პრეზენტაციაში მოკლედაა აღწერილი წალენჯიხის ტურისტული პოტენციალი და სედგენეილია ტურის გეგმა.პრეზენტაცია მომზადებულია ილიას სახელმწიფო უნივერსიტეტის ,,საქართველოს ტურისტული რესურსების"პროგრამის ფარგლებში
Get all the information that is offered at this month's Community Leaders Information Forum right here! The briefing slides are detailed accounts of any upcoming events or outreach efforts happening around the installation.
The Loyalty Awards 2015 - automotive Diamonds winsBahar Sabet
'automotive Diamonds' is honored with the Loyalty Award of the Year 2015 in the category B2B. The loyalty program 'automotive Diamonds' is a European coalition between TRW Aftermarket (program founder), Denso Aftermarket, Gates, Sogefi and Philips.
Having been shortlisted amongst strong companies such as Heineken, L'Oreal and Vodafone, we are proud to have been selected as winner by the Loyalty Magazine.
www.automotivediamonds.com
Tour DonorPro CRM | All-new fundraising software platformSalsa Labs, Inc.
A screenshot tour of DonorPro's nonprofit fundraising CRM. See all the tools you need to manage your donors, track your donations, and increase your fundraising revenue.
Visit http://go.donorpro.com/fundraising-crm-demo-donorpro to schedule a live demonstration.
The Community Leaders Information Forum will give you all the latest updates about Fort Drum and the 10th Mountain Division. Be in the know; download your CLIF materials here!
This project is done by the group at the Budapest Business Uniersity. you will get information about sustainable development about the area of heroes square (and nearby places).
Connected Bikes: Connecting riders to their communitiesLouis P. Huard
Boréal Bikes' CEO and co-founder, Louis-P. Huard, explores the possibilities of connected bike technology and its impact on communities and the future city.
Presented at MLOVE Hamburg 2015, Smart Cities
პრეზენტაციაში მოკლედაა აღწერილი წალენჯიხის ტურისტული პოტენციალი და სედგენეილია ტურის გეგმა.პრეზენტაცია მომზადებულია ილიას სახელმწიფო უნივერსიტეტის ,,საქართველოს ტურისტული რესურსების"პროგრამის ფარგლებში
Get all the information that is offered at this month's Community Leaders Information Forum right here! The briefing slides are detailed accounts of any upcoming events or outreach efforts happening around the installation.
The Loyalty Awards 2015 - automotive Diamonds winsBahar Sabet
'automotive Diamonds' is honored with the Loyalty Award of the Year 2015 in the category B2B. The loyalty program 'automotive Diamonds' is a European coalition between TRW Aftermarket (program founder), Denso Aftermarket, Gates, Sogefi and Philips.
Having been shortlisted amongst strong companies such as Heineken, L'Oreal and Vodafone, we are proud to have been selected as winner by the Loyalty Magazine.
www.automotivediamonds.com
Tour DonorPro CRM | All-new fundraising software platformSalsa Labs, Inc.
A screenshot tour of DonorPro's nonprofit fundraising CRM. See all the tools you need to manage your donors, track your donations, and increase your fundraising revenue.
Visit http://go.donorpro.com/fundraising-crm-demo-donorpro to schedule a live demonstration.
The Community Leaders Information Forum will give you all the latest updates about Fort Drum and the 10th Mountain Division. Be in the know; download your CLIF materials here!
This project is done by the group at the Budapest Business Uniersity. you will get information about sustainable development about the area of heroes square (and nearby places).
Connected Bikes: Connecting riders to their communitiesLouis P. Huard
Boréal Bikes' CEO and co-founder, Louis-P. Huard, explores the possibilities of connected bike technology and its impact on communities and the future city.
Presented at MLOVE Hamburg 2015, Smart Cities
The new edition of Fort Drum's post guide is now available as a PDF! If you're new to the installation or just looking for more information about our post and the surrounding areas this is a great resource for you.
