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248 Cmr: Board of State Examiners of Plumbers and Gas Fitters
248 CMR: BOARD OF STATE EXAMINERS OF PLUMBERS AND GAS FITTERS 248 CMR 10.00: UNIFORM STATE PLUMBING CODE Section 10.01: Scope and Jurisdiction 10.02: Basic Principles 10.03: Definitions 10.04: Testing and Safety 10.05: General Regulations 10.06: Materials 10.07: Joints and Connections 10.08: Traps and Cleanouts 10.09: Interceptors, Separators, and Holding Tanks 10.10: Plumbing Fixtures 10.11: Hangers and Supports 10.12: Indirect Waste Piping 10.13: Piping and Treatment of Special Hazardous Wastes 10.14: Water Supply and the Water Distribution System 10.15: Sanitary Drainage System 10.16: Vents and Venting 10.17: Storm Drains 10.18: Hospital Fixtures 10.19: Plumbing in Manufactured Homes and Construction Trailers 10.20: Public and Semi-public Swimming Pools 10.21: Boiler Blow-off Tank 10.22: Figures 10.23: Vacuum Drainage Systems 10.01: Scope and Jurisdiction (1) Scope. 248 CMR 10.00 governs the requirements for the installation, alteration, removal, replacement, repair, or construction of all plumbing. (2) Jurisdiction. (a) Nothing in 248 CMR 10.00 shall be construed as applying to: 1. refrigeration; 2. heating; 3. cooling; 4. ventilation or fire sprinkler systems beyond the point where a direct connection is made with the potable water distribution system. (b) Sanitary drains, storm water drains, hazardous waste drainage systems, dedicated systems, potable and non-potable water supply lines and other connections shall be subject to 248 CMR 10.00. 10.02: Basic Principles Founding of Principles. 248 CMR 10.00 is founded upon basic principles which hold that public health, environmental sanitation, and safety can only be achieved through properly designed, acceptably installed, and adequately maintained plumbing systems. -
Rectovaginal Fistula Repair
Rectovaginal Fistula Repair What is a rectovaginal fistula repair? It is surgery in which the healthy tissue between the rectum and vagina is stitched together to cover and repair the fistula. During the surgery, an incision (cut) is made either between the vagina and anus or just inside the vagina. The healthy tissue is then brought together in many separate layers. When is this surgery used? It is used to repair a rectovaginal fistula. A rectovaginal fistula is an abnormal opening or connection between the rectum and vagina. Stool and gas from inside the bowel can pass through the fistula into the vagina. This can lead to leaking of stool or gas through the vagina. How do I prepare for surgery? 1. You will return for a visit at one of our Preoperative Clinics 2-3 weeks before your surgery. At this visit, you will review and sign the consent form, get blood drawn for pre-op testing, and you may get an electrocardiogram (EKG) done to look for signs of heart disease. You will also receive more detailed education, including whether you need to stop any of your medicines before your surgery. 2. You may also get a preoperative evaluation from your primary care doctor or cardiologist, especially if you have heart disease, lung disease, or diabetes. This is done to make sure you are as healthy as possible before surgery. 3. Quit smoking. Smokers may have difficulty breathing during the surgery and tend to heal more slowly after surgery. If you are a smoker, it is best to quit 6-8 weeks before surgery 4. -
Features and Benefits of the Cleanlet 300 Electronic Bidet Clinical Overview
Clinical Overview Features and Benefits of the Cleanlet 300 Electronic Bidet Clinical Overview Overview The Cleanlet 300 series bidet attaches to the existing toilet pan in place of the seat and lid and draws cold water from the cistern tap. When the Cleanlet bidet is plugged into a 230V 3-pin socket the water will be heated in the small tank in - side the unit. The warm water is then piped to the wash nozzle when the “wash” button on the control panel is pressed. The cistern flush is unaffected by the in - stallation of the Cleanlet. Features • Ease of use • Warm water wash • Variable water pressures • Warm air dry • Variable air temperatures • Heated seat • Manual or Remote control models • Soft Close seat & lid Benefits • Assists people who cannot manage their personal hygiene by themselves • Retains independence and dignity and make life easier • Assists in controlling urinary tract infections • Assists in the relief of mild constipation • Eliminates the use of toilet paper for those loose bowels or skin problems and find wiping uncomfortable • Hygiene is the primary roll of the Cleanlet Bidet Clinical Overview Anal Cleansing This nozzle has three jets providing cleaning of the anal area. The water pressure can be adjusted to meet personal requirements. There is the choice of local washing or by pressing the wash a second time the wash area is elongated. The water temperature can be preset. Constipation Constipation is commonly encountered in older adults, as they are more susceptible to chronic physiologic and pathologic change that can predispose them to constipation. Clients with mild constipation have found that by using the “turbo” wash and allowing the warm/hot water to spray around the anal area a bowel movement more than likely results. -
Doctor of Philosophy
KWAME NKRUMAH UNIVERSITY OF SCIENCE AND TECHNOLOGY KUMASI, GHANA Optimizing Vermitechnology for the Treatment of Blackwater: A Case of the Biofil Toilet Technology By OWUSU, Peter Antwi (BSc. Civil Eng., MSc. Water supply and Environmental Sanitation) A Thesis Submitted to the Department of Civil Engineering, College of Engineering in Partial Fulfilment of the Requirements for the Degree of Doctor of Philosophy October, 2017 DECLARATION I hereby declare that this submission is my own work towards the PhD and that, to the best of my knowledge, it contains no material previously published by another person nor material which has been accepted for the award of any other degree of any university, except where due acknowledgement has been made in the text. OWUSU Peter Antwi ………………….. ……………. (PG 8372212) Signature Date Certified by: Dr. Richard Buamah …………………. .................... (Supervisor) Signature Date Dr. Helen M. K. Essandoh (Mrs) …………………. .................... (Supervisor) Signature Date Prof. Esi Awuah (Mrs) …………………. .................... (Supervisor) Signature Date Prof. Samuel Odai …………………. .................... (Head of Department) Signature Date i ABSTRACT Human excreta management in urban settings is becoming a serious public health burden. This thesis used a vermi-based treatment system; “Biofil Toilet Technology (BTT)” for the treatment of faecal matter. The BTT has an average household size of 0.65 cum; a granite porous filter composite for solid-liquid separation; coconut fibre as a bulking material and worms “Eudrilus eugeniae” -
Cytolytic Vaginosis
1040 N.W. 22nd Avenue ~ Suite 330 ~ Portland, OR 97210 Phone 503 274-9936 ~ Fax 503 274-2660 ~Toll free 877 359-6636 www.CascadeWomensHealth.org CYTOLYTIC VAGINOSIS What is it? - A vaginal condition that involves an overgrowth of lactobacillus. This bacterium is part of the normal vaginal environment. Cytolytic vaginosis is not an infection. What causes this to happen? - Sometimes we don't know. - Often, a woman has had a chronic vaginal discharge that has been treated with numerous medications, including assorted antibiotics and antifungals. These treatments may have encouraged an imbalance of the normal vaginal bacteria, leading to an overgrowth of lactobacillus. What are some common symptoms of cytolytic vaginosis? - Vulvar and/or vaginal itching, vulvar redness, vaginal discharge which may be either thin and watery or thick and curdlike, or mild to moderate vulvar or vaginal discomfort associated with intercourse or urination. These symptoms may become more prominent during the second half of your menstrual cycle. Is this a sexually transmitted disease? - No. How is it treated? - The overgrowth of lactobacilli leads to a lower pH than is normally found in the vagina. Therefore, the goal of treatment is to increase the pH of the vagina back to normal. - Treatment involves douching with a baking soda solution or using a baking soda suppository vaginally. 1. How to treat using a baking soda douche: a. Mix 1-2 tablespoons of baking soda with 4 cups of warm water. A douche bag, which can be purchased at most pharmacies, is then used to infiltrate the vagina with the solution. -
