Standards cosmetics

- Creams, emulsions, lotions, gels and oils for the skin (hands, face, feet, etc.).
- Face masks (with the exception of chemical peeling products).
- Tinted bases (liquids. pastes, powders).
- Make-up powders, after-bath powders, hygienic powders, etc.
- Toilet soaps, deodorant soaps, etc.
- Perfumes, toilet waters and eau de Cologne.
- Bath and shower preparations (salts, foams, oils. gels, etc.).
- Depilatories.
- Deodorants and anti-perspirants.
- Hair care products.
- hair tints and bleaches.
- products for waving, straightening and fixing,
- setting products,
- cleansing products (lotions, powders, shampoos),
- conditioning products (lotions, creams, oils),
- hairdressing products (lotions, lacquers, brilliantines).
- Shaving products (creams, foams, lotions, etc.).
- Products for making-up and removing make-up from the face and the eyes.
- Products intended for application to the lips.
- Products for care of the teeth and the mouth.
- Products for nail care and make-up.
- Products for external intimate hygiene.
- Sunbathing products.
- Products for tanning without sun.
- Skin-whitening products.
- Anti-wrinkle products.

Safety of Airlines

Issue
Airlines facing financial difficulties may introduce cost cutting initiatives that risk
compromising passenger safety. IAPA believes a lowering of safety standards can
not be tolerated and is campaigning for global regulation to ensure all airlines meet
all safety criteria.
Background
Just as with any industry it is inevitable that some airlines will experience financial
difficulties at some times – particularly during global recessions or after liberalisation
of airline markets. Obviously there is a concern that safety may be compromised in
the pursuit of economic survival. Airlines may take steps that whilst not directly
affecting the immediate safety of their aircraft are not sustainable over the mid term.
Previously actions such as airlines reducing their stock of spare parts, , increasing
the number of ‘carried-forward defects’, or just allowing safety standards to slip in
general have been noted amongst struggling airlines. Equally many other operators
have been able to maintain the highest standards right up to the point of bankruptcy.
IAPA believes a good regulatory authority will have an Economic Regulation division
to monitor the financial health of its airlines. Airlines in financial difficulties will be
highlighted to the Safety Regulators who can then increase levels of surveillance of
both operations and maintenance to ensure safety standards are fully maintained. If
safety standards are not met they will take appropriate action, if necessary grounding
the airline. Such a policy of enhanced surveillance is essential in these cases and
every regulatory authority has a duty to the public to act in this manner.
Action
IAPA supports the introduction of enhanced regulation to ensure safety standards are
not compromised when airlines are facing economic difficulties. To this end IAPA is
currently actively involved in lobbying governmental bodies on a global basis.

General Specifications for Mobile Clinic

Mobile Clinic will be used for medical outreach programs to the community, including TB, Leprosy, Diabetes, and Cancer Screening, Well Baby Clinics, Prenatal Clinics, Immunizations, School Physicals, etc.
Chassis specifications:
diesel engine sufficient to power a mobile clinic of this size.
Regular Cab
5-speed Automatic Transmission
Radial Tires (All Season)
Dash Mounted A/C unit with defroster
Hydro boost brake system
Body Specifications:
Approximately 30” long and 100” wide
Interior Height approximately 80”
Doors: One entry door at curb side to include electric fold out step and safety
grab handle
A dedicated side door with wheelchair lift
Windows: tinted safety glass (number, size and location to be determined
Electrical System:
110/220 Volt AC system
One power generator rated at 7.5 kW
Generator fuel system tied to chassis fuel tank
One Auto transfer switch box
One Shore power cord 30’/50Amp
Power outlets distributed throughout the unit
Circuits protected by auto-reset breakers
One 110/220V AC control panel with generator and shore power main breaker
One exterior grade power outlet 110/220V AC
12 volt auxiliary system:
Two auxiliary rear battery, heavy duty
One battery isolator 160 Amp
Two 12 Volt power outlets
Cooling System:
Two roof mounted air conditioning units sufficient to cool interior of clinic.
Lighting System:
Ceiling mounted fluorescent lighting system with main wall switch.
Entry door light ster (2)
Under cabinet 12VDC lighting (4)
Exam Room:
One exam bed with exam light
One stainless steel corner sink with paper towel and soap dispensers
One doctor’s desk prewired
Intercom system at/near doctor’s desk to communicate with front reception
One doctor’s stool
One overhead cabinet with locking system
One wall-mounted Welsh Allyn diagnostic center
One single bench seating with arm rest at both sides for blood sample draw
One floor mounted digital scale with height scale
Reception Area:
Bench Seating for three patients
Nurse desk (prewired for computer)
One overhead cabinet with locking system
Intercom system
Counter top for lab equipment
Under counter refrigerator
Stainless steel sink
Overhead cabinet directly above counter top
Single bench seating at/near nurse desk
Wheelchair lift installed at passenger side entry door
Exterior:
Passenger side electric awning
Hydraulic leveling jacks (4) with one-touch button system
Rear view camera system
Back up alarm system

Hotel services

STANDARDS:
1. Answered in three rings or less.
2. Gave an appropriate, enthusiastic greeting.
3. Identified himself/herself by name.
4. If put on hold, permission asked and thanked for holding.
5. If put on hold, not longer than 30 seconds without checking back.
6. Utilized professional, courteous language.
7. Sounded friendly and enthusiastic.
8. Spoke clearly so as to be easily understood.
9. Gave his/her undivided attention.
10. Asked if caller had been a guest before.
11. Asked how caller had heard about the hotel.
12. Seemed proud of and enthusiastic about the property.
13. Patiently answered questions about rooms/rates/hotel.
14. Seemed knowledgeable about rooms/rates/hotel.
15. Provided benefit statements/mentioning the amenities included in the rate.
16. Asked for a reservation.
17. Offered to send hotel information/brochure.
18. Thanked guest for calling.
19. Gave an appropriate, pleasant parting remark.



