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  8. Review phòng khám Hưng Thịnh 380 Xã Đàn Đống Đa, Hà Nội là trung tâm y tế kiểm tra và chữa bệnh tin cậy, tin cậy cao tại địa bàn thủ đô Hà Nội. Phòng khám Hưng Thịnh đang dần trở nên địa chỉ tin cậy, thân thuộc không những có đối tượng dân Thủ đô mà còn không ít đối tượng ở các địa điểm tỉnh thành gần kề không giống. Nếu như quý vị đang bận tâm về review phòng khám đa khoa Hưng Thịnh có tốt không, hãy tham gia và theo giỏi các bài viết sau đây để có nguy cơ nắm được một vài nguyên do thực hiện cần phải thương hiệu, tin cậy của trung tâm y tế đa khoa Hưng Thịnh Hà Nội tin cậy nhé! https://phongkhamhungthinh.glitch.me/ https://phongkhamdakhoahungthinh.webflow.io/ https://phongkhamhungthinh.neocities.org/ https://phongkhamhungthinh.tistory.com/pages/phong-kham-da-khoa-hung-thinh-380-xa-dan-dong-da-ha-noi http://phongkhamhungthinh.e-monsite.com/blog/review-phong-kham-hung-thinh-380-xa-dan-dong-da-ha-noi.html http://phongkhamhungthi.0fees.us/ https://phongkhamhungthinh.home.blog/2021/05/06/review-phong-kham-da-khoa-hung-thinh-uy-tin-tot-nhat-ha-noi/ https://phongkhamhungthinhclinic.blogspot.com/2021/03/phong-kham-phu-khoa.html https://phongkhamhungthinh.doodlekit.com/ https://phongkhamhungthinh.creatorlink.net/ https://kien-thuc-suc-khoe-1.jimdosite.com/ https://phongkhamhungthinh.webstarts.com/blog/post/review-phong-kham-da-khoa-hung-thinh-380-xa-dan-dong-da-ha-noi http://phongkhamhungthinh.epizy.com/review-phong-kham-da-khoa-hung-thinh-uy-tin-tot-nhat-ha-noi/ https://hungthinhclinic.hatenadiary.com/ http://hungthinhclinic.rf.gd/review-phong-kham-da-khoa-hung-thinh-so-380-xa-dan-dong-da-ha-noi/ https://hungthinhcilinic.bookmark.com/your-blog-is-now-live https://phongkhamhungthinh.bcz.com/2021/01/18/review-phong-kham-da-khoa-hung-thinh-380-xa-dan-dong-da-ha-noi/ https://phongkhamhungthinh.mypixieset.com/ https://plaza.rakuten.co.jp/khoehonmoingay/diary/202102250001/ https://phongkhamhungthinh.wordpress.com/2021/03/09/review-phong-kham-da-khoa-hung-thinh-380-xa-dan-dong-da-ha-noi/ https://phongkhamhungthinh.seesaa.net/article/480687931.html https://kienthucsuckhoe24h.amebaownd.com/posts/10625333 https://clinichungthinh.creatorlink.net/ hiện tại có quá nhiều phòng khám mọc lên khiến người mắc bệnh không biết phải trọn trung tâm y tế nào thì mới uy tín, uy tín xét nghiệm có hữu hiệu không. Vậy, một vài tác nhân nào từng tiến hành cần tên tuổi phòng khám đa khoa Hưng Thịnh 380 Xã Đàn chất lượng như ngày hôm này. Review trang thiết bị tại trung tâm y tế đa khoa Hưng Thịnh xã Đàn Hà Nội bệnh viện đa khoa Hưng Thịnh ở đâu? Được thành lập vào thời gian nào? Phòng khám Hưng Thịnh Hà Nội được thành lập từ năm 2014 và được cấp phép đi vào hoạt động bởi Sở y tế Hà Nội. Nhờ vào sự băn khoăn của các ban ngành lãnh đạo, cơ sở vật chất tại bệnh viện luôn được đầu tư một biện pháp chu đáo. Các thiết bị y tế ở bệnh viện đa khoa Hưng Thịnh đều được xuất nhập khẩu từ các nước tiên tiến đi đầu trong các lĩnh vực y học như Pháp, Anh, Canada, Mỹ,v.v.. Trước khi đưa vào dùng, trung tâm y tế đa khoa Hưng Thịnh đều phải khám bệnh kỹ lưỡng nhằm phục vụ tốt nhất trong quá trình khám và trị căn bệnh được giữ gìn an toàn. đi kèm với đó, phòng khám bệnh nam khoa Hưng Thịnh còn chú trọng xây dựng không gian khám chữa trị căn bệnh. Với không gian rộng rãi, sạch đẹp, yên tĩnh, thoáng mát và luôn được thực hiện sát khuẩn nghiêm ngặt tạo cảm giác an toàn, thư thái cho bệnh nhân tới thăm khám. phòng khám phụ khoa Hưng Thịnh địa chỉ số 380 Xã Đàn, Đống Đa, Hà Nội. Đây là địa chỉ ở ngay mặt tiền phố Xã Đàn bạn có khả năng dễ thực hiện tìm xuất hiện, tại đây phòng bệnh ở nam giới Hưng Thịnh có các địa điểm để xe máy và ô tô rộng rãi. Bên cạnh đó, trung tâm y tế phụ khoa Hưng Thịnh cũng vô cùng gần bến xe Giáp Bát, Nước Ngầm, các bạn ở ngoại thành vẫn có khả năng chọn một vài bến xe này để di chuyển sang trung tâm y tế đa khoa Hưng Thịnh một biện pháp nhanh nhất. Review cơ sở y tế đa khoa Hưng Thịnh cùng đôih ngũ bác sĩ phòng khám đa khoa Hưng Thịnh Hà Nội sở hữu cho chính mình đội ngũ y bác sĩ hùng hậu, có trình độ chuyên môn cao và rất nhiều năm kinh nghiệm trong nghề, đây là địa chỉ được nhiều người bệnh phản hồi cao và rất chi là hài lòng. đội ngũ y bác