scholarly journals Cloth Face Coverings for Use as Facemasks During the Coronavirus (SARS-CoV-2) Pandemic: What Science and Experience Have Taught Us

Author(s):  
Raymond J. Roberge ◽  
Marc R. Roberge

ABSTRACT The current coronavirus (severe acute respiratory syndrome coronavirus 2 [SARS-CoV-2]) pandemic has resulted in severe shortages of personal protective equipment, including respiratory protective equipment, such as N95 respirators. This has led some government agencies to suggest the use of cloth face coverings (CFCs) by health-care providers and the general public as a last resort when standard respiratory protective equipment is unavailable. Although such coverings have been in use for over a century and have found widespread use during some previous pandemics, research data are relatively scant for the protective value of this measure. This article, a literature review, explores the development of CFCs and reviews available scientific research regarding the efficacy of this intervention as a preventive measure in the spread of airborne infectious diseases

Encyclopedia ◽  
2021 ◽  
Vol 1 (4) ◽  
pp. 1058-1075
Author(s):  
Phil B. Tsai ◽  
Hsiang-Ning Luk

Coronavirus disease 2019 (COVID-19), a respiratory syndrome caused by SARS-CoV-2, can be transmitted through respiratory droplets and aerosols of droplet nuclei. Aerosol-generating medical procedures (AGMP) are needed to take care of critically ill patients but place health care providers at risk of infection. With limited supplies of personal protective equipment (PPE), barrier systems were developed to help protect health care providers during tracheal intubation. The video intubating stylet shows promise to become the preferred intubation device in conjunction with plastic sheet barriers during the COVID-19 pandemic.


2021 ◽  
Vol 1 ◽  
pp. 603-607
Author(s):  
Irkhamna Restyani ◽  
I Isytiaroh ◽  
Windha Widyastuti

AbstractPostpartum exercise is a series of movements performed after childbirth so that the muscles that have been stretched during pregnancy and childbirth can return to their normal condition, and the fundal height can decrease well. The purpose of this scientific work was to determine the decreasing fundal height in postpartum mothers doing and not doing postpartum exercise. This was a literature review of three articles taken from Google Shcolar with “postpartum exercise” and “fundal height” as the keywords, in the form of fulltext articles, published in 2013, 2017, and 2019. The respondents of the three articles were 100 postpartum mothers. The result of the analysis showed the decreasing fundal height occured to 43 (83%) respondents doing postpartum exercise and 10 (21%) respondents not doing the exercise. The conclusion was that fundal height could decrease better in respondents who did postpartum exercise than those who did not do the exercise. Therefore, health care providers are expected to be able to teach postpartum exercise to postpartum mothers so that their fundal height can decrease better. Keywords:postpartum mother, postpartum exercise, fundal hight AbstrakSenam nifas adalah serangkaian gerakan yang dilakukan setelah melahirkan supaya otot-otot yang mengalami peregangan selama kehamilan dan persalinan dapat kembali seperti semula diikuti dengan penurunan tinggi fundus uteri. Tujuan penulisan adalah untuk mengetahui penurunan tinggi fundus uteri pada ibu postpartum yang melakukan dan tidak melakukan senam nifas berdasarkan literature review. Desain karya tulis ilmiah berupa literature review dengan jumlah artikel tiga yang diambil dari laman jurnal google scholar dengan kata kunci “senam nifas” dan “tinggi fundus uteri” berupa artikel fulltex,berjumlah 3 arikel yang terbit tahun 2013, 2017 dan 2019. Responden dari ketiga artikel sebanyak 100 responden. Hasil dari literature review ketiga artikel menunjukkan perbedaan penurunan tinggi fundus uteri kategori baik yaitu sejumlah 43 (83%) pada responden yang melakukan senam nifas dan sejumlah 10 (21%) pada responden yang tidak melakukan senam nifas. Simpulannya adalah responden yang melakukan senam nifas penurunan tinggi fundus uterinya lebih baik dibandingkan dengan yang tidak melakukan senam nifas. Saran bagi tenaga kesehatan diharapkan dapat mengajarkan senam nifas pada ibu postpartum agar penurunan tinggi fundus uteri lebih baik. Kata kunci: ibu postpartum, senam nifas, tinggi fundus uteri  


2018 ◽  
pp. 1-25
Author(s):  
Aubrey L. Doede ◽  
Emma M. Mitchell ◽  
Dan Wilson ◽  
Reanna Panagides ◽  
Mônica Oliveira Batista Oriá

Purpose Breast cancer (BCA) is the most common cancer and leading cause of cancer mortality among women in Latin America and the Caribbean (LAC), and the number of deaths from BCA is expected to continue to increase. Although barriers to care include the physical accessibility of screening resources, personal and cultural barriers must be explored to understand necessary next steps to increase access to preventive care. The purpose of this in-depth narrative literature review was to explore empiric literature that surrounds the knowledge, attitudes, and beliefs toward BCA screening practices among women in LAC. To our knowledge, this is the first literature review to include articles from all countries and national languages (Portuguese, English, and Spanish) that pertain to this topic. Methods OVID Medline, CINAHL, and Web of Science/SciELO were used to identify articles. Thirty-five articles were included according to inclusion and exclusion criteria. Results Themes identified in the literature included knowledge about screening procedures and cause of cancer; knowledge sources; catalysts and deterrents for screening, such as family support, family history; social support or taboo, fear, self-neglect, cost, and transportation; and the perception of the screening experience. Conclusion In addition to physical availability of resources and health care personnel, there is a necessity for culturally competent community educational interventions across all aspects of BCA screening and prevention. In light of the barriers to preventive health care, providers such as nurses and community health workers are uniquely qualified to provide culturally appropriate and individualized health education to address cultural and psychological barriers to BCA screening.


