Monthly newsletter of the Trucking Safety Council of BC, created, written and edited by communications and marketing manager, Leasa Hachey.
Filled with occupational health and safety information and tips pertinent to the transportation industry, with a spotlight on trucking.
This document provides information about cataracts, including what a cataract is, who is at risk, symptoms, detection, treatment options, and surgery risks and recovery process. The main points are:
- A cataract is a clouding of the eye's lens that can cause blurred vision. It develops when the lens proteins clump together. The most common type is age-related.
- Risk factors include age, family history, eye injuries, certain medical conditions like diabetes, smoking, and UV light exposure.
- Symptoms include blurred vision, poor night vision, sensitivity to light, and faded colors.
- Detection involves eye exams and tests. Treatment is usually surgery to remove
Driving at night is more dangerous than during the day due to issues with drivers' vision, fatigue, roadway lighting, and vehicle lighting. Some key risks include impaired vision at night, glare from oncoming headlights, fatigue from lack of sleep, difficulty seeing pedestrians and animals on the roadway, and other drivers under the influence of alcohol or drugs. It is important for drivers to take regular breaks when fatigued, ensure proper vehicle lighting is clean and functional, and drive more slowly at night to allow for greater reaction time.
Concussions can occur from a bump, blow, or jolt to the head that causes the head to move rapidly. School professionals should be alert for signs of a concussion like appearing dazed or confused, losing consciousness, or reporting symptoms like headaches or dizziness. If signs or symptoms of a concussion are noticed, the situation should be assessed and a health care professional contacted. Signs and symptoms of a concussion can include problems with thinking, physical signs like nausea, and emotional and sleep issues.
The document discusses the dangers of drowsy driving and provides statistics about its prevalence and impact. Some key points:
- The National Sleep Foundation director said drowsy driving is as dangerous as driving drunk due to its impacts on reaction time, awareness and judgment.
- Each year at least 1,500 people die and 40,000 are injured in crashes related to drowsy driving in the US.
- Surveys found over 60% of US adults reported driving while drowsy and over 25% admitted falling asleep at the wheel.
- The document provides tips to avoid drowsy driving and recognizes it as a serious public health issue.
Driving while drowsy is as dangerous as driving under the influence of alcohol or drugs. Each year in the US, at least 1,500 people die in crashes caused by drowsy driving and 40,000 are injured. A survey found that over 60% of American adults reported driving while feeling drowsy and over 25% admitted to dozing off behind the wheel. Risks of drowsy driving include slowed reaction time, impaired judgment, and difficulty staying focused or in one's lane.
The document discusses stress management and emotional intelligence. It notes that stress can be harmful if it is not properly managed, leading to issues like increased sickness absence and costs for organizations. However, stress does not always have to be harmful. The document explores how developing emotional intelligence skills like self-awareness, self-management, social awareness, and relationship management can help people reap the benefits of stress without suffering harm by changing their perception of stress. This allows stress to drive performance rather than cause exhaustion or illness.
Global Medical Cures™ | CATARACT (What you should know)
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Driver fatigue is a major factor in many road accidents and can be as dangerous as driving under the influence of alcohol. It impairs reaction time, vigilance, alertness and decision making. Most humans need around 8 hours of sleep per day to function normally, and taking less than 5 hours of sleep the previous night can severely impair performance. Pulling over and taking a short 10-15 minute nap can provide a reprieve of around 1 hour, but the only effective remedy is to get good quality sleep. Signs of driver fatigue include yawning, tired eyes, boredom, and restlessness. If feeling sleepy, drivers should pull over at a safe place and rest.
This document provides information about cataracts, including what a cataract is, who is at risk, symptoms, detection, treatment options, and surgery risks and recovery process. The main points are:
- A cataract is a clouding of the eye's lens that can cause blurred vision. It develops when the lens proteins clump together. The most common type is age-related.
- Risk factors include age, family history, eye injuries, certain medical conditions like diabetes, smoking, and UV light exposure.
- Symptoms include blurred vision, poor night vision, sensitivity to light, and faded colors.
- Detection involves eye exams and tests. Treatment is usually surgery to remove
Driving at night is more dangerous than during the day due to issues with drivers' vision, fatigue, roadway lighting, and vehicle lighting. Some key risks include impaired vision at night, glare from oncoming headlights, fatigue from lack of sleep, difficulty seeing pedestrians and animals on the roadway, and other drivers under the influence of alcohol or drugs. It is important for drivers to take regular breaks when fatigued, ensure proper vehicle lighting is clean and functional, and drive more slowly at night to allow for greater reaction time.
Concussions can occur from a bump, blow, or jolt to the head that causes the head to move rapidly. School professionals should be alert for signs of a concussion like appearing dazed or confused, losing consciousness, or reporting symptoms like headaches or dizziness. If signs or symptoms of a concussion are noticed, the situation should be assessed and a health care professional contacted. Signs and symptoms of a concussion can include problems with thinking, physical signs like nausea, and emotional and sleep issues.
The document discusses the dangers of drowsy driving and provides statistics about its prevalence and impact. Some key points:
- The National Sleep Foundation director said drowsy driving is as dangerous as driving drunk due to its impacts on reaction time, awareness and judgment.
- Each year at least 1,500 people die and 40,000 are injured in crashes related to drowsy driving in the US.
- Surveys found over 60% of US adults reported driving while drowsy and over 25% admitted falling asleep at the wheel.
- The document provides tips to avoid drowsy driving and recognizes it as a serious public health issue.
Driving while drowsy is as dangerous as driving under the influence of alcohol or drugs. Each year in the US, at least 1,500 people die in crashes caused by drowsy driving and 40,000 are injured. A survey found that over 60% of American adults reported driving while feeling drowsy and over 25% admitted to dozing off behind the wheel. Risks of drowsy driving include slowed reaction time, impaired judgment, and difficulty staying focused or in one's lane.