RESERVATIONS INFORMATION/OFF-HOURS CALL

RESERVATIONS BOOKING

STANDARDS:
1. Answered in three rings or less.
2. Gave an appropriate, enthusiastic greeting.
3. Identified himself/herself by name.
4. If put on hold, permission asked and thanked for holding.
5. If put on hold, not longer than 30 seconds without checking back.
6. Utilized professional, courteous language.
7. Sounded friendly and enthusiastic.
8. Spoke clearly so as to be easily understood.
9. Gave his/her undivided attention.
10. Asked if caller had been a guest before.
11. Asked how caller had heard about the hotel.
12. Personalized the conversation by using the guest’s name.
13. Patiently answered questions about rooms/rates/hotel.
14. Seemed proud of and enthusiastic about the property.
15. Seemed knowledgeable about rooms/rates/hotel.
16. Provided benefit statements/mentioning the amenities included in the rate.
17. Attempted to up-sell to premium rooms, suites or packages, when appropriate.
18. Asked for a reservation. If sold out, offered to check other dates.
19. Verified any special requests (special occasions, dinner res., masseuse, etc.).
20. Asked for deposit and explained the cancellation policy.
21. Repeated reservation information (arrival day, dates, room/bed type, rate, etc.).
22. Supplied a confirmation number.
23. Offered to send a written confirmation, time permitting.
24. Asked to be of further assistance at the conclusion of the call.
25. Thanked guest for choosing their hotel.
26. Gave an appropriate, pleasant parting remark.



RESERVATIONS CHANGE

STANDARDS:
1. Answered in three rings or less.
2. Gave an appropriate, enthusiastic greeting.
3. Identified himself/herself by name.
4. If put on hold, permission asked and thanked for holding.
5. If put on hold, not longer than 30 seconds without checking back.
6. Utilized professional, courteous language.
7. Sounded friendly and enthusiastic.
8. Spoke clearly so as to be easily understood.
9. Gave his/her undivided attention.
10. Personalized the conversation by using the guest’s name.
11. Patiently handled the reservation change.
12. Repeated reservation information (arrival day, dates, room/bed type, rate, etc.).
13. Gave a new confirmation number and offered to send new confirmation letter.
14. Offered to send a written confirmation, time permitting.
15. Asked to be of further assistance at the conclusion of the call.
16. Thanked guest for choosing their hotel.
17. Gave an appropriate, pleasant parting remark.

REGISTRATION

STANDARDS:
1. Acknowledged or greeted within 30 seconds of arrival at front desk.
2. Gave an appropriate, enthusiastic greeting.
3. If busy, acknowledged all waiting guests.
4. Wore a name tag.
5. Made good eye contact.
6. Seemed friendly and attentive.
7. Asked if or verified had been a guest before.
8. Gave guest a specific welcome/welcome back to the hotel.
9. Used guest’s name at least twice.
10. Verified departure date, room rate, and room/bed type requested.
11. Confirmed any special requests (special occasions, dinner res., masseuse, etc.).
12. Gave a brief orientation to the hotel.
13. Asked how many keys needed.
14. Located and promptly delivered any fax, message, or package.
15. Gave clear and complete directions to the room.
16. Offered additional future assistance.
17. Wished guest a pleasant stay.
18. Gave an appropriate, pleasant parting remark.
19. Check-in process smooth, efficient and completed within three minutes.
20. Made guest to feel welcomed.

CHECK-OUT

STANDARDS:
1. Acknowledged or greeted within 30 seconds of arrival at front desk.
2. Gave an appropriate, enthusiastic greeting.
3. If busy, acknowledged all waiting guests.
4. Wore a name tag.
5. Made good eye contact.
6. Seemed friendly and attentive.
7. Asked guest about satisfaction with stay.
8. Used guest’s name at least twice.
9. Located hotel bill within 30 seconds.
10. Reviewed hotel bill.
11. Hotel bill was correct or adjusted without argument.
12. Made guest to feel appreciated and welcomed back.
13. Thanked guest for staying at the hotel.
14. Asked guest about possible return visits and/or offered future reservations.
15. Gave an appropriate, pleasant parting remark.
16. Check-out process smooth, efficient and completed within three minutes.

