Since September is Rabies month we are highlighting Louis Pasteur, the primary discoverer of Rabies and its cure. The following stages of the progression of the disease, in humans, are part of the notes written by Pasteur:

The majority of Rabies cases occur in wild animals like bats, raccoons, skunks, and foxes, although any mammal can get rabies. To protect your domestic animals (pets) keep current on their Rabies vaccination. Check with your local health department, animal care shelters, and rescue organizations to find out about dosages and how long they last.

Every year, on September 28, is World Rabies Day and we take this opportunity to raise awareness, and take action, toward eliminating the Rabies disease from human and animal around the world.

This year the theme is Stronger Together which holds true for many other environmental and health efforts of all kinds, not just Rabies. However, while significant advances have been made toward eradicating Rabies, gaps in coordination and collaboration continue to limit impact. This theme underscores the urgency of strengthening partnerships, improving communication, and aligning efforts across human and animal health care systems.

“avoidable harm” should not be in our vocabulary. Medical practitioners have “Best Practices” and procedure manuals to follow for any given procedure. Why are patients, who are entrusted into our medical-care system, having their livelihoods become another statistic?

The dilemma of eradication of “avoidable harm” is that the science-based research that has been written by healthcare and risk reduction experts are not being followed - Patient safety is only a medical concern when it becomes a medical concern (see the chart below). The time and money spent fixing an episode of injury of a patient is crippling our healthcare system by putting an unnecessary burden on our healthcare providers, funding sources, reputation, and most import, the patient.

The following is brief example of the types of harm that patients have to endure in addition to an illness, injury, or child birth.

Patient episodes where there is harm to the patient include:

1. Preventable — those due to error or failure to apply an accepted methodology of patient safety.


2. Unforeseen — could have been less harmful if care had been different.


3. Adverse — due to negligence or the failure to follow best practices for the type of care being administered.


4. Error — a term implying an act of commission (doing something wrong) or omission (failing to do the right thing) that exposes patients to a potentially hazardous situation.

The following episode may be considered as having no harmful physical effect on the patient, but we need to be mindful of any psychological consequences that might develop.

September is international service dog month. This article will start with a little bit about animal behavior, human reactions and involvement opportunities.

Before domestic animals become service companions, they must receive training and certification. Training teaches the service dog how to behave in public and the skills necessary to physically and emotionally support an individual's needs. Once training is completed successfully the new service companion receives a certificate

The following is a chart of globally adopted classifications of service animals. Keep in mind obedience, behavior, and access to public places may vary from one country to the next. Consult with you local animal control, shelter agency. or rescue group for detailed information in your region.

Service dogs are given access to public places where other dogs are not permitted, so they must maintain socially acceptable behavior and to keep their attention on their task.

Keep in mind that service, emotional, and therapy animals are working and have a responsibility to keep his or her human companion safe.

Donating to your local service dog organization is one of the best ways to celebrate National Service Dog Month. If you don’t have much money, you can donate your time to help walk the dogs or provide other valuable services.

You can help raise awareness about service dogs and National Service Dog Month by sharing posts and pictures on social media. You can tag people you know who use service dogs and ask them to share their stories.

To learn more about the duties of a service dogs, emotional and therapy animals, contact your local animal services organizations or follow these links: Assistance Dogs International | The Guide Dog Foundation | International Guide Dog Federation

• maintaining an open airway
• supporting ventilation
• aggressive fluid support
• maintaining tight control over sugar levels
• vasopressors drugs for resistant hypotension
• intensive monitoring
• isolation

1. aphasia
2. cognitive impairment
3. living with damaged or missing organs or limbs
4. mental health services
5. physical Therapy
6. post-discharge mortality and/or readmission

Sepsis disproportionately affects populations such as older adults, individuals with underlying chronic conditions, and the immunocompromised. Sepsis is undeniably a serious worldwide health crisis. Sepsis affects individuals of any gender and of any age.

You can down load here the Policy and Media Briefs of Sepsis Alliance or visit their Web site for more information.

Predictive AI in the ICU

The term vector which is used in science and mathematics is also a biological term to describe the causative organism for disease, typically carried by and transmitted by, an arthropod. Diseases include, but not limited to, dengue, Japanese encephalitis, leishmaniasis, lyme disease, malaria, and yellow fever.

Arthropods are characterized by bilateral symmetry, a hard jointed exoskeleton system, segmented bodies, and jointed paired appendages. Arthropods belong to the asylum arthropoda group in the animal kingdom which has over one million species.

Most of us call an arthropod an insect. Mosquitoes are the best known insect and can be carrying a disease causing pathogen (vector-borne disease). Other insects (or arthropods) include ticks, flies sandflies, and fleas.

Caregivers need to be their patient's advocate when it comes to air-borne diseases and the importance of keeping then safe, both inside an outside of living spaces. The caregiver and patient need to be current on all recommended vaccinations as set forth by their local board of health. Caregivers need access to established vector control best-practices, and those procedures need to be a part of the patients health care plan.

In a mosquito friendly habitat, mosquitoes will continue to breed, increasing the vector population. With ideal breeding grounds, humans are at greater risk of contracting mosquito-borne diseases. Currently the main method to control or prevent the transmission of a vector's disease causing pathogen is to combat the them where they breed.

To help protect you and your patient from mosquito, the following list should be considered from sun rise to sunset both inside and outside of living, work, school, and recreational environments.

• properly disposing of solid waste
• removal of man-made habitats that can hold water
• empty, clean, and cover domestic water storage containers
• apply appropriate insecticides to outdoor water storage containers
• apply personal protection from mosquito bites (insect repellant)
• Practice living space protective measures such as window screens, repellents, coils, and vaporizers.

National Lightning Safety Awareness week brings attention to the dangers of lightening and provides an opportunity to learn strategies to protect ourselves.

Over the past several years the number of U.S. lightning fatalities have significantly decreased. The reduction in fatalities is largely due to greater awareness of the lightning danger and people seeking safety when there is a threat of thunderstorms.

During National Lightning Safety Awareness Week, everyone is encouraged to learn more about lightning and lightning safety.

Remember the slogan “ lightning kills, play it save”

Additional information can be found at the lightning and safety council's Web site.