Pesticides include insecticides, herbicides and fungicides. There are several thousand different types in use and almost all of them are possible causes of water pollution. For example, DDT, malathion, parathion, delthametrine and others have been sprayed in the environment for long periods of time for the control of disease vectors such as mosquitoes, and to control the growth of weeds and other pests.
Any substance or mixture of substances, intended for preventing, destroying, or
mitigating any pest, or intended for use as a plant growth regulator, defoliant or
desiccant.
Any substance or mixture of substances, intended for preventing, destroying, or
mitigating any pest, or intended for use as a plant growth regulator, defoliant or
desiccant.
water pollution control and measurmentRekha Kumari
Today we all are facing the biggest problem that is scarcity of drinking water as the level of water is continually decreasing.
In many countries people die because of contaminated water as they do not have any water resources that contain pure water.
The first question comes in mind when we talk about water management is how can we manage water. For this we need some well-planned strategies like if we know the places where heavy rainfall occur, then we can put extra efforts there in order to save water for future use.
Presentation by 3. Sabrina Vidaurri, MS, RS; Environmental Health Officer Supervisor, Rodent & Vector Program, Environmental Health Services Division, City of Austin/Travis County Health Department at Lost Creek Civic Organization general meeting on June 2, 2106.
n occupational disease is a disease or disorder that is caused by the work or working conditions. This means that the disease must have developed due to exposures in the workplace and that the correlation between the exposures and the disease is well known in medical research.
water pollution control and measurmentRekha Kumari
Today we all are facing the biggest problem that is scarcity of drinking water as the level of water is continually decreasing.
In many countries people die because of contaminated water as they do not have any water resources that contain pure water.
The first question comes in mind when we talk about water management is how can we manage water. For this we need some well-planned strategies like if we know the places where heavy rainfall occur, then we can put extra efforts there in order to save water for future use.
Presentation by 3. Sabrina Vidaurri, MS, RS; Environmental Health Officer Supervisor, Rodent & Vector Program, Environmental Health Services Division, City of Austin/Travis County Health Department at Lost Creek Civic Organization general meeting on June 2, 2106.
n occupational disease is a disease or disorder that is caused by the work or working conditions. This means that the disease must have developed due to exposures in the workplace and that the correlation between the exposures and the disease is well known in medical research.
Pesticides are important input to modern agriculture and also used in public health in controlling communicable disease.
The toxicity of these compounds poses risk to human health, environment and to the organisms which may not be targeted by pesticides.
The effect of pesticides and their mobility depend upon their chemical and physical properties, soil characteristics, groundwater infiltrations and vadose zone behaviour, vegetation and local weather conditions. They resist degradation by chemical, physical or biological means.
“There is no sort of lower standard or different standard used for pesticide products,” says Angus Cameron, a former manager of the firm Inveresk Research International in Scotland, where many of the human tests have been conducted.
Environmental Health: Children in minority communities
David Jones, Environmental Health and Safety, Duval County Health Department
April 22, 2005 - UNF Hispanic Health Issues Seminar
This is part 3 of an 8 part series of seminars on Hispanic Health Issues brought to you by the University of North Florida’s Dept. of Public Health, College of Health, a grant from AETNA, and the cooperation of Duval County Health Department.
Consumer Products Threaten Aquatic Life - What Citizens Can Do v2zq
Consumer Products Threaten Aquatic Life - What Citizens Can Do - Resources for Healthy Children www.scribd.com/doc/254613619 - For more information, Please see Organic Edible Schoolyards & Gardening with Children www.scribd.com/doc/254613963 - Gardening with Volcanic Rock Dust www.scribd.com/doc/254613846 - Double Food Production from your School Garden with Organic Tech www.scribd.com/doc/254613765 - Free School Gardening Art Posters www.scribd.com/doc/254613694 - Increase Food Production with Companion Planting in your School Garden www.scribd.com/doc/254609890 - Healthy Foods Dramatically Improves Student Academic Success www.scribd.com/doc/254613619 - City Chickens for your Organic School Garden www.scribd.com/doc/254613553 - Huerto Ecológico, Tecnologías Sostenibles, Agricultura Organica www.scribd.com/doc/254613494 - Simple Square Foot Gardening for Schools - Teacher Guide www.scribd.com/doc/254613410 - Free Organic Gardening Publications www.scribd.com/doc/254609890 ~
Agricultural inputs, list of agricultural inputs and Insecticide used in Bang...MD. ZANE ALAM
Agricultural inputs are defined as products permitted for use in organic farming. These include feedstuffs, fertilizers and permitted plant protection products as well as cleaning agents and additives used in food production.
