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Medical Review Officer Manual
Department of Health and Human Services Substance Abuse and Mental Health Services Administration Center for Substance Abuse Prevention Medical Review Officer Manual for Federal Agency Workplace Drug Testing Programs EFFECTIVE OCTOBER 1, 2010 Note: This manual applies to Federal agency drug testing programs that come under Executive Order 12564 dated September 15, 1986, section 503 of Public Law 100-71, 5 U.S.C. section 7301 note dated July 11, 1987, and the Department of Health and Human Services Mandatory Guidelines for Federal Workplace Drug Testing Programs (73 FR 71858) dated November 25, 2008 (effective October 1, 2010). This manual does not apply to specimens submitted for testing under U.S. Department of Transportation (DOT) Procedures for Transportation Workplace Drug and Alcohol Testing Programs (49 CFR Part 40). The current version of this manual and other information including MRO Case Studies are available on the Drug Testing page under Medical Review Officer (MRO) Resources on the SAMHSA website: http://www.workplace.samhsa.gov Previous Versions of this Manual are Obsolete 3 Table of Contents Chapter 1. The Medical Review Officer (MRO)........................................................................... 6 Chapter 2. The Federal Drug Testing Custody and Control Form ................................................ 7 Chapter 3. Urine Drug Testing ...................................................................................................... 9 A. Federal Workplace Drug Testing Overview.................................................................. -
Chemoreception
Senses 5 SENSES live version • discussion • edit lesson • comment • report an error enses are the physiological methods of perception. The senses and their operation, classification, Sand theory are overlapping topics studied by a variety of fields. Sense is a faculty by which outside stimuli are perceived. We experience reality through our senses. A sense is a faculty by which outside stimuli are perceived. Many neurologists disagree about how many senses there actually are due to a broad interpretation of the definition of a sense. Our senses are split into two different groups. Our Exteroceptors detect stimulation from the outsides of our body. For example smell,taste,and equilibrium. The Interoceptors receive stimulation from the inside of our bodies. For instance, blood pressure dropping, changes in the gluclose and Ph levels. Children are generally taught that there are five senses (sight, hearing, touch, smell, taste). However, it is generally agreed that there are at least seven different senses in humans, and a minimum of two more observed in other organisms. Sense can also differ from one person to the next. Take taste for an example, what may taste great to me will taste awful to someone else. This all has to do with how our brains interpret the stimuli that is given. Chemoreception The senses of Gustation (taste) and Olfaction (smell) fall under the category of Chemoreception. Specialized cells act as receptors for certain chemical compounds. As these compounds react with the receptors, an impulse is sent to the brain and is registered as a certain taste or smell. Gustation and Olfaction are chemical senses because the receptors they contain are sensitive to the molecules in the food we eat, along with the air we breath. -
Amphibians 1) Transition to Land A) Life on Terrestrial Earth Is a Major
Amphibians 1) Transition to land a) Life on terrestrial earth is a major theme for all non-fish vertebrates also known as Tetrapoda b) Of Tetrapoda there are two major groups Amphibians and amniotes c) The movement form water to land is one of the most complicated and dramatic events of the evolution of animals i) Land is physically hazardous for an animal that evolved in water, is made mostly of water, and all cellular activities occur in water. ii) Plants, snails, and many arthropods made the transition before vertebrates, which provided a plentiful food source. iii) With the transition to land, vertebrates had to adapt every organ system. d) Oxygen on land i) Atmospheric air contains 20 times more oxygen than water and diffuses more rapidly through air than water. ii) By the Devonian period (400+ million