The document discusses stress management and emotional intelligence. It notes that stress can be harmful if it is not properly managed, leading to issues like increased sickness absence and costs for organizations. However, stress does not always have to be harmful. The document explores how developing emotional intelligence skills like self-awareness, self-management, social awareness, and relationship management can help people reap the benefits of stress without suffering harm by changing their perception of stress. This allows stress to drive performance rather than cause exhaustion or illness.
Global Medical Cures™ | CATARACT (What you should know)
DISCLAIMER-
Global Medical Cures™ does not offer any medical advice, diagnosis, treatment or recommendations. Only your healthcare provider/physician can offer you information and recommendations for you to decide about your healthcare choices.
Driver fatigue is a major factor in many road accidents and can be as dangerous as driving under the influence of alcohol. It impairs reaction time, vigilance, alertness and decision making. Most humans need around 8 hours of sleep per day to function normally, and taking less than 5 hours of sleep the previous night can severely impair performance. Pulling over and taking a short 10-15 minute nap can provide a reprieve of around 1 hour, but the only effective remedy is to get good quality sleep. Signs of driver fatigue include yawning, tired eyes, boredom, and restlessness. If feeling sleepy, drivers should pull over at a safe place and rest.
Driver fatigue is a major factor in many road accidents and can be as dangerous as driving under the influence of alcohol. It impairs reaction time, vigilance, alertness and decision making. Most humans need around 8 hours of sleep per day to function normally, and taking less than 5 hours of sleep the previous night can severely impair performance. Pulling over and taking a short 10-15 minute nap can provide a reprieve of around 1 hour, but the only effective remedy is to get good quality sleep. Signs of driver fatigue include yawning, tired eyes, boredom, and restlessness. If feeling sleepy, drivers should pull over at a safe place and rest.
(Modified)Sense of sight (structure of the eye.pptx)Shirley Valera
The document provides information about the anatomy and structure of the eye, how vision works, common eye conditions such as cataracts and glaucoma, and tips for eye care including eating a healthy diet, wearing protective eyewear, and exercising your eyes. It describes the parts of the eye like the cornea, iris, pupil, lens, retina, and optic nerve and how light enters the eye and is focused onto the retina to allow vision. Common eye defects and diseases addressed include myopia, hyperopia, astigmatism, conjunctivitis, and styes.
A cataract is a clouding of the lens in the eye that causes blurred vision. It develops when the normally clear lens becomes opaque, like frosted glass interfering with sight. While many people over 60 have some cataract formation, the vast majority can be treated successfully through an operation to remove the cloudy lens, as it is currently the most effective treatment for cataracts. Complications from cataract surgery are rare, occurring in about 10% of patients, with the most common being a thickening of the lens casing that can be corrected with laser treatment.
Epilepsy is a neurological disorder that causes seizures but is not contagious or psychological. It affects about 1 in 100 Canadians. There are several types of seizures that have distinct symptoms. Epilepsy Ontario's mission is to promote quality of life for those with seizures through support, advocacy, education, and research. They provide programs and services but do not receive government funding, relying on donations.
Sense of sight (structure of the eye.pptx)Shirley Valera
The document provides information about the structure and function of the eye, common eye conditions such as cataracts and glaucoma, and tips for eye care including eating a healthy diet, wearing protective eyewear, and taking breaks when looking at screens. It also identifies parts of the eye like the cornea, iris, and retina and describes how vision works through the reflection of light off objects and the processing of images in the brain.
Cataract is a cloudy area in the lens of the eye that causes blurry or hazy vision. It is very common in older adults, affecting over half of those over age 80. Over time, cataracts can worsen vision and cause difficulty with tasks. Symptoms include blurry vision, faded colors, glare from lights, and frequent need for changed glasses prescriptions. Cataracts form as the lens proteins break down with age. Risk factors include diabetes, smoking, excess alcohol, family history, eye injuries, and sun exposure. Treatment is usually cataract surgery to remove the clouded lens and insert a clear artificial lens.
Am I suffering from a nightmare disorder.pptxleelindesy
Does this scenario sound familiar? Do you know what fear-inducing nightmares mean? If your answer is yes, you may have a nightmare disorder. Although this sleeping disorder is rare, it is not unheard of. Here is what you need to know about it!
This document discusses epilepsy and status epilepticus. It defines epilepsy and provides classification of seizures based on where they begin in the brain and the level of awareness during the seizure. Focal seizures start in one area of the brain while generalized seizures involve both sides. Seizures can be motor or non-motor. The document also covers risk factors, clinical features, investigation including EEG, diagnosis, differential diagnosis, management including lifestyle modifications and medications, special considerations in pregnancy/reproduction, and other interventions for epilepsy.
It should be a very simple thing to go to sleep. How complex should something be that is an innate ability? It shouldn’t take much effort at all. It’s an inborn ability, along with other certain bodily functions. When we’re newborns, we can eat, sleep and wet the bed. Our automatic functions continue throughout our lives. So you should just be able to close your eyes, relax and you are off to dreamland. But this is not an option for many, many people. Sleep doesn’t come as easy as that.
The brain of an insomniac is constantly active throughout the day and night, making it difficult for them to relax and fall asleep. Studies have shown that insomniacs have higher brainwave activity at night compared to normal sleepers. Their brains continue processing information even when trying to sleep. This is because memories and experiences from the day are replayed at night, keeping the mind stimulated. Insomnia should be seen as a 24-hour condition rather than just a nighttime problem, as the insomniac's brain has difficulty transitioning to a calm, relaxed state needed for quality sleep. The lack of sleep also impacts memory consolidation and focus during the day.
According to experts, about 20-40% of adults have insomnia in the course of any year and 1 out of 3 people have insomnia at some point in their lives.
This product will help you identify the symptoms and risk factors of insomnia. You will discover effective night routine habits and healthy lifestyle changes for better sleep quality. Also you will learn how to get rid of insomnia using natural and artificial remedies.
