The document discusses biomedical waste management. It defines biomedical waste and explains the need for proper management due to risks to health and environment. It outlines various categories of waste like infectious, pathological, radioactive and their appropriate treatment and disposal methods like incineration, autoclaving, chemical disinfection and others. The document provides guidance on proper waste segregation, collection, storage, transportation and treatment to safely manage biomedical waste.
India is likely to generate about 775.5 tons of medical wast per day by 2020, from the current level of 550.9 tons per day growing at CAGR about 7%.
Safe and effective management of waste is not only a legal necessity but also a social responsibility.
India is likely to generate about 775.5 tons of medical wast per day by 2020, from the current level of 550.9 tons per day growing at CAGR about 7%.
Safe and effective management of waste is not only a legal necessity but also a social responsibility.
The health of patients is important to hospitals making it imperative to properly dispose of biomedical waste. Having the proper biomedical waste containers is part of keeping patients safe from illnesses they could contract while in the hospital.
The health of patients is important to hospitals making it imperative to properly dispose of biomedical waste. Having the proper biomedical waste containers is part of keeping patients safe from illnesses they could contract while in the hospital.
Biomedical waste or hospital waste is any kind of waste containing infectious (or potentially infectious) materials. ... Waste sharps include potentially contaminated used (and unused discarded) needles, scalpels, lancets and other devices capable of penetrating skin.
Integrating Ayurveda into Parkinson’s Management: A Holistic ApproachAyurveda ForAll
Explore the benefits of combining Ayurveda with conventional Parkinson's treatments. Learn how a holistic approach can manage symptoms, enhance well-being, and balance body energies. Discover the steps to safely integrate Ayurvedic practices into your Parkinson’s care plan, including expert guidance on diet, herbal remedies, and lifestyle modifications.
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
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.
These lecture slides, by Dr Sidra Arshad, offer a quick overview of the 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 lead (limb II)
4. Differentiate between intervals and segments
5. Enlist some common indications for obtaining an ECG
6. Describe the flow of current around the heart during the cardiac cycle
7. Discuss the placement and polarity of the leads of electrocardiograph
8. Describe the normal electrocardiograms recorded from the limb leads and explain the physiological basis of the different records that are obtained
9. Define mean electrical vector (axis) of the heart and give the normal range
10. Define the mean QRS vector
11. Describe the axes of leads (hexagonal reference system)
12. Comprehend the vectorial analysis of the normal ECG
13. Determine the mean electrical axis of the ventricular QRS and appreciate the mean axis deviation
14. Explain the concepts of current of injury, J point, and their significance
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. Chapter 3, Cardiology Explained, https://www.ncbi.nlm.nih.gov/books/NBK2214/
7. ECG Basics, http://www.nataliescasebook.com/tag/e-c-g-basics
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
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
- Video recording of this lecture in English language: https://youtu.be/kqbnxVAZs-0
- Video recording of this lecture in Arabic language: https://youtu.be/SINlygW1Mpc
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
ABDOMINAL TRAUMA in pediatrics part one.drhasanrajab
Abdominal trauma in pediatrics refers to injuries or damage to the abdominal organs in children. It can occur due to various causes such as falls, motor vehicle accidents, sports-related injuries, and physical abuse. Children are more vulnerable to abdominal trauma due to their unique anatomical and physiological characteristics. Signs and symptoms include abdominal pain, tenderness, distension, vomiting, and signs of shock. Diagnosis involves physical examination, imaging studies, and laboratory tests. Management depends on the severity and may involve conservative treatment or surgical intervention. Prevention is crucial in reducing the incidence of abdominal trauma in children.
2. DEFINITION
Biomedical waste are the waste produced in the course
of health care activities during Treating, Diagnosing and
Immunizing Human being or animals or while doing
Study/Research activities.
Any unwanted residual material which cannot be
discharged directly, or which after suitable treatment can
be discharged in the atmosphere or to a receiving water
source, or used for landfill is waste.
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3. Need For BMW Management
The hospital waste, in addition to the risk for patients and
medical personnel poses a threat to public health and
environment.
APPLICATION:
These rules apply to all persons who generate, collect,
receive, store, transport, treat, dispose, or handle bio-
medical waste in any form including a hospital, nursing
home, clinic, dispensary, veterinary institutions, and
animal house, pathological laboratory, blood bank e.t.c.
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4. MAGNITUDE OF THE PROBLEM
GLOBALLY- Developed countries generate 1 to
5kg/bed/day
Developing countries: meager data, but figures are
lower. 1-2kg/pt./day
WHO Report: 85% non hazardous waste
10% infective waste
5% non-infectious but hazardous.
