medical education case study Management of chronic pelvic pain This case of persistent pelvic pain illustrates the multifactorial nature of the condition. By Mr Philip Kaloo well as the probable findings (recurrent endometriosis and case study pelvic adhesions) and the risk of complications. Laparoscopy Miss aP, a 28-year-old nulliparous woman, presented to the showed significant
Contains 25 % w/w flazasulfuron, a sulfonylurea herbicide, in a water dispersible granule A non-selective residual herbicide for the control of weeds on hard surfaces (railway
ballast only), natural surfaces not intended to bear vegetation and permeable surfaces
Very toxic to aquatic organisms, may cause long-term
adverse effects in the aquatic environment
DANGEROUS FOR THE
The Control of Substances Hazardous to Health (COSHH) Regulations may apply to the use of this product at
FOR USE ONLY AS AN INDUSTRIAL HERBICIDE
Maximum individual dose
Maximum number of treatments
natural surfaces not intended to bear
vegetation, permeable surfaces
Other specific restrictions
1) This product must only be used on natural or porous surfaces, such as gravel where the user can establish that the underlying surface is soil, and railway ballast surfaces. 2) This product must not be applied to any non-porous man made surfaces. 3) To avoid the build up of resistance do not apply this or any other product containing an ALS inhibitor herbicide with claims for control of grass-weeds more than once per situation. READ THE LABEL BEFORE USE. USING THIS PRODUCT IN A MANNER THAT IS INCONSISTENT WITH
THE LABEL MAY BE AN OFFENCE. FOLLOW THE CODE OF PRACTICE FOR USING PLANT
Engineering control of operator exposure must be used where reasonably practicable in addition to the following
personal protective equipment:
WEAR SUITABLE PROTECTIVE GLOVES when handling the concentrate or contaminated surfaces.
WEAR SUITABLE PROTECTIVE CLOTHING (COVERALLS), SUITABLE PROTECTIVE GLOVES AND
RUBBER BOOTS when applying by hand-held equipment.
However, engineering controls may replace personal protective equipment if a COSHH assessment shows they
provide an equal or higher standard of protection.
WASH CONCENTRATE/ANY CONTAMINATION from skin or eyes immediately.
WHEN USING DO NOT EAT, DRINK OR SMOKE.
WASH ALL PROTECTIVE CLOTHING thoroughly after use, especially the insides of gloves.
WASH HANDS AND EXPOSED SKIN before eating, drinking or smoking and after work.
This product qualifies for inclusion within the Local Environmental Risk Assessment for Pesticides (LERAP)
scheme. Before each spraying operation from a horizontal boom sprayer, either a LERAP must be carried out in
accordance with CRD published guidance or the statutory buffer zone must be maintained. The results of the
LERAP must be recorded and kept available for inspection for three years.
DO NOT ALLOW DIRECT SPRAY from horizontal boom sprayers to fall within 5m of the top of the bank of a
static or flowing water body, unless a Local Environmental Risk Assessment for Pesticides (LERAP) permits a
narrower buffer zone, or within 1m of the top of a ditch which is dry at the time of application. DO NOT ALLOW
DIRECT SPRAY from hand-held sprayers to fall within 1m of the top of the bank of a static or flowing water body.
Aim spray away from water.
DO NOT ALLOW DIRECT SPRAY from train sprayers to fall within 5m of the top of the bank of a static or flowing
water body. Do not allow direct overspray of static or flowing surface waters
Storage and disposal
KEEP OUT OF REACH OF CHILDREN.
KEEP AWAY FROM FOOD, DRINK AND ANIMAL FEEDING STUFFS.
KEEP IN ORIGINAL CONTAINER, tightly closed, in a safe place.
This material and its container must be disposed of in a safe way.
EMPTY CONTAINER THOROUGHLY and dispose of safely.
LERAP Category B
To avoid risks to man and the environment, comply with the instructions for use.
This product is approved under the Plant Protection Products Regulations (as amended).
Safety data sheet available for professional user on request.
Clayton Plant Protection Ltd.
Clayton Plant Protection (UK) Ltd.,
Contents: 1 Kg
Unit F10, Bracetown Business Park
Clonee, Co. Meath
Tel: (00 353) 1 8210127
ENVIRONMENTALLY HAZARDOUS SUBSTANCE, SOLID, N.O.S. (contains flazasulfuron).
