ISSUE 21

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Latest HSE Statistics YTD
  2014 2015
Workplace fatalities
0 0
Non-work related fatalities
0 0
Non-accidental deaths (NADs)
0 0
Lost Time Injuries (LTIs)
0 0
All injuries (excluding first aid cases)
0 0
Motor Vehicle Incidents (MVIs)
0 0
Roll over - MVIs
0 0
Serious MVIs
0 0
Lost Time Injury Frequency (LTIF)
0 0
Life Saving Rules Violations
YTD
Journey management
0
Speeding/GSM
0
Seatbelts
0
Overriding safety device
0
Working at heights
0
Permit
0
Confined space
0
Lock out tag out
0
Drugs and alcohol
0
Gas testing
0
Smoking
0
Suspended Load
0
Vehicle Class A/B Defect
YTD
Class A
0
Class B
0
HSE TIP
Although the amount of vitamin D adults get from their diet is often less than what's recommended, exposure to sunlight can make up for the difference
 
 

Important News


   
 

Vitamin D is a fat-soluble vitamin that is naturally present in very few foods, added to others, and available as a dietary supplement. It is also produced endogenously when ultraviolet rays from sunlight strike the skin and trigger vitamin D synthesis. A vitamin D deficiency can occur when usual intake is lower than recommended levels over time, exposure to sunlight is limited, the kidneys cannot convert Vit D to its active form, or absorption of vitamin D from the digestive tract is inadequate. Rickets and osteomalacia are the classical vitamin D deficiency diseases.

   

In children, vitamin D deficiency causes rickets, a disease characterized by a failure of bone tissue to properly mineralize, resulting in soft bones and skeletal deformities. In adults, vitamin D deficiency can lead to osteomalacia, resulting in weak bones. Symptoms of bone pain and muscle weakness can indicate inadequate vitamin D levels, but such symptoms can be subtle and go undetected in the initial stages. Recent study done in Sultan Qaboos University resulted that  about 87.5 % of Omani population are Vit D deficient, and women as compared with men have markedly lower Vit D Level.
 

 

What You Need to Know

 
 
Vitamin D deficiency:

 Clinical symptoms with laboratory blood test of Vitamin D are the main ways of diagnosis

  • Insufficient (50-100 nmol/L)
  • Mild (25–50 nmol/L)
  • Moderate (12.5–25.0 nmol/L)
  • Severe ( < 12.5 nmol/L)

Risk of inadequacy:

  • Breastfed infants
  • Older adults
  • limited sun exposure
  • Inflammatory bowel disease
  • Dark skin
  • Obese ,  BMI: >30

Signs and symptoms:

Rickets, osteomalacia, osteoporosis, muscle aches and weakness, muscle twitching (Fasciculations), light-headednes
 

 
ISSUE 21

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The Dietary Guidelines advices a healthy diet as one that:
  • Emphasizes a variety of fruits, vegetables, whole grains, and fat-free or low-fat milk and milk products. Milk is fortified with vitamin D, as are many ready-to-eat cereals and some brands of yogurt and orange juice. Cheese naturally contains small amounts of vitamin D.
  • Includes lean meats, poultry, fish, beans, eggs, and nuts.
  • Fatty fish such as salmon, tuna, and mackerel are very good sources of vitamin D. Small amounts of vitamin D are also found in beef liver and egg yolks.

 

  • Is low in saturated fats, trans fats, cholesterol, salt (sodium), and added sugars.
  • Vitamin D is added to some margarines.
  • Stays within your daily calorie needs
The  recommended screening of Vitamin D level of only those individuals who are at high risk for vitamin D deficiency.
The daily maintenance dose of vitamin D varies by age, but most children and adults generally require 600-2000 IU of vitamin D daily.

 

For vitamin D-deficient children and adults, higher doses of vitamin D given either daily or weekly are recommended. After correction of their vitamin D status with oral vitamin D, patients should have a repeat test of their Vitamin D level to confirm that they are in the normal range. If the 2D concentration remains persistently low despite several attempts at correction with oral vitamin D, a trial of UVB light therapy (ie, by tanning lamps) may be considered to improve vitamin D status.