Garment Specifications

1. Baby Blanket, pink & blue stripe - Size: 30x40, fabric type: flannel, color:
white/pink & blue stripe, weight: 3.30 pounds per dozen, overall fiber
content: 100% cotton, hem width: ¾”, thread color: white.
2. Baby Shirts, 6 months, long sleeve mitten cuff-fabric type: rib knit, color:
white, weight: 5.4 oz per sq yd +/-5%.
3. Bath Blanket, white snag-less - size: 66x94x2.60, color: white, weight: 2.60,
overall fiber content: 100% cotton, hem width: 1”, stitches per inch: 7-9,
thread color: white.
4. Bath Towel, size: 20x40x5.5, fabric type: 3 pick terry, color: white, weight:
5.50 pounds per dozen, overall fiber content: 100% cotton, thread color:
white.
5. Child Gowns- (F) 610 FFP-100% polyester flame resistant fleece. Bears n’
balls print; raglan sleeves; center back closure with flame-resistant selfmaterial
ties and color-coded neck binding. Sizes: S-L.
6. Child P.J. Pants- (B) 614 YXH-heavyweight polyester/cotton, color-coded
drawstring tunnel belt for a non-binding; comfortable fit; button-less fly
front with generous overlap. Sizes: M-XL.
7. Child P.J. Tops- (E) 601 FFP-100% polyester flame resistant fleece. Bears n’
balls print; short sleeves; stainless steel snap front closures; color –coded
binding. Sizes: S-L.
8. Contour Sheets - knit size 30”x80”x6” (finish), 55% combed cotton, 45%
polyester bleached white, 3.37 oz. per square yard, 10.5 lb/dz.,
construction 38” side edge finished depth of gusset: 15” unstreched.
Stitching: bound, blue stitch, tail to be bar tacked, 9 stitches/inch.
9. Disposable Plastic Bags, size: 29”x 45”, and the supplier provides all the
linen bag stands at not charge to the facility.
10. Disposable Washcloth, 14x12, white airlay material, poly bagged, 1000 per
case, weight 0.24 oz.
11. Draw Sheets, size: 54x81- T-130, fabric type: plain wave, color: bleached
white, weight: 3.10 oz/yd2, overall fiber content: 55% cotton/45%
polyester, hem width: 1”, thread, color: green.
12. Gowns, Obese (C) 590 YXR-One size: 52” length x 109” sweep.
Heavyweight polyester/cotton. Angle back gown with generous overlap;
ties at neck and waist; raglan sleeves. LPH teal print.
13. Gowns, Telemetry, (E) 43188 S657-One, size: 47” length X 66” sweep.
Heavyweight polyester/cotton. Angle back gown with generous overlap;
butterfly sleeves for easy access. S657 logo print.
14. Impervious Gowns, Asep A/S 99% polyester/1% carbon fiber moisture
barrier fabric with inherent static control properties. Overlap back; ties at
neck and waist; with white 100% polyester knit cuffs. Size; M-XL 620 BLY,
Yellow.
15. Isolation Gowns, (D) ASEP A/S 99% polyester/1% carbon fiber moisture
barrier fabric with inherent static controls properties. Overlap back; ties at
neck and waist; with white 100% polyester knit cuffs. Size: M-XL. 620 BLY,
Yellow.
16. Men’s PJ Bottoms, heavyweight polyester/cotton. Color-coded
drawstring tunnel belt for a non-binding; comfortable fit; button-less fly
front with generous overlap. Sizes: M-XL.
17. O.R. Towels, misty green huck towel - Size: 18x31, fabric type: huck, color:
misty green, overall fiber content: 100% cotton, thread color: misty green.
18. Patient Gowns, - One size: 47”, length X 66” sweep. Heavyweight
polyester/cotton. Angle back gown with generous overlap; butterfly
sleeves for easy access.
19. Patient Robes, - Heavyweight polyester/cotton. Color-coded drawstring
tunnel belt for a non-binding; comfortable fit; button-less fly front with
generous overlap. Sizes M-XL.
20. Pillow Cases, - Size: 42x34- T-130, fabric type: plain weave, color: bleached
white, weight: 3.10 oz/yd2, overall fiber content: 55% cotton/45%
polyester, hem width: 1”, thread color: white.
21. Sheets, Size: 66x115- T-130, fabric type: plain weave, color: bleached white,
weight: 3.30 oz/yd2, overall fiber content: 55% cotton/45% polyester, hem
width: 1”, thread color: blue.
22. Thermal Blankets, - Size: 66x90, color: bleached white, weight: 2.5 pounds,
overall fiber content: 50% cotton/50% polyester, thread color: white.
23. Under Pads- Size: 50/50-34x36-8oz Skr, 1-Ply Poly/Cotton-Quilted, 1-Ply
Soaker-Quilted, 1-Ply Barrier, Construction: Sew Sides Marrow with
White Thread, 50/50 Twill 36” Poly/Cotton 4.3 osy, Quilted to
Poly/Rayon 8 oz Needle Punch, Small Onion 2”x3”, Broad Cloth Barrier-
Dark Blue, Fed 514 8 spi, 100% Poly Textures 300 Loopers and 200
Needles.
24. Wrappers, Size: 54” x 54” - high quality wrappers are available on BARBAC
PLUS fabric. To prevent fraying and provide easy identification,
wrapper is manufactured with ½ hem on all sides and sewn with colorcoded
thread, no selvage edges.
Mattress Sizes
Type Quantity
Maxi float - 35 x 80 x 6 125
Accumax – 35 x 80 x 7 71
Light Blue – 35 x 78 x 5 87
Adolescent – 26 x 63 x 3 1
Hill Rom – 35 x 80 x 6 47
Specialty Beds - 8
Birthing Bed – 34 x 74 x 3 8
Stretcher L & D – 26 x 74 x 3 4

Garment Specifications

1. Baby Blanket, pink & blue stripe - Size: 30x40, fabric type: flannel, color:
white/pink & blue stripe, weight: 3.30 pounds per dozen, overall fiber
content: 100% cotton, hem width: ¾”, thread color: white.
2. Baby Shirts, 6 months, long sleeve mitten cuff-fabric type: rib knit, color:
white, weight: 5.4 oz per sq yd +/-5%.
3. Bath Blanket, white snag-less - size: 66x94x2.60, color: white, weight: 2.60,
overall fiber content: 100% cotton, hem width: 1”, stitches per inch: 7-9,
thread color: white.
4. Bath Towel, size: 20x40x5.5, fabric type: 3 pick terry, color: white, weight:
5.50 pounds per dozen, overall fiber content: 100% cotton, thread color:
white.
5. Child Gowns- (F) 610 FFP-100% polyester flame resistant fleece. Bears n’
balls print; raglan sleeves; center back closure with flame-resistant selfmaterial
ties and color-coded neck binding. Sizes: S-L.
6. Child P.J. Pants- (B) 614 YXH-heavyweight polyester/cotton, color-coded
drawstring tunnel belt for a non-binding; comfortable fit; button-less fly
front with generous overlap. Sizes: M-XL.
7. Child P.J. Tops- (E) 601 FFP-100% polyester flame resistant fleece. Bears n’
balls print; short sleeves; stainless steel snap front closures; color –coded
binding. Sizes: S-L.
8. Contour Sheets - knit size 30”x80”x6” (finish), 55% combed cotton, 45%
polyester bleached white, 3.37 oz. per square yard, 10.5 lb/dz.,
construction 38” side edge finished depth of gusset: 15” unstreched.
Stitching: bound, blue stitch, tail to be bar tacked, 9 stitches/inch.
9. Disposable Plastic Bags, size: 29”x 45”, and the supplier provides all the
linen bag stands at not charge to the facility.

