Secondary Prevention Sample Clauses

Secondary Prevention. The Site Campus Medical Centre is required to be adequately staffed to diagnose and treat the majority of food and water borne illnesses. A mechanism will be in place to send samples to a reference laboratory if there is a possible epidemic situation of unknown aetiology.

Secondary Prevention. The next level of prevention includes strategies that are focused on those who are at risk for abuse or neglect of their children. These include high-stress familial situations, lack of familial or community support, and young maternal age. Possible goals of secondary prevention include: increased parenting skills and strategies; enhanced bonding and communication between at-risk parents and their children; increased connection between at- risk parents and resources or services in the community; increased parenting skills in coping with stresses of caring for children with special needs; and increased access to social and healthcare services for all community members. These goals ultimately seek to strengthen family functioning and keep children safe from abuse and neglect.

Secondary Prevention refers to activities applied during the early stages of substance use and would encompass attempts to prevent the transition from use to abuse and disorder. Early diagnosis, crisis intervention, and economic changes such as increasing alcohol taxes can decrease use and interrupt problematic patterns of use. Substance Abuse Mental Health Services Administration (SAMHSA) defines Secondary Prevention as “strategies designed to lower the rate of established cases of substance use disorders or illness in the population (prevalence).” Center for Substance Abuse Prevention (CSAP) defines prevention as a "proactive process that empowers individuals and systems to meet the challenges of life events and transitions by creating and reinforcing conditions that promote healthy behaviors and lifestyles." Secondary Prevention Services are geared toward individuals and families that have previously experienced negative consequences related to substance use disorders and work to maintain healthy lifestyle choices.

Secondary Prevention. Rat Model Work Undertaken 1. Dose-response adaptations in E/é and peakVO2 in HFpEF rats. 2. Dose-response adaptations on molecular and cellular alterations in the heart. 3. Dose-response adaptations in endothelial function as well as cellular and molecular markers. 4. Dose-response adaptations in skeletal muscle as well as cellular and molecular markers. 5. Novel molecular targets to treat cellular defects in cardiomyocytes from rats with HFpEF. 6. Dose-dependent effect of exercise training on morbidity and mortality in HFpEF rats. Obese diabetic Xxxxxx fatty/spontaneously hypertensive HF F1 hybrid (ZSF1) rats (Xxxxxxx River Laboratories; bought at 8 weeks of age) were used as a model to induce HFpEF, with this strain of rat previously shown to develop typical clinical signs of HFpEF at 20 weeks of age. While both lean and obese ZSF1 rats inherit the hypertension gene, only the obese ZSF1 rats inherit a mutation in the leptin receptor gene that drives weight gain and metabolic impairments. A schematic of the study design is presented in Figure 8. This cardiometabolic syndrome model developed diastolic dysfunction, despite a preserved systolic function, reduced effort tolerance when compared with both WKY and lean ZSF1 rats (Figure 9). Dose-response adaptations in exercise capacity and diastolic function After randomization into either a sedentary, MCT, or HIIT intervention group, ZSF1 obese rats trained for 8 weeks as described in Figure 8. Exercise training independent of modality did not show an impact of LVEF, E/E´ and LVEDP when compared to the sedentary animals (Figure 10C, A, and B, respectively). Only HIIT was able to improve peakVO2 when compared to the group of obese sedentary animals (Figure 10H). Data already published and available to the public (PMID:29066440). Effects of exercise training on cardiomyocyte Ca+ handling LV cardiomyocyte Ca+ transient amplitude, Ca+ kinetics, and SR Ca+ content were studied in diabetic and hypertensive ZSF1 rats at 20 and 28 weeks of age. The effect of 8 weeks of exercise training (MCT and HIIT) on cardiomyocyte Ca+ homeostasis was also studied in ZSF1 rats. The manuscript is in preparation. Dose-response adaptations in endothelial function as well as cellular and molecular markers Endothelial-dependent and endothelium-independent vasodilation was also studied in all animals before and after 8 weeks of exercise training (MCT and HIIT) intervention. Additionally, the molecular mechanisms underpinning altered endo...

