Midamor

Thomas Rundall PhD

• Professor Emeritus

https://publichealth.berkeley.edu/people/thomas-rundall/

Plans blood pressure up and down midamor 45 mg order with visa, coordinates and conducts emergency management exercises on an annual basis blood pressure normal or high midamor 45 mg purchase without prescription, including at least one live exercise and one table top exercise each year arrhythmia bradycardia midamor 45 mg buy. Assists university departments with identifying key indicators that influence potential business impacts and help identify processes and procedures to improve response plans and business resilience blood pressure chart software 45 mg midamor buy free shipping. Keep informed of federal, state, and local regulations affecting emergency plans and ensure that University plans adhere to these regulations and train campus groups in the preparation of longterm plans that are compatible with federal and state plans. Propose alteration of emergency response procedures based on regulatory changes, technological changes, or knowledge gained from outcomes of previous emergency situations. Pre-Disaster Mitigation Plan ­ 2013 Update Montana State University-Bozeman Keep informed of activities or changes that could affect the likelihood of an emergency, as well as those that could affect response efforts and details of plan implementation. Review emergency plans of individual organizations as required to ensure their adequacy. Researches opportunities and applies for federal funding for emergency management related needs and administer and report on the progress of such grants. There is a Memorandum of Understanding with the City of Bozeman that the Brick Breeden Fieldhouse would be used as a mass care facility for the surrounding community in the event of a disaster. All of the residence halls are non-smoking and have sprinklers for fire suppression. The Atkinson Quadrangle consists of three separate buildings each with two independent halves; A-B, C-D, and E-F. Freshman Apartments (East Julia Martin Drive) are two-story residences housing up to 280 students. Facilities Services employs approximately 183 full-time employees and 60 temporary/student employees. Facilities Services consists of six service management areas which include Environmental Services, Administration and University Services, Campus Maintenance, Engineering and Utilities, Facilities Planning and Management and Campus Work Control. Functions that occur within these work management areas include custodial services; landscape and grounds maintenance; waste management and recycling; snow removal; horticulture management and inventory; vehicle and equipment machine repair shop; accounting; budgeting; computer system operation; campus motor pool; central campus stores; long-term campus storage management; campus maintenance, repairs, maintenance and renovation in building trades including electrical, plumbing, carpentry, locksmith, painting, sheet metal and general contractor services; engineering services; utilities management; central heating plant operation; preventive maintenance; refrigeration and air conditioning repairs, maintenance, and renovation; heating and ventilation repair, maintenance, and renovation; energy grant program management; campus master planning; capital construction project management; long range building program management; maintenance, repair, and renovation planning and design services; contract administration; architectural services; work control management; project scheduling; estimating services; work order management; manpower planning; elevator repair maintenance and renovation; asbestos removal; radio communications; archives, building records, and personnel records management; and contract documentation. In the event of a disaster, Facilities Services would ensure that the infrastructure of the campus was maintained. In the event of a severe storm or earthquake that left debris behind, Facilities Services would be responsible for clean-up using both in-house and contracted resources. Facilities Services is responsible for helping departments secure shelving and other non-structural hazard mitigation activities. Construction materials and techniques used during the late 19th and early 20th century cause historical buildings to be more at risk for earthquakes. The Montana Antiquities Act requires state agencies to report restoration and maintenance expenditures to preserve Heritage Properties, including buildings over 50 years of age, structures, landscapes, and prehistoric elements above and below the ground. Willson Modern Modern Spanish Mission Revival Modern Modern Renaissance Revival Renaissance Revival Style Tetra Tech Inc. Berg Style Modern (International) Biology Building Agriculture Building; Morrill Hall Agricultural Experimentation Laboratories Food Service Building Main Hall Service Shop Classroom Building Renne Library Engineering Building Student Union McIver, Hess & Haugsjaa Shanley & Baker Haire & Link; Edwin G. Plew Modern Collegiate Gothic Modern Vernacular/Industrial Modern Renaissance Revival; Modern Renaissance Revival Renaissance Revival Modern (Exaggerated Modern) Modern Tudor Revival; Modern Vernacular Renaissance Revival Vernacular/Craftsman 3. Although research equipment can be fiscally recovered, intellectual research and time accumulated on research projects cannot be fiscally recovered in the event of a disaster. Research that involves refrigeration or heat (such as vegetation in the plant growth center) is vulnerable to power outages. Research on agriculture and natural resource trade policies and their economic effects. Provides educational and research opportunities for American Indian students in career fields where they are significantly under-represented. Multipurpose research facility operated by the Montana University system Water Center. Originally established as the Wild Trout Research Laboratory in 1996, the facility was dedicated to whirling disease research. Recent major renovation broadens the range of research that can be conducted at the facility. Multidisciplinary umbrella that incorporates the research and education of three extreme environment research centers: Astrobiology Biogeocatalysis Research Center, Cold Regions Research Center, and Thermal Biology Institut. Focused on early Earth and the catalysts that changed Earth from an abiotic, or non-living, planet to a biological, living world.

