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2017, Occupational Medicine & Health Affairs
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Ruchi Girotra has her expertise in infection prevention and infectious diseases. She is currently working as a General Manager for Specialty Certified Medical Assistant (SCMA) and oversees the development of all study guides, exam content and other published materials for the medical assistance designation. She has also played an active role in initiation and maintenance of Joint commission international standards, safe healthcare practices, sterilization and disinfection, antibiotic stewardship programs in various hospitals. She has published several research papers in international and national medical journals.
2011
Personnel and Students Practice about Prevention of Women’s Body Biological Fluids Contact F SEHHATIE*, S MOHAMADALIZADEH, H KOUSHAVAR, N FARHADI Abstract Background and objectives: Numerous pathogens can be transmitted by exposing to blood and other body fluids. Health care workers are exposed to human biological fluids, and these factors cause fatal and chronic diseases. Thus, health protection of these individuals and primary prevention of these diseases with compliance of preventive principles may be necessary. Materials and Methods: This is a descriptive study in which we had observed the practice of 280 health care workers (33 specialists, and 50 residents of obstetric and gynecology, 19 midwifes, and 15 nurse’s aids, 34 nurses and 129 midwifery students) in delivery, operating rooms and surgical-obstetrical wards of medical educational ـ centers of Tabriz. Stratified random sampling was used for sample selection. Data were gathered by a checklist through observation of subjects’ practice. Descriptive (frequencies, percent, mean and standard deviation) and inferential statistics (chi square, fisher test, t test and ANOVA) were used for data analyses. Results: Results showed that samples practice was good among 18.6% of participants and moderate in 61.4% of them. The level of practice of midwives (60.5 %) and midwifery students (45.5%) were the highest one and the lowest one respectively. There was statistically significant difference between personnel and students practices with their job (P<0.001), ward (P<0.001), age (P<0.013), work shift (p<0.017) and course of midwifery students (p<0.002). Conclusion: Results of this study showed that personnel and students practices are well only among 18.6%. of subjects. Therefore probable causes of this low rate should be considered and managers should provide educational programs about prevention of blood borne diseases. They also should provide some protective equipment against mentioned diseases for health care workers in order to increase their motivations for using prevention principles.
Public Health Action, 2021
Baylor Clinic in Mbabane, Eswatini, convened a crisis meeting to tackle critical shortages of long-sleeved disposable gowns that resulted from COVID-19 pandemic constraints on available personal protective equipment (PPE). A strategy deemed safe, affordable and sustainable was adopted to autoclave and re-use gowns based on a risk-stratified approach. Key objectives were to ensure essential infection control and prevention (ICP) for medical doctors, nurses, and laboratory teams. Administrative, environmental and personal protective measures for ICP were enhanced through regular staff training. This strategy for gown re-use has been invaluable in motivating responsible stewardship and maximization of available gowns during the COVID-19 pandemic.
Current Microbiology, 2020
The efficacy of domestic laundering of healthcare staff clothing is still debated. This study aimed to compare the performance of decontamination of different domestic laundering with that of industrial laundering. Fourteen naturally contaminated white coats of healthcare workers (5 fabric squares from each coat) and fabric squares of artificially contaminated cotton cloth (30 fabric squares per each bacterial strain used) were included. Four domestic laundering procedures were performed; two different washing temperatures (40 °C and 90 °C) and drying (tumble dry and air dry) were used. All fabric squares were ironed. Presence of bacterial bioburden on the fabric squares after domestic and industrial laundering was investigated. None of the naturally contaminated fabric squares resulted completely decontaminated after any of the domestic washes. At 24, 48, and 72 h of incubation, bacterial growth was observed in all the laundered fabric squares. Besides environmental microorganisms, potentially pathogenic bacteria (i.e., Acinetobacter lwoffii, Micrococcus luteus, coagulase-negative staphylococci) were isolated. On the artificially contaminated fabric squares, the bioburden was reduced after the domestic laundries; nevertheless, both Gram-negative and-positive pathogenic bacteria were not completely removed. In addition, a contamination of the fabric squares by environmental Gram-negative bacteria was observed. In both the naturally and artificially contaminated fabric squares, no bacterial growth at all the time-points analyzed was observed after industrial laundering, which provided to be more effective in bacterial decontamination than domestic washes. For those areas requiring the highest level of decontamination, the use of specialized industrial laundry services should be preferred. Angela Chiereghin and Silvia Felici have contributed equally.