sĩ chuyên môn hiện đang công tác tại trung tâm y tế đa khoa Hưng Thịnh: Tiến sĩ, bác sĩ Lê Nhân Tuấn: Hiện đang giữ cương vị là Giám đốc phòng khám Hưng Thịnh (380 Xã Đàn, Đống Đa, Hà Nội), là một trong số các bác sĩ danh tiếng tại thủ đô Hà Nội. Bác sĩ Tuấn có hơn 40 năm kinh nghiệm trong nghề y, được công nhận với danh hiệu là bậc Thầy kháng sinh u tú và Bác sĩ cao cấp. Bác sĩ Cung không giống Thông: đã từng tốt nghiệp chuyên ngành bác sĩ tại Đại Học y Hà Nội. Đây là cái nôi đào tạo cần phải nhiều thay thế hệ bác sĩ ưu tú, có tài, có đức trong nghề. Ngoài đi sâu vào học tập luyện và khảo sát chuyên khoa Ngoại-Sản, bác sĩ Thông còn có chuyên môn cao về chuyên khoa da liễu. Đối với bác sĩ Thông, được cống hiến hết chính mình cho y học là tự hào, vinh dự trong cuộc đời bác. Bác sĩ chuyên khoa I Trần Thị Thành: Bác sĩ Thành nguyên là bác sĩ tại bệnh viện Phụ sản Trung ương đối với bề dày hơn 40 năm kinh nghiệm trong thăm khám và chữa các chứng bệnh phụ khoa ở các chị em. Hiện nay bác sĩ Thành đang làm việc tại phòng khám đa khoa Hưng Thịnh. Dịch vụ xét nghiệm trị chứng bệnh tại cơ sở y tế đa khoa Hưng Thịnh tới đối với cơ sở y tế đa khoa Hưng Thịnh Hà Nội, bạn sẽ được tận hưởng tin cậy dịch vụ hữu hiệu. quy trình tham khám và chữa bệnh một bác sĩ và một bệnh nhân khép kín giúp bệnh nhân được thoải mái chia sẻ những thắc mắc riêng tư mối liên quan tới mức độ căn bệnh không dễ dàng nhắc với tương đối nhiều thành phần, có như vậy thì bạn mới yên tâm chia sẻ với bác sĩ được rất nhiều hơn. Chưa nhắc, một số thông tin sự liên quan đến bệnh nhân luôn được phòng khám Hưng Thịnh bảo mật tuyệt đối, cần phải quý vị hoàn toàn có khả năng an tâm trong suốt quá trình kiểm tra và điều trị bệnh. đội ngũ y tá, điều dưỡng và lễ tân tại đây xét nghiệm được đào tạo bài bản, với cách lao động chuyên nghiệp nhằm giữ gìn sự hài lòng của bệnh nhân tử khâu tiếp đón cho tới khi tiến hành trị và khôi phục. Hiện phòng khám Hưng Thịnh đã uống dịch vụ trả lời qua hotline hoặc chat tư vấn của trung tâm y tế giúp cho câu trả lời mọi thắc mắc của người mắc bệnh được ngay lập tức, thuận tiện hơn. Các nhân viên trả lời sẽ hỗ trợ cho người mắc bệnh đặt lịch thông qua khung chat online, giúp cho quý vị có nguy cơ chủ động hơn về thời gian, cũng như không phải gặp mức độ phải chờ đợi khi thực hiện thủ tục như các phòng khám công lập khác. Thời gian làm việc của cơ sở y tế đa khoa Hưng Thịnh từ 8h - 20h mọi các ngày trong tuần nhắc cả một số ngày nghỉ lễ. Như vậy sẽ cực kỳ chi là thích hợp đối với tất cả những trường hợp có công việc bận rộn, muốn tới thăm khám ngoài giờ hành chính hoặc vào một số ngày cuối tuần. phác đồ khám và chữa trị chứng bệnh tại trung tâm y tế Hưng Thịnh Khi tới phòng khám Hưng Thịnh, bạn sẽ được tiến hành theo phác đồ khám và chữa trị bệnh đầy đủ giúp nhận thấy chính xác hơn nhằm mục đích làm chữa trị chứng bệnh được hữu hiệu. Bước 1: kiểm tra thông tin cá nhân của ngươi chứng bệnh Việc trước hết khi làm khám và chữa chứng bệnh là quý vị sẽ được bác sĩ đặt ra một số câu hỏi mối liên quan đến tình trạng sức khỏe, căn bệnh lý thời điểm này hoặc hỏi coi tiền sử các chứng bệnh khác nếu có,... Ở bước này, bạn cần giải thích chân thật nhất để giúp cho bác sĩ có nguy cơ biết được khái quát tình hình chứng bệnh của bạn và đưa ra phác đồ trị khoa học. Bước 2: tiến hành thăm khám một số biểu hiện bên ngoài của người mắc bệnh. Bước 3: chỉ dẫn tiến hành các phác đồ kiểm tra, siêu âm, nội soi theo tình hình của đã từng người mắc bệnh. Bước 4: Sau khi tiến hành các bước kiểm tra, người bệnh sẽ được coi kết quả. Lúc này bác sĩ sẽ đưa ra kết luận và lên quy trình chữa trị Bước 5: tiến hành trị bệnh nếu như bệnh nhân đồng ý. phương pháp trị căn bệnh tại trung tâm y tế đa khoa Hưng Thịnh 380 Xã Đàn Phòng nam khoa Hưng Thịnh có thế mạnh là xét nghiệm và chữa trị chứng bệnh chuyên sâu về các bệnh chuyên khoa nam, bệnh xã hội, phụ khoa, bệnh trĩ, chứng hôi nách,... Ngoài thay thế mạnh được đầu tư về bệnh viện vật chất tiên tiến, phòng khám đa khoa Hưng Thịnh còn có thay thế mạnh trong việc sử dụng các kỹ thuật trị căn bệnh tiên tiến, hiện đại đối với ưu điểm rút ngắn thời gian chữa, ít gây nên tổn thương và hệ lụy, thời khôi phục của bệnh nhân nhanh, diệt trừ triệt để mầm bệnh hạn chế nguy cơ căn bệnh quay