We all should know the basic of Fire safety. The simple method will save life of our dear ones. we should conduct regular training and use the fire extinguisher. As per factory act and Shop and establishment act also it is mandatory to have operational fire safety equipment. IS 2190 lay down the proper use, maintenance or fire Extinguishers.
We all should know the basic of Fire safety. The simple method will save life of our dear ones. we should conduct regular training and use the fire extinguisher. As per factory act and Shop and establishment act also it is mandatory to have operational fire safety equipment. IS 2190 lay down the proper use, maintenance or fire Extinguishers.
This presentation talks about why it's important for any corporation to have a corporate program so the company can be properly educated and prepared to respond to a crisis or disaster to keep their employees and company assets safe. https://www.meadgroup.com/conferences/baem2017/highlights/
Nemco are independent building risk management consultants specialising in assisting organisations in the prevention and control of the risks associated with fire, air quality and waterborne pathogens including those responsible for causing Legionnaires’ disease.
This presentation talks about why it's important for any corporation to have a corporate program so the company can be properly educated and prepared to respond to a crisis or disaster to keep their employees and company assets safe. https://www.meadgroup.com/conferences/baem2017/highlights/
Nemco are independent building risk management consultants specialising in assisting organisations in the prevention and control of the risks associated with fire, air quality and waterborne pathogens including those responsible for causing Legionnaires’ disease.
Fire safety is so important to all hospital administrators, employees, and designers that the leadership in the hospital field should make every effort to keep abreast of current developments in the fire safety field. Each of these person's actions, no matter how routine, may have an important bearing on the total fire safety environment of the hospital's occupants.
Kent McGuire - Staying Safe: Understanding Manure Storage GasesJohn Blue
Staying Safe: Understanding Manure Storage Gases - Kent McGuire, Ohio State University, from the 2018 Conservation Tillage and Technology Conference, March 6 - 7, Ada, OH, USA.
More presentations at https://www.youtube.com/channel/UCZBwPfKdlk4SB63zZy16kyA
Significant advances in management have resulted in an increase in survival after burn injury in regions of the world with access to current medical and surgical resources. As a consequence, burn survivors with access to up-to-date care and who tend to be young adults have long-term sequelae that impair function and limit
return to preinjury function, including work and community
reintegration. Up to 1 million burns require treatment annually in North America, and over 10 times as many burns occur worldwide. In low-income and middle-income countries, mortality is significantly greater than in high-income countries.The future
of burn care will be challenged by the expense and complexity of treatment, a predicted shortage of qualified burn care providers, and an aging population.
Regulatory Reform(Fire Safety) Order 2005 - who does it apply to, general fire precautions, the terms Relevant and Competent persons plus the role of the fire service in enforcing the order.
SAFETY, SECURITY AND PERSONAL HYGIENE IN THE WORKPLACE
• Personal health and hygiene
• Fire precautions and procedures
• Procedures on discovery of suspicious items/packages and in the event of accidents
• Recording and reporting accidents
• First aid treatment and equipment
case study on hospital - fortis hospital, gurgaonSakshi Jain
this presentation is based on the architectural design on hospital, i.e, multi- specialist hospital. in this presentation we did the case study on the fortis hospital gurgaon. in which we'd cover all the aspects of case study.
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
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.
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
Title: Sense of Taste
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 structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
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
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.
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
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
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.
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.
3. Before taking part in the practical elements
of this workshop delegates must ensure
they consider themselves fit and able to do
so.
Please work within your own capabilities
and take into account other delegates
working within your area.
Thank you.
4. EVACUATION EQUIPMENT
Why Do I Need Evacuation
Equipment
PRESENTED BY
SPECTRUM HEALTHCARE (UK) LTD
5. Regulatory Reform (Fire Safety) Order
2005
• Where does the order apply?
• The order applies to virtually all premises and covers nearly
• every type of building, structure and open space.
• offices and shops;
• premises that provide care, including care homes and hospitals
community halls, places of worship and other
• community premises
• the shared areas of properties several
• households live in (housing laws may also apply);
• pubs, clubs and restaurants;
• schools and sports centres;
• tents and marquees;
• hotels and hostels
• factories and warehouses.
6. What are the main rules under the
order?
• carry out a fire-risk assessment identifying
any possible dangers and risks
• consider who may be especially at risk : staff – visitors –
service users
• get rid of or reduce the risk of fire as far as possible
• precautions to deal with any possible risk left;
• take other measures to make sure there is protection if
• flammable or explosive materials are used or stored;
• create a plan to deal with any emergency and, in most
cases, keep a record of your findings; and
review your findings when necessary
7. Who is responsible for meeting the order?
• Under the order, anyone who has control of
premises or anyone
• who has a degree of control over certain areas
or systems may
• be a ‘responsible person’.
9. OR WHAT ARE YOUR OPTIONS?
• Evacuation (Ski) Sheets
• Evacuation (Ski) Pads
• Evacuation Straps
• AlbacMats
• ResQmats
• Rescue Baskets
• Bariatric EvacMat
10. EVACUATION (SKI) SHEETS
• Attached to underside of mattress
• Cross belts & pulling handles under mattress
• Belts secured and patient/resident moved from bed
on mattress
• Mattress pulled by carers to safety
• Used for vertical as well as horizontal evacuation
11. EVACUATION (SKI) PADS
• The Ski Pad usually where mattress evacuation is not
an option due to narrow corridors or staircases.
• It has adjustable cross-straps, two or three and high
quality buckles.
• There are pockets at either end to enable the feet of
the patient to be enclosed, where a vertical
evacuation may be required.
12. ALBACMATS
• Recent innovation from Australia
• Used in many different sectors – hospitals , care
homes , trains, aircraft, pubs, hotels & office blocks
• Less expensive than Evacuation (Ski) Pads
• Less well padded than Evacuation (Ski) Pads
• Small and easy to store – “handbag size”
13. EvacMat
Bariatric Evacuation
The Bariatric EvacMat is designed to assist emergency
services personnel or designated moving and
handling staff to evacuate bariatric patients or people
from a location such as a hospital ward or other
public or private buildings in the event of an
emergency.
14. Has any of this type of equipment
been used in a real emergency
Yes
ROYAL MARSDEN HOSPITAL
15. The Royal Marsden Fire 2008
Risk – likelihood is low,
Severity – could be catastrophic.
17. Leicester Royal Infirmary Fire
• More than 100 patients had to be evacuated after fire broke out at Leicester
Royal Infirmary on 7th May 2011,
• Five wards had to be cleared and the area suffered extensive damage in the fire,
• One patient was said to have been slightly injured in the incident after flames were
seen in Ward 8 of the Balmoral building,
• Leicestershire Police have charged a patient with arson with intent to endanger life.
May 2011
19. ROSEPARK CARE HOME FIRE
31ST JANUARY 2004
Gateway Reviews, Estates & Facilities Division
Lessons from Fatal Accident Inquiry Report
14 Residents Died
A fire at Rosepark care home in
Lanarkshire, which killed 14 people, could
have been prevented, an inquiry has
found. Fire safety plans have been
described as "systematically and seriously
defective".
20.
21.
22.
23.
24.
25.
26.
27.
28. Reflection
• With the correct planning – training and
equipment.
• A safe evacuation is possible