Common Heavy Metal Contaminations and Its Hazard Sotheara Kong
This piece of education slide provide you a general information about 4 Common Heavy Metal Contamination and its Hazard in ground water. It consist of many information that may has advantage to the researcher especially someone who researching on removable of chemical contamination from ground water.
Prevention of Accidents in An Operation Theatre Part 2-NURSINGMariaKuriakose5
This contains a detailed information about what causes accidents in an operation theater,its preventive measures and what else to be done to prevent such hazards taking place in an OT
Common Heavy Metal Contaminations and Its Hazard Sotheara Kong
This piece of education slide provide you a general information about 4 Common Heavy Metal Contamination and its Hazard in ground water. It consist of many information that may has advantage to the researcher especially someone who researching on removable of chemical contamination from ground water.
Prevention of Accidents in An Operation Theatre Part 2-NURSINGMariaKuriakose5
This contains a detailed information about what causes accidents in an operation theater,its preventive measures and what else to be done to prevent such hazards taking place in an OT
Presentation on Chemical Hazards in Industry and protection of workers, diagnosis of adverse health effects. Creating their awareness and guidance to Doctors.
I created this school project (HS-124) from back in the day 2012 and I’ve decided to upload as a matter of global warming which we're still having environmental pollution's issues!
Environmental Pollution: https://www.youtube.com/watch?v=lf3ApKp3U2o
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Pollution (DEFINITION, CAUSE,EFFECT AND PREVENTION/CONTROL MEASURES)AmsaluAsnake
I am public health student in Arbaminch university which is one the poiner universities in Ethiopia
so I posed some research on m field of learning and afforded it for you also because i think you will also encounter some of this kind works in your study. thank you.
Tattoo at your own risk. Tattoos can be safe or hazardous depending on your preparation for the tattoo. Talk to the tattoo artist. Ask them what carrier solution they use. Ask them the composition of their ink. Choose your colors by which colors are least toxic. Make sure the tattoo artist's shop has an active Health Department certificate
Oral cancer is the world’s 6th most common malignancy and has one of the lowest survival rates, often due to late diagnosis. The most important determinant factor in cancer survival is diagnostic delay and it directly affects the survival rate.
Most oral cancers are preceded by precancerous lesions and early cancers that can be identified by visual inspection of the oral cavity. Conventional oral examination is useful in the discovery of some oral lesions, but it does not identify all potentially premalignant lesions, as some are not readily apparent to visual inspection alone.
Adjunctive techniques have emerged that may facilitate early detection of oral premalignant and malignant lesions. Thorough clinical examinations being one of the best modalities in suspecting the pathology, the biggest disadvantage in the diagnosis lies in detecting the site of biopsy and also whether biopsy is required or not in early lesions.
Nowadays various diagnostic aids have been established in detecting such lesions but easy chair-side techniques can be used if possible. And one such technique is by using vital staining with dyes which is used for early recognition of lesion and also can improve the patient survival rate.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
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
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
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
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
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
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!
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
Title: Sense of Smell
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
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.
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Effect of Body art on Environment and Health
1. EFFECT OF BODY ART ON
ENVIRONMENT AND HEALTH
Adedotun T. ADEOLU
1Adedotun T. ADEOLU
2. Outline
- Introduction
- What is Body art?
- Types of Body arts
- Components of tattoo ink
- Reactions in tattoo ink
- Health effects of tattoo
- Environmental effects of tattoo
- Conclusion
- Recommendation
2Adedotun T. ADEOLU
3. Introduction
Body art is art work done on the body of
man. It might be for the purpose of
beautification, identification or medication.
‘The key to man’s health lies largely in his
environment.
3Adedotun T. ADEOLU
4. Introduction cont’d
Much of man’s ill health can be traced to
adverse social environmental factors such as
habits and practices that might be influenced
by custom, culture and socio-economic
factors.
The practice of body arts (especially tattooing
and piercing), once not very common in
developing countries, has now expanded into
societies. Mostly young people have shown
great enthusiasm for these practices.
4Adedotun T. ADEOLU
5. Introduction cont’d
Little or no consideration is given to the
health implications as most of the
materials and conditions with which and
under which they are carried out are
detrimental to man’s health.
Under unsanitary conditions, a lot of health
problem do arise from these practices.
5Adedotun T. ADEOLU
6. Types of Body Art
• Tattoos
• Body piercing
• Branding
• Scarification
6Adedotun T. ADEOLU
7. Body Piercing
• Piercing involves long-term insertion of an
object through the skin allowing
ornaments to be worn.
• Body piercing is prevalent in our society.
7Adedotun T. ADEOLU
8. Any penetration
of the skin with
resultant
bleeding has the
potential to
cause infections
including the
transmission of
blood borne
viruses such as
HIV and Hepatitis
B or C
Source: Southern Primary Health – Noarlunga, October 2006
8Adedotun T. ADEOLU
9. Scarification
Scarification involves scratching, etching,
burning/branding or superficially cutting
designs, pictures or words into the body
as a permanent body modification.
Variables, such as skin type, cut depth and
how the wound is treated while healing,
makes the outcome unpredictable.
9Adedotun T. ADEOLU
10. There are
numerous
infections
that can be
spread
through poor
hygiene
practices ,
e.g. HIV, HBV
Source: Crockodile Scarification. Korogo
village, 1975.
10Adedotun T. ADEOLU
12. Scarification
This is related to the communities where
traditionalists make the mark using the
primitive tools without proper sterilization
and treatment.
12Adedotun T. ADEOLU
13. Tattooing
Tattoo is the insertion of ink or some other
pigment through the outer covering of the
body (the epidermis) into the dermis, the
second layer of skin.
Due to high demand, the number of
unprofessional tattooists and piercers has
increased creating more complications due to
frequent procedures carried out without any
knowledge of health and hygiene rules .
