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Pharmacology When bicarbonate is administered erectile dysfunction jacksonville order discount cialis sublingual online, buffering of hydrogen ions occurs, leading to increased production of carbon dioxide and water. Rapid infusion of hypertonic solution is linked to intracranial hemorrhage in neonates and infants. Effect of a single dose of sodium bicarbonate given during neonatal resuscitation at birth on the acid-base status on first day of life. Uses Treatment of normal anion gap metabolic acidosis caused by renal or gastrointestinal losses. Sodium bicarbonate is not a recommended therapy in neonatal resuscitation guidelines. Administration during prolonged resuscitation remains controversial; use only after adequate ventilation is established and there is no response to other therapies. Animal studies of resuscitation demonstrate poor coronary perfusion leads to carbon dioxide accumulation within the myocardium, leading to decreased myocardial contractility. Aggressive therapy may result in metabolic alkalosis (associated with muscle twitching, irritability, and tetany) [3] [2] [4]. Special Considerations/Preparation Supplied by many manufacturers in multiple concentrations: 4% (0. Maximum 762 Micormedex NeoFax Essentials 2014 concentration used in neonates is 4. Do not infuse with calcium or phosphate containing solutions; precipitation will occur. Terminal Injection Site Compatibility Acyclovir, amikacin, aminophylline, amphotericin B, atropine, aztreonam, cefepime, cefoxitin, ceftazidime, ceftriaxone, chloramphenicol, cimetidine, clindamycin, dexamethasone, erythromycin lactobionate, esmolol, famotidine, furosemide, heparin, hydrocortisone succinate, ibuprofen lysine, indomethacin, insulin, lidocaine, linezolid, milrinone, morphine, nafcillin, netilmicin, penicillin G, phenobarbital, piperacillin/tazobactam, potassium chloride, propofol, remifentanil, vancomycin, and vitamin K1. Amiodarone, ampicillin, calcium chloride, cefotaxime, dobutamine, dopamine, epinephrine, glycopyrrolate, imipenem/cilastatin, isoproterenol, magnesium sulfate, meropenem, methadone, metoclopramide, midazolam, nicardipine, norepinephrine, oxacillin, phenytoin, and ticarcillin/clavulanate. A randomized controlled trial of sodium bicarbonate in neonatal resuscitation - effect on immediate outcome. Consider a second dose of 10 mL/kg if there is no significant improvement after the first dose. Avoid rapid administration of volume expanders due to the risk for intracranial hemorrhage. Volume expanders should be considered in neonates with clinically apparent hypovolemia, but should not be used in the absence of evidence of acute blood loss. In babies with severe fetal anemia, O Rh-negative packed red blood cells should be considered as part of volume expansion [1]. Contraindications/Precautions Large fluid volumes can decrease cardiac output in hypoxic infants. Organic phosphates tend to be more compatible with calcium, such that solutions of calcium and phosphate may exist at higher concentrations without precipitation and, at higher pH (greater than 6), organic phosphate is less likely to precipitate [3]. Bioavailability is dependant on hydrolysis of the phosphate group from the glycerophosphate molecule, which occurs most efficiently at plasma concentrations of greater than 0. Costello I: Sodium glycerophosphate in the treatment of neonatal hypophosphataemia. Fresenius Kabi Australia Pty Limited (per Manufacturer), Pymble, Australia, Mar, 2010. Fresenius Kabi New Zealand Limited (per manufacturer), Auckland, New Zealand, Mar, 2010. Uses Phosphate supplementation: After administration of sodium glycerophosphate 1. All patients had been receiving parenteral nutrition solutions with inorganic calcium and phosphorus salts at the limit of solubility when hypophosphatemia resulted. The switch to sodium glycerophosphate as the sole phosphorus source not only increased the amount of phosphorus that could be administered each day, but also allowed an increase in the amount of calcium infused to 1. Contraindications/Precautions Contraindicated in patients with dehydration, hypernatremia, hyperphosphatemia, severe renal insufficiency, or shock [1]. Alternate procedures should be put in place to assure that the correct drug product is being prepared and administered to the patient [3].