Vaccines under development are immunogenic and confer protection against lethal aerosol exposures in animals blood pressure kids midamor 45 mg order visa. Epizootics occur when susceptible domestic animals are infected prehypertension not overweight buy midamor 45 mg amex, and subsequent amplification of infection due to the large amounts of virus in animal serum arrhythmia and palpitations order midamor 45 mg on line. Deaths and abortions among susceptible species blood pressure 3rd trimester midamor 45 mg order amex, such as cattle and sheep, provide a diagnostic clue and a method of surveillance. Humans become infected by the bite of mosquitoes, or by exposure to virus-laden aerosols or droplets. Outbreaks are typically associated with very high densities of arthropod vector populations that may occur during heavy and prolonged rains or in association with irrigation projects. The human disease appears to be similar whether acquired by aerosol or by mosquito bite. A biological warfare attack, most likely delivered by aerosol, would be expected to elicit a rather specific spectrum of human clinical manifestations and to cause disease in sheep and cattle in the exposed area. Domestic animals are probably susceptible to aerosol infection, or could be covertly infected, to initiate an epidemic that might propagate itself by the usual (natural) means. The incubation is two to five days and is usually followed by an incapacitating febrile illness of similar duration. The typical physical findings are fever, conjunctival injection, and sometimes-abdominal tenderness. A small proportion of cases will progress to a viral hemorrhagic fever syndrome, often with associated hepatitis. A similar proportion will develop clinically significant ocular changes such as macular lesions associated with retinal vasculitis, hemorrhage, edema, and infarction. After apparent recovery from a typical febrile illness, the patient develops fever, meningeal signs, obtundation, and focal defects. Avoidance of mosquitoes and contact with fresh blood from dead domestic animals and respiratory protection from small particle aerosols are the mainstays of prevention. A single injection is probably not protective, but two inoculations may provide marginal short-term protection. Ribavirin prophylaxis of the related sandfly fever virus was successful, but the dose used might be expected to produce anemia and other effects in some recipients. Human intoxications are principally due to ingestion of bivalve mollusks, which have accumulated dinoflagellates during filter feeding. Saxitoxin and its derivatives are water-soluble compounds that bind to the voltage-sensitive sodium channel, blocking propagation of nerve-muscle action potentials. In addition, saxitoxin could be used in a confined area to contaminate water supplies. Consistent with the expected mechanism of action, victims typically present with neurological symptoms, and in severe cases, death results from respiratory paralysis. After oral exposure, absorption of toxins from the gastrointestinal tract is rapid. Onset of symptoms typically begins 10-60 minutes after exposure, but may be delayed several hours depending on the dose and individual idiosyncrasies. Initial symptoms are numbness or tingling of the lips, tongue and fingertips, followed by numbness of the neck and extremities and general muscular incoordination. Respiratory distress and flaccid muscular paralysis are the terminal stages that can occur 2-12 hours after intoxication. Clearance of the toxin is rapid, and survivors for 12-24 hours will usually recover. The smallpox virus is an orthopoxvirus with a narrow host range confined to humans. Under natural conditions, the virus is transmitted by direct contact with an infected case, by fomites, and occasionally by aerosols. Smallpox virus is highly stable and retains infectivity for long periods outside of the host.

