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Homeplace on Green River Fall Heritage Festival
Vendor Application
Please complete the following information:
Vendors registering by August 13 will be listed in our program and may be promoted in advance of the event on our website and social media platforms.
Business name: ____________________________________________
Owner Name: ____________________________________________
Email: ____________________________________________
Phone: ____________________________________________
Address: _____________________________________________________ ____________________________________________________________
Are you applying as a
Vendor of hand made arts/crafts/other non food items
I will make a donation of a hand made item with a minimum value of $25 for Homeplace’s fundraising raffle?
Food Vendor
I will accept tickets from volunteers with a value of $10 and turn in tickets to Homeplace staff for reimbursement.
Description of what you sell (items or food)
Please describe what you are selling in one or two sentences. Ex: hand-turned wooden bowls and pens. Please note: We may use this description on our website and social media to promote our vendors.
Do you have a website or social media page you would like us to promote? (please write out web address)
1
How many spaces would you like? (spaces are approximately 12'x12' and are $35 each)
I just need 1 space
I would like 2 spaces
I need a different space arrangement:
If you selected the last option, please explain:
_____________________________________________________________
____________________________________________________
Please check your preference for vending location.
Note: We can not guarantee you will be placed in your preferred space as spaces are limited and first come first serve, however we will try to accommodate your needs to the best of our ability.
Covered space (Tobacco Barn, feedlot, etc.)
Open air (lawn) space
"Food Court" (Food vendors only)
If possible, would you like access to an electric hook-up?
Yes please! Circle: I need 220V
I need 120V
No, I don't need electricity.
If there is a specific place you want, explain: _______________________________
__________________________________________________________________
Please Acknowledge via signature and date that you have read and understand all Homeplace Festival Policies, and will follow all guidelines set forth therein, and that you understand that your application to participate in Fall Heritage Festival 2021 is subject to the review and approval of the staff and board of Homeplace on Green River and you are not guaranteed a vending or demonstration space. Please also acknowledge that you agree to comply with any health and safety protocols during the event as set forth by the health department at that time to ensure a safe festival experience for all.
Your signature:
Date:
Please attach your business license if applicable and a check for the vendor fee. Checks should be made out to: Homeplace on Green River and can be mailed to:
Homeplace On Green River P.O. Box 4212 Campbellsville, Ky 42719
Or you can hand deliver your application to the office in the metal building at HGR 5807 Columbia Road, Campbellsville Ky, 42718
2
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Long Lawford Primary School
Holbrook Road, Long Lawford, Rugby, CV23 9AL.
Tel: 01788 543332, Fax: 01788 550366, Email: [email protected]
Website: www.longlawfordprimaryschool.com
Long Lawford News…
Spring 8
I would ask parents and carers to talk to the school if you are concerned about something at school. I always believe that it is best to talk about these concerns at an early stage so that they can be resolved. There are several ways to get in touch. You can send an email, telephone the office or call into school. Most concerns can be resolved by your child's class teacher and therefore should be raised with them in the first instance. Assistant Head teachers, Mrs Hetherington (Infants) or Mrs Barton (Juniors), or Mr Morrissey, the Head teacher are happy to help if the concern cannot be resolved. Rosemary Chapman, our Family Support Worker can also offer help about parenting related concerns.
Whilst we strive to provide an outstanding education for all the children we do have procedures in place in case there are complaints by parents or carers. These obligations date from 1 st September 2003 under section 29 of the Education Act 2002, which requires all schools to have in place a procedure to deal with complaints relating to their school and to any community facilities or services that the school provides. A copy of the complaints procedure is available on our school website. A copy is also available upon request from the school office.
Respect - In my assemblies this week I have spoken to the children about respect. I have emphasised the importance of speaking to others, especially adults, respectfully at all times. I reminded the children that however upset or angry they may feel this is not an excuse to be rude to others. I hope this is something parents and carers can support the school with.
Thrilling Football - Well done to the football team who drew 2:2 in a thrilling match against Cawston during the week. The team played really well and were a credit to the school. A big thank you to Mr Sutcliffe for giving of his time to prepare and organise the team. The team have another match this Monday, 14th March (at school) against Bilton Junior School.
School surveys - It is really useful to hear parent/carer views on school matters. Such feedback helps us in our work to continually improve the education and outcomes for children at the school. We have two current surveys in the surveys section of our school app.
School dates - A reminder that the school will close next Friday, 18th March 2016 (at the usual time) for the Easter holidays. School will reopen on Monday, 4th April 2016 (at the usual time). Please note that the school will also be closed on 27th May 2016 for teacher training. The school will not be closed for polling on May 5th or June 23rd 2016. Thank you.
Non Uniform - Next Thursday, 17th March 2016 is a non uniform day. Children are asked to bring in a chocolate egg for the FOLLs Easter Bingo, which is on later that day.
STARS OF THE WEEK
Star workers - Layla Mason, Romeo Szczepanczyk, Ugochi Anozie, Skyla Coulson, Jake Furniss, Maisie Walters, Bestly Azogu, Evie Wilson, Chimdalu Anozie, Dylan Duffy, Leo Daniels, Emma Greer, Agata Borowiec, Toby Burwell, Khiye Noor, William Higham, Sobigan Ramasethu.
Star people - Kayun Gardner, Zachary Sanders, Mia Walsh, Lily Fleming, Tegan Ainge, Dane Burrell, Ethan Tapp, Nicola Hubar, Imogen Mason, Markus Burrell, Harrishan Sivaraj, Gabriella Brownhill, Emily Harrison, Izzy Berry, Owen Webb, Karl Morris, Laura Rosinska.
WELL DONE TO THEM ALL
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Finding aid for the Gerald R. Ford photographs and memorabilia Collection 243
Describing Archives: A Content Standard
This finding aid was produced using ArchivesSpace on March 29, 2022. Description is written in: Undetermined.
Grand Rapids History Center
URL: https://www.grpl.org/research/history/
111 Library Street NE Grand Rapids, Michigan 49503 [email protected]
Table of Contents
Series VI. Ford's Life in Review ............................................................................................... 23
Finding aid for the Gerald R. Ford photographs and memorabilia Collection 243
Timelines ................................................................................................................................ 23
Miscellaneous Gerald R. Ford items ...................................................................................... 24
Summary Information
^ Return to Table of Contents
Repository: Grand Rapids History Center
Title:
Gerald R. Ford photographs and memorabilia
ID: Collection 243
Date [inclusive]: circa 1915-2006
Physical
Description:
6.7 Linear Feet Nine boxes
Language of the Material:
English .
Abstract:
Gerald R. Ford (1913-2006) was the 38th President of the United States. A former resident of Grand Rapids and East Grand Rapids, Michigan, Ford served as a member of the House of Representatives for the 5th District of Michigan from 1949 to 1973. This collection contains reference material for general use related to Ford. Included are letters, photographs, speeches and memorabilia. The library does not widely collect original Gerald R. Ford documents, as these are primarily held by other institutions, such as the Ford Museum, the Gerald R. Ford Library at the University of Michigan or the Library of Congress and the National Archives.
Biographical / Historical
Born Leslie Lynch King, Jr., Ford was renamed for his stepfather after the remarriage of his mother, Dorothy Ayer Gardner, to Gerald R. Ford, Sr., a businessman from Grand Rapids. Gerald R. Ford, Jr. noted his step father as a guiding influence in his life.
Gerald R. Ford (July 14, 1913 to Dec. 26, 2006), 38th President of the United States from Aug. 9, 1974 to Jan. 20, 1977, was a former resident of Grand Rapids and East Grand Rapids, Michigan. Ford served as a member of the House of Representatives for the 5th District of Michigan from 1949 to 1973, participating on numerous committees and obtaining the position of Minority Leader of the House. Perhaps Grand Rapids most famous former resident, his life and history is well documented in resources found in many libraries and archives throughout the country.
Fortieth Vice President (1973-1974), Thirty Eighth President (1974-1977)
The only Vice President or President of the United States to serve without being elected, he occupied the Vice Presidency after Spiro Agnew left office and the Presidency after Richard Nixon left office, both under troubling circumstances. It is generally considered that Ford lost his own bid for the Presidency during the 1976 election largely due to his pardoning of Nixon following on the Watergate scandal.
^
Included in Ford's many projects in support of Grand Rapids was his key role in the Vanderberg Center Sculpture Project. This started with a handwritten letter to Ford from Nancy Mulnix (See Coll. 001), and resulted in the placement of the Alexander Calder monumental sculpture, La Grande Vitesse, in downtown Grand Rapids. Ford assisted in getting National Endowment for the Arts funding for this project for Grand Rapids, the first such use of these funds for a public sculpture project. Ford had originally been politically opposed to the creation of the Endowment. Later, returning to Grand Rapids as President, Ford was presented with a replica of La Grande Vitesse by then Mayor Lyman Parks. The image of Ford with this miniature was captured by the national news, a symbol of Grand Rapids and Ford's support for Grand Rapids. (See Pictorial History of Grand Rapids, pg. 62) The Gerald R. Ford International Airport in Grand Rapids was named for Ford in December 1999.
Return to Table of Contents
Scope and Contents
The focus of the collecting of Gerald R. Ford related materials at the Grand Rapids Public Library is to provide information on his life here in Grand Rapids and to provide basic access to general historical information on Ford to our public library users. Thus, items in this collection, as well as other materials, such as the South High school yearbook during Ford's attendance there, are valued for the Ford association. Also, several books and periodicals in the Grand Rapids History & Special Collections department, as well as the library's circulating collections, document Ford's life.
^
As a U.S. President, Gerald R. Ford is well documented in libraries and museums throughout the country. In particular, in Grand Rapids the Ford Museum provides access to information on Ford's life and presidency. Other libraries which provide in-depth information on Ford are the Gerald R. Ford Library at the University of Michigan and the Library of Congress.
This small collection collocates various small accessions of Ford related materials, which have been mostly been solicited to provide basic historical information on Ford, and his relationship to Grand Rapids. Several of these items have come from the Ford Museum.
Return to Table of Contents
Administrative Information
Grand Rapids History Center
Publication Statement
111 Library Street NE Grand Rapids, Michigan 49503 [email protected]
Immediate Source of Acquisition
URL: https://www.grpl.org/research/history/
Material acquired from library purchases, staff donations and various and unknown donors. Accession numbers 1987.006, 1986.333, P1982.001, 2003.006.
^ Return to Table of Contents
Related Materials
Coll. 001, Nancy Mulnix Tweddale papers: Regarding Ford in connection with the Alexander Calder stabile La Grande Vitesse.
Related Materials
Coll. 049. William Glenn collection: letter to William M. Glenn signed by Jerry Ford (S11); photograph with Ford and signed by him (S12)
Coll. 84, Furniture Manufacturer's Association: correspondence and photographs
Coll. 75, Thomas Walsh papers: early photo of Gerald Ford, signed.
Coll. 125, Robinson Studio Collection: various images, including #125-H005934.1-2. Ford Voting Sept. 14, 1948, when a candidate for the U.S. House. #125-H-005935 contains images from the Ford wedding in 1948 #125-H-005936.1-2 11/10/1949 Includes Jerry and Betty together. #125-C038140.1 WZZM-TV. 10-19-1962. Ford with Station manager and electronic equipment.
Coll. 149, Emily Deming: correspondence (S12) and photographs
Coll. 175, GRPL Moving Images: several moving images with content related to Gerald R. Ford.
Coll. 247/175 (UDVD1): Pres. Gerald R. Ford interview [[on the Vietnam War]
Coll. 216, GRPL Ephemera Collection: Republican Congressional Cook Book, with best wishes from your Congressman, Gerald R. Ford.
Coll. 253, Kay Clark Grand Rapids Dance Collection: includes Calla Travis Dance Studio
Coll. 262, Lydens Story of Grand Rapids: The biography cads in the Lydens card file series materials with Betty Bloomer as student or instructor.
Coll. 263, GRPL Small Manuscript Collection
Coll. 285, Michigan and Grand Rapids serials: includes Your Washington Review by Congressman Jerry Ford, 1969-1973
Coll. 269, Art of Paul Collins, Art Reference Collection: Collins created the mural at the Gerald R. Ford International Airport.
Coll 312, Kiwanis Club scrapbooks: letter to William L. Bennett, signed by Ford (S11)
Coll 326, Milhaupt - DaBakey Colorama Studio: contains images of Ford, sometimes also related to a newspaper article.
Coll 316, Grand Rapids High Schools: yearbooks for South High School, 50th Anniversary booklet for the Class of 1931
^ Return to Table of Contents
Controlled Access Headings
* Michigan -- Politics and government
* Politician
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Basic Civil Engineering Notes 1st Semester
Yeah, reviewing a book basic civil engineering notes 1st semester could grow your near associates listings. This is just one of the solutions for you to be successful. As understood, carrying out does not suggest that you have fantastic points.
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Building Materials in Civil Engineering - Haimei Zhang
2011-05-09
The construction of buildings and structures relies on having a thorough understanding of building materials. Without this knowledge it would not be possible to build safe, efficient and long-lasting buildings, structures and dwellings. Building materials in civil engineering provides an overview of the complete range of building materials available to civil engineers and all those involved in the building and construction industries. The book begins with an introductory chapter describing the basic properties of building materials. Further chapters cover the basic properties of building materials, air hardening cement materials, cement, concrete, building mortar, wall and roof materials, construction steel, wood, waterproof materials, building plastics, heat-insulating materials and sound-absorbing
materials and finishing materials. Each chapter includes a series of questions, allowing readers to test the knowledge they have gained. A detailed appendix gives information on the testing of building materials. With its distinguished editor and eminent editorial committee, Building materials in civil engineering is a standard introductory reference book on the complete range of building materials. It is aimed at students of civil engineering, construction engineering and allied courses including water supply and drainage engineering. It also serves as a source of essential background information for engineers and professionals in the civil engineering and construction sector. Provides an overview of the complete range of building materials available to civil engineers and all those involved in the building and construction industries Explores the basic properties of building materials featuring air hardening cement materials, wall and roof
materials and sound-absorbing materials Each chapter includes a series of questions, allowing readers to test the knowledge they have gained General Information - 1911
Chile: Economic Notes - 1968
Statistics and Probability for Engineering Applications -
William DeCoursey 2003-05-14 Statistics and Probability for Engineering Applications provides a complete discussion of all the major topics typically covered in a college engineering statistics course. This textbook minimizes the derivations and mathematical theory, focusing instead on the information and techniques most needed and used in engineering applications. It is filled with practical techniques directly applicable on the job. Written by an experienced industry engineer and statistics professor, this book makes learning statistical methods easier for today's student. This book can be read sequentially like a normal textbook, but it is designed to be used as a
handbook, pointing the reader to the topics and sections pertinent to a particular type of statistical problem. Each new concept is clearly and briefly described, whenever possible by relating it to previous topics. Then the student is given carefully chosen examples to deepen understanding of the basic ideas and how they are applied in engineering. The examples and case studies are taken from real-world engineering problems and use real data. A number of practice problems are provided for each section, with answers in the back for selected problems. This book will appeal to engineers in the entire engineering spectrum (electronics/electrical, mechanical, chemical, and civil engineering); engineering students and students taking computer science/computer engineering graduate courses; scientists needing to use applied statistical methods; and engineering technicians and technologists. * Filled with practical techniques directly applicable on the job *
Contains hundreds of solved problems and case studies, using real data sets * Avoids unnecessary theory
Basic Mechanical Engineering - Basant Agrawal 2008
Special Features: · Simple language, point-wise descriptions in easy steps.· Chapter organization in exact agreement with sequence of syllabus.· Simple line diagrams.· Concepts supported by ample number of solved examples and illustrations.· Pedagogy in tune with examination pattern of RGTU.· Large number of Practice problems.· Model Question Papers About The Book: This book is designed to suit the core engineering course on basic mechanical engineering offered to first year students of all engineering colleges in Madhya Pradesh. This book meets the syllabus requirements of Basic Mechanical Engineering and has been written for the first year students (all branches) of BE Degree course of RGPV Bhopal affiliated Engineering
Institutes. A number of illustrations have been used to explain and clarify the subject matter. Numerous solved examples are presented to make understanding the content of the book easy. Objective type questions have been provided at the end of each chapter to help the students to quickly review the concepts.
Annual Report of the Pennsylvania Agricultural Experiment Station -
Pennsylvania State College. Agricultural Experiment Station 1908
Report - Pennsylvania State University 1908
Basic Coastal Engineering -
Robert Sorensen 2013-03-14 In the 20 years since publication of the first edition of this book there have been a number of significant changes in the practice of coastal engineering. This new edition has been completely rewritten to reflect these changes as well as to make other improvements to the material presented in the original text. _ Basic Coastal
Engineering is an introductory text on wave mechanics and coastal processes along with the fundamentals of the practice of coa~tal engi neering. This book was written for a senior or first postgraduate course in coastal engineering. It is also suitable for self study by anyone having a basic engineering or physical science background. The level of coverage does not require a math or fluid mechanics background beyond that presented in a typical undergraduate civil or mechanical engineering curriculum. The material presented in this text is based on the author's lecture notes from a one-semester course at Virginia Pol ytechnic Institute, Texas A&M University, and George Washington University, and a senior elective course at Lehigh University. The text contains examples to demonstrate the various analysis techniques that are presented and each chapter (except the first and last) has a collection of problems for the
reader to solve that further demonstrate and expand upon the text material. Chapter 1 briefly describes the coastal environment and introduces the rela tively new field of coastal engineering. The Kansas Engineer - 1920
Geotechnical Engineering Education and Training - I
Antonescu 2020-09-10 This volume contains papers and reports from the Conference held in Romania, June 2000. The book covers many topics, for example, place, role and content of geotechnical engineering in civil, environmental and earthquake engineering.
Colorado Engineers' Magazine - 1912
The Alumni Quarterly and Fortnightly Notes of the University of Illinois - 1917
The Michigan Technic - 1952
Host Bibliographic Record for Boundwith Item Barcode 30112114004432 and Others - 1907
Basics of Civil Engineering
-
Dr. Mukul Burghate Engineering has been an aspect of life since the beginnings of human existence. The earliest practice of civil engineering may have commenced between 4000 and 2000 BC in ancient Egypt, the Indus Valley civiliz
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Published on Digital Agenda for Europe (https://ec.europa.eu/digital-agenda)
Home > Car accident? Call 112! > Car accident? Call 112!
