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The Field HSE Technician works with field personnel, management, and supervision. This person reports to the North Slope Manager and consults with Anchoragebased HSE Manager and Specialist to provide field support for the Health, Safety, and Environmental Program. Position will be based in field offices, but may include occasional travel to and work at Company’s Anchorage office.

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o Works with North Slope Managers and Foreman to ensure adherence to all Client and Company policies and procedures, and compliance with all regulatory Federal, State, local, Client, and Company driven requirements.

o Demonstrate and ensure the overall commitment to Safety by CCI Industrial Services personnel.

o Coaches personnel, inspects and audits assigned facilities and work in progress to help identify potential hazards, atrisk behaviors, and hazardous conditions.

o Provides guidance to employees for corrective and/or preventative measures, and follows up to ensure measures have been implemented.

o Leads/participates in investigation of incidents and injuries. Cooperate and assist in the preparation of material and evidence for Company and Client use in investigations.

o Compiles and submits required reports to North Slope Manager, Company’s HSE Department, Clients, and others as required.

o Maintains field safety files and records.

o Preparation of Job Safety Analysis documents and presentation to Client when appropriate.

o Attends and participates in all pertinent safety meetings as established or requested by Client.

o Comply with all guidelines, policies and procedures established by CCI Industrial Services while on shift, on call or attending training.

o Coordinate position work hours to cover both crews to ensure equal time is spent with all employees.

o Perform other duties as assigned.

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o Valid Driver’s License.

o NSTC

o High School diploma.

o Associates degree in a safety related field or a minimum of 2 years experience in safety.

o Previous North Slope HSE experience.

o Ability to work under pressure and meet deadlines.

o Ability to clearly speak, read, write, and understand the English language.

o Ability to represent the organization in community and/or industry safety groups and programs and must have the appropriate professional skills to do so effectively.

o The individual in this position must be selfmotivated and able to work independently.

o Proficient computer experience, including the ability to take online training, email general reports and use Microsoft Word, Excel, PowerPoint and Outlook Express.

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o CHST or OHST or higher certification in safety.

o NSTC certified trainer.

o STS authorized trainer.

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o Typically time is split between a field office and outdoor field environment.

o While performing the duties of this job, the employee at times works at the construction work site where the employee is exposed to moving mechanical parts; high precarious places; fumes or airborne particles; outside weather conditions and risk of electrical shock.

real canadian pharmacyo Physical and technical requirements that meet the standards of CCI Industrial Services.

Lifting up to 70lbs, pushing/pulling up to 100lbs, carrying up to 50lbs, shoveling up to 20lbs, frequent walking and standing, occasional keyboard use, sitting, bending, twisting and reaching.

 