years ago) fish had diversified greatly. Some of these adaptations became useful for a terrestrial life (1) Fish had evolved an air sack within their body called a swim bladder. This would allow a space for gas exchange between an organism and air (a) These early fishes were most likely freshwater. Freshwater systems are more likely to evaporate or deoxygenate compares to salt water habitats. So having a vascularized swim bladder or lung would be beneficial. (b) To this day scientist still debate heavily on whether the swim bladder evolved for buoyancy control or lung first. (2) Fish also had evolved external nares for chemoreception. In a terrestrial environment these nares can be used to draw in air to the swim bladder/lung (3) Both of these structures show great examples of evolution utilizing existing structures to turn into something new and more adapted e) However both of the characteristics are shared among fishes and tetrapods, the big shift came in the bone structure of the limbs. -
Understanding Sensory Processing: Looking at Children's Behavior Through the Lens of Sensory Processing
Understanding Sensory Processing: Looking at Children’s Behavior Through the Lens of Sensory Processing Communities of Practice in Autism September 24, 2009 Charlottesville, VA Dianne Koontz Lowman, Ed.D. Early Childhood Coordinator Region 5 T/TAC James Madison University MSC 9002 Harrisonburg, VA 22807 [email protected] ______________________________________________________________________________ Dianne Koontz Lowman/[email protected]/2008 Page 1 Looking at Children’s Behavior Through the Lens of Sensory Processing Do you know a child like this? Travis is constantly moving, pushing, or chewing on things. The collar of his shirt and coat are always wet from chewing. When talking to people, he tends to push up against you. Or do you know another child? Sierra does not like to be hugged or kissed by anyone. She gets upset with other children bump up against her. She doesn’t like socks with a heel or toe seam or any tags on clothes. Why is Travis always chewing? Why doesn’t Sierra liked to be touched? Why do children react differently to things around them? These children have different ways of reacting to the things around them, to sensations. Over the years, different terms (such as sensory integration) have been used to describe how children deal with the information they receive through their senses. Currently, the term being used to describe children who have difficulty dealing with input from their senses is sensory processing disorder. _____________________________________________________________________ Sensory Processing Disorder -
What Is Sensory Defensiveness? by Ann Stensaas, M.S., OTR/L
Super Duper® Handy Handouts!® Number 174 What Is Sensory Defensiveness? by Ann Stensaas, M.S., OTR/L Does your child get upset by tags in clothing, the sound of the vacuum cleaner, or certain smells in the environment? If so, your child may be showing signs of sensory defensiveness. Sensory defensiveness is a negative reaction to one or more types of sensations (such as touch, movement, sound, taste/texture, or smell), often requiring you to control his/her daily routine to avoid such things. Types of Sensory Defensiveness There are different types of sensory defensiveness including tactile (touch), gravitational (movement and balance), auditory (hearing), and oral defensiveness (taste, smell, texture). Tactile Defensiveness (Touch) The tactile system is our sense of touch. It protects us from danger and helps us identify different objects in the environment. A child showing signs of tactile defensiveness may: Overreact to ordinary touch experiences (e.g., touching play dough or being touched by someone). Avoid daily activities (e.g., washing face/hands or brushing hair). Avoid light touch (e.g., a kiss) but seek out deep touch (e.g., a bear hug). Vestibular Insecurity (Balance/Movement) The vestibular system is our sense of movement and balance. It tells us where our head and body are in relation to gravity and other objects and supports our vision, posture, emotions, and coordination skills. A child showing signs of gravitational insecurity may: Have an excessive fear of falling during ordinary movement activities (e.g., swinging, riding a bicycle, or climbing). Become overwhelmed by changes in head position (e.g., being upside down). -