Car accident? Call 112!
Published by Newsroom Editor on 18/07/2013
[1]
Witnessed a car accident? Call 112 anywhere in the EU for free!
Share this
Date:
18/07/2013
Venue:
Speaker:
Contact:
[email protected]
See also:
112 Website [2]
Newsroom Item Type:
Audiovisual [3] G
Source URL: https://ec.europa.eu/digital-agenda/en/news/car-accident-call-112
Links
[1] https://ec.europa.eu/digital-agenda/sites/digital-agenda/files/newsroom/accident_resized_4671_0.jpg
[2] https://ec.europa.eu/digital-agenda/en/112
[3] https://ec.europa.eu/digital-agenda/en/newsroom/all/audiovisual
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IPAR
Public Assessment Report for a
Medicinal Product for Human Use
Scientific Discussion
Medispray oromucosal spray, solution Chlorhexidine digluconate 2 mg/ml Lidocaine hydrochloride 0.5 mg/ml LIDOCAINE HYDROCHLORIDE Chlorhexidine digluconate solution PA0126/300/001
The Public Assessment Report reflects the scientific conclusion reached by the Health Products Regulatory Authority (HPRA) at the end of the evaluation process and provides a summary of the grounds for approval of a marketing authorisation for a specific medicinal product for human use. It is made available by the HPRA for information to the public, after deletion of commercially sensitive information. The legal basis for its creation and availability is contained in Article 21 of Directive 2001/83/EC, as amended. It is a concise document which highlights the main parts of the documentation submitted by the applicant and the scientific evaluation carried out by the HPRA leading to the approval of the medicinal product for marketing in Ireland.
CONTENTS
I.INTRODUCTION
II.QUALITY ASPECTS
III.NON-CLINICALASPECTS
IV.CLINICAL ASPECTS
V.OVERALL CONCLUSION AND BENEFIT-RISK ASSESSMENT
VI.REVISION DATE
VII.UPDATE
I. INTRODUCTION
Based on the review of the data on quality, safety and efficacy, the HPRA has granted a marketing authorisation for Medispray Oromucosal Spray, Solution containing chlorhexidine digluconate 2 mg/ml, lidocaine hydrochloride 0.5 mg/ml from Clonmel healthcare on 25 th March 2022 for:
the symptomatic relief of painful, irritated sore throats.
It is a sugar free preparation and can be used by patients with diabetes.
Additional therapy is required in the event of bacterial infection accompanied by fever.
Medispray is indicated for use in adults, adolescents and children over 12y.
This is a well-established use national application, as per Article 10a of Directive 2001/83/EC.
This product will not be subject to prescription.
The Summary of Product Characteristics for (SmPC) for this medicinal product is available on the HPRA's website at www.hpra.ie
II. QUALITY ASPECTS
II.1. Introduction
This application is for Medispray Oromucosal Spray, Solution, Chlorhexidine digluconate 2 mg/ml, Lidocaine Hydrochloride 0.5 mg/ml.
II.2 Drug substance
The active substances are Chlorhexidine Digluconate and Lidocaine Hydrochloride. These are both established active substances which are described in the European Pharmacopoeia and are manufactured in accordance with the principles of Good Manufacturing Practice (GMP).
The active substance specifications are considered adequate to control the quality and meet current pharmacopoeial requirements. Batch analytical data demonstrating compliance with these specifications has been provided.
II.3 Medicinal product
P.1 Composition
Composition of the medicinal product
The excipients in the medicinal product are listed in section 6.1 of the SmPC.
A visual description of the product is included in section 3 of the SmPC.
P.2 Pharmaceutical Development
The product is an established pharmaceutical form and its development is adequately described in accordance with the relevant European guidelines.
P.3 Manufacture of the Product
The product is manufactured in accordance with the principles of good manufacturing practice at suitably qualified manufacturing sites.
The manufacturing process has been validated according to relevant European/ICH guidelines and the process is considered to be sufficiently validated.
P.4 Control of Other Substances
All ingredients comply with Ph. Eur. or are adequately controlled by the manufacturer's specifications.
P.5 Control of Finished Product
The Finished Product Specification is based on the pharmacopoeial monograph for the dosage form (Oromucosal sprays), and the tests and control limits are considered appropriate for this type of product.
The analytical methods used are described in sufficient detail and are supported by validation data.
Batch analytical data for a number of batches from the proposed production site(s) have been provided, and demonstrate the ability of the manufacturer to produce batches of finished product of consistent quality.
P.6 Packaging material
The approved packaging for this product is described in section 6.5 of the SmPC.
Evidence has been provided that the packaging complies with Ph. Eur./EU legislation for use with foodstuffs requirements.
P.7 Stability of the Finished Product
Stability data on the finished product in the proposed packaging have been provided in accordance with EU guidelines and support the shelf-life and storage conditions listed in sections 6.3 and 6.4 of the SmPC.
II.4 Discussion on Chemical, Pharmaceutical and Biological Aspects
The important quality characteristics of the product are well-defined and controlled. Satisfactory chemical and pharmaceutical documentation has been provided, assuring consistent quality of Medispray Oromucosal Spray, Solution, Chlorhexidine digluconate 2 mg/ml, Lidocaine Hydrochloride 0.5 mg/ml.
III. NON-CLINICAL ASPECTS
III.1 Introduction
This application for a marketing authorisation was submitted in accordance with Article 10a of Directive 2001/83/EC as amended, a well-established use application. Chlorhexidine and lidocaine have well-established use within the European Union for more than ten years, demonstrating a recognised efficacy and safety profile. A non-clinical overview has been provided, it is based on relevant published literature and written by an appropriately qualified person. Overview based on literature review is, thus, appropriate. A brief summary of the literature submitted is provided below:
III.2 Pharmacology
Chlorhexidine
Chlorhexidine is a commonly used disinfectant and topical antiseptic agent. In vitro tests confirmed the value of chlorhexidine in the treatment of upper respiratory tract infections such as sore throat. It has bactericidal activity on bacteria considered to be pathogenic in the upper respiratory tract.
Chlorhexidine shows also some antiviral activity in relation to the influenza A virus (H1N1).
Lidocaine
Lidocaine hydrochloride is a local anaesthetic of the amide type. Lidocaine i.v. is used as an antiarrhythmic. Lidocaine, like other local anaesthetics, blocks conduction of nerve endings impulses in a reversible way by interfering with processes fundamental to generation of nerve action potential, namely, large transient increase in permeability of membrane to sodium ions that is produced by slight depolarisation of membrane
III.3 Pharmacokinetics
Chlorhexidine
Chlorhexidine is virtually not absorbed when administered topically. Minute amounts are detected in the urine of laboratory animals. LD50 varies from 21 mg/kg (rat i.v.) to 5000 mg/kg (rat oral). Subchronic toxicity showed minimal dermal irritation (erythema, oedema, desquamation and/or fissuring) at the lowest dose tested.
Lidocaine
From observations in rabbits administered lidocaine HCl i.v. and portally, a first pass hepatic elimination of approximately 30% could be calculated. The fraction of rectal venous drainage bypassing the portal circulation and thus hepatic metabolism is about 40%. In the rabbit, the hepatic first pass effect for lidocaine can be avoided by administering the compound via the rectum. Intrinsic clearance of lidocaine was consistently reduced in the dog after repeated administration.
III.4 Toxicology
Chlorhexidine
No observable malformations or developmental toxicity were found at any dose level tested. Mutagenic effects were not observed in two mammalian in vivo mutagenesis studies evaluating chlorhexidine gluconate. No carcinogenicity has been reported with chlorhexidine during long-term toxicity studies in rats.
Lidocaine
LD50 varies from 19.5 mg/kg (mouse i.v.) to 317 mg/kg (rat oral). Lidocaine showed neurotoxicity to sensory neurons, resulting from a direct action on sensory neurons, and that a lidocaine-induced increase in intracellular
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Build a Watershed - GRADE FIVE
CA Science Framework (p.228-252)
GRADE FIVE INSTRUCTIONAL SEGMENT 3: INTERACTING EARTH SYSTEMS
Guiding Questions
* How can we represent systems as complicated as the entire planet?
* Where does my tap water come from and where does it go?
* How much water do we need to live, to irrigate plants? How much water do we have?
* What can we do to protect Earth's resources?
Performance Expectations
Students who demonstrate understanding can do the following:
5-ESS2-1. Develop a model using an example to describe ways the geosphere, biosphere, hydrosphere, and/or atmosphere interact [Clarification Statement: The geosphere, hydrosphere (including ice), atmosphere, and biosphere are each a system and each system is a part of the whole Earth System (CA) Examples could include the influence of the ocean on ecosystems, landform shape, and climate; the influence of the atmosphere on landforms and ecosystems through weather and climate; and the influence of mountain ranges on winds and clouds in the atmosphere. The geosphere, hydrosphere, atmosphere, and biosphere are each a system ] [Assessment Boundary: Assessment is limited to the interactions of two systems at a time.]
5-ESS2-2. Describe and graph the amounts and percentages of water and fresh water in various reservoirs to provide evidence about the distribution of water on Earth [Assessment Boundary: Assessment is limited to oceans, lakes, rivers, glaciers, ground water, and polar ice caps, and does not include the atmosphere.]
5-ESS3-1. Obtain and combine information about ways individual communities use science ideas to protect the Earth's resources and environment
3–5-ETS1-1. Define a simple design problem reflecting a need or a want that includes specified criteria for success and constraints on materials, time, or cost
3–5-ETS1-2. Generate and compare multiple possible solutions to a problem based on how well each is likely to meet criteria and constraints of the problem
3–5-ETS1-3. Plan and carry out fair tests in which variables are controlled and failure points are considered to identify aspects of a model or prototype that can be improved
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Post Thawed Quality of Tharparkar Bull Semen Extended in Bioxcell TM and TrisBased Egg Yolk Extenders Supplemented with Vitamin E (α-Tocopherol)
Abdullah Channo 1,2 *, Asmatullah Kaka 1 , Akeel Ahmed Memon 1 , Mool Chand Malhi 3 , Muhammad Bakhsh 4 , Qudratullah Kalwar 5 , Shakeel Ahmed Tunio 6 and Muhammad Ibrahim Panhwar 7
2
1Department of Animal Reproduction, Faculty of Animal Husbandry and Veterinary Sciences, Sindh Agriculture University, Tandojam, 70060
3Department of Veterinary Physiology and Biochemistry, Faculty of Animal Husbandry and Veterinary Sciences, Sindh Agriculture University, Tandojam, 70060 4Faculty of Veterinary Sciences, University of Veterinary and Animal Sciences, Jhang Campus, 35200, UVAS, Lahore
PARC-Arid Zone Research Centre, Umerkot, Sindh
5Department of Theriogenology, Faculty of Animal Sciences, Shaheed Benazir Bhutto University of Veterinary and Animal Sciences Sakrand, 67210
7Department of Animal Breeding and Genetics, Faculty of Animal Production Technology, Shaheed Benazir Bhutto University of Veterinary and Animal Sciences Sakrand, 67210
6Department of Livestock Management, Faculty of Animal Husbandry and Veterinary Sciences, Sindh Agriculture University, Tandojam, 70060
ABSTRACT
The study was designed to determine the effect of Vitamin E (α-tocopherol) supplimentation into BIOXcell TM and Tris based egg yolk extender on post-thawed quality of Tharparkar cattle bull semen. The research was carried out at Department of Animal Reproduction, Faculty of Animal Husbandry and Veterinary Sciences, Sindh Agricultural University Tandojam. In this study four fertile Tharparkar bulls (A, B, C and D) having age of 4-5 years were used. A total of 52 (n=13) ejaculates were collected with the help of artificial vagina, after the collection macroscopic (color, volume and pH) and microscopic (motility, morphology, viability, concentration and membrane integrity) parameters were observed. The samples having motility, morphology, viability and membrane integrity ≥70% were pooled and processed. Pooled semen samples were divided into four groups and diluted with Tris, Tris+Vitamin E(α-tocopherol) and BIOXcell TM , BIOXcell TM +Vitamin E (α-tocopherol). Post-thawed assessment of motility, morphology, viability and membrane integrity with BIOXcell TM + Vitamin E(α-tocopherol) (58.31±0.86, 76.22±1.04, 71.27±1.44, 64.68±1.43) showed improved quality parameters as compared to Tris+ Vitamin E(αTocopherol) (48.68±0.68, 64.45±1.54, 66.22±1.75, 58.25±1.08), BIOXcell TM (45.72±0.53, 67.45±0.84, 64.72±1.67, 56.63±1.39) and Tris (43.54±0.49, 64.68±0.80, 65.18±1.33, 54.41±1.36). On the basis of in vitro results BIOXcell TM +Vitamin E(α-tocopherol) showed improved post-thawed quality parameters and it was used for artificial insemination. A total of 20 animals were synchronized at Bhens colony; Ghumanrabad with one injection prostaglandin (PGF2α) protocol and 13 animals showed estrus and were inseminated. Meanwhile, 8 were found pregnant through rectal palpation with a pregnancy rate of 61.53%.
Article Information Received 23 May 2022 Revised 20 April 2023 Accepted 16 May 2023 Available online 21 July 2023 (early access) Published 16 July 2024
Authors' Contribution AC and AK conceptualized and leaded original manuscript writeup. AAM guided and helped in revision of research article. MB, QK, SAT and MIP helped in the writeup of material and method.
Key words
Tharparkar bull semen, Reactive oxygen species, Cryopreservation, Vitamin E (α-tocopherol), Thawing, Post thaw
* Corresponding author: [email protected] 0030-9923/2024/0005-2157 $ 9.00/0
This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/).
Copyright 2024 by the authors. Licensee Zoological Society of Pakistan.
INTRODUCTION
Livestock plays a pivotal role in the social and economic development of Pakistan. Livestock is the most important sector of agriculture. It contributes up to 60.1 % in the agricultural value added and about 11.7 % to the gross domestic product (GDP) of Pakistan during 2020-21, Moreover total livestock population in Pakistan
is 213.1 million heads including cattle 51.5 million (GOP, 2020-21). Cattle belong to the family Bovidae. Cattle were originated from Bostaurus or humpless cattle (Europe) and Bosindicus or humped cattle (Indo-Pakistan), The cattle breeds of Pakistan are Red Sindhi, Bhagnari, Sahiwal, Dhanni, Kankrej, Rojhan, Lohani, Cholistani, Dajal and Tharparkar (Farooq et al., 2013).Tharparkar is a lyrehorned breed that originated from the Thar Desert (Chand, 2011; Memon et al., 2022). It is one of the main breeds which is found in the Thar Desert mainly located in the India-Pakistan border,It is considered a dual purpose breed utilized as a draught and milking animal (Godara et al., 2015). Meanwhile, it has been blessed with the capabilities of heat tolerant, tick resistant, disease-resistant and a stable aboriginal indigenous breed.Tharparkar breed is producing approximately 5-10 L of milk per day and round about 1135-2000 L of milk per lactation (Choudhary et al., 2018).
BIOXcell TM is a commercial lecithin based extender. However, it has been used in many studies on exotic breeds but in Tharparkar cattle it's merely not used. Moreover, it has positive effects on the cryopreservation of semen so there was a dire need to study the effect of BIOXcell TM extender in Tharparkar cattle bull semen. BIOXcell TM has merits in case of lower sanitary risks, its chemically defined and ready to use meanwhile its commercially available (Akhter et al., 2010). The process of cryopreservations also leads to various intracellular changes which results in the production of reactive oxygen species (ROS) that are indirect cause of reduced reproductive capacity, DNA damage, increased membrane permeability. ROS damages plasma membranes and DNA molecules in the
Extenders are used for conservation, preservation and extension of semen. Moreover, extenders are also used to prevent different types of damages while processing, storage and shipping of semen. During the last 40 years, different extenders have been used for the evaluation of spermatozoa during cooling and post-thawing. Egg yolk-based semen diluents are readily used for the cryopreservation of semen (Apu et al., 2012; Emamverdi et al., 2014). Different components are combined for the preparation of semen extenders, such that they own all properties which have capabilities to protect the life of spermatozoa during extension at ambient environment and cryopreservation. It must be isotonic (maintain osmotic pressure) (280-310 mOsm/kg), maintain pH, cold shock defense, act as a source of energy (spermatozoa metabolism), antimicrobial, protect during cooled and post thawing and able to preserve sperm fertility for the long time duration (Raheja et al., 2018). Tris-based egg yolk extender is used for the extension of semen though it is a mixture of a substance having cryoprotectant properties. With long time storage, it shows qualities of a great stabilizing agent with constant results (Apu et al., 2012; Emamverdi et al., 2014).
sperm and other cells. High levels of superoxide ions, peroxynitrates hydrogen peroxide, harm the components of cells such as membrane lipids, organelles, proteins and DNA. To overcome ROS antioxidants are added, Vitamin E is the main antioxidant sited within the biological membranes that perform a key role in defending from lipid peroxidation. α-tocopherol breaks the chain reactions of lipid peroxidation but the mechanism of donation of a hydrogen atom from its phenolic hydroxyl group to lipid peroxyl radical resulting in the creation of stable lipid hydroperoxide and unreactive tocopheroxyl radicals. The antioxidant property of vitamin E can improve the postthawed traits of spermatozoa and could improve male fertility. Vitamin E has the anti
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PROPOSED NEW SCALE
Professors $4000. - $6000.
Associate Professors $3000. - $3600.
Assistant Professors $2100. - $2700.
Instructors - 2 Yrs. $1800. - $2000.
Instructors - 3 Yrs. $1500. - $1400. - $1600.
Assn. 1200-1300.