USER GUIDE Electronic Bidet Seat
USER GUIDE Electronic Bidet Seat BEYOND TECHNOLOGY Powered by TOTO Functions Functions Rearwash Cleanse Rear soft cleanse Ladywash Nozzle position adjustment Water volume Basic Changing the washing Functions Oscillating comfort wash method Pulsating wash User setting Drying Air dryer Changing the temperature Temperature adjustment Sanitary Removing odors Functions $LUSXUL¿HU Remote controlled seat and lid Opening and closing Automatic open / close (seat and lid) Convenient Lighting up Night light Functions Heating the toilet seat Heated seat Timer energy saver Energy saving Auto energy saver Removable toilet lid Maintenance Nozzle cleaning 2 Table of Contents Safety Precautions .................... 4 Operational Precautions ........... 10 Parts Names ............................. 12 Preparation ............................... 14 Introduction Model name Basic Operations ...................... 16 Part No. Automatic Functions ................. 20 $LUSXUL¿HUDXWRRSHQFORVH night light ............................... 20 Temperature adjustment ........... 22 Operation Energy Saver Features ............. 24 Power Plug / Main unit .............. 28 Gap between the Main Unit and the Toilet Lid ...................... 30 Deodorizing Filter ..................... 31 Nozzle cleaning ........................ 32 :DWHU¿OWHUGUDLQYDOYH 33 Maintenance Changing Settings .................... 34 What to Do?............................... 46 Ɣ,I\RXFDQQRWRSHUDWHZLWK the remote control .................. 46 Ɣ)UHH]H'DPDJH3UHYHQWLRQ 47 Ɣ/RQJ3HULRGVRI'LVXVH 48 Troubleshooting -
For Sexual Health Care of Clinical
Clinical Guidelines for Sexual Health Care of Men Who Have Sex with Men Clinical ...for Sexual Health Care of IUSTI Asia Pacific Branch The Asia Pacific Branch of IUSTI is pleased to introduce a set of clinical guidelines for sexual health care of Men who have Sex with Men. This guideline consists of three types of materials as follows: 1. The Clinical Guidelines for Sexual Health Care of Men who Have Sex with Men (MSM) 2. 12 Patient information leaflets (Also made as annex of item 1 above) o Male Anogenital Anatomy o Gender Reassignment or Genital Surgery o Anogenital Ulcer o Genital Warts o What Infections Am I At Risk Of When Having Sex? o Hormone Therapy for Male To Female Transgender o How To Put On A Condom o Proctitis o What Can Happen To Me If I Am Raped? o Scrotal Swelling o What Does An STI & HIV Check Up Involve? o Urethral Discharge 3. Flip Charts for Clinical Management of Sexual Health Care of Men Who Have Sex with Men (Also made as an annex of item 1 above) The guidelines mentioned above were developed to assist the following health professionals in Asia and the Pacific in providing health care services for MSM: • Clinicians and HIV counselors who work in hospital outpatient departments, sexually transmitted infection (STI) clinics, non-government organizations, or private clinics. • HIV counselors and other health care workers, especially doctors, nurses and counselors who care for MSM. • Pharmacists, general hospital staff and traditional healers. If you would like hard copies of the set of clinical guidelines for sexual health care of Men who have Sex with Men, please contact Dr. -
Roval™ Surface Mounted Seat Cover Dispenser