International Research Journal of Innovations in Engineering and Technology (IRJIET), 2021
The study was undertaken with the objective of analyzing the health and safety issues of the employees of Chittagong Asian Apparels Ltd (CAAL). Data for the study were collected both from primary and secondary source. The study reveals that the industry is the largest employer in the formal manufacturing sector where more than one thousand women employees worked. The health and safety issues included in the study are high temperature, dust, inadequate ventilation and lighting, excessive noice, shortage of fire fighting equipments, blocked exit, inadequate sanitation, unhygienic canteen, lack of pure drinking water, excess working hours, sub minimal wage and denial of wage rise. These have directly affected the health and safety of women garment employees of CAAL. The study suggested that promotional facility, promotional policy, upgrading economic situation, increased communication and ensured training facilities for various categories of staff should be increased for the effective growth of health and safety of garment employees. The study further suggests that the maternity leave with salary for the unconfirmed women employees should be given due weightage for their social and economic security.
Health Care for Women International, 2019
Legal protection of nurses in carrying out their profession to provide health services in hospitals, is a very basic thing to maximize the duties of nurses in serving clients / communities. The legal protection has been regulated in various laws and regulations, namely the Health Law, Hospital Law, Health Worker Law, Nursing Law and Minister of Health of the Republic of Indonesia Regulation Number 4 Year 2018 concerning Patient Obligations and Hospital Obligations. However, this legislation only regulates the legal protection of nurses in civil cases, where the actions of nurses are considered detrimental to the client, in criminal cases there is no clear Government policy regarding legal protection for nurses, especially for nurses who have not been proven guilty but have been put in custody because it is suspected of making a mistake or negligence in nursing practice.
TAF Preventive Medicine Bulletin, 2012
ÖZET AMAÇ: Mısır, Mansoura Üniversitesi Eğitim Hastanesi sağlık bakımı çalışanlarının standart önlemler ve enfeksiyon kontrolü bilgilerini değerlendirmek. YÖNTEM: Bu kesitsel çalışmada bütün sağlık bakım çalışanlarına erişmek amaçlandı. Geçerliliği daha önce gösterilmiş bir kendi kendine doldurulan soru formu, temel özellikler ve bilgi kaynakları, genel standart önlemler yaklaşımı, kişisel koruyucu ekipman, kesici aletlerin imhası, çevresel sahitasyon ve sağlık çalışanlarını koruma konularındaki bilgiyi toplamada kullanıldı. Değerlendirme sistemi farklı cevaplar için, toplam puan 50 olacak şekilde planlandır. SONUÇLAR: Ortalama (en küçük-en büyük) bilgi puanları toplamda 28.5 (13.0-44.0), genel yaklaşım için 3.6 (0.0-5.0), el hijyeni için 5.0 (0.0-9.0), kişisel koruyucu ekipmanlar için 6.9 (1.0-10.0), kesici alet yaralanmaları ve mesleki enfeksiyonlar için 2.1 (0.0-5.0), kesici alet imhası ve çevresel sanitasyon için 5.0 (0.0-10.0) ve sağlık çalışanlarının korunması için 6.0 (1.0-10.0) olarak bulunmuştur. Ortalama toplam skor ve birçok alan skoru uzmanlık, eğitim düzeyi ve çalışma süresine göre istatistiksel anlamlı farklılık göstermekteydi. Hekim/diş hekimi/eczacılar ile karşılaştırılınca hemşireler 12 kat (OR(%95 GA)=11.8 (6.2-22.7) ve teknisyenler 31 kat kat (OR(%95 GA)=31.4 (11.2-88.3) eksik bilgi düzeyine sahipti. TARTIŞMA: Yerinde eğitim ve öğretim programlarının güncellenmesi gereklidir.