Law 4000-5000
Law books 85.00
500 around each 37.50
PROPOSED NEW SCALE
| Process | 1960 - 1965 | 1965 - 1970 |
|--------------------------|-------------|-------------|
| Instrumentation | $1800 | $1400 |
| Instrumentation - 3 Yrs | $1800 | $2500 |
| Aerialist Processes | $3100 | $3400 |
| Aerialist Processes | $3000 | $3600 |
| Processors | $4000 | $8000 |
From: Donald E. Jones
To: General Manager
My dear President Judson:-
The whole question of professors' salaries is to be discussed by the Yale Corporation at its next meeting. Our existing salary scale provides for salaries from $4,000 to $5,000 and no professors receive over this, except a few Deans and two men in the Law School. In preparing for next Monday's meeting, I would appreciate it if you could send me information covering the following questions:
1. The number of professors in your university, not including administrative officers, who receive over $5,000 annually.
2. The salaries paid to these professors
3. A statement, so far as you may think it proper to send one to me, regarding the policy of your university in the matter of paying a few men of great distinction very high salaries
Your answers to these questions will be very much appreciated. I am making them as simple as possible, knowing from experience the nuisance of the questionnaire.
Very truly yours,
[Signature]
President Harry P. Judson,
University of Chicago,
Chicago, Illinois.
December 14th, 1947
My dear President Johnson:
The whole question of bonuses, salaries etc. is of growingly vital importance to the University and its next meeting. On existing salary scale bonuses for faculty from $2000 up to $5000 are not possible unless one puts five or six months' work into the law school. In planning for next month's meeting I would emphasize that if you could pass an important resolution covering the following three points:
1. The number of bonuses in your university for faculty should be increased over $2000 annually.
2. The salaries being offered these years are too low to attract good teachers to your university.
3. The number of faculty positions in your university should be increased so that you can get a good teacher to teach every course.
I am sure that the above will be very much appreciated. I am
Yours sincerely,
[Signature]
[Address]
University of Chicago
President Harold I. Johnson
My dear Mr. Stokes:
Your favor of the 14th inst. is received. Our professors, aside from any salaries which any of them may receive as administrative officers, range in salary from $3,000 up. We have, I believe, twenty-one whose salaries exceed $5,000. The salaries in question are $5,500, $6,000, and in some very few cases, $7,000. We have no objection whatever to paying a few men of great distinction very high salaries. Such cases, however, are regarded as wholly exceptional. By far the greater number of our full professors receive a salary not exceeding $4,500, although a fair number have a $5,000-salary. I may add that in most cases those who have the salaries above $5,000 are heads or chairmen of departments. At the same time the salary is given them not for any administrative duties which they perform but on account of what we regard as their personal eminence professionally.
Very truly yours,
H.P.J. - L.
Mr. Anson Phelps Stokes
Yale University, New Haven, Connecticut
Chicago, February 8, 1917
Dear Mr. Merrill:
Thanks for your note enclosing transcript from the "Yale Alumni Weekly." The suggestion of Mr. Vincent is interesting, but in my opinion not at all practicable. We have to take facts as they are - not as we should like to have them. The net result of increasing the scale of compensation for members of the Departments in question, in which I may add my own Department is included, could be only one thing, that is, materially to cut down the scope of the University in order to compensate a portion of the staff at the higher rate. I wish that were not the case, but am very much afraid it is.
Very truly yours,
H.P.J. - L.
Mr. E. T. Merrill
The University of Chicago
H.P.T. - P.
Dear H.P. House,
I wish first more for the case, put we both now taking it in materiality to our own eye scope of the University in other matters is judging, only one thing, that is, Department in question, in which I may say my own department, increasing the case of compensation for members of the as we should like to prove from. The net result to bracteotype. We have to take those as they are - not Vincent in interesting, but in an opinion not at all from the "Late Jimmy Wexly". The assertion of Mr.
Thank for your note enjoying friendship
Dear Mr. Mettiff:
My dear President Judson:
What are you proposing to do regarding the increase of salaries for the next college year, or the years? Your interpretation of conditions would be most grateful. My heart does go out to my associates in their desire for larger incomes.
If I could have your reply by next Wednesday morning, the 28th, it would be an especially great favor.
With affectionate greetings, I am
Ever yours,
[Signature]
President Harry Pratt Judson, LL.D.
Dear Hans,
With all our affectionate regards
Best regards
Hans Lauer
28.10.1935
If I only have that 14-16 year old boy to take care of, he will be absolutely
He is not going to become a journalist because he speaks German for
to condition money to meet basic
course he must learn jurisprudence
reasons for the next college year
We can influence the success of
With all our best wishes
Dr. Josef Eichendorff Lyceum
Dr. Vogt 1910
My dear President Thwing:
Your note of the 24th inst. is received. By great prudence in the management of our finances we have been able to do something for upwards of a hundred of our faculty for next year. The percentage was not in all cases such as we should have liked, but as you know, while the general costs of things have increased enormously, incomes of college funds have not increased to the same extent. There ought to be a material change in the general scale of salaries. We have not had to do that. Our scale will need very slight modifications, because it is a flexible one. Full Professors, for instance, with us receive salaries ranging from $3,000 to $6,000. It is not, therefore, a question of the scale, but of the application of the scale to individuals.
close, put to the application of the case to individuals
because it is a typical one. But processes for our case will need real effort and enthusiasm, and we have not had to do so before. There ought to be a material change in the same extent. We have not yet had to do the General case to exercise. We have not yet had to do
anomously, income to college funds have not increased or decreased. We have not yet been able to find any case to give us a sense of progress made increasing
how much, while the General case to give us a sense of progress made increasing
a hundred to our twenty for next year. The percentage increase we have seen able to do something for the advance of our recovery. Dr. Gray brings me in the management of our
Your note of the 24th last, ie
of a certain rank, and that means funds.
As I look at it, the present situation as to the prices of the means of livelihood is not temporary. I believe that there is a permanent increase in the scale of prices, not only in this country, but throughout the world. Of course when I say "permanent" I mean one which will last a number of years. The fundamental cause of it, as I look at it - of course there are more causes than one - but the fundamental cause, is the enormous inflation which prevails the world around. This
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In the Supreme Court of the United States
JOSEPH A. KENNEDY, Petitioner, v.
BREMERTON SCHOOL DISTRICT
On Writ of Certiorari to the United States Court of Appeals for the Ninth Circuit
BRIEF OF PROTECT THE FIRST FOUNDATION AS AMICUS CURIAE SUPPORTING PETITIONER
GENE C. SCHAERR Counsel of Record ERIK S. JAFFE H. CHRISTOPHER BARTOLOMUCCI HANNAH C. SMITH KATHRYN E. TARBERT JOSHUA J. PRINCE SCHAERR|JAFFE LLP 1717 K Street NW, Suite 900 Washington, DC 20006 (202) 787-1060 [email protected]
TABLE OF CONTENTS
Page
TABLE OF AUTHORITIES
Page(s)
iv
INTRODUCTION AND INTEREST OF AMICUS 1
Many religious traditions require or encourage adherents to express their commitment to their faith outwardly. Often, that expression manifests through religious clothing—a Muslim might wear a hijab, a Jew a yarmulke, or a Christian a cross. For others, religious belief is expressed through "adhering to shaving or hair length observances," such as "Sikh uncut hair and beard, Rastafarian dreadlocks, or Jewish peyes." 2 And some beliefs, like Petitioner Kennedy's here, "compel" a person to "give thanks [to God] through prayer" at specific times. Pet. Br. 4.
Amicus Protect the First Foundation (PT1) agrees with Kennedy that the First Amendment protects those practices "twice over," both through the Free Exercise Clause and through the Free Speech Clause. Id. at 36. PT1, a nonprofit, nonpartisan organization that advocates for First Amendment rights in all applicable arenas—including public employment—writes separately to emphasize two additional reasons why the school district's approach to Kennedy's prayer is wrong and should be held unconstitutional. First, contrary to the district's argument below, it is factually wrong—and contrary to common sense—to attribute a public employee's personal expression of individual faith to the government, even if that expression occurs
1 All parties have consented to the filing of this brief. No counsel for any party or any other person or entity aside from amicus curiae, its members, and its counsel authored the brief or made any monetary contribution toward its preparation.
2 EEOC, Religious Garb and Grooming in the Workplace: Rights and Responsibilities (Mar. 6, 2014), https://tinyurl.com/2p86xk5x.
on the job. Second, the decision below is particularly harmful because it allows public employers to impose a de facto religious test in violation of Article VI's No Religious Test Clause. If left standing, that decision will thus limit public employment to members of favored religions that demand no visible, public displays of faith, while denying employment to those whose exercise of religion needs to be overt and visible to others.
STATEMENT
Petitioner Joseph Kennedy served as a high school football coach for Respondent Bremerton School District until the District suspended him for saying thirty-second prayers on the football field after games. Pet. App. 3-5.
Kennedy is a devout Christian whose religious beliefs compel him to offer prayers of gratitude on the field, immediately after games. Id. at 4. Initially, Kennedy prayed alone; later, team members asked to join him. Id. at 3-4. Although he invited other coaches to join him, Br. in Opp. 7, Kennedy did not compel anyone to pray with him, confirming that the decisions of the students who asked to join him were voluntary. Pet. App. 4. Sometimes, Kennedy gave religious motivational speeches to those who prayed with him. Br. in Opp. 3.
For years, Kennedy prayed without anyone objecting. Pet. App. 5. Indeed, those observing the post-game prayers seemingly did not even know what was being said. Pet. App. 139-140, 182 (explaining that the prayer which led to Kennedy's administrative leave was conducted as he knelt alone).
Things changed about seven years into Kennedy's employment. After learning that Kennedy's postgame meetings were prayers, the district told Kennedy he could only pray on the field if his prayer was not "outwardly discernable" or when no students were around. Br. In Opp. 4; Pet. App. 6. Kennedy ceased giving speeches but continued to kneel and quietly pray after games. Pet. App. 10-11. In response, the district placed him on leave. Br. in Opp. 10.
SUMMARY OF ARGUMENT
I. The district's approach to Kennedy's on-field prayer ignores the reality that ours is a nation of religious pluralism. And the inevitable result of that pluralism is that people of different faiths exercise their religion in myriad ways.
One common way that people of faith express their religious conviction is through expressing it outwardly. Many show their beliefs by wearing religious garments or by making visible grooming choices, such as by growing out their hair. Others do so by praying. No matter how a person's religion instructs her to worship, the resulting religious expression constitutes a personal exercise of religion reflecting a deeply felt obligation of faith.
Such religious expression, moreover, does not suddenly become government speech just because it occurs at a place of public employment. A Jewish person who teaches public school students while wearing a yarmulke is doing nothing different in kind than a teacher or a coach privately praying in the view of his students or others. Both religious activities are visible. Both send a message of personal faith. And both are attributable only to the person participating, not to his employer. Put differently, as Kennedy emphasizes, "schools do not endorse everything they fail to censor." Bd. of Educ. of Westside Cmty. Sch. v. Mergens ex rel. Mergens, 496 U.S. 226, 250 (1990) (plurality op.).
II. A decision attributing an employee's private religious expression to that person's public employer, and thereby making it subject to prohibition, is not only factually specious, but also constitutionally impermissible because it imposes a forbidden religious test for public service. And, unlike the difficult questions this Court will be forced to answer under the Free Speech and Free Exercise Clauses because of the malleable tiers of scrutiny that this Court employs in those contexts, the application of the No Religious Test Clause is straightforward: Its clear text directly addresses and prohibits the condition on government employment that, if affirmed, the decision below would allow.
Governments, of course, are not able to do indirectly what they cannot do directly. And, just as a government is forbidden from "forc[ing] a person to profess a belief or disbelief in any religion," Torcaso v. Watkins, 367 U.S. 488, 495 (1961) (cleaned up), it is also forbidden, absent some showing of concrete harm, from punishing individuals for religiously required speech once they have accepted employment.
ARGUMENT
I. Many People Exercise their Religion Through Outward Expressions of Faith that Cannot Fairly Be Attributed to their Employers.
Proper analysis of the issues in this case must begin with a recognition that the United States is "a cosmopolitan nation made up of people of almost every conceivable religious preference." Braunfeld v. Brown, 366 U.S. 599, 606 (1961). And, unsurprisingly, people belonging to that "enormous variety of religions" express and exercise their religious beliefs in many ways. Edwards v. Aguillard, 482 U.S. 578, 607 n.6 (1987) (Powell, J., concurring). Some engage in daily outward expressions of faith that are visible to others and may occur at home, at work, at their religious institutions, and even on government property. But individualized expressions of faith that no one is compelled to join should be treated as private expressions attributable to the individual alone.
1. The practices of even a small sample of faiths confirm how varied outward religious expression can be.
Islam, for example, prescribes a wide variety of physical expressions of faith. In EEOC v. Abercrombie & Fitch Stores, Inc, this Court considered the Islamic requirement that women wear a headscarf. 575 U.S. 768, 770 (2015). And many Muslim me
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This Patient Group Direction (PGD) must only be used by registered nurses/pharmacists who have been named and authorised by their organisation to practice under it. The most recent and in date final signed version of the PGD should be used.
Patient Group Direction
for the initiation and continued administration of
Medroxyprogesterone acetate (DMPA) injection 150mg/mL
by registered nurses/pharmacists for contraception in GP practices in Sunderland
Version number: 1.0
Date PGD comes in to effect:
March 2016
Review date:
January 2018
Expiry date:
March 2018
Change history
| | Version | Change details | Date |
|---|---|---|---|
| | number | | |
| V1.0 | | First approval | March 2016 |
PGD development
| Name | | Job title and | Signature |
|---|---|---|---|
| | | organisation | |
| Medicines optimisation pharmacist Sunderland CCG | Hannah Willoughby (Interface pharmacist) | | |
| Medicines optimisation pharmacist Sunderland CCG | Paula Russell (Senior pharmacist) | | |
| Practice nurse representative to the executive committee Sunderland CCG | Florence Gunn (Senior nurse) | | |
| Medical director Sunderland CCG | Dr Claire Bradford (Senior doctor) | | |
| Other members of the PGD working group | Not applicable | | |
PGD authorisation
| Name | | Job title and | Signature |
|---|---|---|---|
| | | organisation | |
| Medicines optimisation pharmacist Sunderland CCG | Paula Russell (Senior pharmacist) | | |
| Practice nurse representative to the executive committee Sunderland CCG | Florence Gunn (Senior nurse) | | |
| Medical director Sunderland CCG | Dr Claire Bradford (Senior doctor) | | |
| Person signing on behalf of authorising body | | | |
PGD adoption by the provider
| Name | Job title and | Signature |
|---|---|---|
| | organisation | |
Training and competency of registered nurses/pharmacists
| | | Requirements of registered nurses/pharmacists working |
|---|---|---|
| | | under the PGD |
| Qualifications and professional registration | Healthcare professionals using this PGD must: Have a current contract of employment with a GP practice within Sunderland CCG Be currently registered with their relevant professional body o Nurses: the Nursing & Midwifery Council (NMC) o Pharmacists: General Pharmaceutical Council (GPhC) And at least one of the following: o Holds a recognised post-registration qualification in contraception/sexual health (an introduction to contraception is not sufficient). OR o Significant training and experience in contraception and sexual health. This should be confirmed by documentation on individuals personal file. | |
| Initial training | Has had training in the use of PGDs Has had training which enables the nurse/pharmacist to make a clinical assessment in order to establish the contraceptive need and supply the medroxyprogesterone acetate (Depo-Provera®) 150 mg in 1 mL injection according to this PGD. Has had training which enables the nurse/pharmacist to safely administer medroxyprogesterone acetate (Depo- Provera®) 150 mg in 1 mL injection according to this PGD. Has undertaken the competency training appropriate to this PGD Has been assessed and achieved the required standard deemed necessary by the senior medical representative who deems the healthcare professional competent to practice under the PGD. Is competent in the assessment of the individuals using Fraser guidelines Has undergone regular training and updates in safeguarding children and vulnerable adults Has undergone regular updates in basic life support and anaphylaxis | |
| Competency assessment | Must have demonstrated an appropriate level of competence to the senior medical representative in the practice in contraceptive services. | |
Clinical condition
Clinical condition to which this PGD applies
To provide long-acting contraception using an injectable progestogen-only contraceptive
Inclusion criteria
Exclusion criteria
- Any individual (menarche to 50 years of age) presenting for long-acting contraception and who has no contraindications or exclusion criteria.
Personal characteristics & reproductive history
- Known or suspected pregnancy or risk of pregnancy
- Under 16 years of age and assessed as not competent using Fraser guidelines
- Known hypersensitivity to any constituent of the injection
- History during pregnancy of idiopathic jaundice, severe pruritus, or pemphigoid gestationis
- Previous PE, CVD or retinal thrombosis whilst receiving depo-provera
- If the woman is at increased risk for osteoporosis, she should consider alternatives to depot medroxyprogesterone acetate
Cardiovascular Disease
- Multiple risk factors for cardiovascular disease e.g. older age, smoking, diabetes, hypertension and obesity
- Hypertension with vascular disease
- Current and history of stroke/transient ischaemic attack
- Current and history of ischaemic heart disease
- Diabetes with end organ disease
- Vascular disease
- Diabetes with nephropathy, neuropathy, retinopathy, or other vascular disease.
