Lack of access

Increased insensible losses (from his fever caused by bacterial pneumonia) and lack of access to water (from his altered level of consciousness)... 

In many fields the worst result is a waste of resources on repetitive work but when safety is concerned the lack of access to available knowledge can have tragic results. Those of us who have been working in the safety field for many years have seen the same accidents repeat themselves with distressing regularity. We welcome, therefore, every attempt to bring together scattered information on any aspect of safety and make it readily accessible. 

This lack of access to understandable information combined with the lack of ability to process complex biotechnology information leads many... 

Lack of access to medicines and inappropriate doses result in serious morbidity and mortality, particularly for childhood infections and chronic diseases, such as hypertension, diabetes, epilepsy and mental disorders. Inappropriate use and over-use of medicines waste resources - often out-of-pocket payments by patients - and result in significant patient harm in terms of poor patient outcomes and adverse drug reactions. Furthermore, over-use of antimicrobials is leading to increased antimicrobial resistance and non-sterile injections to the transmission of hepatitis, HIV/AIDS and other blood-borne diseases. Finally, irrational over-use of medicines can stimulate inappropriate patient demand, and lead to reduced access and attendance rates due to medicine stock-outs and loss of patient confidence in the health system. 

Heat illness is traditionally divided into heat exhaustion and heat stroke. Heat exhaustion is the condition in which the casualty collapses from hypo-volaemia due to salt and water depletion. This is probably compounded by physiological cutaneous vasodilatation, which causes shifts in blood volume from the core of the body to the skin. People who are unacclimatised to the environment are more likely to suffer heat exhaustion, especially if there is a lack of access to water. Where a person replenishes fluid losses from sweating with water alone, salt depletion predominates and this can cause insidious symptoms of exhaustion before the final collapse. 

Self-medication of a MAOI-induced hypertensive crisis is controversial. In a hypertensive crisis the lack of access to medical services may lead to even greater complications. A small dose of medication taken as part of a larger plan to blunt the rise in blood pressure may prevent serious complications. However, headache is common, has multiple causes, and patients may not accurately identify a headache due to hypertension without a blood pressure check. In addition, selfadministration of nifedipine, especially sublingually, may result in needless and perhaps dangerous drops in blood pressure. 

Although concerns about the high cost of prescription drugs and the lack of access to needed drugs dominate much of the discussion, others point to the opposite problems. They say the benefits of prescription drugs are overstated or overhyped. The public has too much access to prescription drugs... 

Patents Strong brand names Good reputation with customers Cost advantage from proprietory know-how Exclusive high grade natural resources Favourable distribution networks Lack of patent protection A weak brand name Poor reputation with customers High cost structure Lack of access to natural resources Lack of distribution channels... 

Enzymatic methods show the biggest promise for conversion of waste paper from municipal waste into glucose for ethanol production. Because paper is composed primarily of wood cellulose fibers, the enzyme inhibition due to lack of accessibility with whole wood is partially alleviated. As mentioned previously, waste paper can represent up to 50 percent of typical municipal waste. Currently the separated paper from the waste is burned for its fuel value. 

This appendix lists various crops, together with the insecticides and herbicides that may be associated with their production. It thus provides a starting point for determining the pesticides of interest in a particular catchment. Such a listing cannot be definitive for example, sometimes a pesticide may be used that is not specifically recommended for control in a particular crop. This situation can occur for various reasons, such as lack of access to more appropriate pesticides. 

There were exacerbations of and deterioration of stability in psychiatric illness. Some of this was due to lack of access to proper medications, but again the stress of living in the shelter environment took its toll on individual coping mechanisms. We were fortunate in this shelter to have a top-notch team of Red Cross mental health workers and huge support of the local psychiatric community. We were getting daily visits by more than one psychiatrist during the time 1 was there. 

Also It should be emphasized that the model developed here has tiot been validated by quantitative comparisons with comprehensive field data because of my lack of access to such data. However, as will be shown, the profiles of H2S, FeS and FeS2 generated by the model compare favorably in a qualitative fashion with such profiles as are available in the literature. Thus I feel that the work presented here represents a significant step towards the development of a truly comprehensive model for the chemistry of sulfidic marine sediments. 

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