Case Study : Pools & Spas Depot by Savoir-faire Linux.
Talk given at the OpenERP event in Montreal on June the 5th, 2013.
http://www.savoirfairelinux.com/solutions/openerp
Case Study : Pools & Spas Depot by Savoir-faire Linux.
Talk given at the OpenERP event in Montreal on June the 5th, 2013.
http://www.savoirfairelinux.com/solutions/openerp
Learn why successful leaders are keeping a journal. See the direct benefits of journaling and how it can improve your life.
BONUS: Download this free Journaling Template:
https://lifeboarding.co/bonus-journaling
If you liked this presentation you can download it here:
https://lifeboarding.co/presentation-download-journaling
Known Knowns, Known Unknowns, Unknown Unknowns: The predicament of evidence-b...Peter Edwards
A talk given by Prof. Ray Pawson, Professor of Social Research Methodology in the Faculty of Education, Social Sciences and Law, Leeds University at the Leeds Social Sciences Institute Seminar "The Use of Evidence in Policy Making?" on 22 Oct 2010 at the University of Leeds.
In this 1 hour introductory lecture you will learn about brief intervention
At the end of this session you should be able to:
Understand what is meant by “brief intervention”
Recognise the Stages of Change and how they relate to brief interventions
Describe the FRAMES approach to Motivational Interviewing
Translate examples of BI in the alcohol field to the wider substance misuse arena
Learn why successful leaders are keeping a journal. See the direct benefits of journaling and how it can improve your life.
BONUS: Download this free Journaling Template:
https://lifeboarding.co/bonus-journaling
If you liked this presentation you can download it here:
https://lifeboarding.co/presentation-download-journaling
Known Knowns, Known Unknowns, Unknown Unknowns: The predicament of evidence-b...Peter Edwards
A talk given by Prof. Ray Pawson, Professor of Social Research Methodology in the Faculty of Education, Social Sciences and Law, Leeds University at the Leeds Social Sciences Institute Seminar "The Use of Evidence in Policy Making?" on 22 Oct 2010 at the University of Leeds.
In this 1 hour introductory lecture you will learn about brief intervention
At the end of this session you should be able to:
Understand what is meant by “brief intervention”
Recognise the Stages of Change and how they relate to brief interventions
Describe the FRAMES approach to Motivational Interviewing
Translate examples of BI in the alcohol field to the wider substance misuse arena
17 million working days are taken off sick due to excessive drinking. We explore approaches to encourage responsible attitudes to drinking outside of working hours - creating a win-win for businessess and employees. .
Leveraging existing home inspections at time-of-sale to promote energy upgrades. Presentation given at ACEEE 2018 Summer Study on Energy Efficiency in Buildings.
As the mantra to "electrify everything" intensifies, we'll need to develop a clear understanding of what that goal means and what it will take to get us there. Electrification may be our only practical pathway to decarbonization, but that doesn't reduce the need for a keen awareness of what we're undertaking.
This forum brought in speakers from both Minnesota and around the country to talk about a range of electrification topics including emerging tech, an evolving grid, ongoing natural gas reliance and electric innovations.
This webinar gives a technical overview of the field assessment, measured energy savings, occupant feedback, and evaluation of cost-effectiveness of transport membrane humidifier (TMH) technology.
Energy Fit Homes is a certificate program administered by the Center for Energy and Environment, designed specifically for existing homes in Minnesota and is focused exclusively on energy efficient upgrades that are cost-effective to the homeowner.
The presentation includes background information on building science and the benefits of Energy Fit Homes for both homeowners and Realtors®. Real estate professionals who attended the presentation received the tools needed to start integrating the program into their Realtor® client services.
There’s growing awareness that perhaps the only practical pathway to achieving Minnesota’s deep decarbonization goal is through a combination of steps.
Research lead discusses how new generation air source heat pumps perform in Minnesota’s colder climate, how to best integrate air source heat pumps into utility efficiency programs, and how this new technology has the potential to create new business opportunities in the building and design world.
Research identifying common issues affecting the effectiveness of Energy Recovery Ventilation in Minnesota buildings and developing a protocol to optimize their performance.
Webinar sharing report findings including aerosol sealing cost-effectiveness in multifamily buildings and recommendations on how utilities and contractors can take advantage of this new sealing application.
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
Adv. biopharm. APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMSAkankshaAshtankar
MIP 201T & MPH 202T
ADVANCED BIOPHARMACEUTICS & PHARMACOKINETICS : UNIT 5
APPLICATION OF PHARMACOKINETICS : TARGETED DRUG DELIVERY SYSTEMS By - AKANKSHA ASHTANKAR
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.
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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
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.
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.
5. Pg. 5
Today: The Impacts of SHS in Vehicles
Expert Presenters
Emily M. Anderson
Program Director
Assoc. for Nonsmokers, Minnesota
Dave Bohac, P.E.