Cancers
- Current or past history of genital or breast cancer (unless progestogens are being used in the management of these conditions)
- Malignant liver tumour (hepatoma)
- Benign liver tumour or history of liver tumours
Gastro-intestinal Conditions
- Severe decompensated cirrhosis
Other conditions
- Systemic Lupus Erythematosus (SLE) with positive or unknown antiphospholipid antibodies
- Systemic Lupus Erythematosus (SLE) with severe thrombocytopenia if starting DMPA
- Unexplained vaginal bleeding
- Acute porphyria
Drug Interactions
- Check drug history and refer to current BNF for more details and potential drug interactions and ask for advice on management if necessary. All patients taking a medication that interacts significantly
| Cautions (including any relevant action to be taken) | Severe liver disease and recurrent cholestatic jaundice If under 13 years of age follow local safeguarding policy Because of its prolonged action it should never be given without full counselling backed by the patient information leaflet Ensure emergency drugs and equipment, including adrenaline are available for the treatment of anaphylaxis and emergencies according to local policy Reduction in bone mineral density and, rarely, osteoporosis and osteoporotic fractures have been reported with medroxyprogesterone acetate. Therefore caution is advised: o in adolescents, medroxyprogesterone acetate should be used only when other methods of contraception are inappropriate; o in all women, the benefits of using medroxyprogesterone acetate beyond 2 years should be evaluated against the risks; o in women with risk factors for osteoporosis, a method of contraception other than medroxyprogesterone acetate should be considered. Progestogens such as medroxyprogesterone should be used with caution in o Conditions that may worsen with fluid retention e.g. epilepsy, hypertension, migraine, asthma, or cardiac dysfunction, o Patients at risk of thromboembolism (particular caution with high dose). o History of depression. o Diabetes - progestogens can decrease glucose tolerance so patients should be monitored closely. |
|---|---|
| Arrangements for referral for medical advice | Discuss with appropriate doctor/independent nurse prescriber any medical condition or medication of which the nurse/pharmacist is unsure/uncertain |
| Action to be taken if patient excluded | Refer to appropriate doctor / independent nurse prescriber Discuss/offer alternative contraceptive method Document all actions taken |
| Action to be taken if patient declines treatment | Document refusal in patients notes. Ensure all actions/decisions are documented. Ensure patient /carer fully understands reasons for administration and consequences of non-administration of treatment. Refer to appropriate doctor/independent nurse prescriber where required. |
Details of the medicine
- 150 mg in 1 mL injection
INITIATION: Faculty of Sexual &
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Data-Driven Security Measurements to improve Safety in NYC and NJ Mass Transit
Nithya NALLURI
Department of Electrical and Computer Engineering, The College of New Jersey
Ewing Township, NJ 08618, USA
Michael BSALES
Department of Computer Science and Engineering and Department of Economics, University of Notre Dame
Notre Dame, IN 46556, USA
Christie NELSON
DIMACS, Rutgers University
New Brunswick Rutgers, NJ 08901, USA
ABSTRACT
Public transit in America in recent years is potentially vulnerable to terrorist or mass casualty attacks. These vulnerabilities are in part due to the lack of strict screening and content policing, unlike security at airports, but also their attractiveness as a potentially high-value target. Although current public transit systems are designed to efficiently allow passengers to quickly travel, screening of individual riders for weapons remains limited due to current technology limitations and high peak throughput requirements. This paper aims to develop an understanding of the current state of security check systems as applicable to high-traffic subway stations. We also worked towards creating a proof-of-concept risk analysis model using crime and other types of publicly available data for the New York City and New Jersey transit regions.
Keywords: Active security, passive security, risk analysis model, public transit, antiterrorism, patron screening, public safety
1. INTRODUCTION
Public transit is an important method of transportation for millions of Americans, especially in densely populated areas. Public transit offers Americans an attractive travel option when using a car is not an option, or otherwise infeasible due to congestion or parking considerations. In places like New York City, public transit is often the most efficient way to travel. New York City alone has over 5.5 million weekday riders and over 178,000 passengers who travel through its Times Square station each day [1]. Since public transit is in high demand and used in many cities and densely populated areas of the country, the US government has designed public transit stations, whether it is trains, subways, or buses, with a focus on accessibility and handling large throughput. As airport-level security measures are not deployed due to infrastructure limitations and high throughput requirements, making public transit potentially vulnerable to mass casualty attacks. In particular there have been at least 29 successful terrorist attacks on rail transit, causing the loss of life of 1,418 people and 6,135 injuries between 2000 and 2017 [2].
How can we improve current public transit security measures without decreasing the throughput of passengers? A potential partial solution would be fully utilizing passive security measures; however, this has privacy and deployment challenges. Before diving into a proposed solution, it is necessary to understand the complex levels of security and surveillance checks utilized at both airports and public transit.
2. PROPOSED APPROACH
Our project reviewed existing technologies to understand the feasibility of deploying them in a mass transit setting, along with reviewing pilot deployments in the literature. We also identified existing publicly available datasets that may be useful in gathering information about past security incidents on public transit, and data that would be helpful to create a crime/terrorism risk map or model. We visualized these datasets for New York City and New Jersey to gain insights in order to recommend future work. All of this has the goal to prevent large-scale attacks on public transit in the New Jersey and New York City metro areas.
Our original approach only focused on the New York City subway stations. However, through the duration of the initial literature and technology reviews, it was evident it would be beneficial to work with more than subway station security and expand to New Jersey public transit and commuter rail transit as well. Supporting this approach is a 2017 Regional Plan Association study that
found that out of the 1.6 million people who commute to the city on a daily basis, 320,000 of them are from New Jersey [18]. Adding New Jersey to this project helps us get more insight into how the public transit system is being used and by whom.
The project's methodology involved five main steps. The first step was a literature review on the different types of surveillance and security measures around the world in airports and public transit. Next, the technology review allowed for the needed exposure and research for new and emerging technologies for screening individuals in public locations and the feasibility of their use in public transit stations. The dataset review included crime, census, transportation, and other datasets that are made publicly available in New York City and New Jersey. After this, data analysis and visualization were performed using modeling tools in FME, ArcGIS, Tableau, and Python APIs to discover trends and patterns in the data. The final step, recommended for future work, is the creation of the risk analysis model. The risk analysis model is a predictive model based on the given inputs, and crime data of New York City.
3. LITERATURE REVIEW
Security check systems consist of many layers of surveillance, scanning technology, and physical screening. In the traditional airport or venue screening, these layers can include a visual inspection by law enforcement, K9 units, ticketing, bag checks via x-ray and visual inspections, walk-through metal detectors, and handheld wands. In the United States and Europe, multilayer screening systems are utilized at metro stations, but typically without in-depth patron and bag screening procedures. Instead, safety is approached through a combination of show-of-force, ticketing, CCTV cameras, preemptive surveillance, and more. An example of successful American anti-terrorism surveillance can be found in the foiled 2009 NYC bombing attempt by Najibullah Zazi and Al-Qaeda [3].
In heavily crowded public environments, there may be many complex layers of security measures. Figure 1 contains an illustrative example of some of the possible security measures for public transit. Some of the layers of security shown are deterrence, visual inspection, K-9 inspection, and reinforcements within the subway. The first level of deterrence is the act of discouraging an action or event by creating doubt or fear of the consequences [22] and is done immediately before patrons enter the subway. Having street-level policing outside of subways with surveillance cameras and constant updates on social media about many possible threats around the outside of subway perimeters makes it much more difficult for terrorist groups or individuals to fulfill a potential attack. A second layer is the turnstiles upon entering the subway — this is where the passengers’ tickets and as well as bag screening can be done. A third layer occurs as patrons enter the subway platform where there should be active police and K9 presence, and random screening. The fourth layer would be once passengers are in the subway cars where there would be an expectation from passengers to reach out to law enforcement if they see anything suspicious. These many layers to enter a subway station makes it difficult for terrorists and individuals with malicious intent to smuggle dangerous items in or to carry out an attack. Upon entering the station there are active policing and K-9 units by all the entrances and exits. Adding all these complex areas of patrolling, screening, and surveillance makes the station less desirable to execute a mass casualty attack despite them being a high-value target. Overall the combination of constant surveillance, policing/law enforcement presence, and active attendance at the station platform and on the subways/trains could make public transit less of the desired place to attempt a mass-casualty attack.
Figure 1: Flowchart illustrating
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Incredibuilds Star Wars Millennium Falcon Deluxe Book And Model Set
Celebrated paper artist and designer Marc Hagan-Guirey has applied his genius to the Star Wars galaxy in this book of 15 unique kirigami (cut-and-fold) ships featured in the saga's films. Ranging in difficulty from beginner to expert, each beautifully detailed model features step-by-step instructions and a template printed on cardstock̶all that's needed are a utility knife, a cutting mat, and a ruler. Clear tips and guidance through the tricky stages help readers craft their own X-wing, Imperial Star Destroyer, Millennium Falcon, and a dozen more ships and vehicles, each accompanied by colorful and inspiring photographs of the final model on display (or ready for a jump to Hyperspace).
After the Clone Wars, the Galactic Empire spared no expense to build a massive fleet of warships to enforce Imperial rule, intimidate defenseless worlds, and destroy all opposition. However, the Imperial Navy underestimated Rebel Alliance fighter pilots, who flew X-wing, Y-wing, A-wing, U-wing and B-wing starfighters, and whatever else they could obtain to fight their Imperial enemies. Decades later, Resistance pilots would fly next-generation versions of Rebel starfighters against the First Order. The Rebel Starfighters Owners' Workshop Manual presents a thorough history of the starfighters that served the Rebel Alliance and the Resistance. The history includes design origins, production, and modifications for each Rebel starfighter, and is fully illustrated with numerous photographs, schematics, exploded diagrams, and computer-generated artwork by Star Wars vehicle experts Chris Reiff and Chris Trevas. Text is by Ryder Windham, author and co-author of more than 70 Star Wars books. This Haynes Manual is the most thorough technical guide to Rebel starfighters available, and is fully authorized and approved by Lucasfilm.
Presents a complete guide to drawing a number of Star Wars characters; and contains trace overlays, stencils, and tips on drawing clothing, weapons, and starships.
Build your own X-Wing fighter with this IncrediBuilds: Star Wars model kit, featuring a full-color booklet filled with amazing facts and awesome imagery of the iconic rebel ship in action. Build and color your own 3D X-Wing model and learn all about the classic Star Wars spacecraft in this deluxe IncrediBuilds book set. Discover this exciting new Star Wars‒themed book and wooden model that bring to life one of the Rebel Alliance's most versatile ships: the X-Wing fighter. The full-color, hardcover book includes everything you need to know about the XWing, from basic flight and weapons capabilities through to notable pilots, famous battles, and amazing behind-the-scenes secrets. The wooden model is easy to assemble and snaps together to form a dynamic, displayable 3D version of this fan favorite Star Wars spacecraft. Includes: -Laser-cut, FSC-certified wood sheet with easy-to-assemble pieces -Step-by-step instructions -Coloring and crafting ideas -A X-Wing guidebook, Inside the Galaxy's Most Versatile Page 1/12
Online Library Incredibuilds Star Wars Millennium Falcon Deluxe Book And Model Set
Starfighter Skill Level: Advanced
The Official Cookbook of Sweet and Savory Treats From Tatooine, Hoth, and Beyond
Twilight of the Gods
Star Wars: Battle Stations Activity Book and Model
Millennium Falcon
IncrediBuilds: Star Wars: Millennium Falcon Deluxe Book and Model Set
IncrediBuilds: Star Wars: Millennium Falcon 3D Wood Model
Build your own TIE Fighter with this IncrediBuilds: Star Wars model kit, featuring a full-color booklet filled with fascinating facts and trivia and awesome imagery of the craft in action. Build and color your own 3D TIE Fighter model! This exciting Star Wars model set brings to life one of the Galactic Empire's deadliest weapons: the TIE Fighter. The booklet includes everything you need to know about the TIE Fighter, from basic flight and weapons capabilities to pilot training, notable battles, and the wide variety of TIE Fighter models, such as the TIE Interceptor and TIE Bomber. The wooden model is easy to assemble and snaps together to form a dynamic, displayable 3D version of this fan-favorite Star Wars spacecraft. Includes: -Laser-cut, FSC-certified wood sheet with easy-to-assemble pieces -Step-bystep instructions -Coloring and crafting ideas and a TIE Fighter booklet Skill Level: Advanced
A thrilling retelling of the Star Wars saga in the style of classic epic poetry "I look not to myself but to the Force, In which all things arise and fall away." Journey to a galaxy far, far away like never before--through lyrical verse and meter. Like the tales of Odysseus and Beowulf, the adventures of Luke Skywalker, Han Solo, Princess Leia, Jyn Erso, Obi-Wan Kenobi, Darth Vader, and the Emperor are fraught with legendary battles, iconic heroes, fearsome warriors, sleek ships, and dangerous monsters. Beginning with Rogue One's rebel heist on Scarif to secure the plans to the Death Star and continuing through the climax of Return of the Jedi, author Jack Mitchell uses the ancient literary form of epic poetry to put a new spin on the Star Wars saga. Punctuated with stunning illustrations inspired by the terracotta art of Greek antiquity, The Odyssey of Star Wars: An Epic Poem presents the greatest myth of the 20th century as it would have been told nearly 3,000 years ago.
Build and customize your own 3D model of the Hogwarts Express with this deluxe model set featuring a full-color booklet of behind-the-scenes facts from the beloved Harry Potter films. Build your own Hogwarts Express! In the Harry Potter films, young witches and wizards travel to Hogwarts School of Witchcraft and Wizardry via the Hogwarts Express—a magical train which leaves from Platform 9 ¾ in London. Now the famous train is yours to build and customize with this deluxe model set, accompanied by a 16-page booklet featuring concept art, unit photography, and other imagery from the films. The booklet is packed with interesting behind-the-scenes details, including notes from the filmmakers, cast commentary, and snapshots of
key moments featuring the train. The wood model is easy to assemble and snaps together to form a dynamic displayable version of the Hogwarts Express that fans can color and craft any way they want! Includes: - Lasercut, FSC®-certified wood sheet with easy-to-assemble pieces - Step-by-step instructions - Coloring and crafting ideas and a Hogwarts Express booklet Chewbacca, a notorious rebel ally, is wanted for crimes against the Empire. Not often seen without his partner-in-crime, Han Solo, this Wookiee has evaded capture on multiple occasions, due in no small part to the fastest freighter in the universe, the Millennium Falcon. Chewie, as he is more commonly known, has a sizeable bounty on his head. Can you find this furry criminal before other accomplished bounty hunters beat you to it? IncrediBuilds: Star Wars: Tie Fighter 3D Wood Model
I Am a Rebel Girl
Dark Side Knowledge from the Skywalker Saga, The Clone Wars, Star Wars Rebels, and More (Children's Book, Star Wars Gift)
Garth Brooks The Anthology
The Ultimate Visual History
IncrediBuilds: Destiny: Sparrow 3D Wood Model
Presents recipes for Star wars-themed treats.
The first five years were filled with high adventure, with dreams coming true, with new friendships beginning and old friendships growing. Most of all, though, the years were filled with music being made. We thought about songs night and day, chased the things. I was surrounded by songwriters, musicians, producers, engineers, managers, by people who lived to make music, and we got to see the world through songs. There were a lot of firsts, one after another: First time leaving Oklahoma for Nashville, first time hearing one of our songs on the radio, first time hitting number one. We won¿t ever get to go through all those firsts again, but this book is my chance to get together with the people w
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DANILO LOVINO - Keyboards
Born in Castellanza on 3 December 1983 he began his piano studies at the age of 8.
At the age of 10 he took part in the International Competition for young musicians held in Urbino, ranking first.
With M° Franca Moschini he takes the path of classical music preparing him for admission at the Conservatory of Music "G. Rossini". He continued his studies with Maestro Lorenzo Bavaj (pianist of tenor Josè Carreras) who will accompany him until he graduates.
After 2 years of training, joined by the same M° Bavaj, he enrolled again at the Conservatory attending for a short period the course of Harpsichord.
After completing his classical studies he approaches jazz studying with Paolo Jannacci and Massimo Morganti.
At 16 he joined the band Dynamic Lights with which he began a series of concerts with excerpts from the first album of unpublished "Night Lights".
He then joined the Changing Sunrise, a local progressive band that brings live covers mostly taken from the Dream Theater repertoire.
Intrigued by the singer-songwriter music, he began to collaborate with the Faneser singer-songwriter Luca Vagnini in his first recording work "Everything I see outside the window" co-produced with the Oscar-winning Marco Falagiani, and later "the Invisible" where he takes care of part of the orchestration and arrangements.
He starts a series of live shows with Luca Vagnini treading several important Italian stages.
He also collaborates with "Piazza Grande" (a tribute to the great Lucio Dalla), Iskra Menarini and Riccardo Majorana the two chorister historians of Lucio Dalla.
In 2014 he joined the junior orchestra "Mosaico Musicale" where he followed the young pianists in the various repertoires: from the classics of symphonic music to the repertoire of the great jazz musicians.
Lover of various musical genres: classical, pop, rock, metal, prog, blues, jazz, latin.
It is inspired by the great pianists of the past: Bach, Mozart, Beethoven, Chopin, Brahms, Debussy, Rachmaninov, Scriabin, and great keyboardists such as Rick Wackman, Keyth Emerson, Jordan Rudess, Derek Sherinian, Tuomas Holopainen.
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Water levels of the Mekong River Basin based on CryoSat-2 SAR data classification
Eva Boergens\textsuperscript{1}, Karina Nielsen\textsuperscript{2}, Ole B. Andersen\textsuperscript{2}, Denise Dettmering\textsuperscript{1}, and Florian Seitz\textsuperscript{1}
\textsuperscript{1}Deutsches Geodätisches Forschungsinstitut der Technischen Universität München, Arcisstr. 21, 80333 München
\textsuperscript{2}Div. of Geodesy, DTU Space, National Space Institute, Kgs. Lyngby, Denmark
Correspondence to: Eva Boergens ([email protected])
Abstract. In this study we use CryoSat-2 SAR (Delay-Doppler Synthetic Aperture Radar) data over the Mekong River Basin to estimate water levels. Medium and small sized inland waters can be observed with CryoSat-2 data with a higher accuracy compared to the classical radar altimeters due to the increased along track resolution of SAR and the smaller footprint. However, even with this SAR data the estimation of water levels over medium (width less than 500 m) is still challenging as only very few consecutive observations over the water body are present. The usage of land-water-masks for target identification tends to fail as the river becomes smaller. Therefore, we developed a classification to divide the observations into water and land observations based solely on the observations.
The classification is done with an unsupervised classification algorithm, and it is based on features derived from the SAR and RIP (Range Integrated Power) waveforms. After the classification, classes representing water and land are identified. The measurements classified as water are used in a next step to estimate water levels for each crossing over the Mekong River. The resulting water levels are validated and compared to gauge data, Envisat data and CryoSat-2 water levels derived with a land-water mask. The CryoSat-2 classified water levels perform better than results based on the land-water-mask and Envisat. Especially, in the upstream region with medium and small water bodies the improvements of the classification approach for CryoSat-2 are evident.
