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Non-Incineration Medical Waste Treatment Technologies
Non-Incineration Medical Waste Treatment Technologies A Resource for Hospital Administrators, Facility Managers, Health Care Professionals, Environmental Advocates, and Community Members August 2001 Health Care Without Harm 1755 S Street, N.W. Unit 6B Washington, DC 20009 Phone: 202.234.0091 www.noharm.org Health Care Without Harm 1755 S Street, N.W. Suite 6B Washington, DC 20009 Phone: 202.234.0091 www.noharm.org Printed with soy-based inks on Rolland Evolution, a 100% processed chlorine-free paper. Non-Incineration Medical Waste Treatment Technologies A Resource for Hospital Administrators, Facility Managers, Health Care Professionals, Environmental Advocates, and Community Members August 2001 Health Care Without Harm www.noharm.org Preface THE FOUR LAWS OF ECOLOGY . Meanwhile, many hospital staff, such as Hollie Shaner, RN of Fletcher-Allen Health Care in Burlington, Ver- 1. Everything is connected to everything else, mont, were appalled by the sheer volumes of waste and 2. Everything must go somewhere, the lack of reduction and recycling efforts. These indi- viduals became champions within their facilities or 3. Nature knows best, systems to change the way that waste was being managed. 4. There is no such thing as a free lunch. Barry Commoner, The Closing Circle, 1971 In the spring of 1996, more than 600 people – most of them community activists – gathered in Baton Rouge, Up to now, there has been no single resource that pro- Louisiana to attend the Third Citizens Conference on vided a good frame of reference, objectively portrayed, of Dioxin and Other Hormone-Disrupting Chemicals. The non-incineration technologies for the treatment of health largest workshop at the conference was by far the one care wastes. -
Sheet1 Page 1 Name of Drink Caffeine (Mg) 5 Hour Energy 60
Sheet1 Name of drink Size (mL) Caffeine (mg) 5 Hour Energy 60 Equivalent of a cup of coffee Amp Energy (Original) 710 213 Amp Energy (Original) 473 143 Amp Energy Overdrive 473 142 Amp Energy Re-Ignite 473 158 Amp Energy Traction 473 158 Bawls Guarana 473 103 Bawls Guarana Cherry 473 100 Bawls Guarana G33K B33R 296 80 Bawls Guaranexx Sugar Free 473 103 Beaver Buzz Black Currant Energy 355 188 Beaver Buzz Citrus Energy 355 188 Beaver Buzz Green Machine Energy 473 200 Big Buzz Chronic Energy 473 200 BooKoo Energy Citrus 710 360 BooKoo Energy Wild Berry 710 360 Cheetah Power Surge Diet 710 None? Frank's Energy Drink 500 160 Frank's Energy Drink Lime 250 80 Frank's Energy Drink Pineapple 250 80 Full Throttle Unleaded 473 141 Hansen's Energy Pro 246 39 Hardcore Energize Bullet Blue Rage 85.7 300 Hype Energy Pro (Special Edition) 355 114 Hype Energy MFP 473 151 Inked Chikara 473 151 Inked Maori 473 151 Jolt Endurance Shot 60 200 Jolt Orange Blast 695 220 Lost (Original) 473 160 Lost Five-O 473 160 Mini Thin Rush (6 Hour) 60 200 Monster (Original) 710 246 Monster Assault 473 164 Monster Energy (Original) 473 170 Monster Khaos 710 225 Monster Khaos 473 150 Monster M-80 473 164 Monster MIXXD 473 Monster Reduced Carb 473 140 NOS (Original) 473 200 NOS (Original)(Bottle) 650 343 NOS Fruit Punch 473 246.35 Premium Green Tea Energy 355 119 Premium Iced Tea Energy 355 102 Premium Pink Energy 355 120 Red Bull 250 80 Red Bull 355 113.6 Page 1 Sheet1 Red Rain 250 80 Rocket Shot 54 50 Rockstar Burner 473 160 Rockstar Burner 710 239 Rockstar Diet 473 160 -
Caring for Your Burn at Home Adult Patient Information
LSEBN Caring for your burn LSEBNat home AdultLSEBN Patient Information This leaflet answers some of the most commonly LSEBNasked questions about looking after yourLSEBN burns at home. If you have any questions or would like to talk about anything related to your treatment, please speak to a member of the burns team. Chelsea and Westminster Hospital 369 Fulham Rd Chelsea London SW10 9NH Burn Centre 0203 315 3785 (Mon - Fri 8:30 – 16:30) 0203 315 2500 (out of hours) Burns Dressing Clinic 0203 315 3785 Contents Page Introduction Important phone numbers 4 - 5 Going home checklist 6 On leaving the hospital Burns outpatient clinic 7 Medication 7 Driving 7 - 8 Follow-up clinic 9 Burns