# Hygiene, option 2

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# Description

Theme 1. Hygienic assessment of natural and artificial light
1. Case studies:
1.2. Rate the conditions of visual work in the filling according to the principles of pharmacy coverage, if it is known that the length of office of 6 m, width 4 m, lighting - general, presented in the form of two equidistant points of light, the light-carrying perpendicular wall. Light sources - fluorescent lamps dnev¬nogo light, each with 2 lamps of 40 watts. The office has a single window (2.7 mx 2.0 m). Give the hygienic conclusion and the description of the conditions of visual work, specify rekomenda¬tsii for their optimization.
2. Practical exercises:
2.1. Rate the conditions of visual work premises (their home). Give hygienic conclusion according to the principles of the lighting. Attach a layout plan of the premises in which the estimated uslo¬viya specify the size and orientation of buildings, factors reducing natural and artificial light, artificial light sources, their type, the power of rational allocation. List the objective and the organization estimates of coverage. Specify the method of their calculation, the instruments necessary for their determination. Make recommendations to optimize the conditions of visual work premises.
3. Test items:
3.1. The indicators characterizing the natural light:
3.2. Light coefficient (SC) is determined by:
3.4. The indicators characterizing the artificial lighting:

Theme 2. Hygienic evaluation of air-thermal regime
1. Case studies:
1.2. Rate of air-thermal regime in the pharmacy (control markirovoch¬naya). Placing of 5 x 4 x 3 m. There is one pane area of \u200b\u200b0.6 x 0.6 m, the mode of ventilation - 5 minutes per hour. The velocity of the air vents in the opening was 1.2 m / s. The room temperature the filling of 25 degrees Celsius, relative humidity - 50%. The room has 4 simultaneously pharmacist. Formulate re¬komendatsii to optimize the air-heat mode.
2. Practical exercises:
2.1.Dat hygienic assessment of the organization vozdush¬no-heat treatment in a residential area with the main principles of the organization of air. List the indicators that reflect the status of the air-heat treatment in a residential area. ....
3. Test items:
3.2. To ensure favorable conditions for thermoregulation at low temperature air in the room, you must create:
3.4. Feeling of discomfort in a person in a room with dopus¬timoy air temperature, but at a lower temperature of the walls and okru¬zhayuschih items is due to heat loss through:
3.6. Humidity is determined by the device:

Theme 3. Hygienic evaluation of environmental factors (drinking water, soil)
1.2. Rate the quality of the water wells. Alekseyevka, determine what class according to GOST concerns water source, specify req-list sary measures to improve the quality of water before feeding it to the population for drinking purposes.
The results of physical and chemical analysis: turbidity -10 mg / dm3, color - 40 degrees, the smell of - 4 points, taste - 3 points; total hardness of 5.40 mEq / l chloride 108 mg / L, sulphate 214 mg / liter, ammonia nitrogen - 0.8 mg / l of nitrite nitrogen - 0.9 mg / l of nitrate nitrogen - 3.9 mg / l, iron -15 mg / l, Manganese - 0.1 mg / l, hydrogen sulfide - 0 mg / L, fluoride - 0.1 mg / l, the number of coliform bacteria in 1 L - 2.
2.5. The content of humus in the soil nitrogen is '12 to '10 of absolutely dry soil, organic nitrogen - 50, respectively. Please rate the sanitary condition of the soil.
3. Test items:
3.2. Types of underground water sources:
3.4. The mechanisms of self-purification of water bodies include:
3.6. List the criteria by which the soil is recognized as extremely dangerous:

Theme 4. Hygienic bases of nutrition.
Case studies
1. Give an opinion on milk as a party based on the results of laboratory tests in accordance with the classification, estimate the nutritional value of milk and security in the epidemic, radiation or toxic effects: ....
2. Investigate cases of food poisoning on the following schedule:
June 9, 1997 from 21 to 24 hours in a dormitory carbon black plant at 6 (Fedorov NI .. 18 years, Mukhina SA .. 27 years, Breus II, 19 years, Semenov VV ., 26 years old, Vanina MP, 18, OS Zubov, 27 years) revealed the general weakness, a temperature of 37,4 ° to 39 °, nausea, vomiting, epigastric pain in the abdomen, loose stools have four - with mucus. Fedorov - complaints of a headache .......
- Identify the causes and circumstances of the case of food poisoning.
- Develop a plan for preventive measures on the occasion of food otravle¬niya.
2.1. Rate nutritional status (course work):
To familiarize with the methodology to assess the status of human nutrition (see below).
Select the day - typical for your lifestyle. During the day to spend time keeping, marking all activities and their duration, as well as to register all meals, without exception (what, when and how much you eaten per day);
Calculate your energy consumption per diem, fill in the table 1 ;.
Make work in a notebook filled in Tables 1 and 2, calculations and reasoned conclusions about the nature of their own food in a single day.
2.1. Rate nutritional status:
2. Test items:
3.2. Of the total amount of fat in the diet should be vegetable oils
3.5. The general principles of prevention of food poisoning of microbial nature are:
3.10. Medical and biological requirements for the quality of food products derived from the following basic criteria

Topic 5: The Basics of occupational health and industrial toxicology. Occupational Health in the pharmaceutical industry.
1.2.Dayte hygienic characteristics of the basic technological processes of production of drugs.
2. Give an opinion on admission to the physician-pharmacist with a diagnosis - stomach ulcer, candidiasis - taking into account the general and supplementary medical contraindications, presented in the order of the Ministry of Health of the USSR № 555 from 29.09.89 "On improving the system of medical examination of workers and drivers Individual vehicles. "
3. Test items:
3.2.Tsel occupational health sciences:
3.10.Pri hygienic assessment of working conditions of release
3.20.K organizational and technical measures of prevention of occupational hazards adverse effects on the body are

Topic 6. Hygiene pharmacies and pharmaceutical companies
1. Spend a sanitary survey pharmacy, the results take the form of an act of inspection (according to the map below), specify zak¬lyuchenie and recommendations. ....
2.2. Decide which category is necessary to provide a pharmacy in the design of hospital beds by 1000. List the required set of premises, their area of \u200b\u200bplanned artificial po¬kazateli
3.2. Construction area must not exceed the area
3.4. Specify the group of premises drugstores
3.6. Specify requirements for architectural-planning decisions of pharmacies which are required to comply with sanitary and anti-epidemic regime

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