1 Introduction
The water of rivers is vital for humans but poses a threat at the same time. Rivers are crucial as a suppliers of water for irrigation and fresh water for drinking. However, floods can destroy crops, settlements, and infrastructure. For this reason, it is essential to monitor the water level of river systems. An increasing number of in situ gauges have been derelicted since the 1980s (Global Runoff Data Center, 2013), or the data is not publicly available. It is therefore increasingly important to measure river water level with satellite altimetry.
In recent years many studies were published that apply satellite altimetry over rivers of various sizes (e.g. Birkett, 1998; Santos da Silva et al., 2010; Schwatke et al., 2015; Boergens et al., 2016b; Frappart et al., 2006; Biancamaria et al., 2016). All of the aforementioned studies use pulse-limited altimetry data. CryoSat-2, launched in 2010, is the first satellite carrying a Delay-Doppler altimeter (Raney, 1998). The altimeter operates in three measuring modes: the classical pulse-limited Low
Resolution (LR) mode, the Delay-Doppler Synthetic Aperture Radar (SAR) mode, and the SAR Interferometric (SARin) mode. The modes of the altimeter are governed by a geographical mode-mask (https://earth.esa.int/web/guest/-/geographical-mode-mask-7107).
Compared to conventional radar altimeters, Delay-Doppler measurements have a higher along track resolution and a smaller footprint. This improves the observation of water levels of inland water bodies like lakes (e.g. Nielsen et al., 2015; Kleinherenbrink et al., 2015; Göttl et al., 2016) or rivers (e.g. Villadsen et al., 2015; Bercher et al., 2013). The advantage of SAR altimetry observations are especially useful for measuring smaller inland waters like rivers. However, CryoSat-2 has a long repeat time of 369 days compared to 35 days of Envisat and SARAL, and 10 days for Topex/Poseidon, Jason-1 and Jason-2. This restricts the estimation of meaningful water level time series over rivers or lakes, if not enough different tracks cross the water body. The advantage of the long repeat time is the very dense spatial distribution of observations. This is especially useful for rivers to better monitor their continuous progression. Unlike lakes, rivers can change their water levels rapidly over their course which makes a denser spatial distribution of observations desirable.
To derive water levels from lakes or rivers it is necessary to identify the water returns of the altimeter. This can be done by applying a land-water-mask such as the mask provided by the World Wildlife Fund (https://www.worldwildlife.org/pages/global-lakes-and-wetlands-database). Such a mask is constant over time, therefore, it neither accounts for the seasonal variations of the water extent nor inter-annually shifting river and lake banks. These masks are usually not accurate enough for narrow rivers where only a few water measurements are available. Extracting dynamic land-water-masks from optical or SAR remote sensing images is difficult in the study area since cloud-free optical data is only available during the dry season with low water level. Moreover, SAR images with sufficient spatial resolution are only available from 2014 on with the launch of Sentinel-1. Although a high accuracy land-water-mask is provided by the Mekong River Commission (http://portal.mrcmekong.org/map_service) for our study area of the Mekong River Basin, its accuracy of 30 m is still not sufficient for the smaller and, especially, the small rivers. Although, a high accuracy land-water-mask is provided by the Mekong River Commission (http://portal.mrcmekong.org/map_service) which has an accuracy of 30 m, this accuracy might not be sufficient for medium and small sized rivers. Additionally, the mask has no seasonal variations included. In the Mekong River Basin the river width varies between 20 m to more than 2 km. The small rivers with a width of less than 100 m are most of the tributaries and the upstream part of the left river bank side main tributaries. The medium rivers, which are less than 500 m but more than 100 m wide, are the main tributaries and the upstream main river. In the downstream reach of the river, before it splits into the delta, the river has a width of over 2 km (see also Figure 2 for a map of the basin).
To overcome the problems and limitations of land-water-masks To be independent from the accuracy and availability of land-water-masks, we classify the altimetry data beforehand in water and land observations. For the classical pulse-limited altimeter this has been done successfully for the last decade (e.g Berry et al., 2005; Desai et al., 2015). Even very small water areas in wetlands have been classified successfully with Envisat data by Dettmering et al. (2016). In the classification, the shape of the waveform is used to discriminate between different reflecting surfaces. Also CryoSat-2 SAR data has been classified based on the SAR waveform before for lakes (Göttl et al., 2016), lakes and rivers (Villadsen et al., 2016), or ice (Armitage and Davidson, 2014). This study takes a step further and uses not only the waveform but also the Range Integrated Power (RIP) for a classification of the altimeter measurements in water and non-water returns over the Mekong River Basin in Southeast Asia. The RIP is only
available for Delay-Doppler SAR altimetry and gives additional insight to the reflective surface which the waveform alone could not provide (see Figure 3 for an example and Wingham et al. (2006)).
The unsupervised $k$-means algorithm is used for the classification (MacQueen, 1967) as not enough reliable training data is available for a supervised classification. The $k$-means algorithm is a widely used unsupervised clustering algorithm and has been used for altimetry classification before (e.g. Göttl et al., 2016).
T
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MISSOULA URBAN TRANSPORTATION DISTRICT
May 23, 2024 / 12:00 P.M.
BOARD OF DIRECTORS MEETING
MUTD Conference Room, 1221 Shakespeare St.
AGENDA
1.0 Call to Order & Roll Call (12:00)
2.0 Changes or additions to the agenda
3.0 Public comment on items not on the agenda
4.0 Discussion Items / Reports / Comments:
4.1 General Manager Report (Jennifer Sweten) (12:05)
5.0 Action Items:
5.1
Minutes of the April 25, 2024, board of directors meeting
(Don MacArthur)
Recommendation
(12:45)
meeting.
:
Approve the minutes of the April 25, 2024, board of directors
5.2 Minutes of the April 15, 2024, board of directors special meeting (Don MacArthur) (12:50) Recommendation: Approve the minutes of the April 15, 2024, board of directors special meeting.
5.3 Minutes of the April 18, 2024, board of directors special meeting (Don MacArthur) (12:55) Recommendation: Approve the minutes of the April 18, 2024, board of directors special meeting.
5.4 MOAB Microgrid Concept and Design (Colin Woodrow) (1:00) Recommendation: Approve the $80,750 complete microgrid option or alternatively, approve the concept phase costing $20,000; the second phase focusing on solar totaling $22,750; or, the third geothermal phase costing $38,000.
5.5 March 2024 Financials (Sebastian Strauss) (1:05) Recommendation: Accept the March 2024 financials as presented.
5.6 FY25 Permissive Medical Levy (Allison Segal) (1:15) Recommendation: 1) Hold a public hearing for the FY2025 MUTD Permissive Medical Levy public comments. 2) Adopt Resolution 24-04 of the FY2025 Permissive Medical Levy. 3) Close the public hearing.
5.7 Application for Missoula County Community Assistance Fund (Allison Segal) (1:20)
Recommendation: Approve the application for $44,960 for the FY2025 Missoula County Community Assistance Fund
5.8 FY25 Draft Budget Review (Allison Segal) (1:25) Recommendation: Approve the FY2025 Draft Budget.
6.0 Adjournment (2:00)
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Characterization of Arbuscular Mycorrhizal Spores Isolated from Southern Guinea Savanna of Nigeria
Elizabeth Alori 1 , Oluyemisi Fawole 2 & Anthony Afolayan 3
1 Department of Soil Science, Landmark University, P. M. B. 1001, Omu-Aran, Nigeria
2 Department of Agronomy, University of Ilorin, P.M B. 1515, Ilorin, Nigeria
3
Department of Botany, University of Fort Hare, Alice 5700, South Africa
Correspondence: Elizabeth Alori, Department of Soil Science, Landmark University, P. M. B. 1001, Omu-Aran, Nigeria. Tel: 234-806-348-5837. E-mail: [email protected]
Received: January 31, 2012 Accepted: March 5, 2012 Online Published: May 22, 201
2
doi:10.5539/jas.v4n7p13 URL: http://dx.doi.org/10.5539/jas.v4n7p13
Abstract
The hydrolytic activities (cellulases and pectinases) of some arbuscular mycorrhizal fungi (AMF) from four study sites; namely,- Malete, Bacita, Pategi and Ilorin; in southern Guinea savanna of Nigeria were studied. The DNA, RNA and protein contents of their spores were also quantified. Significant differences were observed in the hydrolytic activities of the AMF isolates. Pectinase activity of Malete AMF was F11, 22 =192.4; (p < 0.05); from Ilorin AMF was F13, 26 =1.38; from Bacita AMF was F8, 16 = 7.5; while from Pategi AMF was F10, 20 = 3.64. On the other hand, cellulase activity of Malete AMF was F11, 22 = 1.58; while in Ilorin, it was F 13 26 =2945.21; and in Bacita, it was F 8, 16 = 3849.34 AMF and in soil from Pategi, F 10, 20 = 5.681.23. Variations in DNA, RNA and protein contents of the 13 isolates were also observed. Scutellospora reticulata was predominant in all the soils; it had the highest hydrolytic activity and highest DNA, RNA and protein contents followed by Glomus pansihalos.
Keywords: arbuscular, mycorrhizal fungi, cellulases, pectinases, DNA, RNA, protein
1. Introduction
The Arbuscular Mycorrhizal association is one of the active and diverse soil biological communities that are highly essential for increasing the sustainability of agricultural systems. The diversity of AMF has significant ecological consequences because individual species or isolates vary in their potential to promote plant growth and adaptation to biotic and abiotic factors. Thus, the composition and dynamics of populations of AMF have a marked impact on the structure and diversity of the associated plant communities, both in natural and agricultural ecosystems (Gange et al., 1990). The correct identification of individual isolates is essential in the analysis of populations of AMF in ecological studies. Genetic, biochemical and functional analysis of selected isolates are required tools in their characterization. For better nutrient management in southern Guinea savanna of Nigeria, less emphasis on use of chemicals and an increase in the use of biological potential such as AMF is required. In our laboratory, AMF from selected soils of southern Guinea savanna of Nigeria were extracted and their morphological characterization was carried out. Thirteen species of AMF: Scutellospora reticulata, Scutellospora calospora, Scutellospora pellucida, Acalospora laevis, Gigaspora decipien, Gigaspora margarita, Enthrophosphora infrequens, Glomus intraradices, Glomus pansihalos, Glomus tortuosum, Glomus manihotis, Paraglomus brasilianum and Paraglomus occultum were identified in the soil samples (Olowonihi, 2011).
More information, particularly on the biochemical and molecular characteristics of AMF indigenous to soils of this ecological zone is however needed. This paper thus presents the hydrolytic activities as well as DNA, RNA and protein content of the spores of AMF extracted from soils of southern Guinea savannah of Nigeria. Such information would be useful in controlling the AMF symbiosis through agro biotechnology for a sustainable agricultural environment.
2. Materials and Methods
2.1 Collection of Soil Samples
Soil samples were randomly collected from four locations; Pategi and Bacita soils which are formed over sedimentary rock, Malete and Ilorin soils which are formed over basement complex in southern Guinea savanna of
Nigeria. Using the random sampling method, auger samples were collected from each of the sampling units at 0-15 cm. The soil samples collected from the four study sites were bulked and transported to the laboratory in well labeled polyethylene bags. The core samples passed through 2mm sieve in preparation for analysis haven been air dried for 3 days.
2.2 Extraction of Arbuscular Mycorrhizal Fungi (AMF) Spores
AM spores were extracted using the wet- sieving and decanting /density gradient centrifugation method of Brundrett et al. (1996). Enumeration of spores was done under the dissecting microscope with magnification X40. The number of spores per gram of soil was calculated and recorded.
2.3 Biochemical Characterization of AMF Spores
Isolates were characterized based on the ability of the spores to produce hydrolytic enzymes – cellulases and pectinases in infected tomato plants.
2.3.1 Growth of Tomato Plants and Inoculation Procedures
Tomato (Lycopersicon esculentum) seeds were surface sterilized in NaCl03 for 15 minutes. The surface sterilized seeds were sown in moist filter paper in a petri dish. After 5 days, uniform sized seedlings were transplanted into 300ml capacity pots filled with grey loam soil. The soil (pH 5.6, 2.41% organic matter, mg kg_1 P NaHCO3 -extractable), was steam sterilized at 100 o C for 1hr on each day of 3 consecutive days. The spores of each of the 13 AMF isolated from the selected soils of Southern Guinea Savanna zone of Nigeria were used for the study. Tomato seedlings were inoculated with AMF spores immediately after transplanting them into pots. Inoculation was at the rate of 50 spores per seedling. Plants were kept in a controlled –climate glass house. The tomato Plants were harvested after 40days. The root system that has been washed and rinsed several times with sterile distilled water was used for determination of enzymatic activity.
2.3.2 Preparation of Extracts for Enzyme Assays
Roots (10g fresh weight) were pulverized in a mortar with liquid nitrogen and then homogenized in 30mls of 100mM tris-HCl buffer (pH7) plus 0. 02g polyvinyl- polypyriolidone (PVPP), 10mM MgCl2, 10mM NaHCO3, 10mM β- mercarptoethanol, 0. 15mM phenylmethyl sulphonyl fluoride (PMSF) and 0.3% X- 100Triton. Sodium azide 0.03% was added to the solution. The liquid was then filtered through several layers of cheesecloth and centrifuged at 20,000 rpm for 20min .The samples were frozen until they were to be used.
2.3.3 Enzyme Assays
Using the viscosity reduction method of Rejon- palomare et al. (1996), the extractants were assayed to determine the hydrolytic activities. Carboxymethylcellulose (CMC) and Citrus pectin were used as substrates for cellulases and pectinases respectively. The reduction in viscosity was determined at 0- 30mins intervals.
2.4 DNA, RNA and Protein Quantification
Estimation of DNA, RNA and Protein content of AMF spores were carried out at the molecular biology laboratory of the Department of Biochemistry and Microbiology, University of Fort Hare, Alice, South Africa.
2.4.1 Isolation of Nuclei and Active Chromatin
To isolate nuclei and active chromatin two hundred AMF spores pulverized in a mortar under liquid nitrogen were used. The suspension washed with buffer containing 10mM Tris HCl, pH 7.4, and 150mM NaCl was homogenized in a potter-Elvehjem homogenizer with 9 volume of buffer containing 12% (w/v) sucrose, 10 mM Tris HCl, pH 7.8, 2.5 mM EDTA and 1 mM PMSF. To chelate endogenous Ca2+ and Mg2+ EDTA was included in the buffer. The homogenate was filtered through two layers of cheese cloth and centrifuged at 12000g for 5 min over a sucrose cushion [15% (w/v) sucrose in buffer A (10 mM Tris / HCl, pH 7.8, 10m M NaCl, 1mM PMSF)].
Crude nuclear pellets washed with 12 % (w/v) sucrose in buffer A, and then twice with Triton X-100 (0.2%) in buffer A, followed by pe
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Configuring ISG as a RADIUS Proxy
Last Updated: August 21, 2011
Intelligent Services Gateway (ISG) is a Cisco IOS software feature set that provides a structured framework in which edge devices can deliver flexible and scalable services to subscribers. The ISG RADIUS proxy feature enables ISG to serve as a proxy between a client device that uses RADIUS authentication and an authentication, authorization, and accounting (AAA) server. When configured as a RADIUS proxy, ISG is able to "sniff" (look at) the RADIUS packet flows and, on successful authentication, it can transparently create a corresponding ISG session. This document describes how to configure ISG as a RADIUS proxy.
* Finding Feature Information, page 1
* Prerequisites for ISG RADIUS Proxy, page 2
* Restrictions for ISG RADIUS Proxy, page 2
* Information About ISG RADIUS Proxy, page 2
* How to Configure ISG as a RADIUS Proxy, page 4
* Configuration Examples for ISG RADIUS Proxy, page 15
* Additional References, page 16
* Feature Information for ISG RADIUS Proxy, page 18
Finding Feature Information
Your software release may not support all the features documented in this module. For the latest feature information and caveats, see the release notes for your platform and software release. To find information about the features documented in this module, and to see a list of the releases in which each feature is supported, see the Feature Information Table at the end of this document.
Use Cisco Feature Navigator to find information about platform support and Cisco software image support. To access Cisco Feature Navigator, go to www.cisco.com/go/cfn. An account on Cisco.com is not required.
1
Prerequisites for ISG RADIUS Proxy
The Cisco IOS image must support AAA and ISG.
Restrictions for ISG RADIUS Proxy
Wireless Internet service provider roaming (WISPr) attributes are not supported.
Information About ISG RADIUS Proxy
* Overview of ISG RADIUS Proxy, page 2
* ISG RADIUS Proxy Handling of Accounting Packets, page 3
* RADIUS Client Subnet Definition, page 3
* ISG RADIUS Proxy Support for Mobile Wireless Environments, page 3
* Benefits of ISG RADIUS Proxy, page 4
Overview of ISG RADIUS Proxy
Public wireless LANs (PWLANs) and wireless mesh networks can contain hundreds of access points, each of which must send RADIUS authentication requests to a AAA server. The ISG RADIUS proxy functionality allows the access points to send authentication requests to ISG, rather than directly to the AAA server. ISG relays the requests to the AAA server. The AAA server sends a response to ISG, which then relays the response to the appropriate access point.
When serving as a RADIUS proxy, ISG can pull user-specific data from the RADIUS flows that occur during subscriber authentication and authorization, and transparently create a corresponding IP session upon successful authentication. This functionality provides an automatic login facility with respect to ISG for subscribers that are authenticated by devices that are closer to the network edge.
When configured as a RADIUS proxy, ISG proxies all RADIUS requests generated by a client device and all RADIUS responses generated by the corresponding AAA server, as described in RFC 2865, RFC 2866, and RFC 2869.
ISG RADIUS proxy functionality is independent of the type of client device and supports standard authentication (that is, a single Access-Request/Response exchange) using both Password Authentication Protocol (PAP) and Challenge Handshake Authentication Protocol (CHAP), Access-Challenge packets, and Extensible Authentication Protocol (EAP) mechanisms.