(Chemical, pharmaceutical and radioactive)
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5. It contains infectious or other hazardous materials
that may injure or infect patients, visitors, hospital
personnel, and the public in several ways.
It may contain ‘sharps’, such as needles or broken
glass and harmful chemicals and radioactive
chemicals, that can cause injury and infection
If untreated, it undergoes fermentation and attracts
flies, birds and animals rendering the site of
generation and storage unhygienic.
It can attract rag pickers, who repack disposables or
drugs and sell them.
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Government/private hospitals
Nursing homes
Physician/dentist office or clinic
Dispensaries
Primary health care centers
Medical research and training centers
animal./slaughter houses
labs/research organizations
Vaccinating centers
Bio tech institutions/production units
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Harmless waste includes paper, cardboard, cartons,
flowers and ordinary office or kitchen waste.
Infectious waste: are the portion of medical waste
that could transmit an ‘infectious disease’ :
Human or animal tissues or organs removed at biopsy,
sugery or autopsy.
Placenta and other products of conception
Any pathological fluid or discharges
Dressings, swab and other soiled items
Laboratory samples sent for microbiology, pathology and
biochemical tests
All microbial cultures
Used syringes and needles, used scalpel blades and
other sharps.
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Waste Categories Description and Examples
1.General Waste No risk to human health eg:office
paper,wrapper,kitchen
waste,general
sweeping etc.
2.Pathological Waste Human Tissue or fluid eg:body
parts,blood,body fluids etc.
3.Sharps Sharp waste
eg:Needle,scaples,knives,blades
etc.
4.Infectious waste Which may transmit bacterial,viral
or
parasitica disease to human
being,waste suspected to contain
pathogen eg:labrotory
culture,tissues(swabs)bandage etc.
5.Chemical waste Eg:Labrotory
reagent,disinfectants,Film
Developer
6.Radio-active waste
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Waste Categories Description and Examples
7.Pharmacutical Waste Expired outdated drugs /chemicals
8.Pressurized container Gas cylinder,aerosal cans etc
9.Genotoxic Waste Waste Containing Cytotoxic
Drugs(often Used In Cancer
Therapy)
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ORGANISM DISEASES CAUSED RELATED WASTE ITEM
VIRUSES
HIV, Hepatitis B, Hepatitis
A,C, Arboviruses,
Enteroviruses, Herpes
Virus
AIDS, Infectious Hepatitis,
Dengue, Japanese
encephalitis, Ocular
infection, Genital Infection
Infected needles, body
Fluids, Human excreta,
Blood, body fluids. Eye
secrection, genital
Secretion
BACTERIA
Salmonella typhi,
Vibrio cholerae,
Clostridium Tetani,
Pseudomonas,
Streptococcus
Typhoid, Cholera, Tetanus
Wound infections,
septicemia, rheumatic
fever, endocarditis, skin
and soft tissue infections
Human excreta and
body fluid in landfills and
hospital wards, Sharps
such as needles, surgical
blades in hospital waste.
PARASITES
Wucheraria Bancrofti,
Plasmodium
Cutaneous leishmaniasis,
Filariasis
Kala Azar, Malaria
Human excreta, blood and
body fluids in poorly
managed sewage system
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WASTE
CATEGORY
TYPE OF WASTE TREATMENT AND
DISPOSAL OPTION
Category No. 1 Human Anatomical Waste
(Human
tissues, organs, body parts)
Incineration@ / deep
burial*
Category No. 2 Animal Waste
(Animal tissues, organs, body
parts, carcasses, bleeding
parts, fluid, blood and
experimental animals used in
research, waste generated by
veterinary hospitals and
colleges, discharge from
hospitals, animal houses)
Incineration@ / deep
burial*
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WASTE
CATEGORY
TYPE OF WASTE TREATMENT AND
DISPOSAL OPTION
Category No. 3 Microbiology & Biotechnology Waste
(Wastes from laboratory cultures,
stocks or specimen of live micro
organisms or attenuated vaccines,
human and animal cell cultures used
in research and infectious agents
from research and industrial
laboratories, wastes from production
of biologicals, toxins and devices
used for transfer of cultures)
Local autoclaving/
microwaving /
incineration
Category No. 4 Waste Sharps (Needles, syringes,
scalpels, blades, glass, etc. that may
cause puncture and cuts. This
includes both used and unused
sharps)waste generated by
veterinary hospitals and colleges,
discharge from hospitals, animal
houses)
Disinfecting (chemical
treatment /
autoclaving /
microwaving
and mutilation /
shredding
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WASTE
CATEGORY
TYPE OF WASTE TREATMENT AND
DISPOSAL OPTION
Category No. 5 Discarded Medicine and Cytotoxic
drugs(Wastes comprising of outdated,
contaminated and discarded
medicines)
Incineration /
destruction
and drugs disposal in
secured landfills
Category No. 6 Soiled Waste (Items contaminated with
body fluids including cotton, dressings,
soiled plaster casts, lines, bedding and
other materials contaminated with
blood.)
