Zone à atmosphère controlé, réglementation, état des lieux et gestion de la contamination PDF Download

Author: Marie-Gabrielle Jalef
Publisher:
ISBN:
Category :
Languages : fr
Pages : 258

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Book Description
Ce travail de thèse fait suite aux remarques faites lors d'une inspection par l'Agence Régionale de Santé en septembre 2014 d'une pharmacie hospitalière réalisant des préparations stériles et non stériles pour des établissements de santé tels que ceux des hospices civils de Lyon. Compte tenu du risque direct de contamination pour le patient, les préparations stériles nécessitent une vigilance particulière lors de la production. Le pharmacien responsable de l'hôpital s'assure alors de la bonne application des techniques aseptiques spécifiques qui sont recommandées par les Bonnes Pratiques de Préparation de 2007 ainsi que les normes NF S90-351 et NF EN ISO 14 644. Des locaux particuliers appelés Zone à Atmosphère Contrôlée sont aussi exigés pour la réalisation des préparations stériles. Cependant comme l'a souligné l'inspection, les locaux de la pharmacie hospitalière nécessitent une mise aux normes et une rénovation adaptée à l'activité de la pharmacie. Des mesures correctives sont alors réalisées et des travaux de remise à niveau des locaux de la pharmacie hospitalière sont entrepris. Ces travaux sont alors l'occasion de détailler les caractéristiques de zones à atmosphère contrôlée au vue de la réglementation en vigueur ainsi que de faire un état des lieux des locaux de la pharmacie hospitalière et de ses pratiques de réalisation des préparations stériles. La mise en place d'une démarche efficace de gestion du risque permet de garantir la qualité des produits réalisés. Ainsi la détermination des étapes critiques du procédé de fabrication et la mise en place d'un monitoring de l'air en cours de production sont des moyens pour garantir la stérilité de la préparation. La pharmacie hospitalière s'inscrit dans une démarche de maîtrise du risque à priori en proposant des seuils d'alerte pour la contamination de l'air dans les salles propres

Author: International Atomic Energy Agency
Publisher:
ISBN:
Category : Business & Economics
Languages : en
Pages : 174

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Book Description
The Government and authorities in Brazil were faced with a tragic accident in Goiânia resulting from the misuse of a strongly radioactive medical teletherapy source not under radiation protection surveillance. The present report is divided into four parts: a chronology of destruction of the source, discovery of the accident and initial response; a description of the human consequences and the dosimetry and treatment of seriously exposed and contaminated persons; an account of the assessment of the environmental contamination and the remedial actions taken; and observations and recommendations. Appendices and annexes give an assessment of the effectiveness of international co-operation in the emergency response, and provide further information on: public communications; radiological survey equipment; guidelines for the discharge of patients; radiological protection; chemical decontamination; and the lessons learned.

Author: David HouŽto
Publisher: Lulu.com
ISBN: 1291761152
Category : Reference
Languages : fr
Pages : 327

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Book Description
Le terme promotion de la santé en Afrique, près de 30 ans après l'adoption de la Charte d'Ottawa, continue d'avoir des connotations complètement hors du sens que lui confère cette charte. Cela n'est pas étonnant quand on sait que la notion de santé dans ce contexte africain équivaut à la lutte contre la maladie à travers les soins de santé dispensés par des professionnels de la santé dans des formations sanitaires et les hôpitaux. L'évolution que connait le continent depuis quelques décennies est de donner un peu plus de place à la communauté à travers les relais communautaires dans une participation communautaire vidée de son contenu, car le pouvoir n'est jamais passé entre les mains des communautés.C'est au vu de tout ceci que le présent ouvrage à sa raison d'être pour expliquer les fondements de l'autonomisation communautaire et de la promotion de la santé avec leur importance pour la région africaine en proie aux mauvais indicateurs de santé comparativement aux autres régions du monde.

Author:
Publisher: Getty Publications
ISBN: 089236551X
Category : Art
Languages : en
Pages : 281

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Book Description
Building an Emergency Plan provides a step-by-step guide that a cultural institution can follow to develop its own emergency preparedness and response strategy. This workbook is divided into three parts that address the three groups generally responsible for developing and implementing emergency procedures—institution directors, emergency preparedness managers, and departmental team leaders—and discuss the role each should play in devising and maintaining an effective emergency plan. Several chapters detail the practical aspects of communication, training, and forming teams to handle the safety of staff and visitors, collections, buildings, and records. Emergencies covered include natural events such as earthquakes or floods, as well as human-caused emergencies, such as fires that occur during renovation. Examples from the Barbados Museum and Historical Society, the Museo de Arte Popular Americano in Chile, the Mystic Seaport Museum in Connecticut, and the Seattle Art Museum show how cultural institutions have prepared for emergencies relevant to their sites, collections, and regions.

Author: Clive L. N. Ruggles
Publisher:
ISBN: 9780954086770
Category : Archaeoastronomy
Languages : en
Pages : 304

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Book Description
This joint venture between ICOMOS, the advisory body to UNESCO on cultural sites, and the International Astronomical Union is the second volume in an ongoing exploration of themes and issues relating to astronomical heritage in particular and to science and technology heritage in general. It examines a number of key questions relating to astronomical heritage sites and their potential recognition as World Heritage, attempting to identify what might constitute "outstanding universal value" in relation to astronomy. "Heritage Sites of Astronomy and Archaeoastronomy--Volume 2" represents the culmination of several years' work to address some of the most challenging issues raised in the first ICOMOS-IAU Thematic Study, published in 2010. These include the recognition and preservation of the value of dark skies at both cultural and natural sites and landscapes; balancing archaeoastronomical considerations in the context of broader archaeological and cultural values; the potential for serial nominations; and management issues such as preserving the integrity of astronomical sightlines through the landscape.Its case studies are developed in greater depth than those in volume 1, and generally structured as segments of draft nomination dossiers. They include seven-stone antas (prehistoric dolmens) in Portugal and Spain, the thirteen towers of Chankillo in Peru, the astronomical timing of irrigation in Oman, Pic du Midi de Bigorre Observatory in France, Baikonur Cosmodrome in Kazakhstan, and Aoraki-Mackenzie International Dark Sky Reserve in New Zealand. A case study on Stonehenge, already a World Heritage Site, focuses on preserving the integrity of the solstitial sightlines.As for the first ICOMOS-IAU Thematic Study, a international team of authors including historians, astronomers and heritage professionals is led by Professor Clive Ruggles for the IAU and Professor Michel Cotte for ICOMOS.