trở lại. một vài liệu pháp trị tại cơ sở y tế Hưng Thịnh cách trị căn bệnh xã hội: như bức xạ nhiệt DHA, liệu pháp chữa liệu ALA - PDT, cân bằng miễn dịch. cắt đi trĩ bằng biện pháp PPH và biện pháp HCPT. Mổ nội soi tuyến mồ hôi nách chữa khỏi hẳn bệnh viêm cánh. chữa nội khoa bằng kháng sinh đặc chữa. cách tâm lý giúp cho bệnh nhân vượt qua hoang mang, hoang mang, gia tăng biểu hiện bệnh lý bị tác động bởi tâm lý người bệnh mức phí khám và điều trị tại đây phí khám và trị căn bệnh tại bệnh viện Hưng Thịnh đều được công khai, minh bạch và điển hình, người mắc bệnh có nguy cơ nghiên cứu trước khi đi tới thực hiện điều trị. Phòng bệnh nam khoa Hưng Thịnh Hà Nội đây là cơ sở y tế tư nhân cần thiết phải chi phí sẽ cao hơn một chút so đối với một số phòng khám công lập không nhỏ không giống. Nhưng mọi mức phí chữa chứng bệnh đó đều nằm trong nguyên tắc của Sở y tế đề ra, được quá nhiều người bệnh đã và đang khám chữa bệnh tại cơ sở y tế đa khoa Hưng Thịnh nhận xét phù hợp với túi tiền cần thiết phải bạn có thể yên tâm về một số khoản giá thành làm. Ngoài ra, bệnh viện đa khoa Hưng Thịnh 380 Xã Đàn đang lấy chương trình thăm khám tổng quát khám bệnh nam khoa - phụ khoa chỉ đối với 280k, quý vị có thể tìm hiểu thêm kiến thức chi bài tiết tại các bài viết khác tại website hoặc tư vấn qua hotline 0366 655 466 để được giải đáp miễn phí Review phản hồi và nhận xét của người mắc bệnh về bệnh viện đa khoa Hưng Thịnh Ngoài việc tham khảo thông tin từ một vài người thân từng kiểm tra chữa trị chứng bệnh tại bệnh viện Hưng Thịnh, chúng tôi sẽ chia sẻ thêm cho bạn đánh giá, nhận xét của những người bệnh thực hiện thăm khám tại đây: Chị Hằng, 29 tuổi, tại Hà Nội: “Tôi gặp phải căn bệnh phụ khoa sau sinh và đã từng đến khám tại bệnh viện Hưng Thịnh. Bác sĩ ở đây ân cần phải giúp cho tôi trị được hết biểu hiện căn bệnh, dịch vụ ở đây cũng khá là tốt.” Chị Nga, 25 tuổi, tại Hưng Yên: “Em tới đây để thực hiện phẫu thuật trị chứng hôi nách. Sau khi điều trị, đặc điểm đến nay là hơn 3 tháng em không có biến chứng nào nữa và có cảm giác không còn bị mặc cảm bởi điểm hạn chế như trước. Em vô cùng cảm ơn các bác sĩ đã nhiệt tình điều trị bệnh khỏi cho em.” Anh Hải, 34 tuổi, tại Hà Nam: “Mình đã từng mắc phải bệnh yếu sinh lý do "yêu" quá nhiều và có đến phòng khám đa khoa Hưng Thịnh để điều trị căn bệnh. Nhờ sự giải đáp của bác sĩ và thực hiện chữa trị tại đây mà nguy cơ sinh lý hiện nay của tôi đã được gia tăng rõ dệt.” Anh Hoàng, 21 tuổi, tại Hà Nội: “ Em tới đây để thực hiện cắt bao da quy đầu. Thủ thuật tại đây không đau, hồi phục nhanh, bác sĩ chu đáo và thân thiện” với một số kiến thức mà chúng tôi mang đến, chia sẻ về bài viết review cơ sở y tế đa khoa Hưng Thịnh số 380 Xã Đàn, Đống Đa, Hà Nội. Hy vọng có khả năng giúp quý vị hiểu rõ hơn về tin cậy của bệnh viện. Tất cả thông tin cần phải được trả lời gọi điện ngay 0366 655 466 để được tư vấn hoàn toàn miễn phí.
  9. https://hungthinhclinic.com/ Hưng Thịnh clinic địa chỉ 380 xã đàn đống đa Hà Nội chuyên khám chữa các bệnh như nam khoa, phụ khoa, bệnh xã hội, hôi nách,..
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      Lucas21

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  14. got an update, sorry no pics at this time from our friends fighting the good fight. The infected mother plant is progressing positively and a clone did root from the mother. While only one clone compared to many the clones is not a good ratio but the material used was not ideal. Positive steps forward and as this clone grows and has the mother improves we hope to achieve true positive results by using Chlorine Dioxide. CL02
  15. Current Chlorine Dioxide Use Some independent workings going on in Spain using Chlorine Dioxide to clean a plant of this viroid. It is being administered via foliar spray. Records are being kept and pending on the outcome more detailed information will be given. Thus far it appears to be working but it will take some time. The infected plant is a mother and is a set of clones. A positive lab test for the viroid was indicated for the mothers. Once it is felt the viroid is clean, a new lab test will be done to prove or disprove the viroid's removal or if it remains. I will keep this updated as I get more information. Thank you.