Secondary Prevention. Clinical Work Undertaken 1. Dose-response adaptations in the primary combined endpoint of E/é and peakVO2. 2. Dose-response adaptations on systolic and diastolic echocardiographic parameters. 3. Dose-response adaptations on aerobic and anaerobic exercise capacity as well as daily activity level. 4. Dose-response adaptations on quality of life. 5. Dose-response adaptations on endothelial function and repair mechanisms, arterial stiffness. 6. Dose-response adaptations on skeletal muscle including energetics and molecular adaptation. 7. Monitoring adverse and serious adverse events during the entire trail. 8. Dose-response adaptations on circulating biomarkers of hemodynamic load, inflammation, fibrosis and cell death/remodeling. 9. Assessment of cost related to HFpEF and operational savings due to exercise-improved health.

Secondary Prevention. In the outpatient phase the MISSION! AMI program concentrates on active lifestyle improve- ment and structured medical therapy. 30 Lifestyle- Regular physical activity is an important component of secondary prevention of CAD; it increases exercise capacity, treats comorbid risk factors, and improves quality of life.93-95 Exercise-based cardiac rehabilitation has been shown to reduce all-cause and cardiac mortality compared with usual care.93;94;96-98 The goal for all patients is 30 to 60 minutes of moderate-intensity physical activity (e.g., brisk walking, biking) on most, if not all, days of the week.93;94;99;100 Consistent physical activity improves cardiovascular risk factors - especially total cholesterol and triglyceride levels - and systolic blood pressure.99 Exercise-based cardiac rehabilitation programs may be initiated shortly after an acute coronary syndrome or revascularization procedure.94;100 The MISSION! AMI protocol offers a standard cardiovascular exercise-based rehabilitation program to each patient, commencing approximately three months after hospital discharge.30 Obesity is associated with increased CAD mortality and adversely affects cardiac function and comorbid CAD risk factors.101 Obesity is classified using the body mass index (BMI). Weight loss is indicated for patients who are classified as overweight or obese according to their BMI. The American Heart Association (AHA) recommends measuring BMI at each office visit, then providing objective feedback and consistent counseling on weight loss strategies.93;99-101 Improvements in cardiac risk factors are commonly observed with even modest weight loss (i.e., 10 percent of baseline weight).99;101 Insufficient evidence exists to determine whether weight reduction decreases cardiovascular mortality in persons who are obese.101 Smoking cessation has been shown to reduce all-cause mortality in patients with estab- lished CAD.102;103 In a recent Cochrane review, investigators concluded that persons who quit smoking after a myocardial infarction (MI) or cardiac surgery reduce their risk of death by at least one third, and that discontinuing smoking is at least as beneficial as modifying other risk factors.102;103 In the MISSION AMI protocol physicians are encouraged to ask about tobacco use at each outpatient visit, and to extend a clear recommendation to quit to every patient who smokes. If a patient is willing to try to quit, family physicians can assist with cessation through counseling an...

