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The NIOSH Pocket Guide to Chemical Hazards presents information
taken from the NIOSH/OSHA Occupational Health Guidelines for
Chemical Hazards, from National Institute for Occupational Safety
and Health (NIOSH) criteria documents and Current Intelligence
Bulletins, and from recognized references in the fields of
industrial hygiene, occupational medicine, toxicology, and
analytical chemistry. The information is presented in tabular form
to provide a quick, convenient source of information on general
industrial hygiene practices. The information in the Pocket Guide
includes chemical structures or formulas, identification codes,
synonyms, exposure limits, chemical and physical properties,
incompatibilities and reactivities, measurement methods, respirator
selections, signs and symptoms of exposure, and procedures for
emergency treatment.
Full color publication. Covers topics including: managed behavioral
health care; assessment of outcomes and performance; key factors in
managed care; population-based analyses for populations who are
seriously mentally ill and severely emotionally disturbed; cost
incurred through Medicare, Medicaid, and private sector insurance
plans; and National Statistics.
This book by the National Institutes of Health (Publication
06-4082) and the National Heart, Lung, and Blood Institute provides
information and effective ways to work with your diet because what
you choose to eat affects your chances of developing high blood
pressure, or hypertension (the medical term). Recent studies show
that blood pressure can be lowered by following the Dietary
Approaches to Stop Hypertension (DASH) eating plan-and by eating
less salt, also called sodium. While each step alone lowers blood
pressure, the combination of the eating plan and a reduced sodium
intake gives the biggest benefit and may help prevent the
development of high blood pressure. This book, based on the DASH
research findings, tells how to follow the DASH eating plan and
reduce the amount of sodium you consume. It offers tips on how to
start and stay on the eating plan, as well as a week of menus and
some recipes. The menus and recipes are given for two levels of
daily sodium consumption-2,300 and 1,500 milligrams per day.
Twenty-three hundred milligrams is the highest level considered
acceptable by the National High Blood Pressure Education Program.
It is also the highest amount recommended for healthy Americans by
the 2005 "U.S. Dietary Guidelines for Americans." The 1,500
milligram level can lower blood pressure further and more recently
is the amount recommended by the Institute of Medicine as an
adequate intake level and one that most people should try to
achieve. The lower your salt intake is, the lower your blood
pressure. Studies have found that the DASH menus containing 2,300
milligrams of sodium can lower blood pressure and that an even
lower level of sodium, 1,500 milligrams, can further reduce blood
pressure. All the menus are lower in sodium than what adults in the
United States currently eat-about 4,200 milligrams per day in men
and 3,300 milligrams per day in women. Those with high blood
pressure and prehypertension may benefit especially from following
the DASH eating plan and reducing their sodium intake.
National Hospital Discharge Survey Data indicate that 86,000 people
with diabetes in the United States underwent one or more
lower-extremity amputations in 1996. Diabetes is the leading cause
of amputation of the lower limbs. Yet it is clear that as many as
half of these amputations might be prevented through simple but
effective foot care practices. The 1993 landmark study, the
Diabetes Control and Complications Trial funded by the National
Institute of Diabetes and Digestive and Kidney Diseases,
conclusively showed that keeping blood glucose, as measured by
hemoglobin A1c, as close to normal as possible significantly slows
the onset and progression of diabetic nerve and vascular
complications, which can lead to lower extremity amputations.
People who have diabetes are vulnerable to nerve and vascular
damage that can result in loss of protective sensation in the feet,
poor circulation, and poor healing of foot ulcers. All of these
conditions contribute to the high amputation rate in people with
diabetes. The absence of nerve and vascular symptoms, however, does
not mean that a patient's feet are not at risk. Risk of ulceration
cannot be assessed without careful examination of the patient's
bare feet. Early identification of foot problems and early
intervention to prevent problems from worsening can avert many
amputations. Good foot care, therefore, is an essential part of
diabetes management - for patients as well as for health care
providers. This kit is designed for primary care and other health
care providers who counsel people with diabetes about preventive
health care practices, particularly foot care. "Feet Can Last a
Lifetime" is designed to help you implement four basic steps for
preventive foot care in your practice: Early identification of the
high risk diabetic foot, Early diagnosis of foot problems, Early
intervention to prevent further deterioration that may lead to
amputation, and Patient education for proper care of the feet and
footwear.
Chemotherapy and You: Support for People With Cancer, National
Institutes of Health Publication 11-7156, focuses on how patients
undergoing chemotherapy can manage their side effects, which
symptoms to watch out for, and how to communicate effectively with
their health care team.
This monograph examines a wide range of evidence-based practices
for screening and assessment of people in the justice system who
have co-occurring mental and substance use disorders (CODs). Use of
evidence-based approaches for screening and assessment is likely to
result in more accurate matching of offenders to treatment services
and more effective treatment and supervision outcomes (Shaffer,
2011). This monograph is intended as a guide for clinicians, case
managers, program and systems administrators, community supervision
staff, jail and prison booking and healthcare staff, law
enforcement, court personnel, researchers, and others who are
interested in developing and operating effective programs for
justice-involved individuals who have CODs. Key systemic and
clinical challenges are discussed, as well as state-of-the art
approaches for conducting screening and assessment.
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