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      • Trusted Partner
        Hospital infections
        November 1997

        Occupational Blood-borne Infections

        Risk and Management

        by Edited by Christopher H Collins, D A Kennedy

        Many health professionals may be exposed to, and undertake the collection and handling of blood or its products, whether it be for analysis and diagnosis or more specifically for transfusion. Other workers in a variety of public services, such as the police and community care, also routinely encounter situations in which exposure to blood through such incidents as needle stick injuries is a serious issue. This timely book describes the diversity of risks faced within these differing settings and sets out the methods by which these risks can be reduced or managed. The authors describe the various blood-borne disease-causing agents and their epidemiology, including hepatitis B, C and D, HIV viruses and bacterial, protozoal and helminthic organisms. Prevention of infection is discussed thoroughly and existing standard procedures are reviewed. Detection, decontamination and post-exposure procedures are also examined. This book is an essential resource for all physicians, general practitioners, nursing and dental staff and laboratory workers who collect and handle blood. It is important reading for all those undertaking medical training, especially those studying for postgraduate qualifications in pathology, infection control and microbiology. It is also a valuable reference source for all public service workers such as the police, prison officers, and community and social workers.

      • Warfare & defence
        August 2005

        Reopening Public Facilities After a Biological Attack

        A Decision-Making Framework

        by Committee on Standards and Policies for Decontaminating Public Facilities Affected by Exposure to Harmful Biological Agents: How Clean is Safe?, National Research Council

        The anthrax attacks in fall 2001 spurred an extensive and costly decontamination effort where many decisions had to be made about which sites required cleanup, what method to use, how to determine the effectiveness of the cleanup, and how "clean" the building had to be for reoccupation. As part of a project funded by the U.S. Department of Homeland Security (DHS), and managed by Lawrence Livermore National Laboratory, the National Research Council was asked to consider the criteria that must be met for a cleanup to be declared successful, allowing the reoccupation of a facility. The report finds that efficiently sampling and characterizing a pathogen is critical for choosing the best remediation strategy. However, there should be no universal standard for deciding when a building is safe to re-enter because varying pathogen amounts and characteristics could require different strategies. The report offers a flowchart for decision-makers that includes questions about the characteristics of the pathogen; how far it has spread; whether it is transmissible between humans; and how long it will survive to pose a threat. The report also recommends that a risk-assessment approach be adopted as part of a strategy for achieving a "socially acceptable" standard for cleanup.

      • Waste management
        March 1996

        Affordable Cleanup?

        Opportunities for Cost Reduction in the Decontamination and Decommissioning of the Nation's Uranium Enrichment Facilities

        by Committee on Decontamination and Decommissioning of Uranium Enrichment Facilities, National Research Council

        The Energy Policy Act of 1992 called on the National Academy of Sciences to conduct a study and provide recommendations for reducing the costs of decontaminating and decommissioning (D&D) the nation's uranium enrichment facilities located at Oak Ridge, Tennessee; Raducah, Kentucky; and Portsmouth, Ohio. This volume examines the existing plans and cost estimates for the D&D of these facilities, including such elements as technologies, planning and management, and identifies approaches that could reduce D&D costs. It also assesses options for disposition of the large quantities of depleted uranium hexafluoride that are stored at these sites.

      • Warfare & defence
        December 2003

        Review of EPA Homeland Security Efforts

        Safe Buildings Program Research Implementation Plan

        by Committee on Safe Buildings Program, National Research Council

        The report examines the Environmental Protection Agency’s three-year plan for a comprehensive response to a chemical or biological attack on a civilian or public sector facility. The report states that EPA has correctly identified the essential major research areas (detection, containment, decontamination, and disposal) but calls for an initial focus on decontamination and disposal efforts and a longer term research program.

      • Waste management
        November 2002

        Evaluation of Chemical Events at Army Chemical Agent Disposal Facilities

        by Committee on Evaluation of Chemical Events at Army Chemical Agent Disposal Facilities, National Research Council

        For over a decade the Army has been carrying out a program aimed at the destruction of accumulated chemical weapons stored at several sites. While destruction by incineration has been successful, several incidents -- called chemical events -- occurred during the disposal process or decontamination activities that raised some public concerns about the safety of operations of three third generation incineration facilities. As a result, the Congress asked the NRC to investigate whether the incidents provide information useful to help ensure safe operation of the future sites. This book presents an analysis of causes of and responses to past chemical events, implications of such events for ongoing and future demilitarization activities, and recommendations for preparing for future events.