Related to Secondary Prevention

Fire Prevention LESSEE agrees to use every reasonable precaution against fire and agrees to provide and maintain approved, labeled fire extinguishers, emergency lighting equipment, and exit signs and complete any other modifications within the leased premises as required or recommended by the Insurance Services Office (or successor organization), OSHA, the local Fire Department, or any similar body.
Fraud Prevention A. To screen its employees and contractors to determine if they have been excluded from Medicare, Medicaid or any federal or state health care program. The Contractor agrees to search monthly the HHS-Office of Inspector General ("OIG") and Texas Health and Human Services Commission Office of Inspector General ("HHSC-OIG") List of Excluded Individuals/Entities ("LEIE") websites to capture exclusions and reinstatements that have occurred since the last search and to immediately report to HHSC-OIG any exclusion information the Contractor discovers. Exclusionary searches for prospective employees and contractors shall be performed prior to employment or contracting. B. That no Medicaid payments can be made for any items or services directed or prescribed by a physician or other authorized person who is excluded from Medicare, Medicaid or any federal or state health care program when the individual or entity furnishing the items or services either knew or should have known of the exclusion. This prohibition applies even when the Medicaid payment itself is made to another contractor, practitioner or supplier who is not excluded. C. That this contract is subject to all state and federal laws and regulations relating to fraud and abuse in health care and the Medicaid program. As required by 42 C.F.R. §431.107, the Contractor agrees to keep all records necessary to disclose the extent of services the Contractor furnishes to people in the Medicaid program and any information relating to payments claimed by the Contractor for furnishing Medicaid services. On request, the Contractor also agrees to furnish HHSC, AG-MFCU, or HHS any information maintained under 42 C.F.
Data Loss Prevention DST shall implement a data leakage program that is designed to identify, detect, monitor and document Fund Data leaving DST’s control without authorization in place.
ACCIDENT PREVENTION T h i s p r o v i s i o n i s applicable to all Federal-aid construction contracts and to all related subcontracts. 1. In the performance of this contract the contractor shall comply with all applicable Federal, State, and local laws governing safety, health, and sanitation (23 CFR 635). The contractor shall provide all safeguards, safety devices and protective equipment and take any other needed actions as it determines, or as the contracting officer may determine, to be reasonably necessary to protect the life and health of employees on the job and the safety of the public and to protect property in connection with the performance of the work covered by the contract. 2. It is a condition of this contract, and shall be made a condition of each subcontract, which the contractor enters into pursuant to this contract, that the contractor and any subcontractor shall not permit any employee, in performance of the contract, to work in surroundings or under conditions which are unsanitary, hazardous or dangerous to his/her health or safety, as determined under construction safety and health standards (29 CFR 1926) promulgated by the Secretary of Labor, in accordance with Section 107 of the Contract Work Hours and Safety Standards Act (40 U.S.C. 3704). 3. Pursuant to 29 CFR 1926.3, it is a condition of this contract that the Secretary of Labor or authorized representative thereof, shall have right of entry to any site of contract performance to inspect or investigate the matter of compliance with the construction safety and health standards and to carry out the duties of the Secretary under Section 107 of the Contract Work Hours and Safety Standards Act (40 U.S.C.3704).
Alcohol and Drug Testing Employee agrees to comply with and submit to any Company program or policy for testing for alcohol abuse or use of drugs and, in the absence of such a program or policy, to submit to such testing as may be required by Company and administered in accordance with applicable law and regulations.
DRUG AND ALCOHOL TESTING Employees may be tested for drugs and/or alcohol pursuant to the provisions of the Employer's Drug and Alcohol Testing Policy which is attached hereto and made a part of this Agreement as if more fully set forth herein.
DRUG/ALCOHOL TESTING Section 33.1 Drug testing may be conducted on employees during their duty hours upon reasonable suspicion or randomly by computer selection. Alcohol testing will be conducted only upon reasonable suspicion. Reasonable suspicion that an employee used or is using a controlled substance or alcohol in an unlawful or abusive manner may be based upon, but not limited to: A. Observable phenomena, such as direct observation of drug or alcohol use or possession and/or the physical symptoms of being under the influence of a drug or alcohol; B. A pattern or abnormal conduct or erratic behavior, including abnormal leave patterns; C. Arrest or conviction for a drug or alcohol-related offense, or the identification of an employee as the focus of a criminal investigation into illegal drug or alcohol possession, use, or trafficking; D. Information provided either by reliable and credible sources or independently corroborated; E. Evidence that an employee has tampered with a previous drug test; F. Facts or circumstances developed in the course of an authorized investigation of an accident or unsafe working practices. Section 33.2 Drug/alcohol testing shall be conducted solely for administrative purposes and the results obtained shall not be used in criminal proceedings. Under no circumstances may the results of drug/alcohol screening or testing be released to a third party for use in a criminal prosecution against the affected employee. The following procedure shall not preclude the Employer from other administrative action but such actions shall not be based solely upon the initial reagent testing results alone. Section 33.3 All drug