Histology and Surface Morphology of the Olfactory Epithelium in the Freshwater Teleost Clupisoma Garua (Hamilton, 1822)
FISHERIES & AQUATIC LIFE (2019) 27: 122 - 129 Archives of Polish Fisheries DOI 10.2478/aopf-2019-0014 RESEARCH ARTICLE Histology and surface morphology of the olfactory epithelium in the freshwater teleost Clupisoma garua (Hamilton, 1822) Saroj Kumar Ghosh Received – 07 May 2019/Accepted – 27 August 2019. Published online: 30 September 2019; ©Inland Fisheries Institute in Olsztyn, Poland Citation: Ghosh S.K. 2019 – Histology and surface morphology of the olfactory epithelium in the freshwater teleost Clupisoma garua (Hamil- ton, 1822) – Fish. Aquat. Life 27: 122-129. Abstract. The anatomical structure of the olfactory organ and Introduction the organization of various cells lining the olfactory mucosa of Clupisoma garua (Siluriformes; Schilbeidae) were The olfactory system in fishes is a notable sensory or- investigated with light and scanning electron microscopy. The olfactory organ was composed of numerous lamellae of gan because it is essentially a chemoreceptor for de- various sizes, radiating outward from both sides of the narrow tecting and identifying water-soluble compounds to midline raphe, forming an elongated rosette. Each lamella collect information about the surrounding aquatic consisted of the olfactory epithelium and a central lamellar ecosystem. Smell is one of the most significant space, the central core. The epithelium covering the surface of senses, and it drives basic patterns of behaviors in the rosette folds was differentiated into zones of sensory and most teleosts such as foraging, alarm response, pred- indifferent epithelia. The sensory part of epithelium was characterized by three types of morphologically distinct ator avoidance, social communication, reproductive receptor neurons: ciliated receptor cells, microvillous receptor activity, and homing migration (Gayoso et al. -
Taste and Smell Disorders in Clinical Neurology
TASTE AND SMELL DISORDERS IN CLINICAL NEUROLOGY OUTLINE A. Anatomy and Physiology of the Taste and Smell System B. Quantifying Chemosensory Disturbances C. Common Neurological and Medical Disorders causing Primary Smell Impairment with Secondary Loss of Food Flavors a. Post Traumatic Anosmia b. Medications (prescribed & over the counter) c. Alcohol Abuse d. Neurodegenerative Disorders e. Multiple Sclerosis f. Migraine g. Chronic Medical Disorders (liver and kidney disease, thyroid deficiency, Diabetes). D. Common Neurological and Medical Disorders Causing a Primary Taste disorder with usually Normal Olfactory Function. a. Medications (prescribed and over the counter), b. Toxins (smoking and Radiation Treatments) c. Chronic medical Disorders ( Liver and Kidney Disease, Hypothyroidism, GERD, Diabetes,) d. Neurological Disorders( Bell’s Palsy, Stroke, MS,) e. Intubation during an emergency or for general anesthesia. E. Abnormal Smells and Tastes (Dysosmia and Dysgeusia): Diagnosis and Treatment F. Morbidity of Smell and Taste Impairment. G. Treatment of Smell and Taste Impairment (Education, Counseling ,Changes in Food Preparation) H. Role of Smell Testing in the Diagnosis of Neurodegenerative Disorders 1 BACKGROUND Disorders of taste and smell play a very important role in many neurological conditions such as; head trauma, facial and trigeminal nerve impairment, and many neurodegenerative disorders such as Alzheimer’s, Parkinson Disorders, Lewy Body Disease and Frontal Temporal Dementia. Impaired smell and taste impairs quality of life such as loss of food enjoyment, weight loss or weight gain, decreased appetite and safety concerns such as inability to smell smoke, gas, spoiled food and one’s body odor. Dysosmia and Dysgeusia are very unpleasant disorders that often accompany smell and taste impairments. -
Study Guide Medical Terminology by Thea Liza Batan About the Author