      • Medicine
        January 2000

        Strategies to Protect the Health of Deployed U.S. Forces

        Force Protection and Decontamination

        by Michael A. Wartell, Michael T. Kleinman, Beverly M. Huey, and Laura M. Duffy, Editors, Commission on Engineering and Technical Systems, National Research Council

        Since Operation Desert Shield/Desert Storm, Gulf War veterans have expressed concerns that their postdeployment medical symptoms could have been caused by hazardous exposures or other deployment-related factors. Potential exposure to a broad range of CB and other harmful agents was not unique to Gulf operations. Hazardous exposures have been a component of all military operations in this century. Nevertheless, the Gulf War deployment focused national attention on the potential, but uncertain, relationship between the presence of CB agents in theater and symptoms reported by military personnel. Particular attention has been given to the potential long-term health effects of low-level exposures to CB agents. In the spring of 1996, Deputy Secretary of Defense John White met with the leadership of the National Academies to discuss the DoD's continuing efforts to improve protection of military personnel from adverse health effects during deployments in hostile environments. Although many lessons learned from previous assessments of Operation Desert Shield/Desert Storm have been reported, prospective analyses are still needed. Strategies to Protect the Health of Deployed U.S. Forces: Force Protection and Decontamination, which addresses the issues of physical protection and decontamination, is one of four initial reports that will be submitted in response to that request. Specifically, this report includes a review and evaluation of the following areas: the adequacy of current protective equipment and protective measures (as well as equipment in development) the efficacy of current and proposed methods for decontaminating personnel and equipment after exposures to CB agents current policies, doctrine, and training to protect and decontaminate personnel and equipment in future deployments (i.e., major regional conflicts [MRCs], lesser regional conflicts [LRCs], and operations other than war [OOTWs]) the impact of equipment and procedures on unit effectiveness and other human performance factors current and projected military capabilities to provide emergency response

      • Waste management
        January 2000

        Technologies for Environmental Management

        The Department of Energy's Office of Science and Technology

        by Board on Radioactive Waste Management, National Research Council

        The Department of Energy's Environmental Management Program (DOEEM) is one of the largest environmental clean up efforts in world history. The EM division charged with developing or finding technologies to accomplish this massive task, its Office of Science and Technology (OST), has been reviewed extensively, including six reports from committees of the National Research Council's (NRC's) Board on Radioactive Waste Management (BRWM) that have been released since December 1998. These committees examined different components of OST's technology development program, including its decision-making and peer review processes and its efforts to develop technologies in the areas of decontamination and decommissioning, waste forms for mixed waste, tank waste, and subsurface contamination. Gerald Boyd, head of OST, asked the Board on Radioactive Waste Management (BRWM) to summarize the major findings and recommendations of the six reports and synthesize any common issues into a number of overarching recommendations.

      • Weapons & equipment
        February 1999

        Chemical and Biological Terrorism

        Research and Development to Improve Civilian Medical Response

        by Committee on R&D Needs for Improving Civilian Medical Response to Chemical and Biological Terrorism Incidents, Institute of Medicine

        The threat of domestic terrorism today looms larger than ever. Bombings at the World Trade Center and Oklahoma City's Federal Building, as well as nerve gas attacks in Japan, have made it tragically obvious that American civilians must be ready for terrorist attacks. What do we need to know to help emergency and medical personnel prepare for these attacks? Chemical and Biological Terrorism identifies the R&D efforts needed to implement recommendations in key areas: pre-incident intelligence, detection and identification of chemical and biological agents, protective clothing and equipment, early recognition that a population has been covertly exposed to a pathogen, mass casualty decontamination and triage, use of vaccines and pharmaceuticals, and the psychological effects of terror. Specific objectives for computer software development are also identified. The book addresses the differences between a biological and chemical attack, the distinct challenges to the military and civilian medical communities, and other broader issues. This book will be of critical interest to anyone involved in civilian preparedness for terrorist attack: planners, administrators, responders, medical professionals, public health and emergency personnel, and technology designers and engineers.