This overview of the ins and outs of winter driving will provide you with some techniques for avoiding accidents and a checklist you can use to prepare your vehicles for the snow and ice.
The Community Leaders Information Forum will give you all the latest updates about Fort Drum and the 10th Mountain Division. Be in the know; download your CLIF materials here!
The Community Leaders Information Forum is a great source of information for all your planning needs, including a list of dates to remember and important updates from different directorates around post! Check out the slides from the April meeting!
Check out the slides from this month's Community Leaders Information Forum! You'll get news about all the upcoming events and activities and get briefed about important procedure changes.
Updates on what's on the calendar for agencies across Fort Drum & the 10th Mountain Division. Use the CLIF Notes to plan your activities for the coming months and get contact information for the people you need!
This presentation was given at the recent town hall, giving our community an overview of what furlough impacts will look like at our installation. What may be most useful to customer is the listing of what days services will be reduced or closed due to furlough impacts.
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 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
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.
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
Local Advanced Lung Cancer: Artificial Intelligence, Synergetics, Complex Sys...Oleg Kshivets
Overall life span (LS) was 1671.7±1721.6 days and cumulative 5YS reached 62.4%, 10 years – 50.4%, 20 years – 44.6%. 94 LCP lived more than 5 years without cancer (LS=2958.6±1723.6 days), 22 – more than 10 years (LS=5571±1841.8 days). 67 LCP died because of LC (LS=471.9±344 days). AT significantly improved 5YS (68% vs. 53.7%) (P=0.028 by log-rank test). Cox modeling displayed that 5YS of LCP significantly depended on: N0-N12, T3-4, blood cell circuit, cell ratio factors (ratio between cancer cells-CC and blood cells subpopulations), LC cell dynamics, recalcification time, heparin tolerance, prothrombin index, protein, AT, procedure type (P=0.000-0.031). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and N0-12 (rank=1), thrombocytes/CC (rank=2), segmented neutrophils/CC (3), eosinophils/CC (4), erythrocytes/CC (5), healthy cells/CC (6), lymphocytes/CC (7), stick neutrophils/CC (8), leucocytes/CC (9), monocytes/CC (10). Correct prediction of 5YS was 100% by neural networks computing (error=0.000; area under ROC curve=1.0).
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
Rasamanikya is a excellent preparation in the field of Rasashastra, it is used in various Kushtha Roga, Shwasa, Vicharchika, Bhagandara, Vatarakta, and Phiranga Roga. In this article Preparation& Comparative analytical profile for both Formulationon i.e Rasamanikya prepared by Kushmanda swarasa & Churnodhaka Shodita Haratala. The study aims to provide insights into the comparative efficacy and analytical aspects of these formulations for enhanced therapeutic outcomes.
Identification and nursing management of congenital malformations .pptx
CLIF Briefing Slides
1. FORT DRUM, NEW YORK
Community Leaders Information Forum
5 September 2012
AGENDA
Welcome/Administrative Notes Mr. McKinnon
Dates to Remember Highlights
Guest Speaker/Presentation
Recovery & Resiliency Ms. Melissa Amos
Back to School Information Ms. Michele Carlton/Ms. Terri Spencer
Lyme Disease Awareness MEDDAC
Childcare Fee Increase Ms. Karin Sikirica
Directorate/Agency Updates
CLIF Updates/Actions Mr. McKinnon
Closing Remarks (Next CLIF 3 October 2012): WELCOME BACK!