UN 3077, Class 9, Packing group III
Conditions of Supply: all goods supplied by us are of high quality and we believe them to be correct but, as we
cannot exercise control over their storage, handling, mixing or use, or weather conditions before, during and after
application which may affect the performance of the goods, all conditions and warranties, statutory or otherwise,
as to the quality or fitness for any purpose of our goods are excluded, and no responsibility will be accepted by us
or resellers for any failure in performance, damage or injury whatsoever arising from their storage, handling,
application or use. These conditions cannot be varied by our staff or agents whether or not they supervise or
assist in the use of such goods.
DIRECTIONS FOR USE
IMPORTANT: This information is approved as part of the Product Label. All instructions within this
section must be read carefully in order to obtain safe and successful use of this product.
MODE OF ACTION
Clayton APT is a sulfonylurea herbicide, active against a range of broad-leaved weeds and grasses primarily by
root or shoot uptake. Control of susceptible weeds is commonly gained for a period of up to 5 months. Emerged
weeds are less susceptible to treatment and therefore, for post-emergence application, Clayton APT is
recommended to be co-applied with a herbicide such as glyphosate – see COMPATIBILITY. Post-emergence
applications give best results when weeds are young and actively growing under moist, warm weather conditions;
avoid application when weeds have started to senesce.
Clayton APT is recommended for the control of weeds on certain specified areas not intended to bear vegetation.
The specified areas are natural soil surfaces, permeable surfaces overlying soil and the ballasted surfaces of
railway tracks; apart from railway tracks, no other hard surfaces may be treated.
TIME OF APPLICATION AND WEATHER
Optimum results are obtained from an application of Clayton APT made in late winter of early spring before fresh
weeds germinate. If weeds have emerged it is recommended that Clayton APT is co-applied with a suitable
partner – see COMPATIBILITY. Post-emergence applications to weeds suffering stress owing to drought, frost,
high temperatures, water-logging, natural dieback or other environmental condition will not be growing actively
and so will not be well controlled.
RATE OF APPLICATION
Apply Clayton APT at 150 g/ha in all permissible situations.
Apply through a conventional powered hydraulic sprayer or knapsack sprayer as a MEDIUM spray (BCPC) in
200-600 l/ha of water to give even coverage of the weeds and ground. Do not apply as a FINE spray liable to
drift. Spray accurately to avoid overlapping spray swaths. Avoid spray drift. Do not apply when a temperature
inversion is occurring. Do not spray under windy conditions.
Ensure that the spray equipment is clean, in good mechanical order and correctly adjusted and calibrated before
use. Half-fill the spray tank with clean water and put under agitation. Add the required amount of Clayton APT to
the water. If co-applying with glyphosate (see COMPATIBLITY), add the required amount of glyphosate after the
Clayton APT has been thoroughly dispersed. Fill the tank with water to the required level and keep the mixture
under agitation until completion of spraying. Do not allow spray mixture to stand in the spray tank overnight.
COMPATIBILITY AND TREATMENTS IN SEQUENCE
Clayton APT is physically compatible in a two-way tank-mix with one of the under-named approved formulations;
the efficacy of the mixtures upon weeds has not been verified. Follow the Directions for Use of the other product
in the tank-mixture together with those of this label.
SPRAY DRIFT/GROUND CONTAMINATION
Avoid damage by drift onto broad-leaved plants outside the target area or onto ponds, waterways and ditches.
Take especial precautions to prevent drift onto any susceptible crop. All broad-leaved crops such as tomatoes,
lettuce, oilseed rape, vegetables, turnips, swedes, sugar beet, peas, beans, glasshouse crops, fruit, ornamentals
etc. are susceptible by spray contact or ground contamination. Do not spray in windy weather. Emptying or
cleaning of spray machinery must not be conducted on cropped land or land intended for cropping.
It is important that spray does not come into contact with the foliage or roots of susceptible trees and shrubs in
the vicinity of the area of application. Any use in the vicinity of trees or shrubs where contact of the spray with the
leaves, bark or underlying roots might occur must be at the users’ risk. However species differ in their
susceptibility to Clayton APT and the following tables are a guide to species susceptibility. If it is necessary to
spray in the vicinity of the more tolerant species, users are advised to treat around a small number of specimens
of all species to be encountered initially and observe for any adverse effects over a full growing cycle at least and
verify for themselves the safety or otherwise of the treatment before proceeding to treat larger areas.
Particularly susceptible species
Do not spray in the vicinity of the species at any time.