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Precautions should be taken to avoid having the skin age for erectile dysfunction buy 20 mg cialis sublingual with mastercard, eyes, and mucous membranes come into contact with blood. Needles should never be recapped, bent, or broken; they should be discarded into sealed, punctureresistant containers. Spills of blood or other infectious fluids should be cleaned while wearing gloves, using a solution of one part household bleach to 10 parts water. These precautions have been revised and now include all potentially infectious pathogens. The guidelines consider certain body fluids as potential sources of infection, whereas others are not considered infectious (Table 1). In general, any body fluid that contains visible blood is potentially infectious, but body fluids that do not appear to contain blood also may be infectious. These fluids include vaginal secretions, semen, pericardial fluid, pleural fluid, cerebrospinal fluid, amniotic fluid, peritoneal fluid, and synovial fluid. Noninfectious body fluids include tears, feces, urine, saliva, nasal secretions, sputum, vomit, and sweat. Exposures that most often put a health care worker at risk of infection include percutaneous injuries, such as needle sticks, or contact of infectious fluids with mucous membranes or nonintact skin. Standard Precautions3Adapted from World Health Organization, Regional Office for the Western Pacific, Manila. However, the presence of a low viral load cannot guarantee that transmission will not occur. Thus, the survival time of the virus outside the human body seems to depend on the viral load of the person. Other factors that affect the viability of the virus outside the human body include conditions in the environment, such as temperature and chemicals. The most effective infection control measure that health care workers can take is handwashing with soap and water or alcohol-based disinfectant products before and after all patient contact. For effective cleaning, the hands and forearms should be wet, and soap should be applied over all surfaces by using friction; they should then be rinsed completely of soap by using running water and dried with a paper towel. If paper towels are not available, a cloth towel that is laundered after each use can be used. If paper towels and cloth towels are not available, allow the hands and forearms to air-dry. Soap bars can be used but should be cut into small pieces and put into soap dishes that allow water drainage. When running water is not available, hands can be washed using soap and a clean bowl of water and then rinsed using a clean water source that is poured from a cup or bucket over the arms and forearms. The water in the bowl should be discarded after each use, and the bowl should be washed. An alcoholbased hand rub can be prepared by combining 2 mL of glycerin, propylene glycol, or sorbitol and 100 mL of 60%90% alcohol. To use this hand rub, pour 3-5 mL into the palm of one hand and vigorously rub it into all parts of both hands until dry. Percutaneous injuries most often occur when the phlebotomist is inexperienced, in a hurry, or tired, or when the patient is uncooperative. Handling Potentially Infectious Items Contaminated waste, such as disposable needles, disposable syringes, and bloody bandages, should be discarded appropriately. Needles should not be removed from the syringe and should never be recapped, bent, or broken. If possible, needles with a safety device should be used (retractable, self-blunting, or shielded needles). Puncture-resistant containers should be kept within easy access of medical procedure areas, thereby decreasing the handling of needles and sharps and reducing the risk of accidental injury. The needles and syringes should be washed as quickly as possible after use to prevent the formation of clots, which can be difficult to remove. For the first method, take the needle and syringe apart and clean them with soap and water, paying special attention to the area around the fittings. Fill the syringe with water through the needle, shake it, and expel the water through the needle; repeat these steps until the water that is expelled looks clear.

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Zinc deficiency is common in children in many resourcelimited areas and may contribute to diarrhea in this setting reflexology erectile dysfunction treatment buy discount cialis sublingual 20mg on-line. Many studies have now shown that giving zinc to children with diarrhea can reduce the severity, duration, and frequency of recurrence of diarrhea. The most important aspect of managing acute diarrhea is assessing the level of hydration (Table 1) and preventing and treating dehydration according to the following treatment plans. Assessment of level of dehydration in children with diarrhea Action Look at: Condition* Eyes Thirst Feel: Decide Skin pinch A Well, alert Normal Drinks normally, not thirsty Goes back quickly the patient has no signs of dehydration Use Treatment Plan A B Restless, irritable Sunken Thirsty, drinks eagerly Goes back slowly (<2 s) If the patient has two or more signs in B, there is some dehydration C Lethargic, unconscious Sunken Drinks poorly, or not able to drink Goes back very slowly (>2 s) If the patient has two or more signs in C, there is severe dehydration Treat Weigh the patient, if possible, Weigh the patient and use and use Treatment Plan B Treatment Plan C urgently *Being lethargic and sleepy are not the same. The skin pinch is less useful in infants and children with marasmus or kwashiorkor. Signs of dehydration in severely malnourished children may be different from those in other children-see nutrition chapter for more information. The Treatment of Diarrhoea: A Manual for Physicians and Other Senior Health Workers. During diarrheal illness infants may want to breast-feed more than usual; this should be encouraged. Pocket Book of Hospital Care for Children: Guidelines for the Management of Common Illnesses with Limited Resources (Geneva, Switzerland: World Health Organization, 2005), and the Treatment of Diarrhoea: A Manual for Physicians and Other Senior Health Workers-4th rev. Many countries have recommended specific home fluids for use in oral replacement treatment. Some fluids, such as carbonated beverages, commercial fruit juices, and coffee, could be dangerous and should not be given to children with diarrhea. Please remember to measure all quantities precisely; even minor deviations from these recipes could be dangerous. How much fluid and how often: In general, children having diarrhea should be given as much fluid as they want. The following is a general guide for the amount of fluid to be given at home after each loose stool; continue using until diarrhea resolves. In general, foods suitable for a healthy child are what should continue to be given to a child with diarrhea. Children who are aged 6 months or older, younger infants who have already begun to take soft foods, and adults should also be given soft or semisolid weaning foods. Small, frequent feedings are tolerated better than large feedings given less often. Take the patient to a health facility if the diarrhea does not get better or if signs of dehydration or another serious illness develop. Give 1 teaspoonful (5 mL) of fluid every 1-2 min to children younger than 2 years; offer frequent sips from a cup to older children and adults. For infants younger than 6 months who are not breast-fed, also give 100-200 mL of clean water during this period. If no signs of dehydration are present, give instructions for continuing treatment at home per Treatment Plan A. Start supplemental zinc (10-20 mg/day) after the initial 4-h period of rehydration. After the first 30 mL/kg has been given, a strong radial pulse should be easily felt. If it is still weak and rapid, a second infusion of 30 mL/kg should be given at the same rate; however, doing so is rarely necessary. Doing so is usually possible after 3-4 h in infants and after 1-2 h in older children and adults.