Fort Drum – The Army’s Best Kept Secret
2. FORT DRUM, NEW YORK
Dates to Remember
September 2012
9/3 Division DONSA / Labor Day
9/4 Welcome Tour 0930-1400 ACS
9/4 Division Take Your Kids to School Day
9/5 CLIF 1000-1100 The Commons
9/5-6 AFTB Level I 0900-1600 ACS
9/6 North Country Expo 0900-1400 The Commons
9/7 Payday Activities
9/7 In her Shoes 0900-1130 ACS
9/7 Hearts Apart 0930-1200 ACS
9/10 Budget & Account Management 0900-1200 ACS
9/11 Terrific Toddlers 0900-1100 ACS
9/11 Welcome Tour 0930-1400 ACS
9/11 From Victim to Survivor Support Group 1130-1300 ACS
9/11 EFMP Support Group 1130-1300 ACS
9/11 Anger Management 1330-1530 ACS
9/11 Key Caller Training 1400-1530 ACS
9/11 Key Caller Training 1700-1830 ACS
9/12 Terrific Toddlers 0900-1100 ACS
9/12 Infant Message 0930-1100 Monument Ridge Community Center
9/12 Fort Drum Town Hall Information Forum 1030-1200 The Commons
9/13 FRG Leader Training 0900-1300 ACS
9/13 Informal Funds Training 1400-1500 ACS
9/13 Informal Funds Training 1700-1800 ACS
9/14 Terrific Toddlers 0900-1100 ACS
9/14 EFMP Autism Support Group 0900-1100 ACS
9/15 Retiree Appreciation Day 0900-1500 Clark Hall
9/15-16 NY Yankee’s Baseball Game Departing 0800 Outdoor Recreation
9/17-20 Resilience Training Marathon 0930-1430 USO
9/18 Welcome Tour 0930-1400 ACS
9/18 From Victim to Survivor Support Group 1130-1300 ACS
Fort Drum – The Army’s Best Kept Secret
3. FORT DRUM, NEW YORK
Dates to Remember
September 2012
9/19 Spouses Club Sign-up 0800-1200 USO
9/19 Infant Message 0930-1100 Monument Ridge Community Center
9/20 Overseas Orientation Brief 0930-1100 ACS
9/20 Volunteer of the Month Ceremony 1030-1130 The Commons
9/21 In her Shoes 0900-1130 ACS
9/25 Investing 101-ROTH IRA 0900-1100 ACS
9/25 From Victim to Survivor Support Group 1130-1300 ACS
9/26 Infant Message 0930-1100 Monument Ridge Community Center
9/26 Family Support Huddle 1000-1130 EN
9/27 Family Wellness Support Group 1000-1100 ACS
9/27 Remembrance Ceremony 1630-1700 Memorial Park
9/28 Hispanic Heritage Month Observance 1130-1300 The Commons
9/28 Division Retirement Ceremony 1600-1700 MPA
October 2012
10/1-14 Winter Clothing & Business Attire Drive Drop Off 0730-1630 ACS
10/2 Welcome Tour 0930-1400 ACS
10/3 CLIF 1000-1100 The Commons
10/3 OPSEC Safety for Families 1030-1200 ACS
10/3 Red Cross Orientation 1300 Clark Hall B1-35
10/4 Payday Activities
10/5 Division DONSA
10/6 Men’s & Women’s Fashion Show PX
10/8 Division DONSA / Columbus Day
10/9 EFMP Support Group 1130-1300 ACS
10/9 Welcome Tour 0930-1400 ACS
10/9 Key Caller Training 1400-1530 ACS
10/9 Key Caller Training 1700-1830 ACS
10/12 EFMP Autism Support Group 0900-1100 ACS
10/16 Welcome Tour 0930-1400 ACS
10/16 Clothing Giveaway 1000 ACS
Fort Drum – The Army’s Best Kept Secret
4. FORT DRUM, NEW YORK
Dates to Remember
October 2012
10/18 Volunteer of the Month Ceremony 1030-1130 The Commons
10/19 Coping with Deployment Class USO
10/20 Toyland Grand Opening PX
10/23 Welcome Tour 0930-1400 ACS
10/24 Family Support Huddle 1000-1130 EN
10/25 Family Wellness Support Group 1000-1100 ACS
10/25 Remembrance Ceremony 1630 Memorial Park
10/26 Daytreat 0930-1500 Po Valley Center
10/26 Division Retirement Ceremony 1600 MPA
10/26 Right Arm Night 1700 The Commons
10/30 Welcome Tour 0930-1400 ACS
10/30 Trunk or Treat 1700-2000 The Heritage Center Parking Lot
10/31 Halloween
November 2012
11/1-30 10 SBDE Block Leave
11/2 Payday Activities
11/3 Event Planning 1300-1430 ACS
11/4 Daylight Savings Time Ends (Fall Back)
11/5 Election Day