  16. Bio Security Systems Bio Security is a program that brings together pest, mold/mildew, bacteria/virus/viroid - disease into an encompassing program. I can speak at serious length on bio security but then I would lose people with too much information. So I will discuss simply but effectively explaining. Bio Security is typically an issue for midsized grow operations to the home grower often due to two several reasons. One is cost. Typically a grow operation is ineffectively funded and further still this is often due to an ineffective appreciation of bio security by the planners and managers/supervisors. I will try to assist with instilling an understanding of effective appreciation and how to effectively implement those bio security into your grow operations and/or how to adapt into your current plans. Bio security essentially brings the management of pest, mold/mildew, bactera/virus/viroid into your grow operations. For simple grow operations this is easier than it is for a more complex grow operation such as a rotating/perpetual operation. Regardless of size, once you understand the fundamentals bio security you then have the effective knowledge to manage your grow operation by creating a unique bio security plan for your specific grow operation. We will discuss prevention, treatment and how to implement into your grow environment for the following: pest management, Mold and Mildew, Disease from bacteria, virus and viroids. Virtually all growers are some point will run into pest and mold/mildew issues. Plant disease from bacteria and virus will be more on the rare side but with a viroid going around via clones raises the possibility that growers who would typically not see this type of issue may. For most growers, they do not get to plan out their location and have to make due with the grow area which is available to them. Typically these grow areas are not ideal but manageable for their purposes. Here are some key aspects that is a necessity in an effective bio security plan regardless of size or location of the grow operation. Stable environment with healthy lighting and air flow. Control of temperature and humidity in both in raising and lowering levels within short periods of times. Ability to control and filter incoming air and outgoing air. Grow area example, Processing/storage areas Mother area (optional) Clone area (optional) Vegative area Flowering area Harvest/dry/cure area Very good 4 light room setup with explanations While a grow room setup is not necessarily part of a bio security program it is the skeletal system for which the environment is effected. For newer growers this section will have more value but I recommend to all viewers due to his explanations. SETTING UP A CANNABIS GROW ROOM. WHAT I'VE LEARNED 6 YEARS DOING IT. EQUIPMENT, ELECTRICAL,GEAR. Grateful Grower Processing and storage area Processing area - Typically home and small growers will not easily have much processing space and it is understood that you have to do with what you have to work with. Do the best that you can. I tend to recommend basement grow areas for indoor growers as it typically offers a stable base environment. If your lucky enough to use an old apartment or if their is a bathroom with a shower in the basement and/or a laundry area with a sink is useable. Water, Sink/Shower: Hot and cold water Sometimes cold water is good for knocking off pest on plants. This is also in part why you want good water pressure. Hot water is mostly for cleaning. Good to powerful water spray options from direct to spray. Capability to isolate and spray down a whole plant if in containers. Such as a shower or deep industrial sink. A shower and industrial sink is ideal. A shower is perfect for effectively isolating a plant and treating the plant in an area to control potential contamination. Water Storage, You want your water to be at room temperature when you use it with plants. By storing a day or days plus worth of water in advance is ideal to ensuring ideal water temperature and oxygen levels depending on air stone pressure quality/pumps. For soil medias I recommend the consideration of fermented sea water or bio water from natural farming. http://culturalhealingandlife.com.www413.your-server.de/index.php?/forums/topic/37-inputs-section-3-fermented-seawater-and-bio-mineral-water/ A sink disposable, heavy duty industrial strength. This is not so much due to bio security as it is beneficial in helping maintain clean drain lines which is an important issue. While mainly a maintenance issue I will add just for good measure. Drain Cleaner/Mechanical and chemical/root products. You want to be able to be have a drain cleaning machine that can reach to the end of the pipes for which you are responsible for. Chemical and root management products should be used as needed and in the case of the root management products ensure a regular maintenance dose is consistently given per directions. Processing area. Solid tables that can withstand significant weight. Sturdy metal or plastic shelving broken down in table sections with a base and top is often sufficient. Use tubs or even cement mixers to mix your media/amendments/fertilizers evenly. It is vital to ensure that you evenly mix any inputs with the media. So ensure that you have enough room to effectively mix your media and do any processing work in that area. Ensure all tables and surfaces are cleaned daily, before and after use. Ensure all equipment, especially cutting equipment is cleaned prior to use, during and after use. Then stored correctly. Consider if viable to the use processing area as a giant lung room. This enables you to ensure a stable air out take that tempers the air and potentially better smell protection if applicable. You have outtake air, smell filtered if applicable, from grow areas sent to the processing room. The air in the processing room is then tempered with intake air from outside air and this air is then sent outside and back into the grow area. It is important to have effective air exchange for the areas that you are managing. For smell protection purposes, To create a stable intake of air for your grow areas. Ideally you would have a lung room for intake air and one for outtake air. In Frozen environments having a lung room for out take air as to temper the air before exhaust can be a necessity as to prevent ice formation at the exhaust areas. This can be a tell tell sign of a grow room, generally seen in houses when growing in tents and venting out a window and making ice formations. Fertilizer Processing/Storage area We often do not think of a fertilizing processing area and for home growers this might not be such a thing but understanding the wisdom of it will help you keep streamlined so to speak. The idea of a fertilizer processing/storage area is in part safety, sanitation, ease of use, consistency. Safety, store all fertilizer material off the ground, preferably some kind of racks/shelves. Keep in dry area and at room temperature unless the product requires different storage or handling. Rotate first in, first out. (use new stuff after old stuff is used up.) Sanitation, this one is very important as by not keeping the area clean issues such as cross contamination and pests. Clean all measuring cups/spoons/devices. Clean all areas that you work on. Ensure all equipment is cleaned, calibrated and ready for use after/before each use or as applicable. Ph, PPM/EC, brix meters etc. Waste Disposal - Waste disposal is one of the biggest issues in growing that we have. For home growers this can give the grow operation away and depending on situation