screening tests shall be conducted by laboratories meeting the standards of the Substance Abuse and Mental Health Service Administration. No test shall be considered positive until it has been confirmed by a Gas Chromatography/Mass Spectrometry. The procedures utilized by the Employer and testing laboratory shall include an evidentiary chain of custody control and split sample testing. All procedures shall be outlined in writing and this outline shall be followed in all situations arising under this article. Section 33.4 Alcohol testing shall be done in accordance with the law of the State of Ohio to detect drivers operating a motor vehicle under the influence. A positive result shall entitle the Employer to proceed with sanctions as set forth in this Article. Section 33.5 The results of the testing shall be delivered to a specified employee of the Employer with command responsibility and the employee tested. An employee whose confirmatory test result is positive shall have the right to request a certified copy of the testing results in which the vendor shall affirm that the test results were obtained using the approved protocol methods. The employee shall provide a signed release for disclosure of the testing results to the Employer. A representative for the bargaining unit shall have a right of access to the results upon request to the Employer, with the employee’s written consent. Refusal to submit to the testing provided for under this Agreement may be grounds for discipline. A. If a drug screening test is positive, a confirmatory test shall be conducted utilizing the fluid from the primary sample. B. In the event that any confirmation drug test results are positive, the employee is entitled to have the split sample tested by another DHHS-certified lab in the manner prescribed above at the employee’s expense. The employee must request the split sample test within seventy-two (72) hours of being notified of a positive result. The results of this test, whether positive or negative, shall be determinative. Section 33.7 A list of three (3) testing laboratories shall be maintained by the Employer. These laboratories shall conduct any testing directed by the Employer. The Employer shall obtain the approval of the bargaining unit representative as to any laboratories put on this list, which approval shall not be unreasonably withheld. Section 33.8 If after the testing required above has produced a positive result the Employer may require the employee to participate in any rehabilitation or detoxification program that is covered by the employee’s health insurance. Discipline allowed by the positive findings provided for above shall be deferred pending rehabilitation of the employee within a reasonable period. An employee who participates in a rehabilitation or detoxification program shall be allowed to use sick time and vacation leave for the period of the rehabilitation or detoxification program. If no such leave credits are available, the employee shall be placed on medical leave of absence without pay for the period of the rehabilitation or detoxification program. Upon completion of such program and upon receiving results from a retest demonstrating that the employee is no longer abusing a controlled substance/alcohol, the employee shall be returned to his/her former position. Such employee may be subject to periodic retesting upon his/her return to his/her position for a period of one (1) year from the date of his/her return to work. Any employee in a rehabilitation or detoxification program in accordance with this Article will not lose any seniority or benefits, should it be necessary for the employee to be placed on medical leave of absence without pay, for a period not to exceed ninety (90) days. Section 33.9 If the employee refuses to undergo rehabilitation or detoxification, or if he/she tests positive during a retesting within one (1) year after his/her return to work from such a program, the employee shall be subject to disciplinary action, including removal from his/her position and termination of his/her employment. Section 33.10 Costs of all drug screening tests and confirmatory tests shall be borne by the Employer except that any test initiated at the request of the employee shall be at the employee’s expense. Section 33.11 The Employer may conduct four (4) tests of an employee during the one (1) year period after the employee has completed a rehabilitation or detoxification program as provided above. Section 33.12 The provisions of this Article shall not require the Employer to offer a rehabilitation/detoxification program to any employee more than once.
Random Drug Testing All employees covered by this Agreement shall be subject to random drug testing in accordance with Appendix D.
Musculoskeletal Injury Prevention and Control The hospital in consultation with the Joint Health and Safety Committee (JHSC) shall develop, establish and put into effect, musculoskeletal prevention and control measures, procedures, practices and training for the health and safety of employees.
Prevention IP shall take all appropriate measures to prevent sexual exploitation and abuse, and child safeguarding violations, by its employees, personnel or subcontractors. IP shall, inter alia, ensure that its employees, personnel or subcontractors shall have undertaken and successfully completed appropriate training with regard to the prevention of sexual exploitation and abuse, and training on safeguarding children. Such training shall include but not be limited to: reference to definitions of sexual exploitation and sexual abuse, and child safeguarding violations; a clear and unambiguous statement that any form of sexual exploitation and abuse, and any conduct that undermines the safeguarding of children, is prohibited; the requirement that any allegations of sexual exploitation and abuse, or child safeguarding violations be promptly reported as provided for in Article 14.4; and the requirement that alleged victims of sexual exploitation and abuse or child safeguarding violations, be promptly informed of and referred to available professional assistance, upon her or his consent.

Secondary Prevention Sample Clauses

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