PRESENTATION ON CHEMICAL POISONS IN FOOD HYGIENE, SAFETY & SANITATION BY STEP...StephenMusoma
Chemical poisons include chemical hazards or chemical food contaminants and cause adverse health effects in humans on ingestion and inhalation.
Chemical food contaminants substances are present naturally in the usual raw material used for food production or added during the regular production process. Failure to handle, store and label cleaning chemicals properly are the most common causes of chemical contamination. If added to food intentionally, quantities should be that are not beyond the acceptable limits established by the Food and Drugs Act and its regulations. To minimize the health risk from natural toxins in food, people are advised to:
-Not assume that if something is 'natural' it is automatically safe.
-Throw away bruised, damaged or discolored food, and in particular moldy foods.
-Throw away any food that does not smell or taste fresh, or has an unusual taste.
-Eat mushrooms or other wild plants that have definitively been identified as nonpoisonous.
Effects of Chemical Hazards on
#Health implications include:
-Harmful chemicals may disrupt body metabolism e.g., mercury can affect developing brains in fetuses, infants and children.
-Can cause cancer.
-Can lead to damage of genes.
-Can alter organ functions.
-Can cause malnutrition in the body that can lead to declination of immunological defenses, impair psycho-social facilities, and cause intrauterine growth retardation.
-Can cause increased rate of gastrointestinal diseases.
-Excessive intake of chemicals in food can cause neural and kidney damage, congenital disabilities and reproductive problems.
#Hospitality establishment implications:
-Leads to poor image and reputation.
-Can cause legislative actions after sues by customers.
-Workers can be exposed to many dangerous levels for many years with no obvious illness.
-Can cause shutdown of the hospitality establishment.
-Leads to loss of jobs of various personnel as affirmative actions are taken by the establishment.
#Hygiene and Food Legislation
These are laws designed to protect consumers from contaminated and dangerous foods, which can lead to ill-health conditions, and also from false information about certain foods.
#Importance of Food Legislation
-To protect the health of the consumer.
-To protect the consumer from fraud.
-To ensure the essential quality and wholesomeness of foods.
For this reason, it is necessary to ensure that the sources of food production are inspected and, quality control and standardization are observed.
“Patient Education is an individualized, systematic, structured process to assess and impart knowledge or develop a skill in order to effect a change in behavior. The goal is to increase comprehension and participation in the self-management of health care needs.”
“A restraint is any manual method, physical or mechanical device, material or equipment that immobilizes or reduces the ability of a patient to move his/her arms, legs, body or head freely” (e.g. -Safe keeper bed, Posey bed, safety mitt, soft limb restraint), or a restraint is a drug or medication when it is used as a restriction to manage the patient's behavior or restrict the patient's freedom of movement and is not standard treatment or dosage for the patient's condition A restraint does not include devices, such as orthopedically prescribed devices, surgical dressings or bandages, protective helmets, or other methods that involve the physical holding of a patient for the purpose of conducting routine physical examinations or tests, or to protect the patient from falling out of bed, or to permit the patient to participate in activities without the risk of physical harm., side rails, airways, trapeze etc.
Unit 10 Promoting Safety in Health Care Enevronment (FON).pdfKULDEEP VYAS
Healthcare environments need to provide a balance between the need for practical and clinical activities or procedures to take place within them, while creating an environment that can contribute to a good experience.
International Nurses Day
IND is celebrated around the world every May 12, the anniversary of Florence Nightingale's birth. ICN commemorates this important day each year with the production and distribution of the International Nurses' Day (IND) resources and evidence.
Fluorosis is a cosmetic condition that affects the teeth. It's caused by overexposure to fluoride during the first eight years of life. This is the time when most permanent teeth are being formed. After the teeth come in, the teeth of those affected by fluorosis may appear mildly discolored.
Evaluation is a process used to determine what has happened during a given activity or in an institution.Evaluation requires many skills that are as important as other elements of the instructional process.