      • Medicine
        October 2001

        Tools for Evaluating the Metropolitan Medical Response System Program

        Phase I Report

        by Frederick J. Manning and Lewis Goldfrank, Editors, Committee on Evaluation of the Metropolitan Medical Response Program, Board on Health Sciences Policy, Institute of Medicine

        The U.S. Department of Health and Human Services' Metropolitan Medical Response (MMRS) program has evolved from an idea originally developed in the Washington, D.C., area in 1995. Using the combined personnel and equipment resources from Washington, D.C., Arlington County in Virginia, and Montgomery and Prince Georges Counties in Maryland, the Metropolitan Medical Strike Team (MMST) received training, equipment, and supplies specifically designed to facilitate an effective response to a mass-casualty terrorism incident with a weapon of mass destruction (WMD). The first of its kind in the civilian environment, the MMST was intended to be capable of providing initial, on-site emergency health, medical, and mental health services after a terrorist incident involving chemical, biological, or radiological (CBR) materials. The team's mission includes CBR agent detection and identification, patient decontamination, triage and medical treatment, emergency transportation of patients to local hospitals, coordination of movement of patients to more distant hospitals via the National Disaster Medical System (NDMS), and planning for the disposition of nonsurvivors. Building from the initial efforts of the Washington, D.C., Metropolitan Area MMST, OEP provided funding for the development of a similar team in the city of Atlanta in preparation for the 1996 Summer Olympic Games. The U.S. Congress has subsequently authorized and provided funding for additional contracts with the 120 most populous U.S. cities. Tools for Evaluating the Metropolitan Medical REsponse System Program: Phase I Report identifies and develops performance measures and systems to assess the effectiveness of, and to identify barriers related to, the MMRS development process. This report identifies, recommends, and develops performance measures and systems to assess the effectiveness of, and identify barriers related to, the MMRS development process at the site, jurisdictional, and governmental levels.

      • Waste management
        October 2012

        Assessment of Agent Monitoring Strategies for the Blue Grass and Pueblo Chemical Agent Destruction Pilot Plants

        by Committee on Assessment of Agent Monitoring Strategies for the Blue Grass and Pueblo Chemical Agent Destruction Pilot Plants; Board on Army Science and Technology; Division on Engineering and Physical Sciences; National Research Council

        January 2012 saw the completion of the U.S. Army's Chemical Materials Agency's (CMA's) task to destroy 90 percent of the nation's stockpile of chemical weapons. CMA completed destruction of the chemical agents and associated weapons deployed overseas, which were transported to Johnston Atoll, southwest of Hawaii, and demilitarized there. The remaining 10 percent of the nation's chemical weapons stockpile is stored at two continental U.S. depots, in Lexington, Kentucky, and Pueblo, Colorado. Their destruction has been assigned to a separate U.S. Army organization, the Assembled Chemical Weapons Alternatives (ACWA) Element. ACWA is currently constructing the last two chemical weapons disposal facilities, the Pueblo and Blue Grass Chemical Agent Destruction Pilot Plants (denoted PCAPP and BGCAPP), with weapons destruction activities scheduled to start in 2015 and 2020, respectively. ACWA is charged with destroying the mustard agent stockpile at Pueblo and the nerve and mustard agent stockpile at Blue Grass without using the multiple incinerators and furnaces used at the five CMA demilitarization plants that dealt with assembled chemical weapons - munitions containing both chemical agents and explosive/propulsive components. The two ACWA demilitarization facilities are congressionally mandated to employ noncombustion-based chemical neutralization processes to destroy chemical agents. In order to safely operate its disposal plants, CMA developed methods and procedures to monitor chemical agent contamination of both secondary waste materials and plant structural components. ACWA currently plans to adopt these methods and procedures for use at these facilities. The Assessment of Agent Monitoring Strategies for the Blue Grass and Pueblo Chemical Agent Destruction Pilot Plants report also develops and describes a half-dozen scenarios involving prospective ACWA secondary waste characterization, process equipment maintenance and changeover activities, and closure agent decontamination challenges, where direct, real-time agent contamination measurements on surfaces or in porous bulk materials might allow more efficient and possibly safer operations if suitable analytical technology is available and affordable.

      • Medicine
        January 2016

        Assessing Health Outcomes Among Veterans of Project SHAD (Shipboard Hazard and Defense)

        by Committee on Shipboard Hazard and Defense II (SHAD II); Board on the Health of Select Populations; Institute of Medicine; National Academies of Sciences, Engineering, and Medicine

        Between 1963 and 1969, the U.S. military carried out a series of tests, termed Project SHAD (Shipboard Hazard and Defense), to evaluate the vulnerabilities of U.S. Navy ships to chemical and biological warfare agents. These tests involved use of active chemical and biological agents, stimulants, tracers, and decontaminants. Approximately 5,900 military personnel, primarily from the Navy and Marine Corps, are reported to have been included in Project SHAD testing. In the 1990s some veterans who participated in the SHAD tests expressed concerns to the Department of Veterans Affairs (VA) that they were experiencing health problems that might be the result of exposures in the testing. These concerns led to a 2002 request from VA to the Institute of Medicine (IOM) to carry out an epidemiological study of the health of SHAD veterans and a comparison population of veterans who had served on similar ships or in similar units during the same time period. In response to continuing concerns, Congress in 2010 requested an additional IOM study. This second study expands on the previous IOM work by making use of additional years of follow up and some analysis of diagnostic data from Medicare and the VA health care system.