Some of the topics are:
The science behind insomnia and how you can prevent insomnia from taking over your life
How brainwaves can affect an insomniac's sleeping patterns
How insomnia can destroy your life, relationship and productivity
Ways to cure insomnia using natural and artificial remedies
Healthy lifestyle modifications anyone can apply for good sleep
Effective night routine habits for high quality sleep
And much more!
Shift workers face high risks for drowsy driving due to lack of sleep. They average 5 hours of sleep per day, 1-1.5 hours less than non-shift workers. This puts them in danger of falling asleep at the wheel during early morning or late night commutes. Over 100,000 car crashes each year result from drowsy driving. The document provides tips to help shift workers identify signs of drowsiness, take safe measures like pulling over for naps, and establish better sleep routines to reduce risks and stay alert while driving.
We are very fortunate to have access to great tools, checklists, and resources related to Home Safety for people with Alzheimer’s Disease (AD). To celebrate National Home Safety Week, we thought it would be important to validate the emotional side of Alzheimer’s safety issues. We also have an opportunity to learn more about the cause of safety issues.
Call it size-up, assessment or situational awareness; the ability to perceive and interpret information is critical for managing any emergency incident. But when does focused concentration turn into tunnel vision? Sometimes the training and experience that we rely on to do our job can make us perceive and even recall events very differently than they actually are, sometimes with disastrous results. Using a step-by-step approach, this program discusses how to develop the ability to better direct attention to critical cues without losing sight of additional information vital to the emergency.
Teaching Formats:
-Lecture
-Interactive Role Play
-Question and Answer
Learning Objectives: Students will learn:
-Both the importance and the danger of focus and attention to detail in emergency services.
-How to manage distracters and minimize the impact that they have on our attention.
-How we overestimate our ability to perceive, process and recall information, especially during emergency operations.
-How preparation and training can impact what we think we see and hear on calls, both positively and negatively.
Find more at www.romduckworth.com
This product will help you identify the symptoms and risk factors of insomnia. You will discover effective night routine habits and healthy lifestyle changes for better sleep quality. Also you will learn how to get rid of insomnia using natural and artificial remedies.
Some of the topics are:
The document discusses the brain of insomniacs and how it differs from healthy sleepers. It explains that insomniac brains have difficulty shutting down at night and remain highly active, resulting in insomnia. Studies have shown insomniac brains are more active at night and have trouble reaching a relaxed state. Their neurons are constantly processing information without stopping. This causes issues with memory, focus and concentration during the day due to the lack of restorative sleep. While the brain remains very active both day and night in insomniacs, it does not mean it can function at peak levels without proper rest.
According to experts, about 20-40% of adults have insomnia in the course of any year and 1 out of 3 people have insomnia at some point in their lives.
This product will help you identify the symptoms and risk factors of insomnia. You will discover effective night routine habits and healthy lifestyle changes for better sleep quality. Also you will learn how to get rid of insomnia using natural and artificial remedies.
This document discusses the impact of narcolepsy on children. It begins by defining narcolepsy as a neurological sleep disorder that disrupts the normal sleep-wake cycle. It then describes the main symptoms which include irresistible daytime sleep attacks, cataplexy, hallucinations, and sleep paralysis. These symptoms can significantly impact a child's education performance, behaviors, emotions, social relationships, self-esteem, and activities. The crisis time is usually between ages 11-15 where behavioral episodes are most frequent. While it is a difficult condition, treatment like medication and family support can help children manage their symptoms and normalize their lives as much as possible over time.
Driver fatigue is a major factor in many road accidents and can be as dangerous as driving under the influence of alcohol. It impairs reaction time, vigilance, alertness and decision making. Most humans need around 8 hours of sleep per day to function normally, and taking less than 5 hours of sleep the previous night can severely impair performance. Pulling over and taking a short 10-15 minute nap can provide a reprieve of around 1 hour, but the only effective remedy is to get good quality sleep. Signs of driver fatigue include yawning, tired eyes, boredom, and restlessness. If feeling sleepy, drivers should pull over at a safe place and rest.
(Modified)Sense of sight (structure of the eye.pptx)Shirley Valera
The document provides information about the anatomy and structure of the eye, how vision works, common eye conditions such as cataracts and glaucoma, and tips for eye care including eating a healthy diet, wearing protective eyewear, and exercising your eyes. It describes the parts of the eye like the cornea, iris, pupil, lens, retina, and optic nerve and how light enters the eye and is focused onto the retina to allow vision. Common eye defects and diseases addressed include myopia, hyperopia, astigmatism, conjunctivitis, and styes.
A cataract is a clouding of the lens in the eye that causes blurred vision. It develops when the normally clear lens becomes opaque, like frosted glass interfering with sight. While many people over 60 have some cataract formation, the vast majority can be treated successfully through an operation to remove the cloudy lens, as it is currently the most effective treatment for cataracts. Complications from cataract surgery are rare, occurring in about 10% of patients, with the most common being a thickening of the lens casing that can be corrected with laser treatment.
Epilepsy is a neurological disorder that causes seizures but is not contagious or psychological. It affects about 1 in 100 Canadians. There are several types of seizures that have distinct symptoms. Epilepsy Ontario's mission is to promote quality of life for those with seizures through support, advocacy, education, and research. They provide programs and services but do not receive government funding, relying on donations.
Sense of sight (structure of the eye.pptx)Shirley Valera
The document provides information about the structure and function of the eye, common eye conditions such as cataracts and glaucoma, and tips for eye care including eating a healthy diet, wearing protective eyewear, and taking breaks when looking at screens. It also identifies parts of the eye like the cornea, iris, and retina and describes how vision works through the reflection of light off objects and the processing of images in the brain.
Cataract is a cloudy area in the lens of the eye that causes blurry or hazy vision. It is very common in older adults, affecting over half of those over age 80. Over time, cataracts can worsen vision and cause difficulty with tasks. Symptoms include blurry vision, faded colors, glare from lights, and frequent need for changed glasses prescriptions. Cataracts form as the lens proteins break down with age. Risk factors include diabetes, smoking, excess alcohol, family history, eye injuries, and sun exposure. Treatment is usually cataract surgery to remove the clouded lens and insert a clear artificial lens.