TAF Preventive Medicine Bulletin, 2012
ÖZET AMAÇ: Mısır, Mansoura Üniversitesi Eğitim Hastanesi sağlık bakımı çalışanlarının standart önlemler ve enfeksiyon kontrolü bilgilerini değerlendirmek. YÖNTEM: Bu kesitsel çalışmada bütün sağlık bakım çalışanlarına erişmek amaçlandı. Geçerliliği daha önce gösterilmiş bir kendi kendine doldurulan soru formu, temel özellikler ve bilgi kaynakları, genel standart önlemler yaklaşımı, kişisel koruyucu ekipman, kesici aletlerin imhası, çevresel sahitasyon ve sağlık çalışanlarını koruma konularındaki bilgiyi toplamada kullanıldı. Değerlendirme sistemi farklı cevaplar için, toplam puan 50 olacak şekilde planlandır. SONUÇLAR: Ortalama (en küçük-en büyük) bilgi puanları toplamda 28.5 (13.0-44.0), genel yaklaşım için 3.
A systematic search and quality assessment of published literature was conducted to establish current knowledge on the role of healthcare workers uniforms' as vehicles for the transfer of healthcareassociated infections. This review comprised a systematic search of national and international guidance, published literature and data on recent advances in laundry technology and processes. We found only a small number of relevant studies that provided limited evidence directly related to the decontamination of uniforms. Studies concerning domestic laundry processes are small scale and largely observational. Current practice and guidance for laundering uniforms is extrapolated from studies of industrial hospital linen processing. Healthcare workers' uniforms, including white coats, become progressively contaminated in use with bacteria of low pathogenicity from the wearer and of mixed pathogenicity from the clinical environment and patients. The hypothesis that uniforms/clothing could be a vehicle for the transmission of infections is not supported by existing evidence. All components of the laundering process contribute to the removal or killing of micro-organisms on fabric. There is no robust evidence of a difference in efficacy of decontamination of uniforms/clothing between * Corresponding author. Address:
Journal of Pharmacognosy and Phytochemistry, 2019
Medical textile is one of the important sector and the growing segment of the textile industry which includes medical, hygiene and health care sector. Medical textile material are classified on the basis of applications into four categories namely implantable textiles, non-implantable textiles, extracorporeal and health care and hygienic textiles. Aim of the present study was to explore the medical textile used in the selected government, private and multispeciality hospitals in the Kumaun region. Sixty hospitals comprising of government, private and multispecialty were included in the study. Information regarding use of nonimplantable textiles, extracorporeal textiles and healthcare and hygiene textile was collected. Results of the study indicate that extracorporeal textiles were used as least compared to non-implantable textiles and health and hygiene textiles.
The Professional Medical Journal
Background: Around the world, majority of the public and private sector hospitals are using reusable gowns and scrubs whereas only a few hospitals are using disposable ones. Protection during surgery is very important both for the patient as well as for the surgeon. The reasons are not only hygienic but also creating a barrier so that the bacteria and the viruses do not transfer from patient to doctor and vice versa. The surgical gowns have been in use for many decades. With the advancements in the field of manufacturing (weaving and finishing), the quality of gowns has been improving over the period of time. In Pakistan, there is no awareness yet regarding the construction of surgical apparels viz. surgical gowns and scrubs so no standards are being followed as such during the manufacturing (weaving & finishing) of surgical apparels. For effective barrier function of surgical gowns and scrubs, it is necessary for them to comply with certain standards in terms of physical characteri...
Estrat Critic Revista D Arqueologia, 2012
Studia Hercynia , 2018
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