Arab Jewelry Favorites

Dining with Dignity: The Finger Food Diet

Dining with Dignity: The Finger Food Diet
©2006 Becky Dorner & Associates, Inc.(Originally Published in Today’s Dietitian July 2006) 1
Many seasoned practitioners can easily
picture this scenario:
On your daily meal rounds, a visit to the
dining room reveals Mrs. Darby sitting at
a table in the back corner. She has
managed to eat everything but her
mashed potatoes which she is trying to
eat with her fingers. She’s doing a fairly
good job of it too--other than the portion
around her mouth and down the front of
her dress.
The staff informs you that Mrs. Darby
prefers to eat with her fingers and will
not accept assistance, nor will she use
her utensils. Of course, Mrs. Darby’s
daughter is very upset with this whole
scenario and has complained that her
mother is unable to dine with any
dignity.
The solution? For some individuals the
Finger Food Diet allows independence
with eating despite functional declines in
cognition and/or muscle coordination.
Individual needs determine the
appropriate use of the finger food diet.
Adjustments to the diet can be made to
promote the individual’s highest
practical functioning.
When Should a Finger Food Diet be
Used?
When typical interventions such as
assistive feeding devices and dining
rehabilitation have been tried, and the
individual is still not able or refuses to
eat with utensils, it may be time to
consider the finger food diet.
The finger food diet may be requested
by the dietitian, dietetic technician,
dietary manager or occupational
therapist as part of the rehabilitation
process.
Prior to placing a person on finger
foods, caregivers should assure family
members that other interventions have
been tried and that the individual can
dine with dignity using appropriate foods
on a finger food diet. Caregivers should
also continue to try to encourage eating
utensils at each meal, if there is a
possibility that this skill can be
advanced. Appropriate clothing
protectors should be provided if needed,
and hands and face should be promptly
cleaned after the meal.
A finger food diet can meet the
nutritional needs of individuals on
regular or mechanical soft
consistencies.
It is more difficult to meet the needs of
the individual on a pureed consistency
diet. However, there are some food
thickeners and shapers are available
from a number of manufacturers on the
market today that may assist with
creating recipes for pureed foods that
may be eaten with the fingers.
Dining with Dignity: The Finger Food Diet
©2006 Becky Dorner & Associates, Inc.(Originally Published in Today’s Dietitian July 2006) 2
Foods Allowed/Foods to Avoid
All foods offered on this diet must be given in a form that can be easily handled and
eaten using the fingers, without risk of spilling much of the food. Finger foods must be
individualized and adjusted to meet the needs and preferences of each person. The
following guidelines can assist with meal planning for the Finger Food Diet.
Plan the following types of foods on
the Finger Food menu:
• Any foods that are easy to pick up and
eat using fingers:
o Dry cereals such as Cheerios™
o Fruits in bite size pieces
o Vegetables in bite size pieces, etc.
• Bite size pieces, or foods that are
easily bitten and chewed such as:
o Sandwiches (quartered)
o Chicken nuggets
o French fries, etc.
• Foods that can be placed in a mug
(with a handle or handles) drink such
as:
o Hot cereal
o Pureed soup or chili
o Pudding in an ice cream cone
o Meat in a pita or tortilla wrap.
• Cut sandwiches into quarters
• Cut pie wedges in half length wise
• Serve all gravies and sauces in a side
dish for dipping.
Avoid these types of foods:
• Any small foods that may be hard to
pick up due to dexterity problems:
o Corn niblets, peas
o Popcorn
o Rice
o Small pieces of cold cereal, etc.
• Any slippery foods that may be difficult
to pick up due to dexterity problems:
o Noodles in sauce
o Fruits canned in heavy syrup
o Macaroni noodles in cheese sauce,
etc.
• Foods that may lodge in the throat if
chewing and swallowing is a problem.
Be sure to cut foods into small enough
pieces to avoid choking.
• Any food that requires a utensil to be
eaten, unless it can be placed in a
mug or glass to drink.
• Miscellaneous:
o Applesauce
o Cottage cheese, yogurt
o Pureed foods
o Casseroles
o Mashed potatoes, scalloped
potatoes
o Stuffing
o Salads (vegetable or pasta with
dressing or sauce).
• Any other diet modification (i.e.,
consistency, therapeutic
requirements) as ordered by the
physician must be followed.
Dining with Dignity: The Finger Food Diet
©2006 Becky Dorner & Associates, Inc.(Originally Published in Today’s Dietitian July 2006) 3
Sample Daily Meal Plan for a Well Balanced Diet
Breakfast Lunch Dinner
¾ c Orange Juice
¾ c Cream of Wheat,
thinned with milk served in
mug
¼ c Scrambled Egg in a
patty shape, and 1 oz
cheese slice on top
2 Slices Whole Wheat
Toast (made into a
sandwich)
With 1 tsp Margarine (on
the bread)
1 c Milk
Sugar, Salt, Pepper
Coffee, Tea or Beverage
3 oz Roast Beef on
2 Slices Bread with 1
Tbsp. of Mayonnaise
10 Tater Tots
1 c Broccoli Stems (able
to pick up and eat with
fingers)
½ c Ice Cream in cone
1 c Milk
Sugar, Salt, Pepper
Coffee, Tea or Beverage
6 oz Cream of Tomato
Soup
in mug
3 oz Chicken Fingers
1 c French Fries
½ c Cooked Carrot Chips
1 Slice Bread
1 tsp Margarine
1 Baked Apple cut in
wedges
1 c Milk
Sugar, Salt, Pepper
Coffee, Tea or Beverage
P.M. Snack
¾ c Juice
2 Squares Graham Crackers
Bold/Italicized items indicate differences from regular menu.
Dining with Dignity: The Finger Food Diet
©2006 Becky Dorner & Associates, Inc.(Originally Published in Today’s Dietitian July 2006) 4
Meal Planning Guidelines for Finger Foods
Breakfast Notes
6 oz Fruit juice High in vitamin C
1 c Hot cream of rice or wheat
cereal
OR
Served in a cup with a handle, thinned with milk (to
drink)
1 oz Cold cereal (without milk) Large enough pieces to pick up and eat with fingers
2 Waffles, French toast, or
pancakes
Cut into thirds. Serve syrup in dipping bowl on the
side
¼ c Scrambled eggs on toast or
biscuit
Make into a sandwich and cut in half or quarters
2 Bacon slices or sausage links -
serve as is - no alteration
OR cut sausage patty in halves or fourths
OR Make a sandwich
1 (8 oz) serving milk or substitute
Coffee, tea or decaf.
Lunch and Dinner Notes
6-8 oz soup (optional) Pureed or blenderized and served in a mug
2-3 oz Meat or meat alternative
Served with out gravy/sauces on top-- All
Sauces/gravies in side dish
Cut into pieces as needed
May be sandwiched between 2 slices of bread, roll or
bun and cut into four pieces
1 Serving potato or other starch Potatoes can be baked and cut into wedges or cubes
with butter and/or sour cream or dressing to dip in.
(Alternate of French fries, tater tots, etc.)
½ to 1 c Vegetables, steamed,
drained
Bite size pieces or able to pick up with fingers and
eat. Alternate: use relish plates (steam vegetables
and refrigerate for next day service)
Some vegetables may be served in tortilla wraps or
pita bread if tolerated.
½ cup or Fruits
Drained if canned, bite size pieces, or if fresh cut into
easy to manage pieces
1 Serving dessert May serve the following items in an ice cream cone:
pudding, ice cream, sherbet, ambrosia fruit salad,
gelatin with fruit, etc.
Cut cakes into thirds and pie slices in half lengthwise.
1-2 Servings bread To make a sandwich or eat plain or with butter
1 (8 oz) serving milk or substitute
Coffee, tea or decaf.
©2006 Becky Dorner & Associates, Inc. Adapted from Diet Manual for Extended Care,
Becky Dorner & Associate, Inc. Akron, OH. 2006.
Becky Dorner, RD, LD is a speaker and author who provides education, publications, presentations,
and consulting services to enhance the quality of care for our nation’s older adults. Visit
www.BeckyDorner.com for free articles, information, publications, CEU programs and teleseminars,
and to sign up for our free monthly email magazine. 1-800-342-0285.