Am I suffering from a nightmare disorder.pptxleelindesy
Does this scenario sound familiar? Do you know what fear-inducing nightmares mean? If your answer is yes, you may have a nightmare disorder. Although this sleeping disorder is rare, it is not unheard of. Here is what you need to know about it!
This document discusses epilepsy and status epilepticus. It defines epilepsy and provides classification of seizures based on where they begin in the brain and the level of awareness during the seizure. Focal seizures start in one area of the brain while generalized seizures involve both sides. Seizures can be motor or non-motor. The document also covers risk factors, clinical features, investigation including EEG, diagnosis, differential diagnosis, management including lifestyle modifications and medications, special considerations in pregnancy/reproduction, and other interventions for epilepsy.
It should be a very simple thing to go to sleep. How complex should something be that is an innate ability? It shouldn’t take much effort at all. It’s an inborn ability, along with other certain bodily functions. When we’re newborns, we can eat, sleep and wet the bed. Our automatic functions continue throughout our lives. So you should just be able to close your eyes, relax and you are off to dreamland. But this is not an option for many, many people. Sleep doesn’t come as easy as that.
The brain of an insomniac is constantly active throughout the day and night, making it difficult for them to relax and fall asleep. Studies have shown that insomniacs have higher brainwave activity at night compared to normal sleepers. Their brains continue processing information even when trying to sleep. This is because memories and experiences from the day are replayed at night, keeping the mind stimulated. Insomnia should be seen as a 24-hour condition rather than just a nighttime problem, as the insomniac's brain has difficulty transitioning to a calm, relaxed state needed for quality sleep. The lack of sleep also impacts memory consolidation and focus during the day.
According to experts, about 20-40% of adults have insomnia in the course of any year and 1 out of 3 people have insomnia at some point in their lives.
This product will help you identify the symptoms and risk factors of insomnia. You will discover effective night routine habits and healthy lifestyle changes for better sleep quality. Also you will learn how to get rid of insomnia using natural and artificial remedies.
Some of the topics are:
The science behind insomnia and how you can prevent insomnia from taking over your life
How brainwaves can affect an insomniac's sleeping patterns
How insomnia can destroy your life, relationship and productivity
Ways to cure insomnia using natural and artificial remedies
Healthy lifestyle modifications anyone can apply for good sleep
Effective night routine habits for high quality sleep
And much more!
Shift workers face high risks for drowsy driving due to lack of sleep. They average 5 hours of sleep per day, 1-1.5 hours less than non-shift workers. This puts them in danger of falling asleep at the wheel during early morning or late night commutes. Over 100,000 car crashes each year result from drowsy driving. The document provides tips to help shift workers identify signs of drowsiness, take safe measures like pulling over for naps, and establish better sleep routines to reduce risks and stay alert while driving.
We are very fortunate to have access to great tools, checklists, and resources related to Home Safety for people with Alzheimer’s Disease (AD). To celebrate National Home Safety Week, we thought it would be important to validate the emotional side of Alzheimer’s safety issues. We also have an opportunity to learn more about the cause of safety issues.
Call it size-up, assessment or situational awareness; the ability to perceive and interpret information is critical for managing any emergency incident. But when does focused concentration turn into tunnel vision? Sometimes the training and experience that we rely on to do our job can make us perceive and even recall events very differently than they actually are, sometimes with disastrous results. Using a step-by-step approach, this program discusses how to develop the ability to better direct attention to critical cues without losing sight of additional information vital to the emergency.
Teaching Formats:
-Lecture
-Interactive Role Play
-Question and Answer
Learning Objectives: Students will learn:
-Both the importance and the danger of focus and attention to detail in emergency services.
-How to manage distracters and minimize the impact that they have on our attention.
-How we overestimate our ability to perceive, process and recall information, especially during emergency operations.
-How preparation and training can impact what we think we see and hear on calls, both positively and negatively.
Find more at www.romduckworth.com
This product will help you identify the symptoms and risk factors of insomnia. You will discover effective night routine habits and healthy lifestyle changes for better sleep quality. Also you will learn how to get rid of insomnia using natural and artificial remedies.
Some of the topics are:
The document discusses the brain of insomniacs and how it differs from healthy sleepers. It explains that insomniac brains have difficulty shutting down at night and remain highly active, resulting in insomnia. Studies have shown insomniac brains are more active at night and have trouble reaching a relaxed state. Their neurons are constantly processing information without stopping. This causes issues with memory, focus and concentration during the day due to the lack of restorative sleep. While the brain remains very active both day and night in insomniacs, it does not mean it can function at peak levels without proper rest.
According to experts, about 20-40% of adults have insomnia in the course of any year and 1 out of 3 people have insomnia at some point in their lives.
This product will help you identify the symptoms and risk factors of insomnia. You will discover effective night routine habits and healthy lifestyle changes for better sleep quality. Also you will learn how to get rid of insomnia using natural and artificial remedies.
This document discusses the impact of narcolepsy on children. It begins by defining narcolepsy as a neurological sleep disorder that disrupts the normal sleep-wake cycle. It then describes the main symptoms which include irresistible daytime sleep attacks, cataplexy, hallucinations, and sleep paralysis. These symptoms can significantly impact a child's education performance, behaviors, emotions, social relationships, self-esteem, and activities. The crisis time is usually between ages 11-15 where behavioral episodes are most frequent. While it is a difficult condition, treatment like medication and family support can help children manage their symptoms and normalize their lives as much as possible over time.
