This document provides tips for safer injection practices to minimize harm to veins and reduce health risks. It discusses vein care, proper injection technique, risky injection spots to avoid, and signs of potential complications like hitting a nerve or artery. The goal is to educate people who inject drugs about caring for their veins and passing on harm reduction information to others.
The content of this presentation was taken from the:
MIT Open Course Ware http://ocw.mit.edu
ES.S10 Drugs and the Brain
This was made on behalf of the final requirements for:
CEIT321 Course in Middle East Technical University
The content of this presentation was taken from the:
MIT Open Course Ware http://ocw.mit.edu
ES.S10 Drugs and the Brain
This was made on behalf of the final requirements for:
CEIT321 Course in Middle East Technical University
At Tuenti, we do 3 code pushes per week, sometimes modifying thousands of files and running thousands of automated tests and build operations before, to ensure not only that the code works but also that proper localization is applied, bundles are generated and files get deployed to hundreds of servers as fast and reliable as possible.
We use opensource tools like Mercurial, MySQL, Jenkins, Selenium, PHPUnit and Rsync among our own in-house ones, and have different development, testing, staging and production environments.
We had to fight with problems like statics bundling and versioning, syntax errors and of course the fact that we have +100 engineers working on the codebase, merging and releasing more than a 15 branches the same day. We also switched from Subversion to Mercurial to obtain more flexibility and faster branching operations.
With this talk we will explain the process of how code changes in ourcode repository end up in live code, detailing some practices and tips that we apply, problems we had and how we solved them.
PhRMA Report 2012: Medicines in Development for ChildrenPhRMA
America’s biopharmaceutical companies are researching 316 medicines to help meet the unique health care needs of children and adolescents. Considerable progress in the fight against diseases that impact children has been achieved in recent decades, with medicines playing a key role.
DIYDays - Working with a Creative Technologistheidihysell
These slides were a part of a presentation given at DIYDays Conference on March 3rd in NYC at The New School. Most of the participants at the conference were story tellers and were interested in how to better work with technology to tell a story. Our goal was to help them know when in a project to start to work with a technologist, what to expect and where to find them.
Don't Believe the Hype, Keywords Aren't Dead!David Black
Every time we turn around, there's another alarmist trying to fill our heads with the idea that keywords have no place in modern Internet Marketing. But, keywords always have, and always will be the cornerstone of any search marketing campaign.
Don't be part of the herd! Learn why keywords are still important, how to conduct keyword research and how to implement your keywords.
This webinar is designed for the beginner-immediate and will help you:
1. Develop and optimize your keyword targeting strategy
2. Use software in the execution of your strategy.
3. See which keywords your competitors target.
4. Implement your keywords naturally.
5. Measure your results.
Ecosystems are the "natural capital" of our economy and our world, providing valuable goods and services, but as consumption grows along with populations and their spending power, many ecosystems are struggling to keep pace.
At Tuenti, we do 3 code pushes per week, sometimes modifying thousands of files and running thousands of automated tests and build operations before, to ensure not only that the code works but also that proper localization is applied, bundles are generated and files get deployed to hundreds of servers as fast and reliable as possible.
We use opensource tools like Mercurial, MySQL, Jenkins, Selenium, PHPUnit and Rsync among our own in-house ones, and have different development, testing, staging and production environments.
We had to fight with problems like statics bundling and versioning, syntax errors and of course the fact that we have +100 engineers working on the codebase, merging and releasing more than a 15 branches the same day. We also switched from Subversion to Mercurial to obtain more flexibility and faster branching operations.
With this talk we will explain the process of how code changes in ourcode repository end up in live code, detailing some practices and tips that we apply, problems we had and how we solved them.
PhRMA Report 2012: Medicines in Development for ChildrenPhRMA
America’s biopharmaceutical companies are researching 316 medicines to help meet the unique health care needs of children and adolescents. Considerable progress in the fight against diseases that impact children has been achieved in recent decades, with medicines playing a key role.
DIYDays - Working with a Creative Technologistheidihysell
These slides were a part of a presentation given at DIYDays Conference on March 3rd in NYC at The New School. Most of the participants at the conference were story tellers and were interested in how to better work with technology to tell a story. Our goal was to help them know when in a project to start to work with a technologist, what to expect and where to find them.