this can potentially have disagreeable repercussions from a range of directions. This is part of what I call a footprint that is important to shrink down from security to cost issues. Due to this I advocate that most waste be used within the grow operation. This can consist of virtually all plant material. By combining composting/worm farming, natural farming inputs and biochar you can drastically diminish your plant material waste and footprint while creating inhouse systems that truly is a cycle. Except for diseased and pest affected plant material. This will need to be disposed off site and in a way to prevent contamination of disease or pest. Your area may have regulations and rules to follow. This system may not be as viable with crops subjected to pesticides and other similar controls. The following aspects can help you reuse plant material. You can find a balance to where this material is used in a cycle and depending on grow methods even play a big part in your plant management care. compost. Traditional or by using indoor composters. Can do only plant material or with other compostable scraps. I preferred to make a balanced compost but you can favor nitrogen to even phosphorus based depending on what you add to be composted and its percentages. Worm Castings/farms. One of my greatest moves was to make my own worm castings. plant material along with a balance of vegetable scraps. You can grind material for faster use or leave whole. I liked to grind most of the material but also would leave some scraps whole too. When you grind everything up it becomes a bit more difficult to maintain dry/damp conditions so be prepared to add more paper/cardboard/carbon. I also would add some biochar from fine to small particles to the castings. Natural Farming Inputs. (This was one of my dearest secrets many years ago.) I came to natural farming as a way to reduce my growing footprint during prohibitionist times. It turned out to not only do that but enabled me to fine tune the management of the plants especially during transitional stages of development. Natural farming inputs, click me. Fermented plant juice. You make this from healthy cannabis leaves from the time period you are wanting to support. Be it as a generalist all at once or once specific for specific grow periods I value this product highly. I recommend making strain specific and not mixing strains that are overly different such as strong sativa and indica as we want similar chemical make up in the leaves so that they work together better and more effectively. Veg - use FPJ from the vegetative period along with other applicable NF inputs. Transitional periods - use FPJ from transitional periods along with other applicable NF inputs. Bio Char - Bio char is mainly used to help with stems, root balls and hard bits. By making bio char from hard stems and root balls we essentially are making these bits into a type of charcoal that benefits the soil greatly by helping it maintain stability which helps you with maintaining healthy consistent soils. Used only in soil based medias. Hydroponics grow operations could make this into biochar and sell as a product. Mother Area - Good old moms, Just like in life, we tend to take moms for granted. In terms of bio security I see some SOP, standard operating procedures, talk about all the obvious aspects of sanitation and how to properly ensure operating procedures do not pass a contaminate on with lots of talk on cleaning and sanitizing. However, I do not see any talk on mother health. So I will. Mother health, I see in almost every video of someone be it a person or a company grow that the mothers are stressed. The number of leaves on a leaf is an indication. With stressed mothers, this stress makes your mothers vulnerable. Now with with pest and competent cleaning pest issues are not as likely as other issues such as mold/mildew. In such situations, adjust your day and night time temperatures/humidity to a bit shorter favoring dryer side of acceptance to you. This reduces the opportunity time for a spore to effectively drill in the plant in which the plant becomes infected. This is not a big issue for commercial growers but home growers can run into this when their environment is not ideal. However, stressed mothers from cloning also comes with other problems. The uptake from the mother is often negatively affected after cloning. As a result the plant is unable to make the optimum levels of internal plant chemicals and processes as effectively and efficiently as it is unable to make enough energy to support those needs of maintaining current growth, healing and making new growth. This issue is compounded over time potentially causing such problems as a reduction in terpines, rooting quality and speed, reduction in strength of new plant structure, longer transition times and finishing times. Recommendations. Either utilizing optimum mother SOP's (standard operating practice) or utilizing tissue culture to obtain your clones depending on your size of operation. Tissue Culture - I would typically recommend done inhouse. (the expense of setup can initially be expensive in terms of setup and implementation hiccups but over time I believe this is best practice.) Traditional Cloning - Create extra mothers and manage in a way to optimize health of mother and clones. Remove a smaller amount of clones per mother as to the point where the mother plant does not show stress after cloning. I like to allow some stems to grow a bit longer than traditionally flat canopy. By leaving some stems grow longer, we are able to concentrate a hormone that is better for growing roots once the clone is taken. This is why it is recommended to take clones from lower in the plant. Feed mothers a flowering feed one to 3 days before taking clones. Not the same time you foliar feed. This is to help get phosphorous levels into the leaves to better help in rooting quality and speed. Foliar spray the 3rd and 1 day before taking clones. Utilizing FPJ (fermented plant juice) designed for transition period - Foliar spray a natural farming FPJ, fermented plant juice that is designed for transition periods just before taking the clones has helped in the health of the clones. Any foliar spray that designed for transition period is usable and likely just as effective. After taking clones and every other feed. Utilizing FPJ (fermented plant juice) designed for strong vegetative period - Any foliar spray that designed for transition period is usable and likely just as effective. Foliar spray designed for transition periods tends to have more phosphorus which is beneficial to rooting and helping to control high nitrogen levels in the mothers which is unwanted. Feed mothers a balanced diet after cloning. This is help restore balance and keep nitrogen levels in check as high nitrogen levels in the leaves is detrimental to rooting of the clones. Keep detailed records and photos. This is to help to identify what works optimum for your environment and operations. Start with taking a percentage of clones per mother. Document, writing and in photographs and video. After, the next day, following day and up until you would take clones again. Every 3 days is acceptable. Review, analyze and adjust accordingly until you find your optimal levels in mother health, clone production and stress adjustment returning to healthy cycle that along with traditional SOP, standards of protocol, that address sanitation and pest management this will enable you to enjoy a true cycle of life! Ideally adjust: Environment, Percentage of clones taken, Test leaves to determine how much