“Psychiatry and the Humanities”: An Innovative Course at the University of Mo...Université de Montréal
“Psychiatry and the Humanities”: An Innovative Course at the University of Montreal Expanding the medical model to embrace the humanities. Link: https://www.psychiatrictimes.com/view/-psychiatry-and-the-humanities-an-innovative-course-at-the-university-of-montreal
Breast cancer: Post menopausal endocrine therapyDr. Sumit KUMAR
Breast cancer in postmenopausal women with hormone receptor-positive (HR+) status is a common and complex condition that necessitates a multifaceted approach to management. HR+ breast cancer means that the cancer cells grow in response to hormones such as estrogen and progesterone. This subtype is prevalent among postmenopausal women and typically exhibits a more indolent course compared to other forms of breast cancer, which allows for a variety of treatment options.
Diagnosis and Staging
The diagnosis of HR+ breast cancer begins with clinical evaluation, imaging, and biopsy. Imaging modalities such as mammography, ultrasound, and MRI help in assessing the extent of the disease. Histopathological examination and immunohistochemical staining of the biopsy sample confirm the diagnosis and hormone receptor status by identifying the presence of estrogen receptors (ER) and progesterone receptors (PR) on the tumor cells.
Staging involves determining the size of the tumor (T), the involvement of regional lymph nodes (N), and the presence of distant metastasis (M). The American Joint Committee on Cancer (AJCC) staging system is commonly used. Accurate staging is critical as it guides treatment decisions.
Treatment Options
Endocrine Therapy
Endocrine therapy is the cornerstone of treatment for HR+ breast cancer in postmenopausal women. The primary goal is to reduce the levels of estrogen or block its effects on cancer cells. Commonly used agents include:
Selective Estrogen Receptor Modulators (SERMs): Tamoxifen is a SERM that binds to estrogen receptors, blocking estrogen from stimulating breast cancer cells. It is effective but may have side effects such as increased risk of endometrial cancer and thromboembolic events.
Aromatase Inhibitors (AIs): These drugs, including anastrozole, letrozole, and exemestane, lower estrogen levels by inhibiting the aromatase enzyme, which converts androgens to estrogen in peripheral tissues. AIs are generally preferred in postmenopausal women due to their efficacy and safety profile compared to tamoxifen.
Selective Estrogen Receptor Downregulators (SERDs): Fulvestrant is a SERD that degrades estrogen receptors and is used in cases where resistance to other endocrine therapies develops.
Combination Therapies
Combining endocrine therapy with other treatments enhances efficacy. Examples include:
Endocrine Therapy with CDK4/6 Inhibitors: Palbociclib, ribociclib, and abemaciclib are CDK4/6 inhibitors that, when combined with endocrine therapy, significantly improve progression-free survival in advanced HR+ breast cancer.
Endocrine Therapy with mTOR Inhibitors: Everolimus, an mTOR inhibitor, can be added to endocrine therapy for patients who have developed resistance to aromatase inhibitors.
Chemotherapy
Chemotherapy is generally reserved for patients with high-risk features, such as large tumor size, high-grade histology, or extensive lymph node involvement. Regimens often include anthracyclines and taxanes.
Pictorial and detailed description of patellar instability with sign and symptoms and how to diagnose , what investigations you should go with and how to approach with treatment options . I have presented this slide in my 2nd year junior residency in orthopedics at LLRM medical college Meerut and got good reviews for it
After getting it read you will definitely understand the topic.
- Video recording of this lecture in English language: https://youtu.be/Pt1nA32sdHQ
- Video recording of this lecture in Arabic language: https://youtu.be/uFdc9F0rlP0
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
- Link to NephroTube website: www.NephroTube.com
- Link to NephroTube social media accounts: https://nephrotube.blogspot.com/p/join-nephrotube-on-social-media.html
Know the difference between Endodontics and Orthodontics.Gokuldas Hospital
Your smile is beautiful.
Let’s be honest. Maintaining that beautiful smile is not an easy task. It is more than brushing and flossing. Sometimes, you might encounter dental issues that need special dental care. These issues can range anywhere from misalignment of the jaw to pain in the root of teeth.
STUDIES IN SUPPORT OF SPECIAL POPULATIONS: GERIATRICS E7shruti jagirdar
Unit 4: MRA 103T Regulatory affairs
This guideline is directed principally toward new Molecular Entities that are
likely to have significant use in the elderly, either because the disease intended
to be treated is characteristically a disease of aging ( e.g., Alzheimer's disease) or
because the population to be treated is known to include substantial numbers of
geriatric patients (e.g., hypertension).
How to Control Your Asthma Tips by gokuldas hospital.Gokuldas Hospital
Respiratory issues like asthma are the most sensitive issue that is affecting millions worldwide. It hampers the daily activities leaving the body tired and breathless.
The key to a good grip on asthma is proper knowledge and management strategies. Understanding the patient-specific symptoms and carving out an effective treatment likewise is the best way to keep asthma under control.
The skin is the largest organ and its health plays a vital role among the other sense organs. The skin concerns like acne breakout, psoriasis, or anything similar along the lines, finding a qualified and experienced dermatologist becomes paramount.
PGx Analysis in VarSeq: A User’s PerspectiveGolden Helix
Since our release of the PGx capabilities in VarSeq, we’ve had a few months to gather some insights from various use cases. Some users approach PGx workflows by means of array genotyping or what seems to be a growing trend of adding the star allele calling to the existing NGS pipeline for whole genome data. Luckily, both approaches are supported with the VarSeq software platform. The genotyping method being used will also dictate what the scope of the tertiary analysis will be. For example, are your PGx reports a standalone pipeline or would your lab’s goal be to handle a dual-purpose workflow and report on PGx + Diagnostic findings.
The purpose of this webcast is to:
Discuss and demonstrate the approaches with array and NGS genotyping methods for star allele calling to prep for downstream analysis.
Following genotyping, explore alternative tertiary workflow concepts in VarSeq to handle PGx reporting.
Moreover, we will include insights users will need to consider when validating their PGx workflow for all possible star alleles and options you have for automating your PGx analysis for large number of samples. Please join us for a session dedicated to the application of star allele genotyping and subsequent PGx workflows in our VarSeq software.