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Most clinicians recommend continuing to supplement lactating mothers with multivitamins statistics for erectile dysfunction purchase cialis sublingual 20mg with amex, particularly given the wellappreciated nutritional stress that breastfeeding puts on mothers. Several studies have evaluated the contribution of maternal micronutrient levels, particularly vitamin A, to transmission risk. However, there were significantly fewer preterm births in the vitamin A group than in the group that received the placebo. Two other studies from Africa, looking at either vitamin A or multivitamin supplementation, have confirmed these findings. However, all three showed that vitamin supplementation reduced adverse pregnancy outcomes. Delivering a comprehensive package of services based on the United Nations four-element strategy, including links between services and integration with maternal, newborn, and child health services 7. Reported at the Global Partners Forum, Johannesburg, South Africa, 27 November 2007. Risk factors for in utero or intrapartum mother-to-child transmission of human immunodeficiency virus type 1 in Thailand. Extending the success seen in resource-rich settings to resource-limited locales is both a necessary and urgent ethically sound goal. Food Insufficiency is associated with high-risk sexual behavior among women in Botswana and Swaziland. Presented at the Global Partners Forum, Johannesburg, South Africa, 27 November 2007. Antiretroviral pregnancy registry international interim report for 1 January 198931 January 2007. Pregnancy rates and birth outcomes among women on efavirenz-containing highly active antiretroviral therapy in Botswana. Effects of early nutritional interventions on the development of atopic disease in infants and children: the role of maternal dietary restriction, breastfeeding, timing of introduction of complementary foods, and hydrolyzed formulas. Triple antiretroviral prophylaxis administered during pregnancy and after delivery significantly reduces breast milk viral load. Continuum of care for maternal, newborn, and child health: from slogan to service delivery. Prevention of mother-to-child transmission services as a gateway to family-based human immunodeficiency virus care and treatment in resource-limited settings: rationale and international experience. Thus it is vitally important to design, implement, analyze, and continually improve our prevention efforts. These include risk factors for sexual transmission of the virus and specific interventions known to be effective in reducing its spread. This module also provides evidence that prevention programs can be effective and describes essential elements found in most successful interventions. To sustain a sexually transmitted pandemic, an individual must have unprotected sex with at least two partners, becoming infected by one and passing the infection on to at least one other. For example, a married man who has sex with a sex worker is engaging in a high-risk behavior. To help sustain a sexually transmitted pandemic, a person must have unprotected sex with at least two partners, becoming infected by one and passing the infection on to at least one other. Although existing data suggest differences in the relative risks of various types of intercourse, the precise level of risk associated with each is not known. Sexual intercourse refers to penetration of the penis into an orifice: vagina, rectum, or mouth. Sexual behavior is any act of sexual gratification, whether between two or more individuals or by oneself. Sexual behavior in which the exposure of infectious body fluids is minimized, such as intercourse using a condom, is considered risk reduction, or safer sex. Sexual practices with no exposure or exchange of infectious body fluids are considered prevention, or safe sex. These include but are not limited to hugging, dry kissing, masturbation, and frottage (rubbing). Microscopic tears to the mucosal lining of the vagina or to the skin of the penis can occur during normal sexual activity. In theory, those who have fewer particles of virus circulating in their bodies have fewer particles of virus to pass to their partners during unprotected sex. Also, they are more likely to have many sexual partners than are people who have clear symptoms of disease.

About the Security Industries Authority Staff

The Security Industies Authority is headed by a Registrar as the CEO and has thirteen (13) other staff members from all four (4) regions of the country working under him. These includes the Manager Finance and Administration, Manager Licensing and Compliance and four (4) Regional inspectors(MOMASE, Islands, Highland and Southern).