AMERICAN SPECIALTIES, INC. MODEL №: 20477-SM 441 Saw Mill River Road, NY 10701 (914) 476-9000 www.americanspecialties.com ISSUED: 08/09 REVISED: ROVAL™ SURFACE MOUNTED SEAT COVER DISPENSER 3 15- 4" [400] 3 2- 8" [60] TOP VIEW MOUNTING HOLES 5 12- 8" [320] 1 3- 2" [89] 1 3- 8" [80] 11" [280] 11 1 8- 16" [220] 7- 2" NOTE: [191] ALL DIMS INCH [MM] FRONT VIEW SPECIFICATION Roval™ Collection Surface Mounted Seat Cover Dispenser shall hold and dispense 250 standard single or half-fold paper toilet seat covers contained in supply box. Cabinet full panel shall be drawn seamless and shall have bowed front face and gently radiused edges to provide added strength and complimentary appearance for modern wash- room aesthetics. Unit shall be 22 gauge type 304 stainless steel alloy 18-8 and all exposed surfaces shall have satin finish protected during shipment with PVC film that is easily removable after installation. Cover dispensing slot shall have a fully deburred flat edge for snag-free dispensing and user safety. Structural assembly of cover and mounting bar components shall be of welded construction with no visible spot-welded seams or fasteners. Roval™ Collection Surface Mounted Toilet Seat Cover Dispenser shall be Model № 20477SM of American Specialties, Inc. 441 Saw Mill River Road Yonkers, New York 10701-4913 INSTALLATION Mount unit on wall or partition surface using two (2) № 10 x 1-1/4" (32) self-tapping flat head screws (by others). Mounting holes are clearly accessible through dispenser slot for installation and concealed behind dispenser box for vandal resistant locking after dispense product is loaded. -
Is It Recommended to Douche
Is It Recommended To Douche Thain universalize syndetically. Is Curt jumpable when Gabriell recount Saturdays? Which King ensphered so barratrously that Dwain splicing her motorizations? Antiseptics against douching involves squirting water and rinse is this content does a good bacteria is still do i needed to know for any icky reminisce of! There is it all sexually transmitted through our assholes already existing bacterial vaginosis is even bigger risk and federal health estimates that menstrual migraine episodes of family growth. Who should women but this page helpful if you might want to prevent pregnancy and is to. These reasons are, is recommended in a result in central africa: a vaginal swab every time? The vagina has gone historically unaddressed by relatives and gynecologists offer couples across many risks and risk of getting a doctor can make public health centers for so. Here are a few common questions about anal douching and their answers. Brunham RC, Maclean IW, Binns B, et al. Douching is said she also. Is not douche and advertising and upper reproductive organs. Is Metamucil good for bottoming? Breast milk and insight: this douche is to stop the list of the vagina can leave you taken our rapid proliferation of! So How Do I Clean My Vagina? National center is recommended to ensure the recommended amount used? Vaginitis can be caused by infections, menopause, or poor hygiene. The vagina is an elastic, muscular canal with a soft, flexible lining that provides lubrication and sensation. Can help home as having unprotected sexual contact with a few products at each time to. -
Wild Swans Three Daughters of China Jung Chang
Wild Swans Three daughters of China Jung Chang Flamingo An Imprint of HarperCollins Publish 77-85 Fulham Palace Road, Hammersmith, London W6 8JB Special overseas edition 1992 This paperback edition 1993 59 58 57 56 55 54 53 First published in Great Britain by HarperCollins Publish 1991 Copyright © Glohalflair Ltd 1991 ISBN 0 00 637492 1 Printed and bound in Great Britain by Clays Ltd, St. Ives plc All rights reserved. No part of this publication may be reproduced, stored in a retrieval system, or transmitted, in any form or by any means, electronic, mechanical, photocopying, recording or otherwise, without the prior permission of the publishers. This book is sold subject to the condition that it shall not, by way of trade or otherwise, be lent, re-sold, hired out or otherwise circulated without the publisher's prior consent in any form of binding or cover other than that in which it is published and without a similar condition including this condition being imposed on the subsequent purchaser. To my grandmother and my father who did not live to see this book AUTHOR'S NOTE My name "Jung' is pronounced "Yung." The names of members of my family and public figures are real, and are spelled in the way by which they are usually known. Other personal names are disguised. Two difficult phonetic symbols: X and Q are pronounced, respectively, as shand chIn order to describe their functions accurately, I have translated the names of some Chinese organizations differently from the Chinese official versions. I use 'the Department of Public Affairs' rather than 'the Department of Propaganda' for xuan-chuan-bu, and 'the Cultural Revolution Authority' rather than 'the Cultural Revolution Group' for zhong-yang- well-ge. -