Are you looking for a long-lasting solution to your missing tooth?
Dental implants are the most common type of method for replacing the missing tooth. Unlike dentures or bridges, implants are surgically placed in the jawbone. In layman’s terms, a dental implant is similar to the natural root of the tooth. It offers a stable foundation for the artificial tooth giving it the look, feel, and function similar to the natural tooth.
Giloy in Ayurveda - Classical Categorization and SynonymsPlanet Ayurveda
Giloy, also known as Guduchi or Amrita in classical Ayurvedic texts, is a revered herb renowned for its myriad health benefits. It is categorized as a Rasayana, meaning it has rejuvenating properties that enhance vitality and longevity. Giloy is celebrated for its ability to boost the immune system, detoxify the body, and promote overall wellness. Its anti-inflammatory, antipyretic, and antioxidant properties make it a staple in managing conditions like fever, diabetes, and stress. The versatility and efficacy of Giloy in supporting health naturally highlight its importance in Ayurveda. At Planet Ayurveda, we provide a comprehensive range of health services and 100% herbal supplements that harness the power of natural ingredients like Giloy. Our products are globally available and affordable, ensuring that everyone can benefit from the ancient wisdom of Ayurveda. If you or your loved ones are dealing with health issues, contact Planet Ayurveda at 01725214040 to book an online video consultation with our professional doctors. Let us help you achieve optimal health and wellness naturally.
1. Vol 2 Issue 10
TRUCKING SAFETY COUNCIL OF BC
Newsletter October, 2011
This month’s
safety topic:
Fatique: It’s More Than Just a Lack of Sleep
Fatigue
The trucking industry is very familiar with the need to control
drivers working hours. These controls are intended to make sure
that operators have enough rest to safely perform their duties so that
they are not a danger to themselves and other road users. While the
reasonableness of the particular hours of service rules may be sub-
ject to debate, the fact that fatigued workers can be a safety hazard is
not. Hours of work rules, however, only control one cause of fatigue,
a lack of sleep
Fatigue is a serious occupational health and safety concern and
is more than just not getting enough sleep. Fatigue can result from
various disorders including medical causes, lifestyle or emotional
concerns or stress. Depression, anxiety or grief can also cause fa-
tigue, as can too little or too much sleep. The medical causes may
include flu, glandular fever, anaemia, sleep disorders such as sleep
apnea or restless leg syndrome, hypothyroidism, heart problems,
cancer and other conditions. Fatigue is generally considered to be
the state of feeling tired, sleepy or having a lack of energy regardless
of the cause.
Fatigue and sleepiness are not always recognized as the cause
of workplace incidents. It is more likely that incident reports will iden-
tify the immediate cause, rather than fatigue as the underlying cause.
Studies have shown that fatigue effects include such behaviors as
reduced decision making ability, reduced productivity and perfor-
mance, reduced attention and vigilance, reduced reaction time - both
in speed and thought (a few studies have shown this effect as similar
to being legally drunk) and increased errors in judgment; among oth-
ers.
The performance of all workers, whether they are subject to
hours of work controls or not, can be impacted by fatigue brought on
by conditions both in the workplace and out. Learning to recognize
the signs of fatigue and addressing its causes will make your work-
place safer.
Rob Weston
Executive Director
QUOTE OF THE MONTH:
Working safely may get old, but so do those who
practice it. ~Author Unknown
Inside this
issue.......
Warning Signs of Fatique ....................................Page 2 Shift Into Winter .......................................................Page 5
The Answer to Fatigue: Under Your Nose ...........Page 3 Online Course: Beta Testers Needed ......................Page 7
Free Safety Resources ........................................Page 4 Fatigue Prevention ..................................................Page 7
Distracted Driving Dangers ..................................Page 5 More Safety Resouces Available Online .................Page 8
2. Wake Up to the Warnings. Stop. Revive. Survive.
By Tal Sperling
Fatigue is often more than just feeling tired. There is short
term (acute) fatigue that can usually be reversed by sleep
and relaxation, but there is also prolonged (chronic) weari-
ness that is experience by your body. Many people expe-
riencing fatigue mistakenly ignore the signals from their
body thinking that they are just a little bit tired and can push
through the task they are trying to accomplish. The prob-
lem is that weariness is a condition that affects the body and
when an individual is suffering from weariness, the body will
shut down regardless of the person’s best intentions.
Some common effects of fatigue include:
• Reduced alertness
• Slower reflexes and reactions
• Reduced concentration
• Impaired memory
• Irritability and depressed mood
• Drowsiness
• Increased likelihood of going into “auto-pilot”, auto-
matic behaviour where you perform routine tasks but
aren’t having any conscious thoughts
In order to avoid these damaging effects while conducting
• Increased likelihood of “microsleeps”, up to 60 seconds
tasks that could lead to hazardous situations, and most es-
where the brain goes to sleep and you black out no
pecially while driving, it is important to be aware of the signs
matter what you are doing
of fatigue.
• Lower resistance to the effects of alcohol and drugs
• Higher risk of illness Common signs of fatigue which may be experienced by
drivers include:
• Frequent yawning
• Drowsiness
• Difficulty keeping eyes in focus, or sore or tired eyes
• Boredom
• Loss of concentration and wandering thoughts
• Feeling irritable or restless
• Slow reactions
• Reduced awareness of surroundings, for example
apparent sudden appearance of vehicles behind or in
front of truck
• Memory lapses – no recollection of driving the last
few kilometres
• Failure to check rear view and side mirrors as frequently
as usual
• Inconsistent speed
• Erratic shifting or braking
• Drifting out of the lane
• Missing a turn-off
• Hallucinations
• Nodding off
If you experience any of these signs while driving, pull over
and make sure you are refreshed before you continue on your
way. It is better to be arrive at your destination a little bit later
than to have a devastating accident as a result of fatigue.
Keep this motto in mind: Stop. Revive. Survive.