The integrated program for fighting the public health plague

First: fighting of flying insects that transport certain diseases:
*Measure the density of insects and accordingly define the most proper fighting method. The measuring procedure is due to be adopted before and after the spraying process to determine the affectivity of the fighting procedure.
*Fight the flying insects with a different chemical compound from the insecticides used for the incomplete phases (Pierythroid in exchange with the Phosphorous compounds)
*Fight the flying insects (flies and the Malaria non-transferring Mosquitoes) in the public places twice/week at minimum according to the level of density. The spraying includes the litter bins and trash trucks.
*Fight the incomplete phases (larvae) at nests or at moist dumps and areas with stagnant water where the environment is appropriate of the reproduction of mosquito larva. Careful use of the non-ephemeral insecticides as they contribute in developing the phenomena of insecticide resistance. In case of using the non-ephemeral insecticides, the spraying process is done every two weeks at minimum otherwise the spraying is done once or twice per week using other insecticides according to the density of insects.
*Kill flies early in the morning and mosquitoes late at night.
Second: crawling insects (introduction)
Cockroaches are the most important crawling insects related to public health. The development phases of such insects do not include the larva phase as they have 3 development phases: eggs – nymphs, and an adult insect.
Fight technique:
There are three most popular species associated with human inhabitations, the German cockroaches, the American cockroaches, and the Oriental cockroaches. According to the nutrition lifestyle they are microbial carriers as they carry microbes from one place to another. Cleanliness considers one of the most important factors in killing cockroaches. The killing process is based on many elements; the most important is selecting the proper insecticide either liquid or powder. The period of the insecticide’s affectivity is a major factor for a successful killing as it shall extend to 14 days. The killing process shall starts at the beginning of Spring and at the end of Winter as the spraying or injection is due to be in complete circles inside the infected places or as a precautious procedure against infection. However, a successful killing process id interrelated with the determined timetable and the kind of insecticide used; either powder or liquid. The compounds of Diazinon or Fentrotheon are preferred and it is used with ultimate careful to avoid pollution.