11/7 FRG Leader Training 0900-1300 ACS
11/7 Informal Funds Training 1400-1500 ACS
11/7 Informal Funds Training 1700-1800 ACS
11/9 EFMP Autism Support Group 0900-1100 ACS
11/10 CNY Veterans Parade and Expo State Fairgrounds, Syracuse
11/11 Veterans Day
11/12-13 Division DONSA
11/13 EFMP Support Group 1130-1300 ACS
11/13 Key Caller Training 1000-1130 ACS
11/13 Key Caller Training 1400-1530 ACS
11/15 Volunteer of the Month Ceremony 1030-1130 The Commons
Fort Drum – The Army’s Best Kept Secret
5. FORT DRUM, NEW YORK
Dates to Remember
November 2012
11/17 SCFD Craft Fair 1000-1600 Monti Physical Fitness Center
11/17-25 1BCT Opportunity Leave
11/22 Division DONSA / Thanksgiving
11/23 Division DONSA
11/29 Family Wellness Support Group 1000-1100 ACS
Fort Drum – The Army’s Best Kept Secret
6. FORT DRUM, NEW YORK
Mental Health Association in Jefferson County
Resiliency & Recovery Initiative
Melissa Amos
Military, Veteran and Family Advocate
(315) 788-0970 x 307
mamos@mhajc.org
http://on.fb.me/MilitaryVeteranFamily
Fort Drum – The Army’s Best Kept Secret
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Mental Health Association in Jefferson County
Resiliency & Recovery Initiative
OUR GOAL
• Decrease the stigma associated with military, veteran, and family members seeking assistance with
mental health issues
• Suggest ways to help with crisis planning, recovery and resiliency strategies
• Provide available resources to keep families together
• Assist with decreasing the stressors during deployments or multiple deployments
We do this through advocacy, education, breaking down stigmas, prejudice, and discrimination.
We coordinate with and link to other community services and supports.
Fort Drum – The Army’s Best Kept Secret
8. FORT DRUM, NEW YORK
Mental Health Association in Jefferson County
Resiliency & Recovery Initiative
Peer to Peer Agency and Mentoring
• Individual
• Group
• In-Person
• Phone, Internet, Other
Focus Group Primarily OEF/OIF/OND
• Active, Guard, Reserves
• Veterans
• Military Families (Non-Traditional)
Fort Drum – The Army’s Best Kept Secret
9. FORT DRUM, NEW YORK
Mental Health Association in Jefferson County
Resiliency & Recovery Initiative
Support Groups
• Parents with Psychiatric Disabilities Support Group
• PTSD Support Group
• Family Member Support Group (Non-Traditional)
• Male Only/Female Only Veterans Support Group
• Military Kids Club
Trainings
• SafeTALK (suicide prevention and awareness)
• Wellness after Trauma Training
• WRAP Training (Wellness Recovery Action Plan)
Fort Drum – The Army’s Best Kept Secret
10. FORT DRUM, NEW YORK
Mental Health Association in Jefferson County
Resiliency & Recovery Initiative
Events
• Mountainfest
• Military Kids Club
• Project New Hope 1 & 2
• Fly Tying Classes & Fishing Trips
• Family Picnics
Fort Drum – The Army’s Best Kept Secret
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School Liaison Services
Child, Youth and School Services
School Liaison Services
Fort Drum – The Army’s Best Kept Secret
12. FORT DRUM, NEW YORK
School Liaison Services
We excel in
Youth Sports
Academics
We sometimes fail in discipline
Not always the student
Fort Drum – The Army’s Best Kept Secret
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School Liaison Services
Parent/School Communication
Parent regular communication with teacher = enhanced student
success
Parent Emergency contact numbers
Attend Parent/Teacher conferences
Transportation number
School nurse/medication policies