outreach 9 How to find us 9 - 10 Wounds Non-surgical treatment 11 Surgical treatment 11 - 12 Dressings 12 Infection 12 - 13 Toxic Shock Syndrome 13 Blistering 13 - 14 Pain 14 Desensitisation 15 Itching 15 - 16 Distraction 16 Pigmentation 17 Scars 17 Moisturising 18 Massage 18 - 19 Pressure garments 19 Silicone therapy 20 Splints 20 Swelling 20 Skin care Washing 21 Shaving 21 Sun safety 21 - 22 Camouflage 22 Self-care Returning to work, exercise and usual daily activities 22 - 23 Exercise and fatigue 23 - 24 Body temperature 24 Nutrition 25 - 26 Finances 27 Emotional recovery 27 Adjustment and change 28 Dealing with trauma and memories 28 Anxiety and mood 28 - 29 Sleep problems 29 Concerns about appearance and scars 29 - 30 Explain, Reassure, Distract 30 Relationships and sex 30 - 31 Further support 31 Support groups 31 - 32 Charities 32 Important websites 33 Praise, advice, complaints 33 Notes 34 - 35 Introduction Whatever the size or severity of your burn, you may have questions once you leave the Burns Service. -
Burn Model System Summary Report
Burn Model System Summary Report 1994–2017 This report contains information, tables, and figures about the data contained in the Burn Model System National Database, collected from 1993 to 2017. The Burn Model System is funded by the National Institute for Disability, Independent Living, and Rehabilitation Research. This report was produced by the BMS National Data and Statistical Center. 2018 Table of Contents Introduction ............................................................................................................................................................................................ 1 Burn Model System Centers ............................................................................................................................................................. 3 Boston-Harvard Burn Injury Model System (BHBIMS) ...................................................................................................... 3 North Texas Burn Rehabilitation Model System (NTBRMS) ........................................................................................... 3 Pediatric Burn Injury Rehabilitation Model System ........................................................................................................... 4 Northwest Regional Burn Model System (NWRBMS) ....................................................................................................... 4 Burn Model System National Data and Statistical Center (BMS NDSC) .................................................................... 5 Summary -
Burn Intensive Care Treatment Over the Last 30 Years: Improved Survival And
b u r n s 4 5 ( 2 0 1 9 ) 1 0 5 7 – 1 0 6 5 Available online at www.sciencedirect.com ScienceDirect jo urnal homepage: www.elsevier.com/locate/burns Burn intensive care treatment over the last 30 years: Improved survival and shift in case-mix a,b, c,d a,e Rolf K. Gigengack *, Margriet E. van Baar , Berry I. Cleffken , a a,c,f Jan Dokter , Cornelis H. van der Vlies a Department of Trauma and Burn Surgery, Maasstad Hospital, Maasstadweg 21, 3079 DZ Rotterdam, The Netherlands b Department of Anesthesiology, Amsterdam UMC, Location VU Medical Center, Boelelaan 1117, 1081HV Amsterdam, The Netherlands c Association of Dutch Burn Centers, Maasstad Hospital, Maasstadweg 21, 3079 DZ Rotterdam, The Netherlands d Department of Public Health, Erasmus MC, Doctor Molewaterplein 40, 3015 GD Rotterdam, The Netherlands e Department of Intensive Care Medicine, Maasstad Hospital, Maasstadweg 21, 3079 DZ Rotterdam, The Netherlands f Trauma Research Unit Department of Surgery, Erasmus MC, Doctor Molewaterplein 40, 3015 GD Rotterdam, The Netherlands a r t i c l e i n f o a b s t r a c t Article history: Purpose: Mortality in burn intensive care unit (ICU) has been decreasing and treatment Accepted 7 February 2019 appears to be changing. The aims of this study: (1) examine outcome in burn patients, (2) examine changes in ICU indication and (3) explore the influence of a changing case-mix. Methods: Retrospective study in patients admitted to ICU (1987–2016). Four groups were specified: major burns (15% TBSA), inhalation injury with small injury (<15% TBSA, < Keywords: inhalation injury), watchful waiting ( 15% TBSA, without inhalation injury), tender loving care (patients withheld from treatment). -