Third: killing rodents ( rats and mice)
a- Cleaning the target areas by means of:
· Removing the different sources of food (such as uncovered food remains, bad storage, etc…..)
· Detect water sources used by rats
· Detect the hiding places
b- Chemical compounds:
Multi compounds are preferable to be used in fighting rodents for multi effective chemical materials known with different commercial names. Nevertheless, the use of effective poison is necessary (such as Zinc Phosphide ) followed by compounds that prevent clotting(blood clotting) as a second phase.
It is preferable to use more than one compound with different ways such as using the effective tablet baits in the target areas.
c- Select the proper places for baits:
*The points detected for the baits are due to be located at the rat’s expected walk way
*Distribute the baits on the upper and lower places inside the building in case of internal fight.
*Select the remote and dark places away from noise and the usual life activities.
*Place the bait 15 c.m away from the wall
*Do not change the place of the baits throughout the resistance period that lasts for approximately 20 days.
*Make an approximate drawing for the places of the baits with serial numbers marking the upper places and the lowers.
*In open places, the baits are put inside plastic cylinders or any other shape that would distract or prevent the other animals from reaching the poisonous baits. Be ware that the baits are placed in a safe place away from the reach of children .
*The points of baits shall be proportional to the anticipated number of rats.
d- Baits sessions: it is to regulate the time of placing and detecting baits, change the damaged, move away the dead mice and clean thoroughly their places with lime chloride or any other disinfectant and register such information in a table for each session. Please follow the next tips:


i. Distribute non-toxic and attracting baits inside different shapes as the baits will be replaced later with poisonous ones. This process is important for identifying the places of rats and the density in each area according to the consumption rate. The process is known as Pre-Baiting and it lasts for 3 days.
ii. The attracting baits are replaced with poisonous ones in day 4 and they are distributed in the places of mice detection.
iii. The baits are regularly examined in order to change the damaged ones and increasing the baits in proportional to the consumption rate. The dead mice are moved away and the process continues till the consumption stops.
iv. At the end of the session, the baits are buried in one meter deep hole away from any water source or the rain and flood ways
v. Detect any more dead mice for few days and bury them with a weight equal dry lime. Clean the target places with medical disinfectants.
However, liquid baits can be in dry places where it is not easy for mice to find water. Further, water resistant compounds ( such as wax plates) can be used in drainage pipes.
e- More important killing techniques:
*Household and warehouse traps
*Sticking board
*Chemical smoking in proper places where it is safe to use the Foustoksein plates in the mice holes. This is a double purpose fight against fleas and mice at the same time.
The use of disinfectants:
The section in concern uses liquid disinfectants and the lime chloride powder with a concentration of 35% in the public bathrooms, inside and around the trash bins, the drainage leaked water or any other wastes. The overuse of lime chloride is avoided together with ultimate caution that the workers are not directly exposed to the spread powder.
Duties of chairman / head section
*Scheme a detailed monthly program that includes the different fighting works against insects or rates, if found, enclosed with maps and demonstrating tables. The property of flexibility in carrying out any emergency change is due to be provided in relation to the level of insect density.
*Superintend the execution of the program through weekly meetings with the persons in charge of the different processes and discuss the examination notes.
*Field follow up of the different works relating to the fighting process starting from the preparations till the end of the spraying process. He is entitled to examine the process of measuring the density of insects.
*Check the accuracy of the information provided throughout the determined fighting period.
*Check that the persons in charge of mixing, spraying or injecting the chemical compounds are wearing the entire set of protecting uniforms.
Duties of the supervisor on the insecticide’s preparation and dilution process at the fighting center:
The chemical supervisor is a person who is due to be well acquainted with the information relating to the available insecticides such as the ratio of dilution, capacity of dissolving or mixing or suspension together with the poison affectivity and rates of spraying.
* Check that the proper medicines are available at the first aid unit at the fighting center.
*Check that the workers of the spraying process are free from any cuts or skin injuries and that they are wearing the protecting uniform which is due to be washed on daily basis except for the mask together with washing the whole body with soap and water before leaving the work.
*stick to the prepared program conducted by the section head
*Measure the amounts of the insecticides with special measures in the dilution process. He is committed to follow the information indicated at the used compounds or any other enclosed pamphlets. He is not entitled to mix the dissolvable insecticides with water before the scheduled spraying date to retain affectivity.

Duties of insect fighting worker :
*He is due to be well acquainted with the technique of spraying insecticides and how to operate the different devices.
*Acquainted with the taxability of the used chemical compounds in order to avoid any harms or misuse by following the right spraying instructions.
*He is committed to wear the entire set of protecting uniform together with following the whole safety procedures such as avoid eating, drinking or smoking during duty time.
*He has to be obedient and honestly execute the assigned duties.
Control environment pollution with insecticides.
*Focus the main efforts on the public cleaning works :
a. Reduce the density of rats and insects
b. Reduce the amount of the insecticides
c. Reduce the massive pollution rate resulted from fuels used in diluting insecticides( such as Diesel and Kerosene)
*Focus on fighting insects in nests of reproduction such as the trash bins, dumps and swamps.
*Coordination between the company and the establishment to set up a periodical fighting program on monthly basis to avoid insecticides resistance.