phosphorous and nitrogen is in the leaves before and after treatment and then determine increasing or decreasing foliar spray PPM/EC, to achieve desired percentages. Adjusting media feed may be necessary as well. By implementing realistic optimized management of your mothers you are the setting the stage for success. In many of my consulting surveys I have identified issues with the mothers in terms of their management. I have seen professional operations failing and in part it is due to not having an effective appreciation of middle to long term care not just on the mothers but the entire operation. It is easy to write a SOP for this that is detailed in cleaning and sanitizing and ensuring that continuation potential is removed to dramatically reduced to unlikely. However, to me this is only one part of the issue and I say that combining both of these directions the benefits will be impressive to the point that it will enable to truly begin to have an optimized grow operation with little to no risk of pest, disease when the sop's as a whole are followed and respected. Seedlings Cloness Transition Veg (early) Veg (Mid) Veg (late) Transition Flower (early) Flower (mid) Flower (late) Harvest Harvest area Sanitation of areas Cycle renews. Document: Records, analysis and adjustments d d d
  17. Bio Security - Hop latent viroid (HpLVd) Hemp and Cannabis Bio-Security (HpLVd) I always found growing like being a sea captain. Which I know nothing about really but my point is this. In growing it is your job to bring to harvest quality and yield and a good part of nature is against you. To be an effective grower you have to know how to navigate those problems just as a sea captain has to learn to read and operate in heavy and unfriendly waters to the calmest. The HLVd (Hop latent viroid) in growing is like hearing an old sea captain talk about a rogue wave. While rare it happens and I will explain to the best of my understanding on how to navigate this issue from the home grower to the professionals. Bio Security is a relatively new term that integrates pest management to include the life cycles of the pest, mold/mildew and viruses together into a single topic. It should be stated that I am writing this from the perspective of best practice. I personally believe that transmission of this virus is mostly done through mechanical use most typical of clones and seconded lower potential by seed germination/transmission and insect feeding. I have read for and against academic papers and studies but the results of those working on the front lines such as those at nurseries and grow operations are why I tend to believe this is largely spready by mechanical means. I find this true more for those who operate with strict SOP's and professional operationalism. I find pest infection more of a potential for smaller more amateur grows operations to the home grower setups that are not operating by strict SOP's which have a higher potential to have poor environments and infestations compared to professional styled growers. It is within this area of growers that I have the largest concern. Due to this conflict I have written from a best practice point of view and I cannot with certainly that I agree 100% percent it is wholly mechanical based and not by some smaller measure of pest infection in the right conditions which would affect home growers who is in part a larger part of my pointed audience. This is likely already part of a current security plan but for newer growers and managers this information may have more value however I recommend that currently skilled and knowledged growers still refresh this material as to ensure your security protocols and latest understandings are effectively up to date. So while some of this information and topics may be common knowledge to you I suggest the method by which these bio pest and virus interact may further justify a more stringent overall security plan that addresses those individual aspects into one program that strengthens the security and safety of the grow operation. If you find that I am preaching to the choir. I would value any additional input that you would be willing to share. It is in community that solutions are truly found and all genuine contributions are highly respected. I have read some great writings on these viruses but most are written in the interest of laboratories and not of independent scientific or academic writings. I have read many academic writings regarding the virus issues and one can find for and against some treatments and vectors. Most of the academic and scientific papers and studies are in the hops and hemp field but cannabis has also been affected. It is currently at the point I cannot say with 100% certainty if some or all of this information is wholly factual as this area seems to have only recently received larger attention and study. Due to this I may or may not alter some of this writing as more understanding and knowledge is gained as developments unfold. Due to this, if you have interest. I would subscribe to this post as I will keep it updated as applicable. As with all my writings, this is an opinion that I based the science and reasoning that I have found applicable and applied that as my basis for this writing. Due to this I may alter my bio-security writing and recommendations. However, even if true, we would want to potentially implement the same bio-security measures for other reasoning with the same level of importance or close to it to justify any additional expenses and efforts. The justifications of some of the issues could change but that would not diminish the importance of other connected justifications for the security protocols. Sections. Virus information and identification. Understanding the Viroid Infected Plant Protocols Testing Treatment Generic Preventative Plans HLVd (Hop latent viroid) information and identification. The following affects Cannabis and Hemp. While there are other viruses that can potentially affect cannabis and hemp these are the two that that have most potential and likelihood of seeing at some point in your career. In the 20 years of my growing I have never seen a virus but operating procedures were far different back then compared to the relaxed settings and general protocols of today. In the operating atmosphere of prohibition the necessary operating procedures naturally worked against such issues but in todays environment those safeguards currently are eroding and should not easily be confident in without gaining an understanding of these viruses and implementing preventative measurements and correct treatment protocols when and if identified. Depending on the size and seriousness of your operation, the level of preventative management increases but this is in tandem with due diligence. What is the Hop Latent Viroid? The hop latent viroid (HpLVd) is an infectious pathogen that causes disease in cannabis plants. Also known as “dudding” or “dudding disease,” plants infected with HpLVd may or may not show symptoms (symptomatic vs asymptomatic). This is one of the parts that makes this viroid very difficult to remove. It has the following capabilities. To infect mechanically such as using the same blade between clones. Can continue in seed form. To lie dormant. Just when you think you got it out of your grow area and you have testing that verifies it is not present in the plants, it shows up. To activate at any time during the plants life cycle. Will diminish and plant quality and likely yield. Can be Asymptomatic. This means it can show no signs and the plant be 100% healthy and correct. It can infect