UNIVERSITY of CALIFORNIA, IRVINE Intravenous
UNIVERSITY OF CALIFORNIA, IRVINE Intravenous Acetaminophen: A Non-Narcotic Adjunct for Burn Wound Care THESIS submitted in partial satisfaction of the requirements for the degree of MASTER OF SCIENCE In Biomedical and Translational Science by Sarah Dobson Thesis Committee: Professor Sherrie H. Kaplan, Chair Assistant Clinical Professor Nicole P. Bernal Associate Clinical Professor Steven Mills 2014 © 2014 Sarah Dobson TABLE OF CONTENTS Page LIST OF FIGURES………………………………………………………...………………….v LIST OF TABLES…………………………………………………………..…….……………vi ACKNOWLEDGEMENTS…………………………………………………………………….vii ABSTRACT OF THE THESIS…………………………………………...………….............viii CHAPTER 1: INTRODUCTION………………………………………………..…………….1 CHAPTER 2: BACKGROUND………………………………………………………...……..3 Burn Wound Care…………………………………………………………….............3 Background versus Breakthrough Pain……………………………………............3 Narcotic Pain Medications…...…………………………………………..…………..4 Intravenous Acetaminophen…………………………………………...…………….5 First-pass Metabolism………………………………………………..……………....8 CHAPTER 3: METHODS……………………………………………………………….……9 Setting…………………………………………………………………..………...……9 Sample…………………………………………………………………………………9 Exclusion Criteria…………………………………………………………………….11 Study Design……………………………………………………………………....…13 Pain Measures…………………………………………………………………….…14 Outcome Measures………………………………………………………………….15 Organizing the Data……………………………………………...………………….16 Analyzing the Data………………………………………………...…………..…….17 Power Analysis…………………………………………………………………….…18 iii CHAPTER 4: RESULTS……………………………………………………….……………19 Demographics…………….……………………………………………..……...……19 -
Virginia Pediatrics Fall 2018
VIRGINIA•PEDIATRICS American Academy of Pediatrics • Virginia Chapter IN THISIssue Legislative Update FALL 2018 Pediatrics Issues are the Focus at MSV Conference! 2 PRESIDENT’S MESSAGE Drs. Sandy Chung and Cara Tillotson represented the Virginia AAP at the annual Medical Society 3 CME INFORMATON of Virginia meeting in Roanoke this past October. Physicians from all specialties met to discuss im- 4 PTSD IN NICU MOTHERS portant topics in healthcare for our state and to vote on resolutions. Some Pediatric specific resolu- 5 NEONATAL MEDICINE: THREE QUALITY CARE tions included discussion on gun safety, taxing sodas/sugary drinks in an effort to decrease obesity, IMPROVEMENT STRATEGIES TO INFLUENCE HEALTH work eligibility requirements for Virginia Medicaid, concussion education for young athletes, and OUTCOME OF VA’S MOST VULNEARABLE INFANTS prohibiting conversion therapy for patients under 18 years of age. Many other resolutions, several 8 ESSENTIALS OF PEDIATRIC BURN INJURY of which addressed the opioid crisis, were discussed, which will have impact on families throughout 11 QUIET PLEASE! QUALITY IMPROVEMENT PROJECT TO Virginia. Not surprisingly, the MSV held similar stances on most issues as we do as Pediatricians; the MINIMIZE SLEEP DISRUPTIONS IN STABLE passed resolutions aligned with our beliefs and concerns as a chapter of AAP. Notably, there were INPATIENT PEDIATRIC POPULATION many medical students present from all of our Virginia schools. We were encouraged to see what 13 PEDIATRIC ISOLATED LINEAR SKULL FRACTURES: the future of medicine will hold given these strong, young leaders that are already so involved! 14 RED BLOOD CELL TRANSFUSION STRATEGIES IN CHILDREN The meeting also included the Health Care Provider Opioid Summit, where our Governor Ralph 16 REVISED GUIDELINES: METABOLIC / BARIATRIC Northam gave opening remarks. -
Energy Drink Consumption in Adolescents