Study Guide Medical Terminology By Thea Liza Batan About the Author Thea Liza Batan earned a Master of Science in Nursing Administration in 2007 from Xavier University in Cincinnati, Ohio. She has worked as a staff nurse, nurse instructor, and level department head. She currently works as a simulation coordinator and a free- lance writer specializing in nursing and healthcare. All terms mentioned in this text that are known to be trademarks or service marks have been appropriately capitalized. Use of a term in this text shouldn’t be regarded as affecting the validity of any trademark or service mark. Copyright © 2017 by Penn Foster, Inc. All rights reserved. No part of the material protected by this copyright may be reproduced or utilized in any form or by any means, electronic or mechanical, including photocopying, recording, or by any information storage and retrieval system, without permission in writing from the copyright owner. Requests for permission to make copies of any part of the work should be mailed to Copyright Permissions, Penn Foster, 925 Oak Street, Scranton, Pennsylvania 18515. Printed in the United States of America CONTENTS INSTRUCTIONS 1 READING ASSIGNMENTS 3 LESSON 1: THE FUNDAMENTALS OF MEDICAL TERMINOLOGY 5 LESSON 2: DIAGNOSIS, INTERVENTION, AND HUMAN BODY TERMS 28 LESSON 3: MUSCULOSKELETAL, CIRCULATORY, AND RESPIRATORY SYSTEM TERMS 44 LESSON 4: DIGESTIVE, URINARY, AND REPRODUCTIVE SYSTEM TERMS 69 LESSON 5: INTEGUMENTARY, NERVOUS, AND ENDOCRINE S YSTEM TERMS 96 SELF-CHECK ANSWERS 134 © PENN FOSTER, INC. 2017 MEDICAL TERMINOLOGY PAGE III Contents INSTRUCTIONS INTRODUCTION Welcome to your course on medical terminology. You’re taking this course because you’re most likely interested in pursuing a health and science career, which entails proficiencyincommunicatingwithhealthcareprofessionalssuchasphysicians,nurses, or dentists. -
The Olfactory Bulb Theta Rhythm Follows All Frequencies of Diaphragmatic Respiration in the Freely Behaving Rat
View metadata, citation and similar papers at core.ac.uk brought to you by CORE provided by Frontiers - Publisher Connector ORIGINAL RESEARCH ARTICLE published: 11 June 2014 BEHAVIORAL NEUROSCIENCE doi: 10.3389/fnbeh.2014.00214 The olfactory bulb theta rhythm follows all frequencies of diaphragmatic respiration in the freely behaving rat Daniel Rojas-Líbano 1,2†, Donald E. Frederick 2,3, José I. Egaña 4 and Leslie M. Kay 1,2,3* 1 Committee on Neurobiology, The University of Chicago, Chicago, IL, USA 2 Institute for Mind and Biology, The University of Chicago, Chicago, IL, USA 3 Department of Psychology, The University of Chicago, Chicago, IL, USA 4 Departamento de Anestesiología y Reanimación, Facultad de Medicina, Universidad de Chile, Santiago, Chile Edited by: Sensory-motor relationships are part of the normal operation of sensory systems. Sensing Donald A. Wilson, New York occurs in the context of active sensor movement, which in turn influences sensory University School of Medicine, USA processing. We address such a process in the rat olfactory system. Through recordings of Reviewed by: the diaphragm electromyogram (EMG), we monitored the motor output of the respiratory Thomas A. Cleland, Cornell University, USA circuit involved in sniffing behavior, simultaneously with the local field potential (LFP) of Emmanuelle Courtiol, New York the olfactory bulb (OB) in rats moving freely in a familiar environment, where they display University Langone Medical Center, a wide range of respiratory frequencies. We show that the OB LFP represents the sniff USA cycle with high reliability at every sniff frequency and can therefore be used to study the *Correspondence: neural representation of motor drive in a sensory cortex. -
Color, Taste, and Odor: What You Should Know
Color, Taste, and Odor: What you should know From time to time the MassDEP receives consumer questions or complaints regarding the look, taste or the odor of drinking water. Listed below are common problems with drinking water and their most common causes. Please note that a particular problem in your drinking water may be the result of a cause not listed here; the only way to confirm a cause is to have a certified lab analyze the water and discuss the results with drinking water professional. If you receive water from a public drinking water system it is important to contact the Public Water Supply (PWS) before having a laboratory analyze the water. Information on private water testing is available. Filtering or treating the water may remedy persistent problems; however MassDEP does not recommend filtering or treating your water supply if your water is supplied by a MassDEP- approved PWS. MassDEP also does not regulate or recommend specific treatment systems