Factors of reducing pollution with insecticides and petroleum dissolvent:
First: deactivate the thermal fogging for killing the flying insects as it was proved to be ineffective in open places for the following reasons:
*The killing ratio reaches 10% ( the desired ratio extends between 85% and 90 %)
*The technique adopted is based on two elements : concentrating the insecticide(fogging) and the time of insects’ exposition. Yet, open places do not permit an adequate exposing time, which in turn made the manufacturing companies recommend remarkable increase in the insecticide doses which means increasingly environmental pollution.
*Few insecticides turns into more toxic compounds with thermal effect while others become inactive.
Techniques of work:
*The establishment is comprehensively examined to detect places and type of infection.
*Find out the density of infection and set up a timetable for fighting each infection separately.
*Identify the method of fighting for each infection and figure out affectivity and alternative plan.
*Discuss the adopted method of fighting with the heads of the different sections to determine the advantages and disadvantages.

The integrated program for fighting the public health plague

First: fighting of flying insects that transport certain diseases:
*Measure the density of insects and accordingly define the most proper fighting method. The measuring procedure is due to be adopted before and after the spraying process to determine the affectivity of the fighting procedure.
*Fight the flying insects with a different chemical compound from the insecticides used for the incomplete phases (Pierythroid in exchange with the Phosphorous compounds)
*Fight the flying insects (flies and the Malaria non-transferring Mosquitoes) in the public places twice/week at minimum according to the level of density. The spraying includes the litter bins and trash trucks.
*Fight the incomplete phases (larvae) at nests or at moist dumps and areas with stagnant water where the environment is appropriate of the reproduction of mosquito larva. Careful use of the non-ephemeral insecticides as they contribute in developing the phenomena of insecticide resistance. In case of using the non-ephemeral insecticides, the spraying process is done every two weeks at minimum otherwise the spraying is done once or twice per week using other insecticides according to the density of insects.
*Kill flies early in the morning and mosquitoes late at night.

Second: crawling insects (introduction)
Cockroaches are the most important crawling insects related to public health. The development phases of such insects do not include the larva phase as they have 3 development phases: eggs – nymphs, and an adult insect.
Fight technique:
There are three most popular species associated with human inhabitations, the German cockroaches, the American cockroaches, and the Oriental cockroaches. According to the nutrition lifestyle they are microbial carriers as they carry microbes from one place to another. Cleanliness considers one of the most important factors in killing cockroaches. The killing process is based on many elements; the most important is selecting the proper insecticide either liquid or powder. The period of the insecticide’s affectivity is a major factor for a successful killing as it shall extend to 14 days. The killing process shall starts at the beginning of Spring and at the end of Winter as the spraying or injection is due to be in complete circles inside the infected places or as a precautious procedure against infection. However, a successful killing process id interrelated with the determined timetable and the kind of insecticide used; either powder or liquid. The compounds of Diazinon or Fentrotheon are preferred and it is used with ultimate careful to avoid pollution.

Third: killing rodents ( rats and mice)
a- Cleaning the target areas by means of:
· Removing the different sources of food (such as uncovered food remains, bad storage, etc…..)
· Detect water sources used by rats
· Detect the hiding places
b- Chemical compounds:
Multi compounds are preferable to be used in fighting rodents for multi effective chemical materials known with different commercial names. Nevertheless, the use of effective poison is necessary (such as Zinc Phosphide ) followed by compounds that prevent clotting(blood clotting) as a second phase.

*****************
It is preferable to use more than one compound with different ways such as using the effective tablet baits in the target areas.
c- Select the proper places for baits:
*The points detected for the baits are due to be located at the rat’s expected walk way
*Distribute the baits on the upper and lower places inside the building in case of internal fight.
*Select the remote and dark places away from noise and the usual life activities.
*Place the bait 15 c.m away from the wall
*Do not change the place of the baits throughout the resistance period that lasts for approximately 20 days.
*Make an approximate drawing for the places of the baits with serial numbers marking the upper places and the lowers.
*In open places, the baits are put inside plastic cylinders or any other shape that would distract or prevent the other animals from reaching the poisonous baits. Be ware that the baits are placed in a safe place away from the reach of children .
*The points of baits shall be proportional to the anticipated number of rats. Baits sessions: it is to regulate the time of placing and detecting baits, change the damaged, move away the dead mice

and clean thoroughly their places with lime chloride or any other

d- disinfectant and register such information in a table for each session. Please follow the next tips

i. Distribute non-toxic and attracting baits inside different shapes as the baits will be replaced later with poisonous ones. This process is important for identifying the places of rats and the density in each area according to the consumption rate. The process is known as Pre-Baiting and it lasts for 3 days.
ii. The attracting baits are replaced with poisonous ones in day 4 and they are distributed in the places of mice detection.
iii. The baits are regularly examined in order to change the damaged ones and increasing the baits in proportional to the consumption rate. The dead mice are moved away and the process continues till the consumption stops.
iv. At the end of the session, the baits are buried in one meter deep hole away from any water source or the rain and flood ways
v. Detect any more dead mice for few days and bury them with a weight equal dry lime. Clean the target places with medical disinfectants.
However, liquid baits can be in dry places where it is not easy for mice to find water. Further, water resistant compounds ( such as wax plates) can be used in drainage pipes.
e- More important killing techniques:
*Household and warehouse traps
*Sticking board
*Chemical smoking in proper places where it is safe to use the Foustoksein plates in the mice holes. This is a double purpose fight against fleas and mice at the same time.
The use of disinfectants:
The section in concern uses liquid disinfectants and the lime chloride powder with a concentration of 35% in the public bathrooms, inside and around the trash bins, the drainage leaked water or any other wastes. The overuse of lime chloride is avoided together with ultimate caution that the workers are not directly exposed to the spread powder.