In cases where authentication and accounting requests originate from separate RADIUS client devices, ISG associates all requests with the appropriate session through the use of correlation rules. For example, in a centralized PWLAN deployment, authentication requests originate from the wireless LAN (WLAN) access point, and accounting requests are generated by the Access Zone Router (AZR). The association of the disparate RADIUS flows with the underlying session is performed automatically when the Calling-StationID (Attribute 31) is sufficient to make the association reliable.
Following a successful authentication, authorization data collected from the RADIUS response is applied to the corresponding ISG session.
Sessions that were created using ISG RADIUS proxy operation are generally terminated by receipt of an Accounting-Stop packet.
2
ISG RADIUS Proxy Handling of Accounting Packets
By default, ISG RADIUS proxy responds locally to accounting packets it receives. The accounting method-list command can be used to configure ISG to forward RADIUS proxy client accounting packets to a specified server. Forwarding of accounting packets can be configured globally for all RADIUS proxy clients or on a per-client basis.
RADIUS Client Subnet Definition
If ISG is acting as a proxy for more than one client device, all of which reside on the same subnet, the clients may be configured using a subnet definition rather than a discrete IP address for each device. This configuration method results in the sharing of a single configuration by all the client devices.
ISG RADIUS Proxy Support for Mobile Wireless Environments
ISG RADIUS proxy uses mobile wireless-specific processes to provide support for Gateway General Packet Radio Service (GPRS) Support Node (GGSN) environments. The following sections describe ISG RADIUS proxy attribute support and processing:
* Attribute Processing and RADIUS Request Correlation, page 3
* 3GPP Attribute Support, page 3
Attribute Processing and RADIUS Request Correlation
When authentication and accounting requests originate from separate RADIUS client devices, ISG uses correlation rules to associate all the requests with the appropriate session. The association of the disparate RADIUS flows with the underlying session is performed automatically when the Calling-Station-ID (Attribute 31) is sufficient to make the association reliable.
In mobile wireless environments attribute processing and the correlation of RADIUS requests with a session are implemented differently than in a PWLAN environment. For example, in a PWLAN environment the Attribute 31 is a MAC address, and in a GGSN environment Attribute 31 is a Mobile Station Integrated Services Digital Network (MSISDN), which is a plain number or alphanumeric string. In addition, in a GGSN environment the correlation of RADIUS requests can be performed using attributes other than Attribute 31.
ISG RADIUS proxy supports mobile wireless environments by allowing you to specify whether the RADIUS-proxy client uses a MAC or MSISDN format for Attribute 31. The format is specified using thecalling-station-id format command. In addition, you can use the session-identifier command to configure ISG RADIUS proxy to use other attributes (apart from Attribute 31) to perform RADIUS request correlation.
3GPP Attribute Support
In GGSN environments ISG RADIUS proxy must understand and parse the Third Generation Partnership Project (3GPP) attributes described in the table below. These attributes form part of the accounting requests.
3
Table 1 3GPP Attributes Supported by ISG RADIUS Proxy
Benefits of ISG RADIUS Proxy
Use of ISG RADIUS proxy has the following benefits:
* Allows the complete set of ISG functionality to be applied to EAP subscriber sessions.
* Allows an ISG device to be introduced into a network with minimum disruption to the existing network access server (NAS) and AAA servers.
* Simplifies RADIUS server configuration because only the ISG, not every access point, must be configured as a client.
How to Configure ISG as a RADIUS Proxy
* Initiating ISG RADIUS Proxy IP Sessions, page 4
* Configuring ISG RADIUS Proxy Global Parameters, page 6
* Configuring ISG RADIUS Proxy Client-Specific Parameters, page 8
* Defining an ISG Policy for RADIUS Proxy Events, page 11
* Verifying ISG RADIUS Proxy Configuration,
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One Concept - 13 models
3 Platforms - 8 Models - 13 Versions
The lightest platform from 1.4 to 1.6 tonnes operating weight and working widths from 82 to 100 cm offers 3 models for small job sites of asphalt or gravel layer compaction.
Specific focus for the most common size of small tandem rollers was assured having a seperate platform for the ARX 23 and ARX 26 (weight class 2.3 - 2.6t, working widths 100 and 120 cm). This results in the best Quality Performance - Cost ratio on the market.
| Type | CECE-weight | Drum width |
|---|---|---|
| | kg | mm |
| ARX 12 | 1475 | 820 |
| ARX 16 | 1520 | 900 |
| ARX 16 K | 1460 | 900 |
| ARX 20 | 1570 | 1000 |
| ARX 23 | 2250 | 1000 |
| ARX 23 K | 2045 | 1000 |
| ARX 26 | 2460 | 1200 |
| ARX 26 K | 2250 | 1200 |
| ARX 36 | 3725 | 1300 |
| ARX 40 | 4125 | 1300 |
| ARX 40 K | 4055 | 1300 |
| ARX 45 | 4650 | 1380 |
Best compaction performance
By combining the ARX 36, 40 and 45 in the heaviest platform is Ammann able to generate outstanding compaction output for medium asphalt jobs and base courses of gravel, sand and mixed soils.
The large drum diameter of these models offers the best compaction factor in the market.
4
Tandem Version
The ARX-range with 8 models of double-drum roller in the weight categories 1.5 - 4.5 tonnes and working widths from 820 - 1380 are designed for asphalt- and soil compaction.
All models have an optimum design with regard to use and economic efficiency based on three product categories. A new hydraulic concept coupled with the latest Yanmar diesel engine technology enables us to gain a significant increase in efficiency. It allows the diesel engine to run at a much lower speed, effectively reducing consumption and noise emissions.
A generously designed operator station with vibration insulation, a simple and clearly laid out operating panel and the multi-functional drive lever next to a comfort-seat form a unit that any driver will appreciate for ergonomic reasons and more.
Side-free Model
The ARX 12 - 20 tandem vibrating rollers are supplied as full flush models with double drive and double vibration as standard. This feature enables the drum to compact completely up against a wall. There is no more additional tuning work needed with additional compaction equipment.
Combination Version
Combination Version
The ARX-rollers are also available as combination rollers ARX16 K, 23K, 26K, 40K and 45K.
The combination model has an in-built anti-adhesive tank with direct pressurised sprinkler system to the tyres. The control of the anti-adhesive sprinklers is operated by a separate hand switch on a control lever. The standard interval-sprinkler switch allows optimum water-supply on every asphalt-job.
5
Features & benefits
The operator makes the difference
During the development of the ARX series the needs of the operator were at the centre of the platform design. Our standard ergonomic criterias to design a safe, comfortable and productive working environment are:
* Double vibration isolated operator platform
Vibration & Sprinkler System
* Strong vibration system with 2 frequencies
* Large water tank for minimum of 1 day´s usage
* Large drum diameter for excellent asphalt compaction
* Water-sprinkler-system with pressurized pump; interval timer and 3 stage filtration
* 2 vibration amplitudes for ARX 36, 40, 45
* AVC - Ammann Vibration Control
* „Best - View - Design" to drum edges and surfaces by narrow frame structure
* Fully adjustable and lateral sliding seat
* Clear, simple and robust layout of all displays, switches and dashboard
Driver comfort and safety
* Highest levels of driver comfort due to:
- Adjustable seat
- Rubber-mounted driver´s platform isolated from chassis
- Slideable seat (ARX 23-45)
* Emergency - switch standard
Transport
* Folding ROPS for best transportation
* Central lifting-point on ARX 12-26
* 4 Large towing-hooks front and rear
Emission & Consumption
* Latest Yanmar diesel engine technology for the lowest fuel consumption and emission level
* Biodegradeable oil is an option
Service
* Due to the large opening engine hood optimum access from one side for daily service checks.
= no greasing for lifetime of the machine
* Maintenance-free articulation-joint
* Simple and reliable electrical circuits with relays instead of printed circuit boards
8
Easy operation and safe transport
4 large tie down points for safe fixing onto trailer / truck
Powerful
Optimum compaction results thanks to:
* 2 working speeds
* High-torque, water-cooled Yanmar diesel engine
* 2 frequencies with 2 centrifugal forces
* Large drum diameter
* Single or double vibration with double traction
* Balanced weight front and rear
* Multiple water filtration
* Large corrosion free water tank
* 2 scrapers per drum
Easy to operate
High comfort of operation due to:
* Tight turning radius
* Easy-to-operate instrument panel
* Compact dimensions for transport
* Rubber mounted operator's platform
* Smooth starting and reversing of the machine by electric drive-lever
Easy to maintain
Minimum maintenance required:
* Teflon-coated central articulation-joint; lubricated for a lifetime
* Bearings are lubricated for a lifetime
* Engine hood can be completely opened
* Outside drain plugs for rapid change of machine fluids
* Direct access to the maintenance points situated at one side
* Water filters and nozzles are easily accessible
Safe
High safety standards:
* Ergonomic instrument panel
* CE-Package: Folding ROPS, emergency stop, comfort seat with security belt and seat contact switch
* Unobstructed view to the drums
Vandal protection of the machine with lock preparation on:
* Engine hood
* Instrument panel
* Fuel tank
* Water tanks
Suitable
The ARX-Serie rollers are based on a modular concept allowing:
* Optimisation of spare parts management due to wide compatibility of the parts between different ARX models
* The customisation of the machine to specific applications of the user
Lockable diesel-tank standard
Folding ROPS for easy transport
2 nd drive-lever
Clear dashboard layout
10
Technical Specifications
Standard
Options
* Front and rear vibration and drive
* Pressurised plus intervall sprinkler system
* Control system with emergency stop
* Ammann Vibration Control
* Central lifting hook (option on ARX2)
* Lateral sliding seat on ARX 23 - 45
* 2 working frequencies
* Hydraulic test-port
* CE-Kit with folding ROPS and working lights
* Canopy
* Road lighting
* Asphalt-thermometer (only on ARX 4)
* Battery disconnection switch
* Reverse alarm
* Central lifting hook (only on ARX 2)
* ATC - Ammann Traction Control (only on ARX 2 + 4)
* Wide-tyre-kit ARX 26 combi
* Arm rests
* Edge-cutter incl. multifunction lever
* Second drive-lever, left
* Bio-degradable hydraulic oil
* Customer Colour
* Drums in Line (only on ARX 1)
ARX 45 K
Weight
Operating weight CECE
Operating weight max.
Static linear load (full-flush)
Wheel load
French classification
Drums (Wheels)
Width
Offset
Rolling width max.
Diameter mm
Thickness mm
Number of wheels
Tire size
Tire-axle width
Engines
Engine type
Emmission class
Power output ISO 3046
Cylinder/ltr.
1. /2. working speed
Travel speed km/h
Electric System
Batterie / Capacity
Steering
Turning radius inside
Steering / Oscillating angle
Vibration
Amplitude
Frequency at 2100/2400 rpm
Centrifugal force - max.
Capacities
Water tank
Anti-adhesive
Hydraulic tank
Diesel fuel tank
4325
5100
16,8
541
PV4
1380
-
1380
850
17
4
10,5/80-16
1275
2621
32/8
0,34/0,55
45/57
55
350
18
37
59
11
Australia: Ammann Australia Pty. Ltd. | Narangba 4504
Austria: Ammann Austria GmbH | 4114 Neuhaus
Brazil: Ammann do Brasil | CEP: 94180-452 Gravataí/RS
Bulgaria: Ammann Bulgaria | 1700 Sofia
China: Ammann Construction Machinery Shanghai Co. Ltd. |
Shanghai 201700
Czech Republic: Ammann Czech Republic a.s. |
54901 Nové Město nad Metují
Ammann Asphalt GmbH | 60200 Brno
France: Ammann Franc
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AUTUMN LEAVES
FALL LEAVES CUTTING STRIPS
Cut each strip on the bold lines. Use the blue dots as visual guides for the assisting hand. You can also use them as a strengthening activity by hole punching each blue dot. A hole punch is a great physical cue for moving the assisting hand and cutting along the line. Move the scissors down the shaded path to reach the fall leaves. Don’t go off the path!
FALL LEAVES CUTTING SHAPES
Cut each Fall leaf shape on the lines. Glue them to clothes pins, craft sticks, or paper bags to make puppets. Use these Fall leaves in pretend play activities, in sensory bins, or in making patterns. Have fun!
1. What number leads to the tree? □
2. In the Autumn, I see...
www.theOTToolbox.com
THE OT TOOLBOX.COM
FALL LEAVES WORKSHEETS DISCLAIMER
Text and Images Copyright 2020
The OT Toolbox ® and Colleen Beck OTR/L
www.theottoolbox.com
DISCLAIMER
All rights reserved. No part of this publication may be reproduced, distributed, or transmitted in any form or by any means, without written permission of the author.
You May: Make copies for each student on your caseload or in your classroom. You may upload to teletherapy platforms, Google classrooms, or email to parents.
You May NOT: Upload to a school-wide classroom or server. Direct parents/therapists/teachers to www.theottoolbox.com for their personal use. Do not alter this file or document pages in any way. You may not post them in online platforms such as Facebook groups, forums, websites, shared files, etc. Please direct others to The OT Toolbox for access. You may not sell or profit in any way from these files. Copyright The OT Toolbox ® 2020.
This product, along with all products created by or hosted on The OT Toolbox ® sites and social media channels, has been created for educational purposes only. The information found in this publication should not substitute for medical advice from a physician. If necessary, all children should be individually evaluated by an occupational therapist. This publication does not substitute direct intervention from a physician or occupational therapist. All activities should be completed with common sense and with direct observation by a responsible adult. Use of the activities in this publication indicate consent. The author of this publication and The OT Toolbox ®, its contributors and affiliates are not liable for any injury caused to a child by completing these activities. Your use of these materials indicates agreement.
Cut each strip on the bold lines. Use the blue dots as visual markers for the assisting hand. You can also use them as a strengthening activity by hole punching each blue dot. A hole punch is a GREAT physical cue for moving the assisting and when cutting along the lines. Move the scissors down the shaded path to reach the Fall leaves. Don't go off the path!
Cut each strip on the bold lines. Use the blue dots as visual markers for the assisting hand. You can also use them as a strengthening activity by hole punching each blue dot. A hole punch is a GREAT physical cue for moving the assisting and when cutting along the lines. Move the scissors down the shaded path to reach the Fall leaves. Don’t go off the path!
Cut each strip on the bold lines. Use the blue dots as visual markers for the assisting hand. You can also use them as a strengthening activity by hole punching each blue dot. A hole punch is a GREAT physical cue for moving the assisting and when cutting along the lines. Move the scissors down the shaded path to reach the Fall leaves. Don’t go off the path!
Cut each strip on the bold lines. Use the blue dots as visual markers for the assisting hand. You can also use them as a strengthening activity by hole punching each blue dot. A hole punch is a GREAT physical cue for moving the assisting and when cutting along the lines. Move the scissors down the shaded path to reach the Fall leaves. Don’t go off the path!
Cut each strip on the bold lines. Use the blue dots as visual markers for the assisting hand. You can also use them as a strengthening activity by hole punching each blue dot. A hole punch is a GREAT physical cue for moving the assisting and when cutting along the lines. Move the scissors down the shaded path to reach the Fall leaves. Don’t go off the path!
FALL LEAVES CUTTING SHAPES
Cut each Fall leaf shape on the lines. Glue them to clothes pins, craft sticks, or paper bags to make puppets. Use these Fall leaves in pretend play activities, in sensory bins, or in making patterns. Have fun!
1. What number leads to the leaf? □
2. What is your favorite thing to do with leaves or trees?
www.theOTtoolbox.com
1. What number leads to the tree? □
2. In the Autumn, I see...
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Lowest Power Fibre Channel Adapters for Green Data Centers
Cavium's QLogic Adapters Deliver the Highest Performance at the Lowest Power
QLogic StarPower technology from Cavium offers dynamic and adaptive power management features to optimize power and bandwidth for lower power consumption.
KEY BENEFITS
INDUSTRY CHALLENGES
Application growth and technology improvements drives data center managers to use server virtualization to consolidate server footprints and reduce the amount of power and cooling required. Upgrading server equipment to an energy-efficient model can save up to one ton of carbon emissions. Virtualization is an innovative way to absorb growth while minimizing environmental impact.
* Lower Power Consumption. The QLogic ® Dynamic Power Management feature automatically reduces power consumption with no IT administrator intervention. QLogic 2600 Series Adapters from Cavium™ use the minimum number of PCIe ® lanes to accommodate the maximum Fibre Channel bandwidth in a PCIe Gen3 slot. In a PCI Express ® Gen3 slot, the QLogic Dynamic Power Management feature demonstrates 42 percent greater power savings compared to the Emulex ® LPe16002B adapter.
* Lower Power Bills. In a data center with thousands of servers and Fibre Channel Adapters, the QLogic StarPower™ solution results in significant cost savings through lower electricity usage.
* Reduction in Cooling Costs. Choosing an adapter that delivers lower power consumption generates less heat, requiring less cooling to maintain the server's operating temperature.
* Lower Operating Expenses. Decreased power and cooling requirements enable more servers to operate using the existing footprint within the data center.
* Environmentally Responsible. Reducing Fibre Channel adapter power consumption helps lower overall carbon footprint.
All around the globe, more and more data is shared every day, while there is also a shift towards environmentally responsible thinking. The significant increase in the amount of data means that more energy is required to power up and cool the enterprise data center. Therefore, data centers play an important role in reducing the amount of energy used to run large infrastructure complexes.
QLOGIC STARPOWER TECHNOLOGY
Dynamic Power Management techniques, such as Intelligent Link Training (ILT), save power on the QLogic 2500 Series (8Gb) and QLogic 2600 Series (16Gb) Fibre Channel Adapters. Intelligent Link Training forces the PCIe bus to use the minimum number of lanes needed for maximum throughput. For example, for PCIe Gen2 slots, the QLogic 2600 Series Adapter uses all 8 PCIe lanes; however, when the same adapter is plugged into a PCIe Gen3 slot, it uses only four lanes, which are powered down when the bandwidth is not in use, which saves power. Reducing Fibre Channel Adapter component count and using power-efficient components further reduce power consumption.