Effective Communication – parent and schools during deployment
Fort Drum – The Army’s Best Kept Secret
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School Liaison Services
Deployment Support
Child Youth Behaviorist (MFLCs in 3 districts)
School support groups
School counselors
Communicate special needs with your school
Fort Drum – The Army’s Best Kept Secret
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School Liaison Services
Holidays/Vacation Dates
THANKSGIVING: 21-23 NOVEMBER 2012
CHRISTMAS: 24 DECEMBER 2012 – 1 JANUARY 2013
WINTER: 18-22 FEBRUARY 2013
SPRING: 1-5 APRIL 2013
5 SNOW DAYS; 2 SUPERINTENDENT DAYS
Fort Drum – The Army’s Best Kept Secret
16. FORT DRUM, NEW YORK
School Liaison Services
School Bus/Bus Stops
Bus Safety
Bus identification
Kindergarten bus procedures
Bus delays
Bus stop & vehicle safety
Bus stop behavior
Bus stop responsibility
Fort Drum – The Army’s Best Kept Secret
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School Liaison Services
Required/Appropriate Attire
Winter (jackets, boots)
School recreation
Bus stops
Sneakers/tennis shoes in gym (no flip flops)
Lack of locker space in elementary buildings
Fort Drum – The Army’s Best Kept Secret
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School Liaison Services
School Delays/Closings
Announced on local TV, Radio, and internet sources
NLT 0600
Have a snow day plan
Bus procedures (closed or delayed)
Look for your district name, not your school building
Private schools will fall under the public district aligned
Fort Drum – The Army’s Best Kept Secret
19. FORT DRUM, NEW YORK
School Liaison Services
School Board Authority/Voting Systems
Monthly School Board Meetings
School Board has full authority over entire school
district
Voter Eligibility: Must be a citizen, 18 years, and live in
the district at least 30 days
Not Required: to have children in the district or pay
taxes in NYS
Fort Drum – The Army’s Best Kept Secret
20. FORT DRUM, NEW YORK
School Liaison Services
Attendance
Your child’s academic success is a reflection of good
attendance, good work/participation habits, and parental
involvement
NYS seat time requirement: 180 days
Try to plan vacations during scheduled school vacations
Communication with your child’s teachers
Fort Drum – The Army’s Best Kept Secret
21. FORT DRUM, NEW YORK
School Liaison Services
Sports
Youth Sports in your local neighborhood
CYSS Sports/SKIES Programs
School Sports
Try Outs
Parental Involvement/Volunteer Coaches/Team Parent
Fort Drum – The Army’s Best Kept Secret
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School Liaison Services
Fort Drum School Liaison Officers
Michele Carlton 772-3214
Terri Spencer 772-1311
Fort Drum – The Army’s Best Kept Secret
23. FORT DRUM, NEW YORK
Lyme Disease Prevention and Awareness
14 AUG 2012
Our mission is to provide Soldiers, Civilians and their Families with a
quality of life commensurate with the quality of their service.
Fort Drum – The Army’s Best Kept Secret
24. FORT DRUM, NEW YORK
Background
• Lyme Disease is an infection caused by
bacteria that is commonly transmitted by deer
ticks and mice (not all ticks carry the disease).
• The tick must be imbedded in the body for
several hours to transmit the disease.
• Lyme disease can affect animals, humans
and can be transmitted to fetus if mother is
infected.
• If left untreated, can cause serious long-term
issues.
• Currently no vaccination available for
Female Deer Ticks
humans; however, Lyme Disease can be treated
by antibiotics.