Don't Believe the Hype, Keywords Aren't Dead!David Black
Every time we turn around, there's another alarmist trying to fill our heads with the idea that keywords have no place in modern Internet Marketing. But, keywords always have, and always will be the cornerstone of any search marketing campaign.
Don't be part of the herd! Learn why keywords are still important, how to conduct keyword research and how to implement your keywords.
This webinar is designed for the beginner-immediate and will help you:
1. Develop and optimize your keyword targeting strategy
2. Use software in the execution of your strategy.
3. See which keywords your competitors target.
4. Implement your keywords naturally.
5. Measure your results.
Ecosystems are the "natural capital" of our economy and our world, providing valuable goods and services, but as consumption grows along with populations and their spending power, many ecosystems are struggling to keep pace.
Arthrocentesis: A bedside procedure in which a sterile needle and syringe are used to drain fluid from the joint, and in some conditions, medication is injected into the joint after fluid removal.
A lumbar puncture (spinal tap) is performed in your lower back, in the lumbar region. During a lumbar puncture, a needle is inserted between two lumbar bones (vertebrae) to remove a sample of cerebro-spinal fluid. This is the fluid that surrounds your brain and spinal cord to protect them from injury.
Basavarajeeyam is an important text for ayurvedic physician belonging to andhra pradehs. It is a popular compendium in various parts of our country as well as in andhra pradesh. The content of the text was presented in sanskrit and telugu language (Bilingual). One of the most famous book in ayurvedic pharmaceutics and therapeutics. This book contains 25 chapters called as prakaranas. Many rasaoushadis were explained, pioneer of dhatu druti, nadi pareeksha, mutra pareeksha etc. Belongs to the period of 15-16 century. New diseases like upadamsha, phiranga rogas are explained.
New Directions in Targeted Therapeutic Approaches for Older Adults With Mantl...i3 Health
i3 Health is pleased to make the speaker slides from this activity available for use as a non-accredited self-study or teaching resource.
This slide deck presented by Dr. Kami Maddocks, Professor-Clinical in the Division of Hematology and
Associate Division Director for Ambulatory Operations
The Ohio State University Comprehensive Cancer Center, will provide insight into new directions in targeted therapeutic approaches for older adults with mantle cell lymphoma.
STATEMENT OF NEED
Mantle cell lymphoma (MCL) is a rare, aggressive B-cell non-Hodgkin lymphoma (NHL) accounting for 5% to 7% of all lymphomas. Its prognosis ranges from indolent disease that does not require treatment for years to very aggressive disease, which is associated with poor survival (Silkenstedt et al, 2021). Typically, MCL is diagnosed at advanced stage and in older patients who cannot tolerate intensive therapy (NCCN, 2022). Although recent advances have slightly increased remission rates, recurrence and relapse remain very common, leading to a median overall survival between 3 and 6 years (LLS, 2021). Though there are several effective options, progress is still needed towards establishing an accepted frontline approach for MCL (Castellino et al, 2022). Treatment selection and management of MCL are complicated by the heterogeneity of prognosis, advanced age and comorbidities of patients, and lack of an established standard approach for treatment, making it vital that clinicians be familiar with the latest research and advances in this area. In this activity chaired by Michael Wang, MD, Professor in the Department of Lymphoma & Myeloma at MD Anderson Cancer Center, expert faculty will discuss prognostic factors informing treatment, the promising results of recent trials in new therapeutic approaches, and the implications of treatment resistance in therapeutic selection for MCL.
Target Audience
Hematology/oncology fellows, attending faculty, and other health care professionals involved in the treatment of patients with mantle cell lymphoma (MCL).
Learning Objectives
1.) Identify clinical and biological prognostic factors that can guide treatment decision making for older adults with MCL
2.) Evaluate emerging data on targeted therapeutic approaches for treatment-naive and relapsed/refractory MCL and their applicability to older adults
3.) Assess mechanisms of resistance to targeted therapies for MCL and their implications for treatment selection
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
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Ve...kevinkariuki227
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
TEST BANK for Operations Management, 14th Edition by William J. Stevenson, Verified Chapters 1 - 19, Complete Newest Version.pdf
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.
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
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.