others. It can turn on at a later time period. Potentially can show negative in testing. It can be active in one section or the plant or a branch and not in another section or another branch showing negative. Symptoms include: reduced vigor, abnormal branching, stunted trichome production, reduced potency, and an overall loss of quality and yield. HpLVd was also previously known as PCIA (putative cannabis infectious agent) until Dark Heart confirmed HpLVd as the cause of PCIA in 2018. HpLVd has been detected throughout the United States and Canada. Why Should Growers Care? If left untreated, HpLVD can seriously reduce a crop’s potency and yield. Every garden tested in 2019 was infected with HpLVd. Most gardens had an infection rate of about 25-50%, causing an estimated 44 million dollars in losses per year. HpLVd infections typically occur when an infected clone or plant is introduced into a healthy garden, where it spreads to other plants. Most commonly through trimming and cloning from plant to plant. How is it spread? Research about transmission methods is ongoing. The viroid can spread through different types of contact, such as mechanical transmission. This occurs when pruning tools are used on an infected plant, then on an uninfected plant. HpLVd can also be transmitted through the seed of an infected plant, though more research is underway to determine the transmission rate. I personally believe that transmission of this virus is mostly done through mechanical use most typically via clones and trimming and seconded and at a lower potential by seed germination/transmission and insect feeding. I believe stressed plants such as plants living under poor plant conditions and a stressful environment with infected plants and heavy infestation that the percentage of insect transmission strengthens greatly. Aphids appear to be more suspect in infecting plants compared to spider mites and thrips. This is based on opinion from reviewing the reports I have read. There is a PDF from the University of Wisconsin regarding hops being infected from varied aphids for both the Mosaic and Viroid infections. https://cdn.sare.org/wp-content/uploads/20171204115253/Hop-Viruses-A4053-03.pdf The latent nature of HpLVd makes it a challenging pathogen to detect and fully eradicate. A common scenario in an infected garden is that while plants look healthy, they are in fact asymptomatic and don’t exhibit symptoms. As a result, many growers are not aware that the pathogen is present and spreading to other plants in the garden. Videos explaining the virus. This is an excellent video describing the HLVd Virus. We are not affiliated with them. Please support them direct. Mushroom Cowboy This is an excellent video that will generally discuss this well. We are not affiliated with them in anyway, please support them directly at - https://www.youtube.com/channel/UCFACkeFHeEww8m0bt5Ug7ZQ Future Cannabis Project - Please support them directly, we have no affiliation. What to do once you suspect infection. The first step is determining if HpLVd is present in your grow operation. This is not as simple as it would seem. It is like looking for needles in a haystack. We know the visible ones but some are hiding and we need to find them. Initial identification and/or notice of an issue. Visually is typically how most growers will first notice this viroid. Growers will begin notice differences in the growth and an overall slow down in the plants development. The leaf and growth will look different as well. Leaves can look stunted to witches broom like. Dramatic reduction to loss of terpenes. Dramatic reduction in trichrome development. A golden appearance on the top of the plant, referred to as golden head. Not all infected plants will “look” infected or show symptoms. This is the Asymptomatic stage that some go through but they can pass the viroid on and they can turn on to an active state at any time. Identify all clones that come from an infected mother. If a clone shows an infection, assume the mother is infected and asymptomatic if the mother is not showing signs. Remove all applicable plants. I am comfortable saying you can finish the grow if not at the beginning of the grow as this viroid is typically spread via mechanical processes such as cloning and the trimming of plants. Clean trimming equipment between plants to prevent plant to plant transmission. In this manner trimming can infect clones of non infected mothers. Some illustrations. This video is very good at illustrating differences in quality and on the crop but it is only available at Youtube: https://www.youtube.com/watch?v=Y2_e9_TDfHM Pics - These pics are from Ripper Seeds, we have no affiliation but they illustrate excellent photos. Please support Ripper Seeds directly. https://www.ripperseeds.com/en/ Notice the severely stunted growth from the new growth area of the plant. This virus affects new growth dramatically and directly impacts yield, quality and finishing times. Notice how the growth hits the stress marks. The stems changed color and growth slows and shortens in size. If allowed to mature it will take longer and have significant and quality reductions. Notice how you can see the growth that affects the side limbs. Smaller growth and weaker stems. Helps mold/mildew to better take hold with thinner and weaker cell walls to penetrate. Easier for pest to attack. Notice how the whole crop is affected and it is does not appear to have been had leaves removed. A forest of plants susceptible to other and further infections from pest to fungi. This crops quality has been compromised. Save A Grow Update 4 and Hop Latent Viroid Video - We have no affiliation with this video maker. Please support him direct at: https://www.youtube.com/channel/UCdfDnqy2aM41aGllYSEg9FA medicropper Around the 2100 mark he will talk about the viroid. I believe this is how most people will come to a similar conclusion. Testing and treatment - Updated to include information regarding Chlorine Dioxide. Unless you can afford the lab work to treat the genetic it is not a viable solution to try to save infected genetics. If a special or a proprietary strain is fully infected (such as the entire grow or mother block), then eradication via tissue culture is the only way to clear HpLVd from that strain. A diagnostic screening test is the fastest way to determine the presence of the viroid. The tissue culture process utilizes a proprietary treatment that eliminates the viroid and leaves you with a healthy rejuvenated strain. Some branches can show clean and others can show infected in testing. Due to this we need to take 4 samples in a regular circular pattern at various heights from low, middle and upper branches. Approximately 12 testing points per plant. As I stated, this is best practice recommendations. It is up to you to find an effective compromise depending on your operational budget. Ensure that even and consistency is in selecting locations and choices. This can be seen as a costly step but it is of most important to ensure the viroid does not slip through this net. With those who have cant lose genetics, it is an option to use the services of a well qualified tissue culture laboratory. Essentially plant material is taken from the meristem as these plant cells typically grow faster than the viroid can replicate so any viroid or virus is more diluted in the sample. They then heat and cold treat this plant material as to ensure any viroid present is ideally destroyed. Then through tissue culture the plant is remade and should be in a revitalized and healthy state. This is costly and takes