3. The Answer to Fatigue May Be Right Get real-time
Under Your Nose trucking and
By Leasa Hachey
safety news!
T
he tragedies of Chernobyl, Three mention workplace incidents caused by
Mile Island and the Exxon Valdez being tired or falling asleep. Find us on Facebook and
all occurred during the night shift. Many people with sleep apnea don’t follow us on Twitter!
In all three cases, worker fatigue was even know they have it. But the excessive
said to be a contributing factor in the daytime sleepiness which results has se-
tragedy. In an incident last March, an air vere effects on reflexes and cognitive and
traffic controller fell asleep on the job, motor skills, all of which are extremely
forcing two commercial air liners filled important assets to safety in commercial
with passengers to land without tower transport. SafetyDrivenBC safetydriven
assistance at Reagan National Airport. This may help explain the widespread
Fatigue is a critical occupational concern about sleep apnea in the trucking
safety concern for shift workers and em- industry. Sleep apnea has not been prov-
ployees who must work long hours, es- en to occur any more frequently in this in-
pecially workers in the transportation in- dustry than in the general population. The
dustry. These workers also have a heavy heightened concern is due to the disas-
responsibility for the safety of others, on trous consequences that can result from a
the road, in the air or on the water. It is im- fatigued commercial driver.
portant for workers and their employers to Studies show that truck drivers with
understand that although fatigue is a nor- sleep apnea have up to a 7-fold increase
mal response to a lack of sleep or disrupt- in risk of being involved in a motor vehicle
ed circadian rhythm and can usually be crash. Warehouse workers suffering from
cured with sleep or rest, it is also often a sleep apnea are also prone to serious
sign of a physical disorder that may need and even fatal incidents. Failure to chock
medical attention, such as sleep apnea. forklift wheels, tipping a forklift or operat-
Sleep apnea is a sleep disorder that ing large equipment and machinery while
causes a person to have pauses in their fatigued can all have devastating results.
breathing or abnormally slow breathing Sleep apnea is easily diagnosed and
while they sleep, often accompanied by treated. If you think you or your workers
loud snoring and resulting in nonrestful may have sleep apnea, don’t lose any-
sleep. Left untreated, sleep apnea can more sleep over it: see a doctor for diag-
have serious and life-threatening conse- nosis and treatment. In the meantime, limit
quences, such as high blood pressure, activities, such as operating dangerous
heart disease, stroke and diabetes, not to equipment and driving, until help is sought.
Symptoms, Contributors and Treament of Sleep Apnea
Typical symptoms or conditions that increase the odds:
• Neck size greater than 17” (16” for women)
• Body Mass Index greater than 30
• Snoring/troubled sleep patterns
• Daytime drowsiness
Possible Treatment
• Frequent night urination
• Hypertension Options:
• Diabetes
• Stroke • Weight loss
• Cardiovascular problems • Nasal decongestant
• Sleeping on the side
• Surgery
• Oral appliance
• Breathing mask
4. Free Safety Resources for Your Workplace
The TSCBC is pleased to offer resources to help
promote safety in the workplace.
Decals
We have created a set of decals that can be applied to a truck cab, trailer or forklift as a visual reminder to enter and exit the
vehicle safely. These decals send a targeted and effective message and make safety and compliance the building blocks of your
success. Email us today at info@safetydriven.ca with your shipping address and how many you require and we will send them to
you. They are also available for pickup from our office.
Posters
We now have a selection of four OHS-themed posters available for download from our website (safetydriven.ca/trucking-safety-
resources), with more to come in the future. Printed versions (11” x 17”) are also available for pickup from our office. Feel free to
let us know if there is a particular workplace safety theme you’d like to see in a future poster.
5. Distracted driving poses a significant risk for workers
I
n B.C., crashes are the number one 9 per cent of drivers think that commer- distracted driving – we can all do our part
cause of traumatic work-related cial drivers are better than the general to help create a culture where friends, fam-
deaths, according to WorkSafeBC public at following B.C.’s new restrictions ilies and colleagues don’t expect you to
statistics. On average, approximately on the use of hand-held electronic devic- answer the phone while driving,” said Fio-
30 workers in B.C. are killed each year es while driving. na Temple, director of road safety, ICBC.
while driving, and distracted driving, “Workers and employers in B.C. “A distracted driver is not only com-
such as cell phone use, is a key factor in need to take steps to eliminate any risks mitting a traffic offence, they are being
these crashes. or distractions and consider that when selfish and stupid,” said Chief Jamie Gra-
“As government, we have estab- you’re behind the wheel, driving is your ham, Traffic Committee Chair of the British
lished aggressive legislation and police only job,” said Diana Miles, senior vice- Columbia Association of Chiefs of Police.
have done a good job of enforcement president of Worker and Employer Ser- “That’s why police have been blanketing
but really this is about your friends, fam- vices at WorkSafeBC. the province targeting and charging the
ily and colleagues, so set an example,” To help workers and employers, new people who just don't get it. You have to
said Shirley Bond, Minister of Public materials are now available to down- be responsible for your actions, pay atten-
Safety and Solicitor General. “We know load on WorkSafeBC.com, including a tion and focus on driving – you will help
these deaths and injuries are prevent- sample safe-driving policy; tip sheets for prevent a tragedy.”
able. Let voicemail do its job or pull over. employers, supervisors and workers; as For more tips on cell phone use while
Safe driving requires your full attention.” well as a new video to help drive home driving, and to see the new preventable.
A recent Ipsos Reid survey conduct- the message even further. ca TV ad on distracted driving, go to
ed on behalf of ICBC revealed that only “We need to shift our attitudes toward drivecellsafe.ca.
Distracted Driving: What
You Need to Know
Employers, supervisors, and drivers can take steps to reduce the risk. Visit
WorkSafeBC.com to download the following resources for your workplace:
What employers need to know
> Understand the issue
> Understand your legal and regulatory requirements
> Strengthen the road safety performance of your company
> Educate and train your managers, employees and contractors
What workers need to know
> Before you get in your vehicle
> Before you turn on the engine
> When you’re behind the wheel
6.