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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
1. Vein Care & SaferVein Care & Safer
Injection TipsInjection Tips
Sanjay Kumar KulchaniaSanjay Kumar Kulchania
(LECTURER)(LECTURER)
GURU NANAK COLLEGE OFGURU NANAK COLLEGE OF
NURSING ,DHAHAN KALERANNURSING ,DHAHAN KALERAN
2. Vein Care & Safer InjectionVein Care & Safer Injection
TipsTips
ForFor
peoplepeople
who workwho work
withwith
injectioninjection
drug
3. Expectations and HopesExpectations and Hopes
Provide accurate informationProvide accurate information
Improve knowledgeImprove knowledge
Increase comfortIncrease comfort
Create opportunity to decreaseCreate opportunity to decrease
shame and stigmashame and stigma
Encourage in-depth conversationEncourage in-depth conversation
4. Presentation OverviewPresentation Overview
What isWhat is Vein Care?Vein Care?
How the circulatory system worksHow the circulatory system works
Injection risksInjection risks
Tips for injectors to minimizeTips for injectors to minimize
damagedamage
Vein Care AssistanceVein Care Assistance
5. What isWhat is Vein Care?Vein Care?
Vein Care aims to decrease the damage
one does to their veins by injecting drugs
through education and counseling.
Thereby reducing their chances of
becoming infected with or passing on
various communicable diseases.
6. “...Vein Care is not meant to be
prescriptive or exhaustive about the
practice of injection, merely a beginning
to what is a bountiful set of options for
improvement and a tool for overcoming
the damage caused by silence and shame
around injection.”
Chicago Recovery Alliance Website:
www.anypositivechange.org
Disclaimer...Disclaimer...
7. Aid in the prevention of Abscesses,Aid in the prevention of Abscesses,
Cellulitis and other skin/soft tissueCellulitis and other skin/soft tissue
infections caused by improper injection.infections caused by improper injection.
Goals of Vein Care CounselingGoals of Vein Care Counseling
Give clients the knowledge and power toGive clients the knowledge and power to
pass on to other injectors.pass on to other injectors.
8. A strong, muscular pump
(a little larger than a fist) that pumps
blood continuously through the
circulatory system.
9. All-in-VeinAll-in-Vein
Blood VesselsBlood Vessels are soft,
elastic tubes such as
arteries, veins and
capillaries in the
cardiovascular system
VeinsVeins are made of several
thin layers of muscle
tissue; they carry blood to
the heart, then is pumped
to the lungs so oxygen
can be replenished, and
sent back to the heart to
be pumped into general
circulation in arteriesarteries
11. What is a Vein Valve?What is a Vein Valve?
Valves are flaps of
tissue in veins that
help bring the blood
back up to the
heart, by acting as
a one-way door.
Valves are found
along the length of
the vein. Injecting
into a valve is the
most common
reason for missing
a hit or collapsing a
vein or not getting a
“flag”
13. Why Should I Use a “Tie?”Why Should I Use a “Tie?”
Using a tourniquet
makes the veins on the
surface get bigger, and
easier to hit!
•Be careful not to tie the tourniquet too tight...it actually
works against you because it stops the blood from getting in.
•Using a Tie regularly helps keep your veins flexible and in
good shape, thus making less scar tissue. Exercise those
veins!
15. Where Should I Inject?Where Should I Inject?
OK!OK!
SAFER!SAFER!
Arms are best-Arms are best-
easier accesseasier access
= safer= safer
injectioninjection
16. Proper TechniqueProper Technique
NeedleNeedle positionposition
•Make sure the Bevel of the needle is up.Make sure the Bevel of the needle is up.
•Position the needle at a 30-45° anglePosition the needle at a 30-45° angle
(depends on how deep the vein is.)(depends on how deep the vein is.)
•Align the syringe with vein.Align the syringe with vein.
•Follow the natural blood flow of the vein.Follow the natural blood flow of the vein.
•Inserting the needle through the vein.Inserting the needle through the vein.
•Injecting without releasing the tourniquetInjecting without releasing the tourniquet
or not using one at all.or not using one at all.
•Injecting in the vein against the flow of blood.Injecting in the vein against the flow of blood.
Common Mistakes & Poor InjectionCommon Mistakes & Poor Injection
Habits:Habits:
17. Deep Vein ThrombosisDeep Vein Thrombosis
Thrombosis is the clotting of
blood in an artery or vein
resulting in partial or complete
blockage of blood circulation in
the affected area.
•Repeated injecting may cause inflammation of the vein which
may lead to Deep Vein Thrombosis.