      • Fiction
        May 2013

        Hazardous Material

        by Kurt Kamm

        A firefighter battles a his own painkiller addiction and the infamous Vagos outlaw motorcycle gang. When he joins the Sheriff s Department in a drone search for a meth lab in the Mojave Desert north of Los Angeles, an enigmatic aerospace scientist joins the intrigue. Firefighting, hazardous materials, illicit drugs and aerospace technology are brought together in the fourth in a series of firefighter mysteries by award winning author Kurt Kamm

      • Animal husbandry
        May 2016

        A Colour Book: Laparoscopic Techniques in Small Animal Surgery

        by Swapan Kumar Maiti & Naveen Kumar

        This book covers most of the topics with uated information of modern diagnostic laparoscopy, laparoscopic surgery, laparoscopic guided organ biopsy and laparoscopic ancillary diagnostic techniques employed in small animal in a very concise from. The book is divided into twelve chapters covering all modern diagnostic and laparoscopic surgical techniques used in small animal practices. The main objective of the book is to provide the latest information to meet the requirements of not only undergraduate and postgraduate students but also to the teachers and veterinarians involved in laparoscopic diagnosis and surgery. The book contains more than 100 good quality colour photographs of laparoscopic diagnosis, laparoscopic surgery and laparoscopic ancillary techniques.

      • Historical fiction

        Just One Damned Thing After Another

        by Jodi Taylor

        “History is just one damned thing after another” - Arnold ToynbeeA madcap new slant on history that seems to be everyone's cup of tea...Behind the seemingly innocuous façade of St Mary's, a different kind of historical research is taking place. They don't do 'time-travel' - they 'investigate major historical events in contemporary time'. Maintaining the appearance of harmless eccentrics is not always within their power - especially given their propensity for causing loud explosions when things get too quiet.Meet the disaster-magnets of St Mary's Institute of Historical Research as they ricochet around History. Their aim is to observe and document - to try and find the answers to many of History's unanswered questions...and not to die in the process.But one wrong move and History will fight back - to the death. And, as they soon discover - it's not just History they're fighting.Follow the catastrophe curve from eleventh-century London to World War I, and from the Cretaceous Period to the destruction of the Great Library at Alexandria. For wherever Historians go, chaos is sure to follow in their wake ...

      • Domestic animals & pets
        June 2009

        Handbook on Care and Management of Laboratory and Pet Animals

        by Y.B. Rajeshwari, K. Satyanarayan & S.B. Prasanna

        The book Includes comprehensive and updated information on all the topics, which is presented in a precise manner in a simple language, which becomes easy for students to understand. Further, with the touch of personal communication of authors out of their enriched experience in profession, for considerable long time, the information becomes more educative and lucrative for students as well as for the teacheThe book contains information on pet animals and animal welfare and ethics.

      • Biotechnology
        September 2021

        Techniques in Molecular Biology and Plant Biotechnology

        by M.R. Shylaja, Deepu Mathew & K.V.Peter

        The book is a compendium on the laboratory experiments in molecular biology, plant tissue culture, genetic engineering and immuno-diagnostics covering a total of 90 experiments. The present day education system focuses on skilling and development of entrepreneurial human resources. Biotechnology has emerged as a promising career option demanding skilled biotechnologists in various sectors like agriculture, horticulture, animal sciences, fisheries science, natural resource management, medicine, pharmaceutical and food processing industries. The step by step procedure on different techniques in plant biotechnology presented in the book will be an authentic knowledge source and a ready reckoner for skill and capability development in biotechnology for students, research scholars, teachers and scientists.

      • Agriculture & farming
        August 2015

        Nanotechnology in Agriculture

        by K.S.Subramanian, K. Gunasekaran, N. Natarajan, C.R. Chinnamuthu, A. Lakshmanan & S .K. Rajkishore

        The word nano agriculture refers to the infusion of nanotechnology concepts and principles in agricultural sciences so as to develop processes and products that precisely deliver inputs and promote productivity without associated environmental harm. Nano Agriculture is quite appropriate in India in the context of changing scenarios in agricultural production systems which in the verge of transformation towards precision agriculture.

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