Director of Research
Center for Energy & Environment
6. Goals for Today’s Webinar
• Describe the impact of secondhand smoke (SHS) on
children.
• Talk about rates at which children are still exposed to SHS
in vehicles.
• Discuss previous research on the impact of smoking in
vehicles.
• Provide details about CEE’s research study
• Define the policy “lay of the land” and policy options for
Minnesota and other states
• Debut our “Smoke Free Cars for Kids” video!
7. This work was supported by ClearWay Minnesota. Any public dissemination of
information relating to the grant was made possible by Grant Number RC 2014-0013
from ClearWay Minnesota. The contents of this information are the sole responsibility
of the authors and do not necessarily represent the views of ClearWay Minnesota.
8.
9.
10. Kids are Exposed to SHS in Cars
National Youth Tobacco Survey, 2009
More than one-
fifth of
nonsmoking
students in
grades 6 through
12 are exposed to
SHS in vehicles.
11. MN Kids are Exposed to SHS in Cars
Minnesota Youth Tobacco and Asthma Survey, 2011
1 in 4 middle
school students
report that they
have ridden in a
car with
someone who
was smoking
cigarettes in the
preceding week
12. Kids, Cars and SHS: What We Know
While there is no safe level of exposure to SHS,
SHS in cars is particularly bad.
14. What else do we need to know?
• What if I only smoke with
my window open?
• What if I hold my
cigarette out the window
between puffs?
• What if I always turn the
air vents to “fresh air”
mode?
• What if my child only sits
in the far back of my
minivan?
15. Comprehensive Study Design
• 138 Smoking Trials
• Sedan, Minivan, SUV (46/vehicle)
• Why So Many Trials?
• Windows
• closed
• 2” open
• driver open (summer only)
• all open (summer only)
• Ventilation
• Summer: off, recirculation, fresh
• Winter: defrost, heat, both
• Speed
• local (30mph)
• Expressway (60mph)
• Smoking Behavior
• towards window
• away from window
• Seasons (summer/winter)
http://www.worthypause.com/2014/03/m
innesota-seasons-pie-chart.html
https://www.tispol.org/image-galleries/stock-
photos/car/car-speedometer-mph-and-
kph?size=preview
http://www.theguardian.com
/commentisfree/2011/nov/2
0/smoking-ban-in-cars
http://www.worthypause.com
/2014/03/minnesota-
seasons-pie-chart.html
http://www.8thcivic.com/forums/civic-hybrid/112950-temperature-c-
screen.html
16. Fine Particulates Used To Measure
Secondhand Smoke
http://www.tceq.texas.gov/publications/pd/020/2013-NaturalOutlook/pm2.5-
standards-may-be-set-lower-than-scientifically-justifiable
• Fine particulates (PM2.5)
emitted by smoking
• Often SHS is only significant
source of PM2.5
• Reliable instruments for real-
time measurements
• Most common tracer for SHS
research
18. Sample PM2.5 Measurements
Vehicle: SUV
Windows: 2” open
Ventilation: Fresh Air Mode
Vehicle Speed: 30 mph
0 1 2 3 4 5 6 7 8 9 10 11
<< smoking >>
4 to 6 minutes
<< after smoking >>
Front passenger
Rear seat (behind driver)
Typical Minnesota bar
19. EPAAir Quality Index
Air Quality Air Quality Index 24-hr PM2.5
(mg/m3)
Health Concern
Hazardous ≥ 301 > 250
Health alert: everyone may experience more serious
health effects
Very Unhealthy 201 -300 151 - 250
Health warnings of emergency conditions. The entire
population is more likely to be affected
Unhealthy 151 - 200 56 - 150
Everyone may begin to experience health effects;
members of sensitive groups may experience more
serious health effects.
Unhealthy for
Sensitive Groups
101 - 150 36 -55
Members of sensitive groups may experience health
effects. The general public is not likely to be affected.
Moderate 51 - 100 13 - 35
Air quality is acceptable; there may be a moderate
health concern for a very small number of people who
are unusually sensitive to air pollution.
Good 0 - 50 0 - 12
Air quality is considered satisfactory, and air pollution
poses little or no risk
Associated health effects from air pollution
71 ug/m3 = typical Minnesota bar on weekend night (before Freedom to Breath)
20. Sample PM2.5 Measurements
Vehicle: SUV
Windows: 2” open
Ventilation: Fresh Air Mode
Vehicle Speed: 30 mph
0 1 2 3 4 5 6 7 8 9 10 11
<< smoking >>
Unhealthy
Very Unhealthy
Hazardous
Typical Minnesota bar
21. Sample PM2.5 Measurements
Vehicle: SUV
Windows: All Closed
Ventilation: Fresh Air Mode
Vehicle Speed: 30 mph
0 1 2 3 4 5 6 7 8 9 10 11 12 13 14 15 16 17 18 19 20 21 22
Hazardous
Unhealthy
Very Unhealthy
Typical Minnesota bar
Hazardous: Health warnings of emergency
conditions. The entire population is more
likely to be affected.