•The secondary risk of DVT is a piece of the clot breaks off
(embolism) and blocks a blood vessel further along which may
lead to stroke or pulmonary embolism (blood clot in the lungs.)
18. Risks of hitting a nerve?Risks of hitting a nerve?
If you hit a nerve pull out and applyIf you hit a nerve pull out and apply
pressure,pressure,
thenthen seek medical attentionseek medical attention right away!right away!
Hitting a nerve can cause permanent nerveHitting a nerve can cause permanent nerve
damage which can lead to complete ordamage which can lead to complete or
partial paralysis of the affected area.partial paralysis of the affected area.
You will know that you hit a nerve if youYou will know that you hit a nerve if you
feel “electric” pain orfeel “electric” pain or
involuntary movement (reflex).involuntary movement (reflex).
19. Risky Injection SpotsRisky Injection Spots
VERYVERY
RISKY!RISKY!
TORSOTORSO
More likely to
permanently
damage
lymph vessels
or nodes.
RISKY!RISKY!
NECKNECK
Injecting in the veins
in your neck can
cause deadly
infections in the
brain. Arteries and
Nerves travel very
close to the veins in
your neck.
Using the veins in yourUsing the veins in your
feet, legs or groin,feet, legs or groin,
increases your risk forincreases your risk for
Deep Vein ThrombosisDeep Vein Thrombosis
(blood-clots) causing(blood-clots) causing
blockage to vital areas inblockage to vital areas in
the body, as the bloodthe body, as the blood
returns back to the heartreturns back to the heart..
GROINGROIN (Femoral(Femoral
v.)v.)
FEETFEET
LEGSLEGS
CHESTCHEST
20. What if I hit an artery?What if I hit an artery?
If you hit an artery,If you hit an artery, pull outpull out and putand put directdirect
pressurepressure on it for at leaston it for at least 20 minutes20 minutes (use tape and(use tape and
gauze if you have it)gauze if you have it) ..
If the bleeding does not stop,If the bleeding does not stop,
ggo to theo to the Emergency RoomEmergency Room right away.right away.
21. Avoid Abscesses!!!Avoid Abscesses!!!
Always wash your hands (and injection site if possible)Always wash your hands (and injection site if possible)
with warm soapy water.with warm soapy water.
Use a new syringe every time you inject.Use a new syringe every time you inject.
Use an alcohol pad to move the dirt and germs awayUse an alcohol pad to move the dirt and germs away
from the injection site by moving it outwardfrom the injection site by moving it outward
in a circular fashion from the center.in a circular fashion from the center.
Abscess is an infection under the skin caused byAbscess is an infection under the skin caused by
the needle pushing the bacteria through the skin.the needle pushing the bacteria through the skin.
Apply firm, steady pressure after the injection.Apply firm, steady pressure after the injection.
Use a band aid or tape & gauze if you have it.Use a band aid or tape & gauze if you have it.
22. Talk to the Needle Exchange Vein Care Specialist!
2nd & 4th Tuesday every month, here at the Downtown Needle Exchange
Whip those
troublesome
veinsinto shape!
See Jason,See Jason,
Vein CareVein Care
SpecialistSpecialist
EveryEvery
WednesdayWednesday
Vein Care Workshops at theVein Care Workshops at the
Downtown Needle ExchangeDowntown Needle Exchange
What is Vein Care? Why is it important?
All in Vein
Basic Anatomy of a vein
Veins vs. Arteries
Troublesome veins
Tips for injectors
Safer preparation for drug injectors
Where should I inject?
Do veins grow back?
Popular myths and common problems reported by injectors
Talking…
What are some common issues Staff can expect to see in the field
Tips for Staff about discussions around muscling and skin-popping vs. injecting into a vein
Prevention of Skin and Soft Tissue Infections
Resources
Vein Care en Español
Thank you
What is Vein Care? Why is it important?
All in Vein
Basic Anatomy of a vein
Veins vs. Arteries
Troublesome veins
Tips for injectors
Safer preparation for drug injectors
Where should I inject?
Do veins grow back?
Popular myths and common problems reported by injectors
Talking…
What are some common issues Staff can expect to see in the field
Tips for Staff about discussions around muscling and skin-popping vs. injecting into a vein
Prevention of Skin and Soft Tissue Infections
Resources
Vein Care en Español
Thank you