In addition to its power-saving features, the QLogic 2600 Series Adapter uses an active heat sink to cool the adapter. The design maintains an optimal operating temperature across the broad range of server designs, irrespective of airflow. Having a cooler adapter delivers the highest levels of reliability. Active cooling solutions have been deployed in the industry across many implementations: high-performance CPUs, memory modules, and power components.
1
Lowest Power Fibre Channel Adapters for Green Data Centers
KEY BENEFITS
* Lower Power Bills. The QLogic StarPower solution results in significant cost savings.
* Reduction in Cooling Costs. Choosing an adapter that delivers lower power consumption results in generating less heat.
* Lower Operating Expenses. More servers can operate using the existing power footprint in the data center.
* Environmentally Responsible. Lower the overall carbon footprint.
Table 1. QLogic 2600 Series Power Consumption Advantages 1
KEY ADVANTAGES
Lower Power Consumption. In a PCI Express Gen3 slot, the QLogic Dynamic Power Management feature demonstrates 42% greater power savings over Emulex, as shown in Table 1.
Higher Application Performance and Virtual Machine Scalability. The QLogic 2600 Series Fibre Channel Adapter delivers the best application performance, making it an ideal solution for high-density virtualized environments. Cavium's QLogic technology delivers higher application performance than Emulex in Oracle ® and Microsoft Exchange Server ® environments. The QLogic 2500 Series and the QLogic 2600 Series outperform the Emulex LPe12002 and LPe16002B Adapters, respectively, at real-world workloads (block sizes) used in the enterprise data center. As shown in Table 2, this greater performance effectively means a more efficient adapter well suited for green data centers.
Table 2. Fibre Channel Adapter Power Efficiency
High Availability Architecture. The QLogic 2600 Series Fibre Channel Adapter is the superior choice for the enterprise data center. QLogic Fibre Channel architecture provides port-level isolation across its dual-port ASIC, using independent buffers, the CPU, and the firmware image for each port. This design provides predictive and scalable performance across both ports.
Proven Leadership. According to Dell'Oro Group, Cavium's QLogic adapters lead the market with a double-digit lead over the nearest competitor. With more than 15 million ports deployed across multiple hardware platforms and operating systems, QLogic Fibre Channel Adapters have been field-tested in enterprise data centers.
QLOGIC STARPOWER
QLogic StarPower technology from Cavium offers dynamic and adaptive power management features such as power and bandwidth optimized intelligent PCI Express link training, low-power switching power supplies, and thermally efficient layout requiring lower airflows.
ABOUT CAVIUM
Cavium, Inc. (NASDAQ: CAVM), offers a broad portfolio of infrastructure solutions for compute, security, storage, switching, connectivity and baseband processing. Cavium's highly integrated multi-core SoC products deliver software compatible solutions across low to high performance points enabling secure and intelligent functionality in Enterprise, Data Center and Service Provider Equipment. Cavium processors and solutions are supported by an extensive ecosystem of operating systems, tools, application stacks, hardware reference designs and other products. Cavium is headquartered in San Jose, CA with design centers in California, Massachusetts, India, Israel, China and Taiwan.
1. For a detailed description of the power testing methodology, see the technology brief, "QLogic Platform and Methodology for Product Evaluations."
Follow us:
Corporate HeadquartersCavium, Inc. 2315 N. First Street San Jose, CA 95131 408-943-7100
International OfficesUK | Ireland | Germany | France | India | Japan | China | Hong Kong | Singapore | Taiwan
Copyright © 2013 - 2017 Cavium, Inc. All rights reserved worldwide. QLogic LLC (formerly QLogic Corporation) is a wholly owned subsidiary of Cavium, Inc. Cavium, QLogic, and StarPower are registered trademarks or trademarks of Cavium Inc., registered in the United States and other countries. All other brand and product names are registered trademarks or trademarks of their respective owners.
This document is provided for informational purposes only and may contain errors. Cavium reserves the right, without notice, to make changes to this document or in product design or specifications. Cavium disclaims any warranty of any kind, expressed or implied, and does not guarantee that any results or performance described in the document will be achieved by you. All statements regarding Cavium's future direction and intent are subject to change or withdrawal without notice and represent goals and objectives only.
2
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Available online on www.ijpcr.com
International Journal of Pharmaceutical and Clinical Research 2022; 14(6); 239-247
Original Research Article
Glycosylated Hemoglobin (HbA1c) Levels and Wound Healing in Diabetic Foot Ulcers–An Observational Study
Priyanka Hegde 1 , Seema V. Kamaraddi 2 , Basavaraj M. Kajagar 3
1Resident, Department of Plastic Surgery, CMC, Vellore, Tamil Nadu, India. 2Associate Professor, Department of Physiology, Jawaharlal Nehru Medical College, KAHER, Belagavi, Karnataka, India.
3Professor, Department of General Surgery, Jawaharlal Nehru Medical College, KAHER, Belagavi, Karnataka, India.
Received: 15-04-2022 / Revised: 20-05-2022 / Accepted: 01-06-2022
Corresponding author: Dr. Basavaraj M. Kajagar
Conflict of interest: Nil
Abstract
Methodology: The present observational study was conducted in 90 DFU patients with single Wagner grades 1 or 2 foot ulcer. Depending on the HbA1c levels; Group 1: < 7%, Group 2: 7-8% and Group 3: > 8%. Photographs were taken using the Tissue Analytics software interface installed on an android smartphone, on day 0 and day 14. The software then calculated and yielded the length, width, and area of the ulcer. Culture and antibiotic sensitivity of foot ulcer was done. Chi-square test was used for group comparisons and p<0.05 was considered significant
Background: Altered glycemic levels (HbA1c) can influence the healing process of diabetic foot ulcers (DFU), prevalent among type-2 Diabetes Mellitus (DM) patients. The objective of this study was to assess the rate of wound healing in DFU corresponding to HbA1c levels in type 2 diabetes individuals.
Results: The mean HbA1c level was 8.76±2.75% and the duration of DM was 118.87±83.52 months in all the subjects. The range of DM duration was 0.08 to 30 years (Confidence Interval: 8.45 to 11.36). Among the subjects, 44.44% had ulcers for 1-4 weeks. A significant negative correlation (rho= -0.55) between HbA1c and rate of wound healing (p<0.0001) was observed using Spearman rank correlation. Wagner grade was significantly associated with group (p=0.001). Neuropathy, Peripheral Vascular Disease (PVD) and bacterial infection at the site was seen in 44.40%, 31.10% and 53.1% patients.
Keywords: Diabetic foot, foot ulcer, Glycated haemoglobin A, wound healing.
Conclusion: The duration required for wound healing increased with rise in HbA1c.
This is an Open Access article that uses a fund-ing model which does not charge readers or their institutions for access and distributed under the terms of the Creative Commons Attribution License (http://creativecommons.org/licenses/by/4.0) and the Budapest Open Access Initiative (http://www.budapestopenaccessinitiative.org/read), which permit unrestricted use, distribution, and reproduction in any medium, provided original work is properly credited.
Introduction
Diabetic Foot Ulcer (DFU) is one of the most common causes for hospitalization of a diabetic patient which could result in amputation if untreated. In India, the onset of diabetes is observed at a young age and is associated with complications regardless of the duration of diabetic illness. [1] Complications of diabetes are divided into microvascular (diabetic neuropathy, nephropathy and retinopathy) and macrovascular (peripheral vascular diseases, coronary artery diseases and
stroke). [2] DFU patients have been observed to carry a risk of developing vasculopathy and neuropathy with a short duration of diabetes in India. [1] Worldwide DFU incidence is 9.1 to 26.1 million per annum. [3] Foot ulcers can be averted by a frequent screening of high risk patients. An infection of the ulcer can be avoided by awareness, control of blood sugar level, removal of dead tissue from wound, progressive dressing, surgery and progressive treatment. [4,5] Risk factors associated with DFU are increasing age, female gender, peripheral neuropathy, peripheral arterial diseases, history of diabetes and elevated Glycated Hemoglobin (HbA1c). [6,7] Modality of DFU consists of debridement of infection, antibiotic treatment, subsequently accurate vascular reformation. A negative wound pressure therapy could be the appropriate treatment method for DFU.[8] Wagner grading system delineates the severity of ulcer, existence of gangrene or osteomyelitis. [9]
Assessment of HbA1c in diabetic patients is advantageous over the routine blood glucose or Oral Glucose Tolerance Test (OGTT).[10,11] The benefits of HbA1c testing is that it does not require any prior preparation and it can be done at any time of a day. HbA1c provides an average glucose level for three months which is beneficial over repeated testing of blood glucose. Foot ulcer healing is delayed with elevated HbA1c, total cholesterol, triglycerides, and low-density lipoprotein (LDL) levels. Further HbA1c is a known reliable diagnostic tool for the prediction of DFU. [8,12] Body Mass Index (BMI) and HbA1c are two risk factors associated with diabetes and their raised levels can predict poor healing process of DFU. These two factors signify the restrain over the complications of diabetes. [1] Tissue analytic software assess the wound healing through an electronic health record (HER) plug-in, which is powered by Artificial Inelegancy (AI) software solution. The company recently adopted an interlinked platform with selected partners, that indicates the cutting-edge of wound care instruments, characterized with picturization and examine oxygenation of tissue under the skin, briefing of bioburden and prejudice the DFU.
A paucity of studies regarding a compelling association between DFU and HbA1c level was observed. It has been reported that inconsistent HbA1c levels of diabetic patients have a greater wound healing activity with a baseline control. [13,14] Moreover, after accommodating confounding factors, there has been no correlation between HbA1c level and healing of DFU. [14] Contradicting these outcomes there has been a strong association between elevated HbA1c and delay in the healing of DFU. [4,6,15] Hence, this study proposed to assess the DFU healing rate and its association with corresponding HbA1c levels.
Material and Methods
This prospective observational study was conducted for one year from January 2017 to December 2017 in the department of Surgery at a tertiary care hospital. Using Cohen's convenience method with Effect size of 0.335, 80% power and 5% significance level, sample size was calculated and 90 DFU patients were enrolled in the study. Convenience method of sampling technique was applied for the sample selection. DFU patients who consented for the hospital stay for a minimum of 15 days, patients above 18 years, 1 or 2 Wagner grades with single foot ulcer and only new cases of DFU, irrespective of their Diabetes mellitus duration were included in the study. Exclusion criteria of the study was Wagner grade strike 3 or more, foot ulcer with gangrene, osteomyelitis of foot, diabetic ketoacidosis, immunodeficiency states, hemoglobinopathies, autoimmune diseases like malignancy and patients receiving unconventional treatment for DFUs. The study was approved by Institutional ethical
committee and the informed consent was obtained from the study participants.
Baseline characteristics of the cohort such as age, gender, duration of diabetes, history of hypertension and duration of foot ulcer was collected. During the clinical examination of patients Wagner grade, neuropathy, and Peripheral Vascular Disease (PVD) were recorded. [2.16,17] Ulcer characteristics such as shape, location, edge, margins, floor of ulcer were noted on – Day 0 (beginning of study) and Day 14 (end of study) were examined by a qualified General Surgeon. Diagnostic part of the study culture and antibiotic sensitivity of foot ulcer was conducted, for this wound discharge or deep tissue culture during debridement was carried out before inclusion into study.
For the estimation of HbA1c level among DFU patients, 2 cc of blood sample was co
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The lasting impact of Intraprofessional Education between dentists and dental hygienists
Kimber Satter
Eastern Washington University
Follow this and additional works at: https://dc.ewu.edu/theses
Part of the Dental Hygiene Commons, Dental Public Health and Education Commons, and the Other Dentistry Commons
Recommended Citation
Satter, Kimber, "The lasting impact of Intraprofessional Education between dentists and dental hygienists" (2018). EWU Masters Thesis Collection. 477.
https://dc.ewu.edu/theses/477
This Thesis is brought to you for free and open access by the Student Research and Creative Works at EWU Digital Commons. It has been accepted for inclusion in EWU Masters Thesis Collection by an authorized administrator of EWU Digital Commons. For more information, please contact [email protected].
The Lasting Impact
of Intraprofessional Education
Between Dentists and Dental Hygienists
A Thesis
Presented in Partial Fulfillment of the Requirements for the
Degree of Masters of Science
in
Dental Hygiene
in the
College of Graduate Studies
Eastern Washington University
by
Kimber Satter, RDH, BSDH, MSDH
Spring 2018
Major Professor:
Sarah Jackson, RDH, MSDH
THESIS OF KIMBER SATTER APPROVED BY
SARAH JACKSON, RDH, MSDH, GRADUATE STUDY COMMITTEE
ARTHUR C. DIMARCO, DMD, EWU RIDE DIRECTOR, GRADUATE STUDY COMMITTEE
PAMELA R. NAGASAWA, PHD, GRADUATE STUDY COMMITTEE
MASTER’S THESIS
In presenting this thesis in partial fulfillment of the requirements for a master’s degree at Eastern Washington University, I agree that the JFK Library shall make copies freely available for inspection. I further agree that copying of this project in whole or in part is allowable only for scholarly purposes. It is understood, however, that any copying or publication of this thesis for commercial purposes, or for financial gain, shall not be allowed without my written permission.
Signature Kimber E.H. Sutton
Date 4-27-2018
**LASTING IMPACT OF INTRAPE AMONG DENTISTS AND DH**
**Human Subjects Approvals**
**Application for Exempt Research**
**EWU Institutional Review Board for Human Subjects Research**
*Return this form, signed + 2 copies (3 total) to the Office of Grant and Research Development, 210 Showalter (SHW)*
| Principal Investigator (PI): | Kimber Satter |
|-----------------------------|---------------|
| Title: | Graduate Student |
| Department: | Dental Hygiene |
| Address: | 502 E Boone MSC 1124 |
| Spokane, WA 99258 | |
| Phone number: | (360) 903-5745 |
| E-mail: | [email protected] |
| Responsible Project Investigator (RPI) (faculty/staff sponsor): | Sarah Jackson |
|---------------------------------------------------------------|---------------|
| Department: | Dental Hygiene |
| Campus address/Mail stop: | 310 N Riverpoint Blvd., Suite 160 |
| Spokane, WA 99202 | |
| Phone number: | (509) 828-1299 |
| E-mail: | [email protected] |
**Project Title:** The Impact of Intraprofessional Education Between Dentists and Dental Hygienists
For students only: Is this research being done to meet a course, thesis or other academic requirement? ☒ Yes □ No
If yes, please specify: Master’s thesis
If not, why is it being done?
**Project anticipated starting date:** January 15, 2018
**Anticipated termination date:** February 15, 2018
**Funding:** ☒ Non-funded □ Internal funding □ External funding
**Funding agency (if applicable):**
**Grant or Contract Number:**
Check the type of exemption applicable to the project using the “Exemption Decision Aid” on the next page:
☒ 1. □ 2. □ 3. □ 4. □ 5. □ 6. □ None
**Rationale for exemption. Why should this project be exempt?** This project should be exempt as it examines alumni attitudes towards intraprofessional education in a survey form and does not include any of 12 twelve conditions that exclude an exemption.
Please state the purpose and methodology of the research:
**Purpose**
The goal of this study is to explore dentist’s perceptions of the importance of Intraprofessional education (IntraPE) with dental hygiene (DH) students, and their attitudes towards teamwork and understanding the roles and responsibilities of the DH. This study focuses on the IntraPE between University of Washington (UW) dental students and EWU DH students. Since IntraPE is a form of shared learning, use of the Interprofessional Education Collaborative (IPEC) Core Competencies for Collaborative Practice will provide the framework for the research questions of this exploratory study (IPEC, 2016b). This research seeks to evaluate how well the Regional Initiative in Dental Education (RIDE) program meets these core competencies in practice.
**Research Questions**
- Do dentists who participated in the RIDE program understand their role and responsibilities related to the DH better than dentists who had no formal IntraPE with DH students?
- Do RIDE dentists perceive there are better teamwork dynamics with their dental hygienists compared to non-RIDE dentists, due to their IntraPE experience with DH students?
**Methodology**
Upon consent, participants will individually complete an online demographic questionnaire including open-ended qualitative questions, and a questionnaire adapted from the Modified Readiness for Interprofessional Learning Scale (RIPLS), here called the IntraPE attitudes questionnaire, administered through SurveyMonkey®. Participants will be asked about professional respect, understanding others’ roles, collaboration, and teamwork.
**Variables.**
The independent variables are: participation in the UW RIDE program, the year of graduating from the UWSOD, participation in additional SL activities, and previous career as a DH. The PI seeks to measure if there is a specific impact the RIDE program has that differs from the traditional UWSOD curriculum and if there is a long-term impact of dentists having IntraPE with DH. The dependent variables are the scores from the IntraPE attitudes questionnaire. This will measure attitudes towards roles and responsibilities and teamwork based on the two IPEC Competencies of Roles and Responsibilities and Teams and Teamwork (IPEC, 2016b).
Instruments. The PI will use questionnaires to gather quantitative and demographic information. The PI used existing research as described in the literature review to choose a reliable and valid instrument.
Demographic questionnaire. A demographic questionnaire will provide descriptive statistics for the target population. This includes gender, year of graduation from the UWSOD, RIDE participation, years of clinical experience, previous career as a DH, and other IntraPE or IPE experiences. See Appendix B.