The team focused on a form of radiation therapy called intensity-modulated radiation therapy (IMRT). According to the American Cancer Society, IMRT is a cutting-edge, 3-D form of high-dose radiation therapy. The treatment is delivered by a computer-controlled machine that moves around the patient to target diseased tissue while avoiding healthy tissue, thereby allowing for the safer use of higher doses of radiation. Keep a positive attitude. Believe in yourself. cialis for sale Is it safe for men with heart disease to use sildenafil (Viagra)? The answer: it depends. The issue is less actual size than perception of size. Key Words: erectile dysfunction, phosphodiesterase inhibitors: sildenafil, tadalafil, vardenafil Tobacco, alcohol or drug use: All three of these substances can damage a person's blood vessels and/or restrict blood flow to the penis, causing ED. Smoking in particular plays a large role in causing ED in people with arteriosclerosis. Vardenafil (Levitra) can cause hypotension (abnormally low blood pressure, which can lead to fainting and even shock) when given to patients who are taking nitrates. Patients taking nitrates daily, even patients taking nitrates only once a day, should not take vardenafil. Most commonly used nitrates are medications to relieve angina (chest pain due to insufficient blood supply to heart muscle because of narrowing of the coronary arteries). These include nitroglycerine tablets, patches, ointments, sprays, pastes, and isosorbide dinitrate and isosorbide mononitrate. Other nitrates such as amyl nitrate and butyl nitrate are found in some recreational drugs called "poppers". Evaluating the patient for diabetes with a hemoglobin A1c measurement is a useful screening test. canadian pharmacy viagra Although sildenafil can increase cGMP in T cells, DCs, and CD11b+ cells (Fig. 5), the following data indicate that Gr-1+/CD11b+ MDSCs are its primary cellular target. Gr-1 depletion does not augment sildenafil-mediated antitumor activity (Fig. 6 E), and sildenafil down-regulates MDSC suppressive pathways in vivo (Fig. 6, BD). Moreover, sildenafil reverses MDSC suppression in vitro (Fig. 7). MDSCs and/or tumor-associated macrophages have been shown to induce apoptosis or anergy in CD8+ and CD4+ T cells through NOS2- and/or ARG1-dependent mechanisms (34). In fact, NO production anergizes Th1 cells through inhibition of IL-2 signaling (34). Alternatively, in a mixed Th1/Th2 cell environment where ARG-induced pathways also mediate immunosuppression, MDSCs produce NO and super-oxide radicals to generate peroxynitrites that induce apoptosis of activated CD8+ T cells (9). A greater understanding of the role of MDSCs in tumor-induced immune dysfunction (7, 42) will establish the scientific rationale for a targeted pharmacologic approach to disrupt these suppressive mechanisms and may serve as an adjunct to immunotherapy. We previously showed that nitroaspirin could abrogate the inhibitory activity of MDSCs by enhancing the preventive and therapeutic efficacy of antitumor vaccines (43). However, despite its use as a vaccine adjuvant, nitroaspirin demonstrated no antitumor efficacy when used alone. In contrast, down-modulation of both ARG1 and NOS2 in MDSCs (Fig. 6) with PDE5 inhibitors effectively abrogates MDSC-mediated immune suppression, resulting in a measurable antitumor response (Fig. 1, Fig. 3, and Fig. 4). We have recently shown that to effectively exert their suppressive function, MDSCs must (a) be activated by IFN- production from antigen-stimulated T cells, (b) release their own IFN-, and (c) be responsive to IL-13 (29). Cooperation between these two cytokines leads to the activation of ARG1 and NOS2 enzymes. Sildenafil neither alters IFN- production from activated lymphocytes (not depicted) nor changes IL-13 and IFN- production from MDSCs (Fig. S6, available at http://www.jem.org/cgi/content/full/jem.20061104/DC1). Rather, PDE5 inhibition down-regulates IL-4R expression on MDSCs (Fig. 5 and Fig. 6), likely impairing their responsiveness to IL-13. "Furthermore, PDE5 inhibitors can exert direct effects on the retina, and such effects probably account for many of the visual side effects such as blue-tinged vision and light sensitivity that have been reported," they concluded. One reason many men wont think about using a needle is that until now other men have not been willing to share their personal experience with this type of treatment for erectile dysfunction. However, Al Orr has produced a collection of information available in private, and confidential, members-only forum. Members can watch a 20-minute video, read an e-book, and anonymously ask questions, and receive answers, from their peers, regarding what it is like to use injection therapy for impotence. Sildenafil should be used cautiously in men on alpha blockers such as doxazosin (Cardura), terazosin (Hytrin), and tamsulosin (Flomax). There have been occasional reports of low blood pressure in men who have taken the two classes of drugs simultaneously and therefore it is recommended that there be at least a span of 4-6 hours between the ingestion of sildenafil and alpha blockers. Diagnosis Just a decade or 2 ago, the routine evaluation of erectile dysfunction consisted of an exhaustive biochemical screening panel, psychological assessments and occasional vascular testing. This approach was justified as reasonable at the time, because the treatment options available were invasive. In contrast, current recommendations for management rely on history-taking and basic screening tests. The Canadian Urological Association has recently developed an algorithm for the management of erectile dysfunction that supports this approach.28 Oral agents that act peripherally to induce smooth muscle relaxation of the corpora cavernosa. The most commonly used agents are sildenafil (Viagra), vardenafil (Levitra), and tadalafil (Cialis). Sildenafil was the first in this series of PDE inhibitors. These agents rely on the role of NO in inducing vasodilatation. NO relaxes smooth muscle by stimulating guanylyl cyclase activity, which raises the intracellular concentrations of the cyclic nucleotide cGMP, which, in turn, induces vasodilation. The spider venom also works to increase nitric oxide levels but through a different mechanism, Nunes said. Scientists are a long way from using the venom as the basis of a new erectile dysfunction medication, but they are hopeful, said Nunes.

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