Energy Drink Consumption in Adolescents "Are energy drinks good for children? Raising Parent Awareness" Tag Words: Energy Drinks; caffeine; stimulant; Red Bull Authors: Rahul Vasudeva & Richard P. Moses with Julie M. Fagan Ph.D Summary Gorilla marketing and lack of regulation of energy drinks has resulted in an increase in consumption of energy drinks high in caffeine in adolescents. In fact, children below the age of 19 account for 60% of those purchasing energy drinks. On average, about 45% of patients each year admitted to an emergency room for caffeine overdose are adolescents. The hazardous effects associated with consumption of energy drinks in adolescents are discussed. These include alterations in neurological development, an increase in blood pressure and the possibility of addiction. To get the word out, answers to such questions as: are energy drinks good for children, what is a safe consumption of caffeine for adolescents; what effects do energy drinks have on children; are there healthier alternatives; and what can parents do to prevent their child from drinking energy drinks; were put on the web site Ask.com and a Parenthood website. Video Link Energy Drinks: The Effects on Adolescents: http://www.youtube.com/user/DRJULIEFAGANSTUDENTS#p/u/11/1sYWna06u9Q Part I: Energy Drinks Exposed Introduction Page 1 (RV) Energy drinks have created a huge craze in the last past decade amongst consumers. More and more people daily are consuming energy drinks in order to function optimally throughout the day. As more people begin to work longer hours, study longer and take on more responsibilities, the need for energy drinks has become an immense necessity for most people in working America. -
Copyrighted Material
Index Note: Page references in italics refer to Figures; those in bold refer to Tables 1% rule 92–3 endotracheal intubation 24–5 asthma 27, 28, 31, 126–7, 126, 127 30-second drills 25, 48, 48 supraglottic airway devices (SADs) 23–4, 24 Australasia, training in PHEM in 1–2 airway obstruction, causes 20 automatic vehicle location system (AVLS) 4 ABC system 18, 18, 18 alcohol gel 9 AVPU (alert, voice, pain, unresponsive) score 60 ABCDEF approach 151 alkali burns 90–1, 91 abdominal injury 81–3 altitude injury 141–3 bag-valve-mask (BVM) 29–30, 30, 161 essential drugs 143 analgesia 82 ballistic injuries 76, 103 physiology at altitude 141 assessment 82 abdominal 81 Alzheimer’s disease 166 blunt trauma 81 airway management 107, 107 American National Standards Institute 9 in children 163 breathing management 107–8 amputation 87–8, 88–9, 89 evisceration 82, 82 catastrophic haemorrhage control 106–7 blast/ballistic 108 extent of abdomen 82, 82 cervical spine immobilization 107 crush injury 101 impalement 83, 83 circulation management 108 anaesthesia, prehospital 44–50 mechanisms 81 disability 108 30-second drills 48, 48 penetrating trauma 81 exposure 108 clinical assessment 45 prehospital management 82–3 firearm injuries 103 drugs 45–6, 46 resuscitation 82 management 106–8, 106 equipment checklist 47, 47 triage 83 ballistic jacket 105, 105 evidence base 44–5 abuse bariatric ambulance 171 general principles 46 child 164, 167 guidelines 44–5 bariatric patient 168–71 elderly 167 indications 44 barotrauma 147 acclimatization 141, 141 induction and intubation -
Basic Eye Anatomy Cross ‐ Section View of the Anterior
Sound like an expert, learn the lingo… First: basic eye anatomy •Anatomical Landmarks • Cornea External/ .Lids/Lashes • Iris Ocular .Lacrimal system • Adnexa Lens .Conjunctiva and Sclera • Disc– meaning optic nerve • Fundus– meaning retina .Cornea Anterior . •Common Abbreviations for Common Conditions: Segment Anterior Chamber • POAG‐ primary open angle glaucoma .Iris • PDR‐ proliferative diabetic retinopathy .Lens • AMD (ARMD) – age‐related macular degeneration • DME‐ diabetic macular edema .Vitreous Posterior • phaco‐ phacoemulsification (aka: cataract surgery) and typically this would include an IOL Segment .Optic nerve • IOL‐ intraocular lens .Retina • IOP‐ intraocular pressure • DES‐ dry eye syndrome • TED‐ thyroid eye disease https://www.aao.org/young‐ophthalmologists/yo‐info/article/learning‐lingo‐ophthalmic‐abbreviations 7 8 Cross ‐ Section view of the anterior segment Basic anatomy Space between cornea and iris Anterior (translucent covering) Segment Posterior Segment 9 10 Syllabi/Slides for this program are a supplement to the live CME session and are not intended for other purposes. Your patient has an eye complaint, now what? But wait, don’t I need these? History: ◦ Laterality‐ is it one eye or both eyes? ◦ Any recent eye surgery or trauma? ◦ Ask about RSVP symptoms ‐ Redness, Sensitivity to light, Vision loss, Pain Vision: ◦ Check one eye at a time with near card with patient’s glasses on Motility: ◦ Have the patient move their eyes up and down, then side to side ◦ Do both eyes move together in the same direction? Penlight Exam: ◦ Conjunctiva and sclera ◦ Cornea and anterior chamber ◦ Pupil size, shape, reaction, and color 11 12 Basic Tool Kit Allow the patient to hold the card at a comfortable reading distance. -