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25. FORT DRUM, NEW YORK
Symptoms/ Early Detection
Early localized stage (3-30 days post-tick bite)
• Red, expanding rash called erythema migrans (EM) or “Bulls-Eye”
• Fatigue, chills, fever, headache, muscle and joint aches, and
swollen lymph nodes
Early disseminated stage (days to weeks post-tick bite) Erythema Migrans Rash
• Untreated, the infection may spread from the site of the bite to other parts of the body, producing
an array of specific symptoms that may come and go, including:
• Additional EM lesions in other areas of the body
• Facial or Bell's palsy (loss of muscle tone on one or both sides of the face)
• Severe headaches and neck stiffness due to meningitis
• Pain and swelling in the large joints (such as knees)
• Shooting pains that may interfere with sleep
• Heart palpitations and dizziness due to changes in heartbeat
Late disseminated stage (months-to-years post-tick bite)
Untreated infection symptoms may include:
• Intermittent bouts of arthritis, with severe joint pain and swelling
• Chronic neurological complaints months to years after infection
(shooting pains, numbness or tingling in the hands or feet, and problems
Individual with Bell’s Palsy
with short-term memory)
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26. FORT DRUM, NEW YORK
Prevention
• Wearing light colored clothing so that ticks can be easily identified.
• Tucking in pants to boots, shirts into gloves.
• Application of insect repellent (containing 20% DEET) and applied per manufactures
recommendation to deter ticks and use of permethrin for Soldiers and DA civilians.
• Frequent self checks for individuals partaking in outdoor activities and working in tick-invested
environments. Special attention should be given to moist dark areas were ticks typically migrate
too.
• Clothing should be placed in dryer for 20-30 minutes to kill unseen ticks.
• Frequent checks of children and animals.
• Proper removal of tick to prevent infected fluid from entering body with washing and treating
area with antiseptic. (Medical professional removal of tick is recommended)
• Testing of tick to determine if a carrier of Lyme Disease.
• Routine treatment and grooming of household animals with flea and tick prevention medication.
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27. FORT DRUM, NEW YORK
Treatment
• Early Localized Stage:
– Oral doxycyline,10-21 days in duration
– Children do require different regimen
• Early Disseminated Stage:
– Oral antibiotic therapy up to 28 days
– Intravenous therapy if meningitis/heart changes
• Late Disseminated Stage:
– Intravenous therapy up to 28 days
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28. FORT DRUM, NEW YORK
Statistics
• DoD Human Tick Test Kit Program
– 10 of 68 ticks positive for Lyme disease, 20Mar-13Aug2012
– 7/10 from on-post tick bites
• Electronic medical record review
– 10 cases treated at USAMEDDAC 01Apr2012-01Aug2012
– 7 cases treated in out-lying clinics
• Previous case reports from USAMEDDAC*
– 2011: 6 cases
– 2010: 8 cases
* Likely underreported
• Jefferson County
– 2007: 8 cases
– 2009: 49 cases
– 2011: 119 cases
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Information Campaign
Completed: Way Ahead:
1. 1. Community Forum Briefings by MEDDAC:
Fort Drum Outdoor Sportsman Newsletter • Family Support Huddle- 22 August
Articles- March 2012 • CLIF- 5 September
• Fort Drum Town Hall Meeting- 12 September
Safety Day
2. Facebook Postings
CLIF Notes- June 2012
3. Dissemination of Information Sheet and/or GTA at Medical
Mountaineer Articles- April, June, July 2012 Clinics, Vet Clinic, Child Care Centers, Organizational Days
4. Mountaineer Article- wk of 20 August
5. Fort Drum Outdoor Sportsman Newsletter Article- September
2012
6. Safety Message to Workforce
7. Commander’s Safety Message “stuffer” in Commissary Bags
8. Lyme Disease Awareness and Prevention Table at monthly
CSM Info Table at Exchange
9. Production and Installation of Outdoor Information Signage
for Tick & Lyme Disease Awareness- e.g. Remington Park, Dog
Park, Playgrounds.