To quantify the frequency of case-patients having distinctive clinical features blood pressure medication increased urination midamor 45 mg buy low price, time from patient presentation to clinical suspicion of a Lassa fever diagnosis heart attack single generic 45 mg midamor amex, and the risk for secondary Lassa virus transmission arrhythmia natural cure midamor 45 mg buy with visa, we performed a retrospective review of all 33 reported cases of Lassa fever imported from West Africa during 1969­2016 blood pressure and alcohol cheap midamor 45 mg on-line. Methods We searched PubMed for publications using the terms "Lassa" and "Lassa fever. We selected 74 publications discussing clinical or epidemiologic aspects of the 33 imported Lassa fever cases for review and collected information pertaining to case demographics, distinctive clinical features suggestive of Lassa fever, time from patient seeking care to clinical suspicion of Lassa fever, and number of contacts traced. We defined distinctive clinical features as fever and >1 of the following: sore throat or pharyngitis, retrosternal chest pain, or proteinuria. We selected these features on the basis of the cumulative positive predictive value for fever, sore throat, retrosternal chest pain, and proteinuria for Lassa fever of 0. Although precise definitions varied between investigations, high-risk contacts were typically defined as contacts with substantial direct contact with patients or their body fluids. Findings During 1969­2016, a total of 33 patients traveling from 7 West Africa countries to 9 other countries were diagnosed with Lassa fever (Appendix Table 1, nc. Eleven O riginally discovered in 1969, Lassa fever is a rodentborne viral hemorrhagic fever endemic to West Africa and caused by Lassa virus (1). The clinical course of Lassa fever is either not recognized or mild in 80% of patients; however, 20% of patients might experience severe disease, including facial swelling, hepatic and renal abnormalities, pulmonary edema, and hemorrhage. Although overall case-fatality rates for patients with Lassa fever is 1%, rates among hospitalized case-patients are >15% (2). Intravenous adminstration of the antiviral drug ribavirin has become the standard of care for treatment of Lassa fever, but data on the efficacy of intravenous ribavirin are limited. The original study among Lassa fever patients in Sierra Leone found survival to be significantly higher (p = 0. The only known risk factor for 18 patients was living in or traveling to West Africa. Twenty patients had illness onset during the West Africa dry season (November­April), and 10 patients had onset during the wet season (May­October); time of year for disease onset was not specified for 3 patients. Twenty patients traveled to their destination on a commercial airliner; of these, 12 were symptomatic during flight. Ten patients were medically evacuated, 6 of whom had a known or suspected exposure to Lassa fever at the time of evacuation. At the time patients sought care, medical providers were aware of travel history to West Africa for 26 (87%) of 30 patients; ascertainment of travel histories by medical providers was not described for 3 cases. Of the 29 patients for whom clinical information was available (Appendix Table 2), 17 (59%) had fever and >1 distinctive clinical features of Lassa fever. Time from patients seeking medical care to clinical suspicion of Lassa fever by clinical providers in their destination country ranged from 1 to 22 days (median 5 days). The time from when patients sought care to patient isolation ranged from 1 to 25 days (median 7 days). Of the 32 patients for whom information on isolation procedures were described, 24 patients were isolated at some point during their hospitalizations in their destination countries. Of these, 11 (34%) patients were placed in a form of isolation immediately after they sought medical care; 3 patients were transferred to biocontainment units, and the remaining 8 patients were isolated with techniques ranging from standard precautions to a combination of contact, droplet, and airborne precautions. Of the 13 patients who were isolated later in their hospital stay, 2 patients were isolated with contact and airborne precautions, and 11 were subsequently transferred to specialized hospitals with infection control capacity designed for the care of patients with highly infectious diseases. The last 2 patients who sought care in the United States were admitted to dedicated Ebola treatment units established during the 2014­2015 West Africa Ebola epidemic. Of the 31 patients for whom outcomes were described, 12 patients died, yielding a case-fatality rate of 39%. Twelve (52%) patients initially received antimalarial medications or antimicrobial drugs because of clinical suspicion of malaria or another infectious disease during their treatment course. Four patients received intravenous ribavirin; 2 received a full course, and the other 2 died during treatment. Three patients had intravenous ribavirin ordered but died before receiving the medication. Contact tracing investigations were either not performed or not described in the literature for 16 (48%) patients. For the remaining 17 (52%) patients, a total of 3,420 contacts were followed; the number of contacts followed per investigation ranged from 3 to 552 (median 173). Eleven contact investigations stratified contacts into high-risk and low-risk contacts, with some further separating high-risk contacts into first-line or second-line contacts (12). High-risk contacts were defined as having substantial exposure to patients or their body fluids, such as through direct unprotected exposure to blood or other body fluids from a case-patient.