22. Analysis of Each Smoking Trial
• Peak concentration for shorter intervals
(5, 10,15, & 30 seconds)
• Average concentration during smoking, after smoking,
and entire period
• Total exposure until concentrations return to outdoor
baseline (=average concentration * time)
• Length of time concentration equal to or greater than
EPA Air Quality Index Levels
23. PM2.5 30 Second Peak Results
average = 2,013 ug/m3
(359 to 5,612 ug/m3) 87% lower 55% lower
25. Comparison of 30 Second Peak to
Average PM2.5 Concentration
Average over all three vehicles and three summer ventilation modes
with windows closed
About a 3 to 1 ratio
between 30 second
peak and average over
entire exposure
Hazardous
26. Exposure Duration
How long after smoking done does it take to get rid of
secondhand smoke?
• Windows closed: 4.3 – 25+ minutes
• Open driver window 2”: average = 4.2 minutes
• Driver window full open: average = 1.7 minutes
27. Regression Analysis of Exposure
• Opening drivers window reduces exposure by 93%
and fully opening windows reduces by another 62%
• Sedan had lowest exposure
• Minivan 46% greater
• SUV 69% greater
• Not much difference between fan off and recirculation
mode, but 40 – 50% lower exposure for “fresh” mode
• Exposure at least two times greater for 30 mph than
60 mph
• Holding cigarette towards window reduced exposure
by 34% to 75%
• No significant difference for location in vehicle except
van far back
28. Take Away Messages
Secondhand smoke exposure
in vehicles is extremely
dangerous.
With windows closed, SHS fine
particulate matter concentrations
range from 359 to 5612 with an
average of 2013 μg/m3.
Those levels are higher than
concentrations typically found in
bars were smoking is permitted.
29. Take Away Messages
Secondhand smoke remains
a concern even after the
driver has stopped smoking.
A passenger’s total average
exposure during and after
smoking is about equal to sitting
in a typical smoky bar for
3 hours.
30. Take Away Messages
There is no safe level of
exposure to secondhand
smoke, and kids are at
particular risk.
1 in 4 middle school
students report being in a
vehicle while someone is
smoking in the past 7 days.
32. How can we protect kids?
Smoke-Free Cars for Kids!
• States can pass laws that would prohibit smoking in a
vehicle when children under the age of 18 are present in
order to protect kids from dangerous SHS.
37. Next Steps?
• Educate decision makers and community members about
the dangers of exposure to SHS, especially for kids.
• Let them know that SHS exposure is still a problem for MN
kids.
• Tell decision makers that MN is not a leader on this issue, but
can catch up!
• Share the video!
• Keep our eyes a few years down the road, which
legislators might be ready to tackle this issue in MN.
38. References
1. U.S. Department of Health and Human Services. The Health Consequences of Smoking—50 Years of
Progress: A Report of the Surgeon General. Atlanta: U.S. Department of Health and Human Services,
Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health
Promotion, Office on Smoking and Health, 2014.
2. U.S. Department of Health and Human Services. The Health Consequences of Involuntary Exposure to
Tobacco Smoke: A Report of the Surgeon General. Atlanta, GA: U.S. Department of Health and Human
Services, Centers for Disease Control and Prevention, Coordinating Center for Health Promotion, National
Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health, 2006.
3. American Academy of Pediatrics, Committee on Environmental Health, “Environmental Tobacco Smoke: A
Hazard to Children,” Pediatrics 99(4), April 1997.
4. U.S. Environmental Protection Agency. (2016). Air Quality Index (AQI) Basics. Retrieved March 21, 2016,
from https://airnow.gov/index.cfm?action=aqibasics.aqi
5. Rosow Chrisman, K. (2014). Plotting China’s Air Quality: The Good, The Bad, The Un-Breathable.
Retrieved April 25, 2016, from http://breakingenergy.com/2014/04/16/plotting-chinas-air-quality-the-good-
the-bad-the-un-breathable/
6. Center for Energy and Environment. (2016). Measuring Secondhand Smoke Exposure in Vehicles.
Retrieved March 21, 2016, from http://mncee.org/Innovation-Exchange/Projects/Current/Secondhand-
Smoke-in-Vehicles/
7. Minnesota Youth tobacco and Asthma Survey (2011).
39. Pg. 39
Videos
• ‘Kids in Cars’ (ANSR MN):
https://youtu.be/-e_YnLSIKvI
• ‘How Dangerous is Smoking in Cars’
(TobaccoFreeCA): https://vimeo.com/1513382
• Technical information on SHS in vehicles (CEE):
www.mncee.org/SHS-vehicles
45. How To Measure Secondhand Smoke?
http://www.tceq.texas.gov/publications/pd/020/2013-NaturalOutlook/pm2.5-
standards-may-be-set-lower-than-scientifically-justifiable