7. Beta Testers Needed Sign up today!
Online OHS course ready for testing Contact Tal Sperling at
The TSCBC is cur- feedback. The short If you would like to 604-888-2242
rently creating online course titled “Making help us beta test our
training courses to Dollars and Sense of first online course
or email us at
help in your workplace Occupational Health and give us input on
health and safety pro- and Safety” will take how to improve our info@safetydriven.ca
grams. Our first course an average of 30 min- courses, please con-
is in the final stages utes to complete and tact us today.
and requires testing. is taken completely
We are looking for online at your own
people in the trucking speed and pace.
industry to test the
course and give us
Fatigue Prevention
By Andrew Chan
The success of fatigue prevention takes a joint effort by both the employer and employee.
The Canada Labour Code requires every employer to ensure the health and safety at work
of every person employed by the employer and that every employee takes all reasonable
and necessary precautions to ensure their health and safety.
In order to understand how to combat fatigue you can take a risk management approach
to assess both the work environment conditions and personal factors which may induce
worker fatigue. Fatigue prevention can help you eliminate the potential undesirable conse-
quences of workplace incidents which could be as severe as a workplace fatality.
You can start fatigue prevention by providing training and information to all employees on:
• The body clock and how it is affected by fatigue • Effects of medication, drugs and alcohol
• Risk factors and symptoms of fatigue • Nutrition, fitness and health issues relating to fatigue
• Effective control measures for fatigue, such as work • Balancing work and life demands
scheduling
Categories Contributing Factors Solutions
Mental and physical • Concentrating for extended periods of time. • Improve job and task rotation.
demands of work • Performing repetitive or monotonous work. • Use tools and equipment that reduce physical demand.
• Performing work that requires continued physical effort.
Work scheduling • Work planning (e.g. Night work and extended shifts). • Avoid or minimize working for extended periods of time, or at
and planning • Tight time deadlines that do not allow workers enough time for travel to and times when people are biologically programmed to sleep.
from work and/or to physically recover or socialize. • Schedule adequate rest time between shifts
Environmental • Working in harsh and/or uncomfortable environmental conditions. Heat, cold • Provide protective clothing such as warm clothing when work-
conditions and vibration are examples of environmental conditions that can cause work- ers must enter freezers or work in cold storage facilities.
ers to become tired more quickly and impair performance. • Ensure there is adequate lighting and ventilation and protection
from vibration and noise.
Individual factors • Lifestyle (e.g. family care responsibilities, voluntary work, more than one job, • Improved lifestyle choices.
and factors outside level of fitness, social life or diet) • A broad range of helpful tips are available on the web for im-
work • Home environment (e.g. noisy neighbours or a bedroom that is too hot or proving lifestyle and combating fatigue, such as actnowbc.ca
not dark enough for daytime sleep) • Talk to a medical professional to address medical issues.
• Medical conditions (e.g. insomnia, sleep apnea, alcohol or drug dependence)
Save Money,
COR is an initiative that recognizes and rewards employers
Committ to
who develop and apply sustainable occupational health a safer, healthier
and safety programs that meet or exceed the applicable le- workplace through COR.
Get COR! gal requirements and health and safety regulations.
Following verification by a TSCBC audit, companies will Save up to 15% on your
Visit our website for more
receive up to a 15% rebate on their WorkSafeBC premi- WorkSafeBC premiums.
information Ask us how!
safetydriven.ca/cor ums in each year they qualify.
8. Have you visited our website yet?
To learn more about the Council and our programs, visit our website:
www.safetydriven.ca
We are constantly adding information and resources to the Trucking Safety Coun-
cil website. Please check back often to see what new and interesting content we
have added!
Interactive Hazard Identification
The best thing you can do to prevent injuries on the job is to stay alert and look out for hazards that could cause injuries.
Sometimes this can be hard to do, especially if you are used to doing a certain job and everything you see in your work
environment becomes second nature. This tool is meant to remind you that every day there are hazards that need to be
avoided or fixed. Have a look at the workplace pictures and try to see if you can find all of the hazards.
http://safetydriven.ca/trucking-injury-prevention
Safety Alerts and Bulletins
These WorkSafeBC posters provide important safety messages for you and your workers. At the time each poster was
originally produced, it reflected the current WorkSafeBC requirements. In all cases, today’s OHS Regulation and require-
ments must be applied to the situation shown in each poster.
http://safetydriven.ca/safety-alerts-bulletins
Forms and Templates SUBSCRIBE
TO THIS NEWSLETTER
Various forms and templates are provided to assist companies with the im-
plementation of safety policies and procedures and in meeting regulatory
requirements and TSCBC Certificate of Recognition audit standards. The To subscribe to this newsletter visit
templates are generic in nature and should be reviewed and modified to www.safetydriven.ca/get_newsletter
ensure they address the specific operating conditions and risks of the com- or simply send an email with “sub-
pany. More are added weekly. scribe” in the subject line to info@
http://safetydriven.ca/trucking-safety-forms-templates safetydriven.ca.
Let us know if you’d prefer your
newsletter faxed or mailed.
Visit our website for STAFF / CONTRIBUTORS
more information on this
Ne issue’s topic:
Rob Weston, Executive
to x Director
pi t m
www.safetydriven.ca rob@safetydriven.ca
c. on
.. th
Leasa Hachey, Communications
& Content
’s Trucking Safety Council of BC
leasa@safetydriven.ca
W sa 210 - 20111 93A Avenue
Langley, BC V1M 4A9
fe
Dy ork
Tal Sperling, OHS Programs
ty Tel: 604-888-2242 tal@safetydriven.ca
na pla Toll Free: 1-877-414-8001
Andrew Chan, COR Program
m ce Fax: 604-888-2243
andrew@safetydriven.ca
ic info@safetydriven.ca
s