approximately 6 months. Chlorine Dioxide - I have seen via video and pictures from very trusted friends who are testing/working with infected plant stock with Chlorine Dioxide. currently this is in early stages but some positive work has been seen. Lots of work to do but exciting to see this information and is a wonderful xmas present as we all could use some good news in 2020! Here is some information on Chlorine Dioxide, https://medcraveonline.com/IJVV/chlorine-dioxide-clo2-as-a-non-toxic-antimicrobial-agent-for-virus-bacteria-and-yeast-candida-albicans.html Basically Chloride Dioxide is interrupting the virus or in the the case of HpLVd interrupting the ability of the viroid to effectively replicate to the state of causing the disease. This is effective in both plant and animal viruses. I can see the value of dispersing Chlorine Dioxide via uptake and via foliar feeding. Give first treatment to a thirsty plant. The idea is that the plant being thirsty will uptake more treated waters and gain an effective strong start against the viroid. Clones Soak new cut clones and seeds in Chlorine Dioxide before transplanting/planting. Mist with Chlorine Dioxide Clean all tools with Chlorine Dioxide Foliar use in between the feeding/treatment cycles. Do not foliar feed prior if you are making the plant thirsty to increase volume of uptake. Examples of home or small grower use water preparation. Aquamira Drops - Chlorine Dioxide - The Outdoor Gear Review TheOutdoorGearReview Lifesystems Chlorine Dioxide Tablets Lifesystems Here is are some current use of Chlorine Dioxide in irrigation and municipality water. There are lots for and against of the safety of Chlorine Dioxide but I find that this system for cleaning public water and in plant irrigation is a matter of proven safety as far as my opinion goes. Chlorine dioxide for pathogen control in irrigation Stabilized chlorine dioxide (Oxine ®) for horticulture Clean WateR3 Clean WateR3 Chlorine Dioxide in Municipal Drinking Systems Scotmas Group I believe that the Chlorine Dioxide is very promising in this viroid dilemma and I am excited to see how developments go. Prevention and effective operating protocols and standards are key and Chlorine Dioxide potentially plays a role in both. At the very least. I recommend understanding Chlorine Dioxide more and potentially how it may or may not fit into your growing operations. Safety information regarding CLo2 - Chlorine Dioxide Awareness Training Convergence Training by Vector Solutions Limitations of Chlorine Dioxide Dow Actions to take: Quarantine and/or remove and discard identified plants At the end of the grow, discontinue all effected and potentially affected plants to include mothers. All plants from infected mother. Remove clones derived from an infected mother. Remove mother. Remove any seed made from infected parents. Remove any plants from seed derived from infected plants. If using soil or media infected with insects. Consider disposing of the soil if you have had insect issues where they have a life cycle in the media. This is due to concern that media living insects could potentially infect the plants. Currently I can find no documentation to back this recommendation up but I add it in due to best practice aspects. I personally believe that the virus is potentially spread via insect in a perfect storm of worse case scenarios such as high humidity, insects that travel from plant to plant which still may hold the virus in wetness on its feeding apparatus rather than intern life cycle within the insect or in an transmission from internal fluids during feeding. I base this opinion on the understanding that infestations do not appear to be significant spreaders of this disease in well managed growing operations. Contact everyone who received a clone and or seeds from infected plants and infected from the line of plants. Ask that any seed sellers to contact their clients for those affected. Ask any clone sellers contact their clients for those affected. While doing this is costly, it will work more in your favor in the future than any short term benefit by not contacting and making right once you can. Selecting new stock/genetics. When selecting new genetics depending on your operating budget and level of seriousness I present the following recommendations. Try to purchase seeds from certified clean parents. At this time I am unaware of this being a thing but if your a large grow operation and use seed, ask for this. Ask for this and try to find breeders that take this viroid seriously. Consider older more reliable strains than newer strains. This is due to older stock being clean but they can still be subject to the viroid but risk factor is smaller I believe. When buying clones. Try to find clones from certified clean mothers. At this time I am not aware of this being a thing but ask for it. Select from vendors and nurseries that take the viroid seriously. Try to look at customer reviews that match your time line. Quarantine/Label/Mark all brought in genetics. Grow as you normally would. At any sign of viroid, Test for it and/or start over if certain or when positive test is certified. As you make your selections, pending no sign of the viroid within the grow than you can consider the grow operation clean. To verify that, have the selected mothers tested and certified clean. Standard Operating Procedure recommendations. Create standards that include for the effective cleaning of equipment between plants and/or for equipment sets for each plant or section. This is easier said than done and a major pain the butt factor I understand but also is dealing with this viroid. Mechanical transmission is the number one spreader of this viroid. I recommend making equipment sets and/or for the cleaning for each plant or section of plants. Sheers, Cloning equipment Any piece of mechanical equipment that would be used from plant to plant Implement any applicable preventive measures for insects, mold and mildew. Implement any Environmental improvements as applicable. Work to increase and stabilize Brix levels in the plants. This helps keep an eye on the health of the plants quality. Stabilization is key as this can be a tell tell sign of something more seriousness going on with the plant and that the plant is functioning well depending when and if it destabilizes.. Always check brix at the same time of the day. I hope this write helps you. This is not something to take lightly as its effects are darn right scary. Sorta like a corona virus/Aids for plants. Personally I know of growers who lost very prized genetics due to this and their cries were so loud in the force that I heard it. Credits - We have no affiliation with those in the credits. Please support them directly. They have our highest respects. If anyone is missed, please contact us and we will fix. It is only due to an error if a credit is missing. https://manicbotanix.com/ the University of Wisconsin - click for PDF https://darkheartnursery.com/hop-latent-viroid/ Mushroom Cowboy Future Cannabis Project https://www.semanticscholar.org/paper/Elimination-of-hop-latent-viroid-upon-developmental-Matoušek-Orctová/b3590675fbbc358be515a5660076c34e56abf8d6?p2df https://apsjournals.apsnet.org/doi/10.1094/PDIS-03-19-0459-PDN His and Her Grow Ripper Seeds medicropper https://medcraveonline.com/ Clean WateR3 Sharky Scotmas Group TheOutdoorGearReview Lifesystems Convergence Training by Vector Solution Dow The Revivalist One Drop Forward The Strumbellas The Devil Makes Three A Cultural Healing and Life writing ~JJ the Gardener
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