Although the armed forces have significant battlefield experience blood pressure numbers what do they mean order midamor 45 mg without prescription, their militia orientation has complicated the transition to a structures arteria en ingles purchase midamor 45 mg without a prescription, integrated military hypertension hereditary 45 mg midamor free shipping. A United States - assisted effort to restructure the military was interrupted by mobilization for the war with Eritrea blood pressure medication how long to take effect buy 45 mg midamor with visa, when the armed forces grew in a period of months from 100,000 to 250,000, with another 100,000 serving in support. Demobilization following the cease-fire of 2000 reduced the armed forces to an estimated 180,000 in 2004. Under the planned reorganisation, the military eventually will have three military districts, each with its own headquarters and under the command of army headquarters in Addis Ababa. On paper, each district will have its own corps with two divisions and one mechanized brigade. According to sources, forces around Addis Ababa in 2004 (two divisional formations, each with three brigades) were thought to be well equipped with serviceable main battle tanks and other heavy, mechanized equipment. There are army bases throughout the country, including in Addis Ababa, Bahir Dar, Debre Zeyit, Dire Dawa, Gondar, Gore and Jijiga. A government-sponsored commission of inquiry set up to investigate December 2003 violence in Gambella resulted in a whitewash. Although the scale of abuses in Gambella moderated in 2005-06, extrajudicial killings, rapes, beatings, and arbitrary arrests by armed forces personnel still occurred. These abuses range from arbitrary detention and torture to long-term patterns of surveillance and harassment that isolate targeted individuals from their communities and destroy their livelihoods. In much of Oromia, these abuses are so widespread and so arbitrarily inflicted that they have left many people afraid to engage in any kind of public discussion related to issues of concern to their communities. In some cases torture is applied in the course of interrogations, while in other cases it is used as a form of punishment. Human Rights Watch interviewed several former detainees who had been severely beaten in police custody in 2003 and 2004. One nineteen-year-old woman who had recently been expelled from school after arguing with another student was arrested in Agaro in August 2004 and accused of working with other detainees to sabotage the May elections. Human Rights Watch interviewed one man who had been detained in a military camp near Mendi in West Wollega in 2001. In January 2004, between 330 and 350 Addis Ababa University students peacefully protesting the arrest of eight other students two days earlier were themselves arrested by Federal Police. While in detention, the students were forced to run and crawl barefoot over sharp gravel for several hours at a time. Police have repeatedly employed similar methods of torture and yet are rarely held accountable for their excesses. Police also responded with force in the early months of 2004 to student demonstrations in secondary schools throughout Oromia. One student was reportedly shot and killed by police during a student demonstration in Tikur Inchini. Opposition political parties reported frequent and systematic abuse of their supporters by police and regional militias. They are reportedly being held incommunicado and are at risk of torture or ill-treatment. On 19 January, thousands of members of the Ethiopian Orthodox Church, the principal faith in Ethiopia, were singing and processing through central Addis Ababa as part of the Timket (Epiphany) church festival. At one point when police halted the procession, some of those in the procession began shouting for the release of opposition party leaders who have been charged with treason and other offences. It is the first and the only rehabilitation center for victims of torture in Ethiopia. The founders are direct and indirect victims of torture from the previous government. Siraj Fegeta, dated 23 March 2006, that: this Country of Origin Information Report contains the most up-to-date publicly available information as at 18 January 2008. The victims are Berket Fantahu (or Fantahun), 17 and a student in the 11th grade; Abee Wondem-Agegn, 18 and in the 10th grade; Sentayhu Workneh, 18 and Dawid Tesfaye, 19 and in the 8th grade. He then marched them to a stream about thirty meters away, where they were forced to the ground. At Kotebe, it is reported that, in response to the students throwing stones to the vehicles, police opened fire, particularly on those who blocked police vehicles which were carrying arrested students. Around 500 students have been released, but others remain incommunicado in police and military camps, including the Sendafa police training college, 40km north of Addis Ababa.

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