if it is damaged and in
need of repair.
It is the responsibility of the employee to
make their supervisor aware as soon as
PPE becomes damaged so that new PPE
can be obtained.
Do not attempt to repair PPE.
45. Summary of Work Unit PPE
• Supervisor, PI, safety officer, faculty member,
etc. should now hand out and/or review a
summary of the PPE required for your
particular work unit.
• This should cover the findings that were listed
in Appendix C based on the hazard
assessments.
46. Additional Information
Refer to the PSU PPE Program
http://www.ehs.psu.edu/occhealth/PSU_PPE_Program.pdf
Contact PSU Environmental, Health and
Safety department. 814-865-6391.