Chinese Privet (Ligustrum sinense)
Japanese Privet (Ligustrum japonicum) Common Privet (Ligustrum vulgare)
Species tolerant of soil application but susceptible to foliar contact
Foliage may be particularly susceptible during periods of active leaf growth; it is essential to protect specimens
from all leaf contact with the spray.
Border Forsythia (Forsythia intermedia)
Lombardy Poplar (Populus nigra cv .italica) Butterfly Bush (Buddleia davidii) London Plane (Platanus acerifolia) Cherry Laurel (Prunus laurocerasus) Northern White Cedar (Thuja occidentalis) Orange Cotoneaster (Cotoneaster franchetii) Common Hazelnut (Corylus avellana) Horse Chestnut (Aesculus hippocastanum) Small-leaved Lime (Tilia cordata) Indian Bean (Catalpa bignonioides) Western Red Cedar (Thuja plicata) Lawson Cypress (Chamaecyparis lawsoniana)
Relatively tolerant species
Himalayan Birch (Betula utilis)
SUBSEQUENT USE OF TREATED AREAS
Clayton APT should not be applied to areas of land that may be required for the planting of trees or ornamental
plants or used for cropping.
Clayton APT will control a wide range of weeds when used as directed but does not control:
Consider an appropriate tank-mix partner herbicide for those weeds that are not controlled.
The long-term effect of Clayton APT pre-emergence or post-emergence in tank-mixture with glyphosate on
broad-leaved dock, common nettle, creeping thistle, mallows and ragwort is not known.
This product contains flazasulfuron which is an ALS inhibitor, also classified by the Herbicide Resistance Action
Committee as ‘Group B’.
Use only as part of a resistance management strategy that includes cultural methods of control and does not use
ALS inhibitors as the sole chemical method of grass-weed control.
Strains of some annual weeds, e.g. black-grass, wild-oat and Italian rye-grass, have developed resistance to
herbicides which may lead to poor control. A strategy for preventing and managing such resistance should be
adopted. Guidelines have been produced by the Weed Resistance Action Group and copies are available from
the HGCA, CPA, your distributor, crop advisor or product manufacturer.
Elements of a weed resistance management strategy include:
Applying Clayton APT according to the label instructions in conjunction with good spraying practice and under
Avoiding the use of Clayton APT or any other ALS inhibitor group herbicide as the sole means of grass and broad-leaved weed control in successive years; use herbicides with different modes of action or if practicable use alternative methods of weed control. Using mixtures of herbicides or sequences of herbicides with different modes of action e.g. for control of existing weeds apply Clayton APT in mixture with glyphosate. Monitoring treatment efficacy and seeking professional advice if areas of poor weed control occur that appear
THOROUGHLY CLEAN ALL SPRAY EQUIPMENT IMMEDIATELY AFTER USE, USING THE FOLLOWING
1. Drain the tank completely. Wash the outside of the equipment with clean water.
2. Rinse the inside of the tank with clean water and flush through booms and hoses using at least 10% of the
spray tank volume. Drain the tank completely. 3. Half-fill the spray tank with clean water and add 2.6 litres of household ammonia (containing 9.5% ammonia) for each 100 litres of tank volume. Other ammonia solutions may be used as long as the final concentration of ammonia when diluted in the full tank is 0.25% w/v. Agitate and then flush the boom and hoses with the ammonia solution until ammonia solution is ejected from all nozzles. Completely fill the tank with water and agitate for 15 minutes. Flush the boom and hoses again and drain the tank completely. If it is not possible to drain the tank completely, step 3 must be repeated before going on to step 4. 4. Remove nozzles and filters and clean with ammonia solution of the same concentration (0.25%) as used to 5. Rinse the tank with clean water and flush through the boom and hoses using at least 10% of the spray tank volume. Drain the tank completely and allow the sprayer to dry. 6. Dispose of washings in a safe area upon the holding designated for the purpose. Do not spray onto land intended for cropping or bearing amenity vegetation.
IMPLANT DENTISTRY / VOLUME 20, NUMBER 1 2011 Effect of Sinus Membrane Perforation on Dental Implant Integration: A Retrospective Study on 128 Patients Eric Oh, DDS,* and Richard A. Kraut, DDS†Sinusaugmentationasreportedby Acommoncomplicationofsinus patient who had an intact sinus. All augmentation is perforation of the four infections resolved after culture sensitivity and p