13Adedotun T. ADEOLU
17. Componets of tattoo ink
• Inks may be made from iron oxides, metal salts and
plastics.
• Traditional tattoo inks may be made from pen ink,
soot, dirt, blood, or other ingredients.
• Heavy metals used for colours include mercury (red);
lead (yellow, green, white); cadmium (red, orange,
yellow); nickel (black); zinc (yellow, white); chromium
(green); cobalt (blue); copper (blue, green); iron
(brown, red, black); and barium (white).
• Carbon (soot or ash) is also used for black inks
• Organic chemicals used include azo-chemicals
(orange, brown, yellow, green, violet). 17Adedotun T. ADEOLU
18. Tattooists
use a sharp
implement to
puncture the
skin and
thus make
an indelible
mark,
design, or
picture on
the body.
Rotation-Tatoo Machine
Source: http://en.m.wikipedia.org/wiki/Tattoo
18Adedotun T. ADEOLU
19. A variety of inks used by tattooists.
Source: http://en.m.wikipedia.org/wiki/Tattoo
19Adedotun T. ADEOLU
20. Reactions in ink
• Releases of Aromatic Amines (o-anisidine, o-
toluidine) have been created by irradiation with UV
light. Aromatic amines are a class of chemicals
often found in plastics, pesticides, foams, dyes,
pharmaceuticals and semi-conductors.
• These amines have been linked to bladder and
breast cancer.
• The production of carcinogenic aromatic amines
and other substances if in certain inks/pigments
are irradiated by laser light in order to remove
tattoos.
20Adedotun T. ADEOLU
21. Glow in the dark ink and black light ink
Both black light and glow in the dark inks
have been used for tattooing. Glow in
the dark ink absorbs and retains light,
and then glows in darkened conditions
by process of phosphorescence.
Black light ink does not glow in the dark,
but reacts to non-visible UV light,
producing a visible glow by
fluorescence. The resulting glow of both
these inks is highly variable.
21Adedotun T. ADEOLU
23. Source: Byron et al., 20012. Outbreak of Mycobacterium chelonae Infection
Associated with Tattoo Ink
Tattoo ink infection case study
23Adedotun T. ADEOLU
24. Toxicity and Photo-toxicity
• Many tattoo ink pigments photo-decompose in the
presence of sunlight to form cytotoxic and potentially
genotoxic products (Cuyper and Perez-Cotapos,
2010).
• Some of these decomposition products are suspect,
or known, human carcinogens.
• The skin possesses metabolic systems that can
metabolize ink pigments to multiple products.
• Using isolated enzyme systems, Pigment Yellow 74
is metabolized by cytochromes P450 to oxidized
products and is reduced at the nitro group to reactive
aryl nitroso and hydroxylamines.
24Adedotun T. ADEOLU
25. Allergies
• Most of the materials used are mainly azo dyes,
with specific reactions to mercury salt, nickel
sulphate and cadmium sulphide (Cuyper and
Perez-Cotapos, 2010).
• Reactions from sunlight and laser induced
chemical change in tattoo pigments.
• Reactions of tattoos supposed to be allergic in
nature really dominate the clinical spectrum of
chronic adverse events in tattoos.
• Reactions are inflammatory or so called “lichenoid”
and ranges from ulceration to excessive epidermal
hyperplasia.
25Adedotun T. ADEOLU
26. Lichenoid
reaction to
red ink in a
black and
red tattoo.
Ink allergy
Source: Cutaneous allergic reactions to tattoo
ink. Kaur et al., 2009.
26Adedotun T. ADEOLU
27. Reaction to
blue ink
with a
palpable
plaque and
localized
edema.
Ink allergy
Source: Cutaneous allergic reactions to
tattoo ink. Kaur et al., 2009.
27Adedotun T. ADEOLU
28. Microbial infections
• Poor hygienic standards and careless
procedures can result in localized infections and
also lead to severe life-threatening conditions or
even result in irreversible damage and scarring.
• The most frequent are local bacterial infections
at the site of the procedure.
• They are often caused by common pathogens
such as Streptococcus pyogenes and
Staphylococcus aureus, Mycobacterium
tuberculosis (TB), M. chelonae, M. leprae
(Leprosy)
28Adedotun T. ADEOLU
29. Microbial infections cont’d
• These infections can result in secondary
infections like cellulitis, sepsis, abscess,
endocarditis, and gangrene’
• Viral infections such as hepatitis A, B, C and D,
HIV and Herpes simplex.
• Systematic fungal infections like candidiasis
29Adedotun T. ADEOLU
30. Environmental Effects of Tattos
• Tattoo inks are made of substances like heavy
metals which has the potential to bio accumulate
in biological and environmental systems and
aromatic amines that could be carcinogenic.
• Due to improper management of this special
waste (hazardous), It gets mixed with solid
waste.
• During the rainy season, it may get added to the
ground water and spreads hazardous diseases.
30Adedotun T. ADEOLU
31. Conclusion
• Most tattoos are applied impulsively and ignorantly in
youths. They are often regretted and create significant
psychological, social and even financial burdens.
• Social environmental factors such as habit and practice
have a link to man’s state of health.
• Infections, allergies and scaring are part of health effects of
body arts.
• Tattoo inks are made of substances like heavy metals which
has the potential to bio accumulate in biological and
environmental systems and aromatic amines that could be
carcinogenic.
31Adedotun T. ADEOLU
32. Recommendations
• Tattoo dyes should be subject to testing or
licensing by national health authorities.
• Tattoo artists should avoid contamination and
consumers should be aware of the risks
associated with getting a tattoo.
• Health education should be directed against
socio-cultural practices which are aetiological
risk factors
32Adedotun T. ADEOLU