Author: Shinya Murase
Publisher: Brill Nijhoff
ISBN: 9789004508316
Category :
Languages : en
Pages :

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Book Description
This volume provides a comprehensive examination of epidemics and international law from the perspective of general international law. Featuring thirty-one essays by researchers from around the world and from various areas of expertise, it demonstrates how epidemics shape - and are shaped by - international legal norms across varying domains of international law. This volume is the product of collaborative work conducted between August 2020 and April 2021 as part of the Centre for Studies and Research on Epidemics and International Law.

Author: S. Cataudella
Publisher: Food & Agriculture Organization of the UN (FAO)
ISBN:
Category : Technology & Engineering
Languages : en
Pages : 294

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Book Description
"The Mediterranean region hosts around 400 coastal lagoons, covering a surface of over 641 000 ha differing in both their typology and use. Fisheries and various forms of aquaculture have been traditionally carried out in Mediterranean coastal lagoons since ancient times and are part of the cultural heritage of the region. Traditional lagoon management linked to extensive aquaculture and fish harvesting has certainly contributed, over time, to preserve these peculiar ecosystems, although much of the coastal lagoon areas have progressively disappeared due to land reclamation and other uses. Recently, coastal lagoons have become a relevant environmental concern: land claiming, pollution and the lack of management, among other factors, have strongly modified both the structure and functioning of these sensitive coastal ecosystems. In particular, the management of traditional aquaculture and capture fisheries activities has been identified as the main instrument to maintain lagoons' ecological features and to prevent the degradation of their sensitive habitats, both from an environmental and socioeconomic point of view. To guarantee the sustainability of aquaculture and capture fisheries in lagoons, proper management plans should be established so as to ensure the preservation of both biodiversity and local knowledge. This should also be considered as a fundamental pillar for any programme aiming at the preservation and restoration of lagoons' environment."--Publisher's description.

Author: Linda Strande
Publisher: IWA Publishing
ISBN: 1780404735
Category : Technology & Engineering
Languages : en
Pages : 428

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Book Description
It is estimated that literally billions of residents in urban and peri-urban areas of Africa, Asia, and Latin America are served by onsite sanitation systems (e.g. various types of latrines and septic tanks). Until recently, the management of faecal sludge from these onsite systems has been grossly neglected, partially as a result of them being considered temporary solutions until sewer-based systems could be implemented. However, the perception of onsite or decentralized sanitation technologies for urban areas is gradually changing, and is increasingly being considered as long-term, sustainable options in urban areas, especially in low- and middle-income countries that lack sewer infrastructures. This is the first book dedicated to faecal sludge management. It compiles the current state of knowledge of the rapidly evolving field of faecal sludge management, and presents an integrated approach that includes technology, management, and planning based on Sandecs 20 years of experience in the field. Faecal Sludge Management: Systems Approach for Implementation and Operation addresses the organization of the entire faecal sludge management service chain, from the collection and transport of sludge, and the current state of knowledge of treatment options, to the final end use or disposal of treated sludge. The book also presents important factors to consider when evaluating and upscaling new treatment technology options. The book is designed for undergraduate and graduate students, and engineers and practitioners in the field who have some basic knowledge of environmental and/or wastewater engineering.

Author:
Publisher: UNESCO
ISBN: 9230010871
Category :
Languages : en
Pages : 209

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Author: Timothy Beatley
Publisher: Island Press
ISBN: 9781597269742
Category : Architecture
Languages : en
Pages : 280

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Book Description
In the absence of federal leadership, states and localities are stepping forward to address critical problems like climate change, urban sprawl, and polluted water and air. Making a city fundamentally sustainable is a daunting task, but fortunately, there are dynamic, innovative models outside U.S. borders. Green Cities of Europe draws on the world's best examples of sustainability to show how other cities can become greener and more livable. Timothy Beatley has brought together leading experts from Paris, Freiburg, Copenhagen, Helsinki, Heidelberg, Venice, Vitoria-Gasteiz, and London to illustrate groundbreaking practices in sustainable urban planning and design. These cities are developing strong urban cores, building pedestrian and bicycle infrastructure, and improving public transit. They are incorporating ecological design and planning concepts, from solar energy to natural drainage and community gardens. And they are changing the way government works, instituting municipal "green audits" and reforming economic incentives to encourage sustainability. Whatever their specific tactics, these communities prove that a holistic approach is needed to solve environmental problems and make cities sustainable. Beatley and these esteemed contributors offer vital lessons to the domestic planning community about not only what European cities are doing to achieve that vision, but precisely how they are doing it. The result is an indispensable guide to greening American cities. Contributors include: Lucie Laurian (Paris) Dale Medearis and Wulf Daseking (Freiburg) Michaela Brüel (Copenhagen) Maria Jaakkola (Helsinki) Marta Moretti (Venice) Luis Andrés Orive and Rebeca Dios Lema (Vitoria-Gasteiz) Camilla Ween (London)