for private home use. If you decide to use a filtration or treatment device in your home, the Department strongly encourages you to contact National Sanitation Foundation (NSF) for a list of approved devices. If you purchase a treatment device for private home use MassDEP also strongly recommends that it is maintained and provide active maintenance according to the manufacturer's instructions. Failure to maintain the equipment properly may make treatment ineffective and/or may create the potential for contamination. Common problems with drinking water are grouped into three categories: Color problems Taste / odor problems Particles in water If the problem with your water is not described here, if you are on a public water system please contact the public water department in your city or town or the MassDEP Drinking Water Program at your nearest regional MassDEP office. -
Special Issue “Olfaction: from Genes to Behavior”
G C A T T A C G G C A T genes Editorial Special Issue “Olfaction: From Genes to Behavior” Edgar Soria-Gómez 1,2,3 1 Department of Neurosciences, University of the Basque Country UPV/EHU, 48940 Leioa, Spain; [email protected] or [email protected] 2 Achucarro Basque Center for Neuroscience, Science Park of the UPV/EHU, 48940 Leioa, Spain 3 IKERBASQUE, Basque Foundation for Science, 48013 Bilbao, Spain Received: 12 June 2020; Accepted: 15 June 2020; Published: 15 June 2020 The senses dictate how the brain represents the environment, and this representation is the basis of how we act in the world. Among the five senses, olfaction is maybe the most mysterious and underestimated one, probably because a large part of the olfactory information is processed at the unconscious level in humans [1–4]. However, it is undeniable the influence of olfaction in the control of behavior and cognitive processes. Indeed, many studies demonstrate a tight relationship between olfactory perception and behavior [5]. For example, olfactory cues are determinant for partner selection [6,7], parental care [8,9], and feeding behavior [10–13], and the sense of smell can even contribute to emotional responses, cognition and mood regulation [14,15]. Accordingly, it has been shown that a malfunctioning of the olfactory system could be causally associated with the occurrence of important diseases, such as neuropsychiatric depression or feeding-related disorders [16,17]. Thus, a clear identification of the biological mechanisms involved in olfaction is key in the understanding of animal behavior in physiological and pathological conditions. -
STD Glossary of Terms
STD 101 In A Box- STD Glossary of Terms Abstinence Not having sexual intercourse Acquired A disease of the human immune system caused by the Human Immunodeficiency Virus (HIV). HIV/AIDS represents the entire range of Immunodeficiency disease caused by the HIV virus from early infection to late stage Syndrome (AIDS) symptoms. Anal Intercourse Sexual contact in which the penis enters the anus. Antibiotic A medication that either kills or inhibits the growth of a bacteria. Antiviral A medication that either kills or inhibits the growth of a virus. A thinning of tissue modified by the location. In epidermal atrophy, the epidermis becomes transparent with a loss of skin texture and cigarette Atrophic paper-like wrinkling. In dermal atrophy, there is a loss of connective tissue and the lesion is depressed. A polymicrobial clinical syndrome resulting from replacement of the Bacterial Vaginosis normal hydrogen peroxide producing Lactobacillus sp. in the vagina with (BV) high concentrations of anaerobic bacteria. The common symptom of BV is abnormal homogeneous, off-white, fishy smelling vaginal discharge. Cervical Motion A sign found on pelvic examination suggestive of pelvic pathology; when Tenderness (CMT) movement of the cervix during the bimanual exam elicits pain. The lower, cylindrical end of the uterus that forms a narrow canal Cervix connecting the upper (uterus) and lower (vagina) parts of a woman's reproductive tract. The most common sexually transmitted bacterial infection in the U.S., caused by the bacteria Chlamydia trachomatis. Often no symptoms are present, especially in women. Untreated chlamydia can cause sterility, Chlamydia Pelvic Inflammatory Disease (PID), and increase the chances for life- threatening tubal pregnancies.