Disinfecting (chemical
treatment /
autoclaving /
microwaving
and mutilation /
shredding
Category No. 7 Solid Waste (Waste generated from
disposable items other than the waste
sharps such as tubing, catheters,
intravenous sets, etc.)
Disinfecting by chemical
treatment/
autoclaving /
microwaving
and mutilation /
shredding
Category No. 8 Liquid Waste (Waste generated
fromthe laboratory and washing,
cleaning, house keeping and
disinfectingactivities)
Disinfecting by chemical
treatment and
discharge into drains
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WASTE
CATEGORY
TYPE OF WASTE TREATMENT AND
DISPOSAL OPTION
Category No. 9 Incineration Ash (Ash from
incineration of any biomedical
waste)
Disposal in municipal
landfill
Category No. 10 Chemical Waste (Chemicals
used in production of
biologicals, chemicals used in
disinfecting, as insecticides,
etc.)
Chemical treatment
and discharge into drains
for liquids and secured
landfill for solids.
16. Done at point of Generation of waste and put in
separate coloured bags. Color coding varies from
nation to nation.
Color coding of bags for seggregation of biomedical
waste are:
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19. 3.Collection of waste:
Centralized sanitation staffs or any other sanitation staffs
should collect the waste during morning afternoon or
evening under the supervision of nursing staff and
sanitation supervisor; documentation should be done in
register; Garbage bin should be cleaned and disinfected
regularly.
4. Storage of Waste:
Waste should not be stored in the generation area for more
than a period of 4-6 hours.
It is responsibility of paramedic/sanitationstaff to check for
segregation
Waste collected in various areas should be trasported for
disposal/Treatment.
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20. 5. Transportation:
Refers to the movement of waste from the point of generation
to the treatment facility.
There should be separate corridor and lift in hospital to carry
and transport waste.
Transportation should be done in sealed container/sanitation
supervisor should ensure for leakage.
6. Treatment & Disposal:
It involves all the procedures and processes intended to
reduce the bulk of the waste and make it non-infectious and
harmless.
Different methods of waste treatment are:
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22. Incineration:
High tempreture dry oxidation process that reduce
organic and combustible waste into inorganic
incombustible matter. Resulting in significant
reduction in waste volume and weight.
Body parts, animal waste,microbiological waste and
soiled dressings can be treated with this technique.
Process is selected to treat waste that cannot be
recycled, reused or can be disposed in land.
Types if Incinerators:
Double chambered(for infectious waste)
Single chambered
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24. Chemical disinfection:
Commonly Used for treatment of liquid infectious waste eg.
blood, urine, stool and hospital sewage.
Chemicals are added to waste to kill or inactivate the pathogen
it contains.
Autoclaving
Widely used in labs and clinics for treating infectious waste
before disposal.
Deep burial
After chemical treatment materials are placed in deep trenches
covered with lime and filled with soil.
It’s a safe method for the disposal of sharps
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25. Microwave irradication:
Microwave of frequency 2450MHZ and wavelength 12.24 cm
used to destroy the microorganism.
Radiations produced break apart molecular chemical bonds
and disinfect infectious waste.
There are no hazardous emissions.
Cannot be used to treat body parts and tissues.
Inertization
Process of mixing waste with cement and other substances
before disposal in order to minimize the risk of toxic substance
migrating into surface, water or ground water and to prevent
scavenging.
Proportion of 65% waste 15%lime 15% cement and 5% water is
used.
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26. Assume all specimens/patients are infectious for HIV and
other blood borne pathogens.
All blood specimens or body fluids should be placed in leak
proof impervious bags for transportation to the lab.
Always use gloves and masks while handling blood and body
fluid specimens and other objects exposed to them.
Wear lab coats or gowns while working in the lab.
Never pipette by mouth.
Decontaminate laboratory work surfaces after work
procedures are completed.
Use biological safety hoods for lab work.
Always wash hands after completing laboratory work and
remove all protective clothing before leaving the lab.
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