Duties of chairman / head section
*Scheme a detailed monthly program that includes the different fighting works against insects or rates, if found, enclosed with maps and demonstrating tables. The property of flexibility in carrying out any emergency change is due to be provided in relation to the level of insect density.
*Superintend the execution of the program through weekly meetings with the persons in charge of the different processes and discuss the examination notes.
*Field follow up of the different works relating to the fighting process starting from the preparations till the end of the spraying process. He is entitled to examine the process of measuring the density of insects.
*Check the accuracy of the information provided throughout the determined fighting period.
*Check that the persons in charge of mixing, spraying or injecting the chemical compounds are wearing the entire set of protecting uniforms.
Duties of the supervisor on the insecticide’s preparation and dilution process at the fighting center:
The chemical supervisor is a person who is due to be well acquainted with the information relating to the available insecticides such as the ratio of dilution, capacity of dissolving or mixing or suspension together with the poison affectivity and rates of spraying.
* Check that the proper medicines are available at the first aid unit at the fighting center.
*Check that the workers of the spraying process are free from any cuts or skin injuries and that they are wearing the protecting uniform which is due to be washed on daily basis except for the mask together with washing the whole body with soap and water before leaving the work.
*stick to the prepared program conducted by the section head
*Measure the amounts of the insecticides with special measures in the dilution process. He is committed to follow the information indicated at the used compounds or any other enclosed pamphlets. He is not entitled to mix the dissolvable insecticides with water before the scheduled

spraying date to retain affectivity.

Duties of insect fighting worker :
*He is due to be well acquainted with the technique of spraying insecticides and how to operate the different devices.
*Acquainted with the taxability of the used chemical compounds in order to avoid any harms or misuse by following the right spraying instructions.
*He is committed to wear the entire set of protecting uniform together with following the whole safety procedures such as avoid eating, drinking or smoking during duty time.
*He has to be obedient and honestly execute the assigned duties.
Control environment pollution with insecticides.
*Focus the main efforts on the public cleaning works :
a. Reduce the density of rats and insects
b. Reduce the amount of the insecticides
c. Reduce the massive pollution rate resulted from fuels used in diluting insecticides( such as Diesel and Kerosene)
*Focus on fighting insects in nests of reproduction such as the trash bins, dumps and swamps.
*Coordination between the company and the establishment to set up a periodical fighting program on monthly basis to avoid insecticides resistance.

Factors of reducing pollution with insecticides and petroleum dissolvent:
First: deactivate the thermal fogging for killing the flying insects as it was proved to be ineffective in open places for the following reasons:

*The killing ratio reaches 10% ( the desired ratio extends between 85% and 90 %)
*The technique adopted is based on two elements : concentrating the insecticide(fogging) and the time of insects’ exposition. Yet, open places do not permit an adequate exposing time, which in turn made the manufacturing companies recommend remarkable increase in the insecticide doses which means increasingly environmental pollution.
*Few insecticides turns into more toxic compounds with thermal effect while others become inactive.

Techniques of work:
*The establishment is comprehensively examined to detect places and type of infection.
*Find out the density of infection and set up a timetable for fighting each infection separately.
*Identify the method of fighting for each infection and figure out affectivity and alternative plan.
*Discuss the adopted method of fighting with the heads of the different sections to determine the advantages and disadvantages.

The integrated program for fighting the public health plague

First: fighting of flying insects that transport certain diseases:

1 *
Measure the density of insects and accordingly define the most proper fighting method. The measuring procedure is due to be adopted before and after the spraying process to determine the affectivity of the fighting procedure.
2- Fight the flying insects with a different chemical compound from the insecticides used for the incomplete phases (Pierythroid in exchange with the Phosphorous compounds)
3- Fight the flying insects (flies and the Malaria non-transferring Mosquitoes) in the public places twice/week at minimum according to the level of density. The spraying includes the litter bins and trash trucks.
4- Fight the incomplete phases (larvae) at nests or at moist dumps and areas with stagnant water where the environment is appropriate of the reproduction of mosquito larva. Careful use of the non-ephemeral insecticides as they contribute in developing the phenomena of insecticide resistance. In case of using the non-ephemeral insecticides, the spraying process is done every two weeks at minimum otherwise the spraying is done once or twice per week using other insecticides according to the density of insects.
5- Kill flies early in the morning and mosquitoes late at night.

Second: crawling insects (introduction)
Cockroaches are the most important crawling insects related to public health. The development phases of such insects do not include the larva phase as they have 3 development phases: eggs – nymphs, and an adult insect.
Fight technique:
There are three most popular species associated with human inhabitations, the German cockroaches, the American cockroaches, and the Oriental cockroaches. According to the nutrition lifestyle they are microbial carriers as they carry microbes from one place to another. Cleanliness considers one of the most important factors in killing cockroaches. The killing process is based on many elements; the most important is selecting the proper insecticide either liquid or powder. The period of the insecticide’s affectivity is a major factor for a successful killing as it shall extend to 14 days. The killing process shall starts at the beginning of Spring and at the end of Winter as the spraying or injection is due to be in complete circles inside the infected places or as a precautious procedure against infection. However, a successful killing process id interrelated with the determined timetable and the kind of insecticide used; either powder or liquid. The compounds of Diazinon or Fentrotheon are preferred and it is used with ultimate careful to avoid pollution.

Third: killing rodents ( rats and mice)
a- Cleaning the target areas by means of:
· Removing the different sources of food (such as uncovered food remains, bad storage, etc…..)
· Detect water sources used by rats
· Detect the hiding places
b- Chemical compounds:
Multi compounds are preferable to be used in fighting rodents for multi effective chemical materials known with different commercial names. Nevertheless, the use of effective poison is necessary (such as Zinc Phosphide ) followed by compounds that prevent clotting(blood clotting) as a second phase.

Advice function

موقع مشاهدة الافلام اون لاين مباشر

http://www.arr-tv.com/Aflam/movie-1.php