Human resource management in hospital and community servicesKULDEEP VYAS
HRM is the function within an organization that focuses on recruitment ,managing and providing direction for the people working in that organization.
*It is the organizational function dealing with issues related to people such as hiring, compensation, performance management ,safety, organization development, wellness, benefits, employee motivation, communication, administration and training.
Moulding or training of the mind and character to bring about desired behaviour is known as discipline.it helps a person to have some control over another person.
Patient ASSIGNMENT does not only mean that dividing the patient among available staff nurses but it is assigning an individual patient or group of patients to nurses according to the required nursing care needs and nurses capability to provide the quality care
Directing leading in hospital and community servicesKULDEEP VYAS
Directing is the fourth phase of the management process, it can also be called as coordinating or activating
*Here the leadership and the management skills are both required in order to accomplish the goal of the organization.
*It consists of 2 major components like guidance and supervision which is to be done during job process which help the nurses to utilize their total skills and knowledge in providing the quality care.
Material management in hospital and community servicesKULDEEP VYAS
Material management is a methodical technique that includes planning strategies, systemizing and regulating the flow of material from procurement till the point of disembarkation.
It is the process of coordination and controlling the activities in an organization. It includes the responsibility of purchasing the materials, their scheduling from supply or from other internal sources, their handling, storage and movement through the organization, and their delivery.
-It is a statement of anticipated results during a designated
time period expressed financial and nonfinancial terms.
-Three essential steps in the control process are establishing standards, comparing results with standards and taking corrective action.
-Budgeting process starts when top-level management establishes the strategies and goals for the organization.
The client classification system or patient classification system is the cluster of clients that has been categorized on the specific characteristics, needs ,requirements and their severity of the disease conditions based on which patient assignment is made to provide nursing care.
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.
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
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
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
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
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
2. Pesticides include insecticides, herbicides and fungicides.
There are several thousand different types in use and
almost all of them are possible causes of water pollution.
For example, DDT, malathion, parathion, delthametrine and
others have been sprayed in the environment for long
periods of time for the control of disease vectors such as
mosquitoes, and to control the growth of weeds and other
pests.
The pollution by chemicals such as pesticides may have
long-term consequences, such as groundwater pollution.
Most of the water supplies in India are found contaminated
due to the pesticide discharge.
3. According to a study conducted in India by ICMR, 85% of
milk samples found to have pesticides level above the
acceptable limits.
The most common pesticides found were organochlorines
and organophosphorus.
Among the organochlorines, HCH and DDT were frequently
detected and among organophosphorus, Endosulfan.
Malathion and Chlorpyrifos pesticides were also most
frequently detected.
4. Once the pesticide is released in the environment, they
have different distribution and persistence patterns in air,
water and soil.
many pesticides which are used in homes have been found
in house dust for many days to weeks after the application.
Climatic characteristics also play a role in persistence.
Studies in the Arctic have shown that insecticides and
herbicides persist 3 to 8 times longer in cold climates than
in temperate zones.
The most persistent pesticides are termed “persistent
organic pollutants” (POPs) and may represent long-term
dangers.
5. They have a capacity to bio-magnify up the food-chain.
Humans, and particularly breastfed babies, are at the top of
the food-chain.
In India due to more use of persistent pesticide, their
residues remain in food products. The examples of
pesticides which are considered as most persistent organic
pollutants (POPs) are organochlorine pesticides, namely,
aldrin, endrin, clordane, DDT, heptachlor, mirex, toxaphene
and hexachlorobenzene. There are various processes
through which the pesticides when sprayed on the target
pests also enters into other media of environment which
includes air, water and soil.