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Army Child & Youth Fee Policy
Fort Drum
School Year 2012-2013
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Background
• Public Law 101-189 (Military Child Care Act) requires
standard Department of Defense (DoD) Child Care Fee
Policy
for all branches of the military
• Fees based on Total Family Income (TFI), not Rank or Grade
• The Military Services subsidize fees on a sliding scale for every Family
regardless of rank/grade or income
• DoD to implement one standard fee in each TFI Category
throughout all Military Services in SY2014-2015
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Army Review and Analysis
Army conducted detailed Garrison Fee Analyses for SY 09-10
Findings:
Significant variances across Army – no predictability
Many “high cost” fee locations not justified
“Artificially” low fees creating great disparities when Families PCS
Inequities among installations in same geographic areas / similar
missions
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Plan
DoD is transitioning to single standard to provide consistency.
Transition will continue through SY2014-2015
Army realized 100% compliance with DoD full transition fees
would financially burden some Army families:
Asked DoD for an Exception to Policy to phase in compliance
over a 2 - 3 year period, which was approved.
Implementing final phase to one standard Army fee 1 Oct 12
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Total Family Income Categories
SY11/12 SY12/13
DoD Total Family Income (TFI)
DoD Total Family Income (TFI)
Categories
Categories
1 $0 – $29,400 $0 - $29,865
2 $29,401 – $35,700 $29,866 - $36,264
3 $35,701 – $46,200 $36,265 - $46,930
4 $46,201 – $57,750 $46,931 - $58,662
5 $57,751 – $73,500 $58,663 - $74,661
6 $73,501 – $85,000 $74,662 - $86,343
7 $85,001 – $100,000 $86,344 - $101,580
8 $100,001 – $125,000 $101,581 - $126,975
9 $125,001 + $126,976 +
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Full Day Monthly Fees
FY13 Fort Drum Child Development Center Fees
(2 Week Vacation Option)
Full Day Full Day
DoD Total Family Income (TFI) Categories Monthly Fee Monthly Fee (Standard)
(Transition) FY12 FY13
1 $0 - $29,865 $220 $226
2 $29,866 - $36,264 $284 $292
3 $36,265 - $46,930 $348 $366
4 $46,931 - $58,662 $414 $426
5 $58,663 - $74,661 $480 $488
6 $74,662 - $86,343 $544 $548
7 $86,344 - $101,580 $562 $582
8 $101,581 - $126,975 $572 $596
9 $126,976 + $582 $608
Garrison Army fees are charged as a monthly fee.
Army Patrons have the option of paying monthly or bi-monthly.
Monthly fees are calculated to include 2 weeks vacation/leave over a one year period.
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Payments/Late Fees
Payments:
Payment for Full Day/Part Day Care is due by the 5th business day of
the payment cycle.
Late payment fees are charged after the 5th business day and are $2.00
per child per day per payment cycle.
Services will be terminated if full payment for the month is not received
by the last working day of the month.
Late Pick-Up Fee Procedures:
CDC and SAC programs have a late pick-up fee of $1.00 per minute up to 15
minutes per Family per site regardless of the number of children in care at that
site.
After15 minutes, the Family is charged $5.00 per child, per site for the
remainder of the hour and then $5.00 per child, per site for each hour
thereafter.
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DoD GOAL is Predictability!
A DoD Single Fee
for Each Total Family Income Category
by Fiscal Year 2014
Your Questions…
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Questions/Guidance
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Directorate/Agency Updates
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The next CLIF Meeting is scheduled for
3 October 2012
Thank you for attending.
If you would like to provide information for CLIF,
please email Carrie Tate-Meyer at carrie.d.tate-meyer.civ@mail.mil
Fort Drum – The Army’s Best Kept Secret