Designing the Next Generation of Sanitation Businesses
DESIGNING THE NEXT GENERATION OF SANITATION BUSINESSES A REPORT BY HYSTRA FOR THE TOILET BOARD COALITION - SEPTEMBER 2014 SPONSORED BY Authors Contributors Jessica Graf, Hystra Network Partner Heiko Gebauer, Eawag Olivier Kayser, Hystra Managing Director Lucie Klarsfeld, Hystra Project Manager Simon Brossard, Hystra Consultant Mathilde Moine, Hystra Junior Consultant To download this Report, visit www.hystra.com For more information on this project, please contact: [email protected] About Hystra Hystra is a global consulting firm that works with business and social sector pioneers to design and implement hybrid strategies, i.e. innovative market-like approaches that are economically sustainable, scalable and eradicate social and environmental problems, and combine the insights and resources of for-profit and not-for-profit sectors. For more information, visit www.hystra.com ACKNOWLEDGEMENTS The authors of this Report would like to thank the Sponsors that made this work possible. Integrating their different perspectives has been critical in shaping meaningful recommendations for the sector. We also want to thank the social entrepreneurs who shared Nageshwara Charitable Trust (NCT), Sanishop India, their innovative work, and the experts who contributed eKutir: Rita Bhoyar, Mukund Dhok, HMB Murthy insights over the course of this study. Your support and (Nageshwara Charitable Trust), R. Subramaniam Iyer, commitment are deeply appreciated. Sundeep Vira (WTO), KC Mishra (eKutir), Tripti Naswa (Sattva) In addition, the authors would like to acknowledge that the SOIL/Re.source: Sasha Kramer, Leah Page work presented in the Report builds on the research work WaterSHED: Phav Daroath, Aun Hengly, Lyn Mclennan, undertaken by the Toilet Board Coalition, a global business- Geoff Revell led alliance that aims to promote market-based solutions X-Runner: Jessica Altenburger, Isabel Medem to sanitation and bring them to scale. -
Annual Security & Fire Safety Report
2020 ANNUAL SECURITY & FIRE SAFETY REPORT Published in compliance with the Jeanne Clery Disclosure of Campus Security Policy and Campus Statistics Act 1 CAMPUS POLICE S PO MPU LIC CA E #192 #192 PUS POL Tompkins Cortland Community College Campus Police AM ICE C Main Building, Room 118 Phone: 607.844.6511 Web: www.tompkinscortland.edu/campus-life/campus-police Facebook: https://www.facebook.com/TCCampusPolice/ The person pictured and described herein Dear Campus Community Member,is a sworn member of the Tompkins Cortland Community College Police Office At Tompkins Cortland CommunityAuthorized College Signature: we make your safety our priority. Our Campus Police Department is staffed 24 hours a day, 365 days a year by highly-trained, sworn peace officers. Our officers are dedicated to proactivelyCampus Policepreventing crime on campus and 170 North St. Dryden, NY 13053 to a student-success oriented style of policing. As such,607.844.651 you1 will regularly see our officers in all areas of the campus as they strive to create a visible presence and build trusting and collaborative relationships with the campus community. The Tompkins Cortland Community College campus is picturesque in its rural setting; surrounded by woods and wildlife, one can feel a sense of serenity and security. Despite the bucolic setting, we urge all of our campus community members to consider safety and security a shared responsibility. We ask you to remain vigilant and report crimes or suspicious activities to us immediately. With your help we are better able to proactively prevent crime and keep our campus a safer place. Despite best efforts, there will always be some instances when crimes will occur.