Synthetic Energy Drink (Burn) Effects on Life Span of Drosophila Melanogaster
International Journal of Scientific Research and Review ISSN NO: 2279-543X SYNTHETIC ENERGY DRINK (BURN) EFFECTS ON LIFE SPAN OF DROSOPHILA MELANOGASTER Amrutha M.R and *Krishna M.S Stress Biology Lab, Department of Studies in Zoology, University of Mysore, Manasagangotri, Mysore, Karnataka- 560006, India. Email: [email protected] , [email protected] Contact No. : +919480252830 ABSTRACT Quality and quantity of components found in the diet has a significant influence on health benefits. Different varieties of synthetic energy drinks are in use; however the quality and quantity of components found in these synthetic energy drinks are different. Present study has been undertaken in Drosophila melanogaster (D. melanogaster) to evaluate the effect of synthetic energy (Burn) on longevity. It was found that larval feeding rate was significantly greater in natural energy drinks compared to larval feeding rate in synthetic energy drinks. Further it was also noticed that flies live significantly longer in natural energy drinks than those flies lived in synthetic energy drink (Burn). Thus it was noticed from the study that consumption of synthetic energy drink (Burn) has detrimental effect on longevity in D. melanogaster. Key words: Drosophila melanogaster, Longevity, Synthetic energy drinks, Natural energy drinks. *Corresponding author M S Krishna Assisstant professor Stress biology laboratory, Department of Studies in Zoology, University of Mysore, Manasagangotri, Mysore, Karnataka- 560006, India. Email: [email protected] Volume 8, Issue 2, 2019 Page No: 105 International Journal of Scientific Research and Review ISSN NO: 2279-543X INTRODUCTION Studies on lifespan have shown the environment as well as the genotype effects can influence lifespan of an organism. -
Downloadable
September-2021 1st Phorm 5-hour Energy Abound Micro Factor 5-hour ENERGY US Abound Ignition 5-hour ENERGY Extra Strength US AlphaCre HD 5-hour ENERGY CDN Phormula-1 5-Hour Energy Extra Strength CDN Opti-Reds 50 Collagen Level-1 Creatine Monohydrate Vegan Power Pro Opti Greens 50 ACCHE Advocare ageLOC SUISO Platinum Calcium+D3 YOUTHSPAN R SUISO Pure Gold AdvoGreens Reds Powder AdvoGreens Greens Powder AdvoGreens Meal Replacement Shake Ready to Drink Protein Spark Rehydrate Slam Catalyst OmegaPlex ALLMAX Nutrition AMINO FLIGHT Amway AminoCore/AminoCore Natural AMINO FLIGHT 4000mg SUPER Nutrilite Triple X (Gold) ISONatural HYBRID Nutrilite Triple X (Silver) Allwhey Gold Nutrilite Triple X (Green) Beta-Alanine Powder Nutrilite All Plant Protein Powder ACUTS; AMINOCUTS Creatine Monohydrate Powder Glutamine Powder ISOFLEX QuickMass AllWhey Classic Hexapro Carbion+ MusclEAA Ascent Astavita AuB Recovery Water Astavita SPORTS AuB BASE astavita e AuB MAKE B & S Corporation Be Empowered Nutrition be LEGEND LACTIS Whey Protein Isolate be LEGEND WPI Greens be LEGEND SUPER AMINO Vegan Protein FLOWSION Pre-Workout be LEGEND PRE-WORKOUT be LEGEND WPC be Legend EAA be LEGEND WEIGHT DOWN be LEGEND SPORT & RECOVERY Biogen BSN Cellucor ISO-Whey BSN ENDORUSH (ASPAC) Cellucor BCAA Sport (Canada) Bulk 45/150 Cellucor C4 Ripped Sport COR-Performance Whey Cellucor C4 Sport (Canada) Cellucor Whey Sport (Canada) Cellucor C4 Sport (AUS) COR-Performance Gainer (INT) Cellucor Cor-Performance Isolate (CAN/INT) Cellucor Cor-Performance Whey (CAN) ChocolaBB CLEVER CloudNine ChocolaBB Light CLEVER MUSCLE Refeelas ChocolaBB Light2 ChocolaBB Royal2 Critical Reload Curad Performance Series DAITO SUISAN Critical Reload Iron Man Far Infrared Kinesiology ORE HA SESSHU SU Tape Dear-Natura Active DNS Dymatize Nutrition Whey + Soy Protein Energy Jelly ALL9 AMINO (USA) Whey Protein WHEY & CASEIN PROTEIN SLOW Pre W.O.