The IntraPE attitudes questionnaire. This is based on the subscales in the Modified RIPLS, a 19 item survey with four subscales using a 5-point Likert scale ranging from strongly disagree (1) to strongly agree (5) (McFadyen et al., 2005). The Modified RIPLS is an instrument proven to be reliable and valid for evaluating IPE (McFadyen, Webster, Maclaren, 2006) and has been used to evaluate IntraPE in multiple studies (Brame, Mitchell, Wilder, & Sams, 2015; Brooks & Gorman, 2017; Reeson, Walker-Gleaves, & Ellis, 2015). The Modified RIPLS was adapted for this study with language changed to be specific to dental education and the number of questions reduced to 12 at the request of the UWSOD. See Appendix C. An expert panel evaluated the adapted modified RIPLS to ensure validity. The panel included six professors and dentists at the University of Washington School of Dentistry (UWSOD), the Associate Dean for Academic Affairs at the UWSOD, the EWU dental hygiene graduate faculty, and one EWU de
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PATIENT INTAKE FORM - CHILD
Date: ____________
Name: _______________________________ DOB: ____________ Age: _______
Medical Diagnoses (of any kind): _______________________________________
___________________________________________________________________
Educational Diagnoses: _______________________________________________
Reason for evaluation –
Parental concerns: ____________________________________________________
___________________________________________________________________
Recommendation from other professional(s)/parent(s)? What concerns were shared with you and by whom? _______________________________________
___________________________________________________________________
GENERAL INFORMATION:
Please list any allergies, medications, dietary guidelines, or medical precautions for your child:
Does your child receive speech, occupational, or physical therapy at this time?
Speech ___ x/week
OT ___ x/week ___ No Services at this time.
PT ___ x/week
Has your child received speech, occupational or physical therapy in the past?
___ Yes Speech/PT/OT Date services ended _______ ___ NO
Has your child received cognitive/intelligence/psychological testing?
___ Yes Impaired/Within Normal Limits ___ NO
Has your child received a hearing screen or formal hearing evaluation?
___ Yes Impaired/Within Normal Limits ___ NO
Has your child received a vision screen or formal vision evaluation?
___ Yes Impaired/Within Normal Limits ___ NO
If you have the results of these evaluations, please attach.
FAMILY HISTORY:
Parent’s name: ___________________________ Parent’s name: ___________________________
Parent’s name: ___________________________ Parent’s name: ___________________________
Siblings Name and Age:
______________________________________________________________________________
Who currently lives with this child?
______________________________________________________________________________
History:
Were there any issues with the pregnancy and delivery of your child?
Were there any feeding difficulties after birth including problems sucking or nutrient intake? Please specify.
Has your child had any significant childhood illnesses? If so, please be specific.
Does your child experience frequent ear infections? Does he/she have P.E. tubes? Permanent or temporary? If so, what ears?
Does your child use any adaptive equipment?
The following questions are utilized as a tool in order to get a more complete picture of your child. Some of the questions may refer to children that are older than your own. Check the choice that applies:
| Developmental History: | YES | NO | AGE |
|-----------------------|-----|----|-----|
| Did your child reach developmental milestones at appropriate times? (if no, specify age milestone was met) | | | |
| Roll (5-6 months) | | | |
| Sit independently (6-8 months) | | | |
| Crawl (9-11 months) | | | |
| Walk (12-15 months) | | | |
| First Word (12 months)| | | |
| 2-3 word sentences (18 months) | | | |
| Drink from a cup independently (12-16 months) | | | |
| Feed self independently (2 ½ - 3 years) | | | |
| What type of utensils? | | | |
| Behavior/Temperament Questions | YES | NO | COMMENTS |
|--------------------------------|-----|----|----------|
| Describe your child at present: | | | |
| Mostly quiet, calm, patient | | | |
| Hyperactive, always in motion | | | |
| Rigid, set in his/her ways | | | |
| Upset by transitions/unexpected changes | | | |
| Short attention span | | | |
| Impulsive | | | |
| Over reacts | | | |
| Exhibits frequent temper tantrums | | | |
| Has difficulty separating from primary caretaker | | | |
| Has nervous habits or tics | | | |
| Regular sleep patterns | | | |
| Difficult to get to sleep | | | |
| Is frustrated easily | | | |
| Has unusual fears | | | |
| Has a difficult time in public places | | | |
| Has difficulty learning new tasks (i.e writing, throwing a ball, riding a bike, etc) | | | |
| Very cautious with trying new things | | | |
| Has poor safety awareness | | | |
Does our child play with toys differently than his or her peers? Please describe the difference.
**Family History:**
Do any of your child’s siblings receive therapy services or have a related diagnosis
**School Services:**
Does your child have an IEP, IIIP, or IFSP? YES NO
If YES, then:
- Type of Service(s) Received: OT PT ST
- Frequency and Duration of Session: (eg., ___Min. Direct, ___Min. Indirect, for each discipline)
- OT=
- PT=
- ST=
- Individual or Group Setting (for each discipline):
- OT _______________ PT _______________ ST _______________
Please bring a copy of the IEP, IIP, or IFSP to the appt.
| Name of School | |
|----------------|---|
| Grade | |
| List Goals | |
**Additional Questions:**
What does your child like to do?
What does your child dislike?
Is your child currently active in any extracurricular/recreational activities? If so, what
Therapy goals and additional comments or concerns
*Thank you for taking the time to complete this form. It is greatly appreciated and will be helpful in completing your child’s evaluation here at Family Achievement Center.*
# OCCUPATIONAL THERAPY PATIENT INTAKE FORM – CHILD
| Functional Status | YES | NO | If, no how much assistance they need? |
|-------------------------------------------------------|-----|----|--------------------------------------|
| Independent with dressing | | | 100% 75% 50% 25% 10% |
| Independent with toileting | | | | | | |
| Independent with grooming (brush teeth, comb hair, wash face) | | | | | | |
| Independent with bathing/showering | | | | | | |
| Independent with self-feeding | | | | | | |
| Can independently fix a snack | | | | | | |
## Gross/Fine Motor
| | YES | NO | Comments |
|--------------------------------------|-----|----|----------|
| Gets tired easily playing or writing | | | |
| Seems generally weak compared to peers | | | |
| Has difficulty playing on playground equipment | | | |
| Seems clumsy, awkward | | | |
| Has poor ball skills (catching, dribbling) | | | |
| Have poor handwriting | | | |
| Has difficulty with buttons, zippers, & snaps | | | |
## Vision
| | YES | NO | Comments |
|--------------------------------------|-----|----|----------|
| Rubs eyes while working | | | |
| Poor reading comprehension | | | |
| Eyes are tired at the end of the day | | | |
| Trouble copying from board | | | |
| Holds things very close to eyes | | | |
| Complains of eyestrain, headaches | | | |
| Makes reversals when copying or reading | | | |
## Goal Areas:
In the area of occupational therapy (ex “dress independently, tolerate more sensory experiences, use his/her hands better…”)
---
8320 City Centre Drive, Suite G • Woodbury, MN 55125
Phone: (651) 738-9888 • Fax: (651) 738-9889 • www.familyachievement.com
SPEECH THERAPY PATIENT INTAKE FORM – CHILD
Please answer the following questions to the best of your ability and make comments as appropriate. Please describe the concerns you have regarding your child’s speech and/or language. Give examples of their difficulties.
How does your child make his/her needs and wants known?
Was your infant…
- A quiet baby? YES NO
- A frequent crier? YES NO
- Irritable? YES NO
- Visually alert/attentive? YES NO
- Auditorily alert/attentive? YES NO
At what age did your child…
- Babble?
- Understand speech sounds?
- Imitate speech sounds?
- Say first words?
- Use two or more words in phrases?
At present, does your child have:
- Understandable speech? YES NO
- A loud voice? YES NO
- A monotone voice? YES NO
- A hoarse voice? YES NO
Please describe when you first noticed something was different about the way your child communicates. When did the change occur and what do you think brought on the change?
How intelligible is your child to family members? To others?
Do any of your child’s siblings receive therapy services or have a related diagnosis?
Is there any history of speech, language or stuttering difficulties in your family? If so, who and what is their relationship to the child.
In the next several months in the area of speech/language, I would like my child to be able to (ex “talk clearly, use more words, follow directions . . .”):
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ODH Announces New Initiatives to Educate Youth and Parents About Vaping Dangers and to Provide Tools for Quitting
As They Investigate, CDC Now Warns People Against Vaping
COLUMBUS – Ohio Department of Health (ODH) Director Amy Acton, MD, MPH, today announced new initiatives to prevent and reduce youth vaping. This comes following recent warnings from the U.S. Centers for Disease Control and Prevention (CDC) about severe pulmonary illnesses reported following vaping.
State and local public health officials in Ohio have confirmed that 10 reports of severe pulmonary illness after vaping are likely due to vaping and are investigating an additional 14 reports of illness. Nationally in 33 states, CDC says that it is aware of more than 450 possible cases of severe pulmonary illness after vaping and at least five deaths.
“The explosive increase in vaping among our youth is a public health crisis, and we must educate them and their parents about the dangers of vaping,” said ODH Director Amy Acton, MD, MPH. “Youth have shown an increased vulnerability to nicotine addiction, and evidence suggests that nicotine use during adolescence and young adulthood has long-term impacts on brain development. Last year alone, we saw a 48% increase in vaping among middle schoolers and a 78% increase in vaping among high schoolers. We must provide resources to help our youth to quit using any tobacco products, including vaping.”
ODH announced several new initiatives to address vaping and tobacco use:
- Letter to Ohio school districts encouraging them, in their school policies, to prohibit the use of vaping products and to warn school administrators, teachers, parents, and students about the dangers of vaping and where to get free help to quit;
- Investment of approximately $3.3 million to develop and promote a set of tools and resources that can be used by community groups, organizations, and others to help educate youth and community members about the dangers of vaping and actions they can take to curb vaping in their communities. These tools are likely to include a web-based youth vaping prevention education module, parent/caregiver awareness education, public awareness initiatives, and outreach to community stakeholders;
- Investment of approximately $800,000 in public education campaigns targeting youth and their parents about vaping, as well as Ohio’s new law prohibiting the sale of tobacco, including vaping products, to individuals younger than 21. This new law takes effect on Oct. 17, 2019.
“Tobacco and other companies are addicting our next generation through vaping -- and it is simply not safe. Candy-flavored liquids and intentional marketing tactics are clearly being used to attract and addict young people to vaping,” said Ohio Governor Mike DeWine. “That is wrong, and we must continually look for new ways to reduce vaping in Ohio, especially among our kids!”
People should consider not using e-cigarette products while this investigation is ongoing, according to CDC. The agency also says that e-cigarette products should never be used by youth, young adults, pregnant women, or adults who do not currently use tobacco products. People who do use e-cigarette products should monitor -more-
246 North High Street
Columbus, Ohio 43215 U.S.A.
The State of Ohio is an Equal Opportunity Employer and Provider of ADA Services.
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Palo Alto Rotary Pinion
January 14, 2019Reporter: DON MORGAN Editor: LYLE CONNELL
July 31, 2017
Reporter: DON MORGAN
President GINNY LEAR promptly reminded us that "Be The Inspiration" is our slogan this year, CHARLIE WEIDANZ led the Pledge, and DANA TOM introduced Visiting Rotarian Paula Snyder from Franklin,Tennesee. She said today was an anniversary of the United States: on this date in 1784 the Congress of the Confederation ratified the Treaty of Paris, ending the Revolutionary War. DICK BUSH introduced his guest and long-time close friend of his daughter, Michelle Abshszadeh of Foster City.
Editor: LYLE CONNELL
ELIZABETH SANTANA put in a spirited plug for the Palo Alto Players' "Shakespeare in Love", featuring among other actors an unpredictable dog. This Sunday January 20 at 2pm, followed by a social around 4:15 courtesy of HAL MICKELSON.
LYLE CONNELL recalled from his early Boy Scout days a hike
brush. They soon realized this was too dangerous. It occurred to them to ask themselves "What would Dilworth Young do"? After thinking, they finally carefully plotted their way down the mountain to a stream, then upstream to the camp. Dilworth Young was the Camp Director who was a very inspiration leader for Lyle. He had the ability to inspire you to do your very best when you were with him. Dilworth asked what they would do next time. Result; don't get distracted, focus on the goal, keep track of your surroundings, don't panic, think, develop a plan, and then act to carry it out.
in the mountains of Utah to visit a bat's cave. It was a tough hike. To return to camp he took the ridge route with a leader who knew the way. He and a friend sauntered along the ridge taking in the scenery when they suddenly found themselves alone and "LOST" facing steep terrain and rocky cliffs, not knowing what to do. "So, we panicked." and started crashing
GINNY called attention to complimentary tickets, available at the front desk, to the Celebrity Forum on January 18, featuring Ian Bremmer. She suggested optional donations to End Polio Now.
CASH ALAEE had good news about the annual high schooler speech contest. We have eleven contestants! Many thanks to ANNETTE GLANKOPF for advising how to proceed, and to GINNY and BRUCE GEE for their support. The first round of the contest takes place at City Hall on January 31, at 7 pm. Please attend in support of our team!
BRUCE GEE is now taking reservations for our fabulous Chinese New Year dinner
celebration on January 30 at Chef Chu's Restaurant. Detailed invitations are in your mail.
BRUCE added "Let's get crackin" for the annual crab feed fundraiser on March 23.
BRUCE then volunteered BILL JOHNSON to describe the process to determine recipients of charitable grants from the Club. Unflustered,
BILL did just that, starting with invitations to just about every non-profit in the area to submit preliminary applications. ROGER SMITH, also unflustered, thanked BILL and the Palo Alto Weekly for their support in the process.
For Rotary Foundation donor recognition, GINNY presented a
Paul Harris Fellow pin to PETER SHAMBORA, a pin with three sapphires to SHERRI SAGER, and one with four sapphires to ROGER SMITH. Thank you all for your support.
The President's Club saw TRISH BUBENIK join to thank a hospital for great care and good food, really, and to celebrate her recent birthday.
DANA TOM joined to mark a
graduation trip to Australia with his eldest son and to clebrate his youngest son's selection to the USA Ultimate Frisbee team, about which we should hear much in the future.
DICK MANSFIELD joined to recollect that when he joined the Club 20 years ago an authority asked him to co-chair an important function with PAM BRANDIN, with a warning that she was "really tough". He noted that PAM is retiring and will leave the area in a few months to return to Nebraska.
GINNY thanked BETSY BECHTEL for greeting attendees, KATIE SEEDMAN for Cashier duty, LAURIE LISTON for Microphone Management, STEVE MADSEN and RICHARD KELLER for Room Set Up, and DON MORGAN for the Pinion.
GINNY noted that REBECCA GERALDI was absent due to hand surgery today but would return next week on MLK Day to supervise the all-hands-on-deck service project, preparation of small packages for LGBTQ youths, some of whom have been rejected by their families and are homeless. GINNY hopes for a large turnout.
THE PROGRAM:
Vocational Talks: TOM GRACON, SHERRI SAGER, BILL BUSSE:
MEL MATSUMOTO introduced each speaker with an unusual biographical excerpt – TOM GRACON played the accordion as a youth in a four-person Polka Combo in McKeesport, Pennsylvania, SHERRI SAGER said upon joining the Club in 2004 that she was a long-
standing, long-suffering Golden State Warriors fan, and BILL BUSSE flew a wide range of aircraft in the Navy, from jet fighters to lumbering slow patrol planes.
We enjoyed three fascinating and entertaining talks.
TOM worked in a succession of Silicon Valley tech firms, changing with hardware developments and later software as well, a veritable who's who of the industry, in increasingly important roles.
SHERRI turned 18 the day 18 year-olds got the federal vote, having been allowed to reguister a day earlier. A committed Democrat, she worked for many years on a variety of campaigns and for a variety of office holders, until 25 years ago a friend called to say that the Lucile Packard Childrens Hoapital, then four years old, had obtained approval for a Govermemt Relations specialist, for which everyone
agreed SHERRI was eminently well qualified.
BILL related that the Navy sent him to college in southern
California where he met the lovely lady who would become his wife. On advice from a friend he enrolled at Stanford years later, and produced over a career a large number of impresive architectural creations, including some for our Club. He added to our appreciation of his talents with photos of several projects.
UPCOMING EVENTS AND MEETINGS
January 21, MLK Day: All Hands on Deck
Service Project
January 28, Tom Ehrlich: "A Civic Sputnik Moment"
February 4, Regular Meeting
February 11, Cynthia Butler, Master Gardener Santa Clara County: "Bees in a Nutshell
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https://clubrunner.blob.core.windows.net/00000006775/en-us/files/bulletin/2019-01-14-palo-alto-rotary-epinion-1-14-19/epinion-11419/EPinion-01-14-19.pdf
|
2019-02-22T21:04:36Z
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Wenbin Li China
Dr Wenbin Li, MD, PhD, chief Physician, professor, director of cancer center and the Neuro-oncology department, Beijing Tiantan Hospital, Capital Medical University, vice president of the National Health Care Big Data (Capital Medical University) Research Institute, dean of the Department of Oncology in Capital Medical University, Chairman-designate of the Neuro-oncological Drug Clinical Research Committee, China Pharmaceutical Innovation and Research Development Association, deputy Chairman of the Gliomal Committee, Chinese Anti-Cancer Association, board member of "Signal Transduction and Targeted Therapy" and "Cancer Biology & Medical", chief Editor of "Neuro-Tumor Channel of Medical Reference". He is one of Leading Experts of Chinese and Western Medicine in Beijing, honorary Research Fellow of the University of South Florida. He is an expert in chemotherapy and clinical trials for brain tumors, was PI for two phase I clinical trials of China key innovative drugs during the 13th Five-Year Plan period. He is also the general coordinator in China for GBM AGILE international multi-center clinical trials. He published more than 100 research paper. Two oral presentations at ESMO 2023.
Topic: Clinical Trials in China
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| 947,388,260
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Reserving a meeting room in Outlook
1. Open your calendar, and click 'New Meeting'
2. Set your meeting date and time
1
3. Click 'Rooms'
4. Select the room you would like to reserve (double-click on the room; it should show at the bottom) and click 'OK'
5. Check the availability of the room. There are two options to do this. One way is to look at the "Suggested Times" to the right of your meeting invitation. This shows if the room is available or if there is a conflict.
The other option is to click "Scheduling Assistant at the top of the screen. This shows the availability for the room as well.
6. Click on 'Appointment' and type the subject of your meeting
7. Click 'Send'
8. You will receive a confirmation if the room is not booked
9. If you attempt to reserve a room that is already booked, you will get a "Declined" message
|
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|
https://www.canadacollege.edu/grants/docs/Reserving%20a%20meeting%20room%20in%20Outlook.pdf
|
2019-05-22T10:53:43Z
|
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