The Inspectors job are very challenging because they are at the front line of enforcement to ensure that private security companies are compliant with the provisions of the Security Protection Act to operate a security company. Most of them are former officers of the Royal PNG Constabulary. Apart from them we also have a efficient staff made up of the Executive Secretary, Accounts Officer, HR Officer , I.T Officer & an Office Janitor in Head Office Port Moresby while Admin Assistance/ Driver and an Office Admin/ Reception in Lae Momase & Highlands Region branch office.

Staff Profiles

paul

Mr. Paul Kingston Isari

Registrar & CEO of PNG Security Industries Authority

philip

Mr. Philip Gene, BAC, CPA PNG

Manager Finance & Administration

spencer

Mr. Spencer Gelo

Manager Licencing & Compliance

POM Office Staff

Front left – right Ms Margaret Biskum- Security Inspector New Guinea Islands, Ms Alicia Nana – Executive Secretary & Mrs Mackey Kembi Office Janitor

Back left – right Mr. Rinson Ngale – Security Inspector NCD/Southern Region, Mr. Emmanuel Tumbe HR Officer, Mr. Elijah Fave – Accounts Officer, Mr. Andrew Kaiap – I.T Officer

leo-staff

Lae Office Staff

Front left – right Ms Nelison Roberts – Office Secretary / Reception , Mr. Elvis Otare – Office Admin Assistance / Driver & Acting Momase Region Inspector

Back left – right Vacant – Office Manager & Security Inspector Momase Region, Mr. Pius Moi – Acting Office Manager Security Inspector Highlands Region

Security Industries Authority organizational chart

organization-chart

Vacancies for Council Representatives from the Security
Industry to sit in the Council

The Security Industries Authority currently does not have any vacant Council Representative position. There in total six (6) nominated representative from Security Industries in the council.(see SIA Council)

Qualified candidates will be made known here if there is a vacant in Council Representative positions.

Security Industries Authority Position Vacancies

SIA Currently has no vacancy positions available. Public will be notified for any positions available in the future.

Criteria for appointment to the Security Industries Council

  1. The candidates must have a sound knowledge in the operations of private security companies and are quite versed with the Security Protection Act 2004.
  2. The candidates shall not be currently employed in any licensed security companies that are currently registered with the Security Industries Authority or were not previously employed by any licensed security companies.
  3. The candidates shall not be a current owner or a shareholder of a licensed security company currently registered with the Security Industries Authority and the IPA (Investment promotion Authority).
  4. The candidates shall not be a previous owner or a shareholder of a licensed security company registered with the Security Industries Authority or with the IPA. (Investment promotion Authority).
  5. Interested persons may submit their application with a CV with three (3) references named and attached with their latest passport size photos.
  6. Both male and females are encouraged to participate.
  7. Only registered security companies and permitted security guards will participate in the nominations.
  8. All candidates shall be subjected to a fit and proper persons test before they are formally appointed for 3 years term by the Minister for Police & Internal Security.

For enquiries on this matter

Visit us at the Top floor of the Former Fraud Squad blue building, Gorobe Street, Badili, 2 Mile, Port Moresby NCD or Lae at Post Office Building, second street, top floor, suite # 14, Lae Morobe Province or write to the Chairman Security Industries Council PO BOX 80 Port Moresby National capital District. You can also contact Manager Licensing & Compliance – Mr. Spencer Gelo on telephone 3239851 / 3257930, or email executivesecretary@sia.gov.pg

Invitation to the Stake Holders and the Industry to make a submission on the amendments to current security Protection Act

The Registrar now invites all the registered security companies, service receivers and interested stake holders for their written submission to amend the current Security Protection Act to cover many grey areas of the law.

The submissions should clearly state what provisions of the current Security Protection Act 2004 and the Security Protection regulation 2012 are to be amended to enhance the growth of the industry. This is necessary in light of numerous complaints from the security companies and interested stake holders of the short falls in the current Act which is said to be hindering the growth of the industry.

All submissions must be dropped at The Authority Head Office: Former Fraud Squad Office, Top Floor, Gorobe Street, 2 Mile Drive, Badili,Boroko NCD in Port Moresby. They can also be posted or emailed using the address on the last page. Copies of the current Security Protection Act 2004 can be obtained at the Security Industries Authority office for K35 to use as a guide to prepare the submissions.

Appointment to the Board of Complaints

The Security Industries Authority in compliance with section 57 of the Security Protection Act 2004 has already advertised in the media in early February 2013 seeking for two (2) interested persons to sit on the Board of Complaints.

The purposes of the Board of Complaints is to hear allegations made against licensed security companies by the general public and to award appropriate disciplinary penalties to protect the integrity of the security industry. Several applications have already been received and the short listed candidates will be advised in writing by the chairman shortly before a final selection is made for their three (3) yeas appointments by the Minister for Police and Internal Security.