6. As per Ministry of Agriculture, in India, pesticides mainly enter
into food products due to following reasons:
Indiscriminate use of chemical pesticides
Non-observance of prescribed waiting periods
Use of sub-standard pesticides
Wrong advice and supply of pesticides to the farmers by
pesticide dealers
Continuance of DDT and other uses of pesticides in Public
Health Programmes
Effluents from pesticides manufacturing units
Wrong disposal of left over pesticides and cleaning of plant
protection equipment
Pre-marketing pesticides
Treatment of fruits and vegetables
7. “It is not my contention that chemicals never be
used. I do contend that we have put poisonous
and biologically potent chemicals in the hands of
persons largely or wholly ignorant of their
potential harm.” (Rachel Carson, Silent Spring,
1964)
8. Accidental oral exposure occurs most frequently when pesticides have
been taken from the original labeled container and put into an unlabeled
bottle or food container. Unfortunately, children are the most common
victims. For example, children under age 10 are the victims of accidental
pesticide deaths. Breast milk may be contaminated and represents the
very top of the food-chain: Residues of organochlorine pesticides and
POPs have been detected in breast milk (including DDT, HCB and HCH
isomers) in contaminated areas. Pesticide powders, dusts, gases,
vapors' and especially very small spray droplets can be inhaled during
mixing, loading or application or when pesticides are applied in confined
areas. Once breathed into the lungs, pesticides can enter the
bloodstream rapidly and damage can damage nose, throat and lung
tissue.
Pesticides can cross the epithelium of the skin and mucous membranes
that exchange gases (alveoli) or nutrients (gastrointestinal mucosa).
Pesticides have been detected in the amniotic fluid and body tissues of
human foetuses even during early stages of prenatal life.
9. Dermal and ocular irritation (or allergic response)
Upper and lower respiratory tract irritation
Allergic responses and asthma
Gastrointestinal symptoms: usually vomiting,
diarrhea and abdominal pain
Neurological symptoms: excitatory signs in the
case of exposure to organochlorines, lethargy and
coma; also polyneuritis
10. Many strategies can be adopted to mitigate the
hazards due to pesticides. The most important is
Personal protective equipment (PPE) because it can
prevent 90% of the pesticides related injuries.
11. Personal protective equipment (PPE) is clothing and devices
that are worn to protect the human body from contact with
pesticides or pesticide residues. Personal protective equipment
includes such items as coveralls or protective suits, footwear,
gloves, aprons, respirators, eye-wear and head gear. According
to a study, 90% of the pesticides injuries can be prevented by
the use of PPE. This protective equipment are made up of
woven fabric or a water repellent material, for example,
Neoprene, nitrile, polyvinyl chloride (PVC) and butyl rubber.
Besides clothing, other devices like face shields, goggles, boots
are also required for the protection. For the proper maintenance
of pesticides contaminated clothing, it should store and wash
separately from the family laundry. Discard clothing that has
become saturated with a concentrate. Washing in hot water
removes more pesticide from the clothing than washing in
cooler water.
12. Many efforts have been done by the Government of India to
tackle the problem of adverse health effects of pesticide use.
Pesticides regulations are governed in India under various
Acts/Rules. The monitoring of pesticides residue levels in
food comes under the purview of Union Ministry of Health
and Family Welfare. Ministry of Agriculture is taking some
steps to minimize pesticides residues. These are -
Educating farmers about ill effects of pesticides, need-
based use of chemical pesticides
Use of recommended dosage
Correct application techniques
Observance of prescribed waiting period
Practices of Integrated Pest Management (IPM)
Benefits of organic farming
13. Many steps can be taken at the local/practice level,
national/government level and international treaty/trade
levels to decrease exposure to pesticides and related
illnesses.
14. Pesticides should be used only when the non-
chemical pest control procedures have failed.
Integrated pest management (IPM) procedures
which include hygiene, sealing of cracks and
crevices, screening of doors and windows and
other measures should be the first line of defence
for pest management.
15. Users should always follow the safety precautions
specified by the manufacturer and should also
were Personal protective equipment (PPE).
Pregnant women should not apply pesticides and
it should be kept away from the infants and small
children.
If chemicals are required, the least hazardous
chemical (when there is scientific evidence of less
toxicity) should be used.
16. Many organizations like Food and Agriculture Organization (FAO) and
World Health Organization (WHO), promote alternative non-chemical
forms of pest- control and there is increasing engagement in non-
pesticide dependent agriculture and integrated pest management (IPM).
A variety of local initiatives involving the community can help to create an
environment that promotes decreased dependence on pesticides in
homes, schools, public areas, health facilities and parks.
Other examples of community activities include:
1. community campaigns and school activities
2. local awards or contests
3. pesticide-free “zones”
Education is a key component of safe pesticide use and prevention of
toxic exposures. Farmer, pesticide applicators and their families need to
be informed and educated on how to recognize and prevent pesticide
poisonings. Trained or licensed pesticide applicators can maximize
preventive measures.