2015 ◽  
Vol 4 (2) ◽  
pp. 69
Author(s):  
Hamza AL-Quraan ◽  
Mohannad AbuRuz

<p>Glasgow Coma Scale (GCS) was introduced in 1974 as a tool to standardize the assessment of the level of consciousness of patients. Since it was introduced and used, GCS was considered to be the gold standard method for this purpose. Despite plenty of strengths GCS has (i.e. objectivity and easy communication on the results between the health care providers); GCS was considered to be ambiguous and confusing for nurses and infrequent users. Moreover, lack of knowledge and training about GCS might affect the accuracy and inter-rater reliability among health care professionals. The purpose of this paper was to simplify the use of GCS step by step for the beginner health care professionals.</p><p>This literature review was done by searching the following search engines: Pubmed, Midline, CINHAL, Ebsco host, and Google Scholar for the key words of: Glasgow Coma Scale (GCS), flow chart, nurses, and consciousness.Types of articles included: original research, literature review and meta-analysis. This review included the following sections:</p><p>1)     Definition of the related concepts</p><p>2)     The historical development of the GCS</p><p>3)     How to score the GCS</p><p>4)     Recommendation for clinical settings, and</p><p>5)     Conclusion</p>


2020 ◽  
Vol 33 (8) ◽  
pp. 418-427 ◽  
Author(s):  
Hiske Smart ◽  
Francis Byron Opinion ◽  
Issam Darwich ◽  
Manal Aly Elnawasany ◽  
Chaitanya Kodange

2018 ◽  
Vol 2018 ◽  
pp. 1-8
Author(s):  
Aqdar A. Akbar ◽  
Noura Al-Sumait ◽  
Hanan Al-Yahya ◽  
Mohammad Y. Sabti ◽  
Muawia A. Qudeimat

Objective. To investigate the knowledge, attitude, and possible barriers to fluoride application among oral health-care providers in Kuwait.Methods. A validated self-administered questionnaire was distributed to a random sample of 291 dentists. The questionnaire included four categories: dentists’ characteristics, knowledge of and attitude towards fluoride application, factors influencing decision-making on prescription of fluoride, and the clinician’s perception of own knowledge. Means, group differences, and logistic regression were calculated.Results. 262 completed the questionnaire (response rate of 90%). Half of the participants (49%) reported that water fluoridation is the best method for caries prevention in children. Majority of the participants (80%) acknowledged that topical fluoride prevents dental caries, but only 40% frequently use it in their practices. Fear of overdose was a concern in 57% of the participants. About 31% believed that caries is a multifactorial disease and cannot be prevented. In addition, 32% of the dentists who thought caries is multifactorial and cannot be prevented stated that restorations take precedence over preventive therapy.Conclusion. Despite the participants being in favor of topical fluoride application and believing in its effectiveness, certain barriers were apparent such as knowledge deficiencies, products labelling flaw, and lack of participation in effective continuing educational activities.


Author(s):  
Subhash Chand ◽  
Neeraj Sharma ◽  
Sanjay Kumar

Background: To know adverse effects of prolonged use of (PPE) personal protective equipment among various categories of health care providers while taking care of COVID-19 patients.Methods: This study include health care workers involved in care of covid-19 positive patients admitted in COVID dedicated hospital. A preformed questionnaire based performa was distributed among health care providers. Questions were framed about various possible adverse effects of use of PPE. Duration of study was six month from first July 2020 to 31 December 2020. The data was obtained from questionnaire and thereafter analysed to determine the adverse effects of different parts of PPE among various categories of HCPs depending on their age, sex and duration of exposure.Results: A total of 150 health care workers of various categories were surveyed. Maximum numbers of health care workers were in the age group of 31-40 years. Most common side effects were itching, rash, suffocation and impaired cognition. N-95 masks, gloves and face shield when used caused maximum discomfort.Conclusions: COVID-19 is ongoing pandemic with uncertinity about its end. Health care workers are continuously exposed to COVID-19 positive patients and almost all the healthcare providers experienced discomfort while using PPE causing reduced work efficiency.


2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Rodrigo Garcia-Cerde ◽  
Pilar Torres-Pereda ◽  
Marisela Olvera-Garcia ◽  
Jennifer Hulme

Abstract Background Episiotomy in Mexico is highly prevalent and often routine - performed in up to 95% of births to primiparous women. The WHO suggests that episiotomy be used in selective cases, with an expected prevalence of 15%. Training programs to date have been unsuccessful in changing this practice. This research aims to understand how and why this practice persists despite shifts in knowledge and attitudes facilitated by the implementation of an obstetric training program. Methods This is a descriptive and interpretative qualitative study. We conducted 53 pre and post-intervention (PRONTO© Program) semi-structured interviews with general physician, gynecologists and nurses (N = 32, 56% women). Thematic analysis was carried out using Atlas-ti© software to iteratively organize codes. Through interpretive triangulation, the team found theoretical saturation and explanatory depth on key analytical categories. Results Themes fell into five major themes surrounding their perceptions of episiotomy: as a preventive measure, as a procedure that resolves problems in the moment, as a practice that gives the clinician control, as a risky practice, and the role of social norms in practicing it. Results show contradictory discourses among professionals. Despite the growing support for the selective use of episiotomy, it remains positively perceived as an effective prophylaxis for the complications of childbirth while maintaining control in the hands of health care providers. Conclusions Perceptions of episiotomy shed light on how and why routine episiotomy persists, and provides insight into the multi-faceted approaches that will be required to affect this harmful obstetrical practice.


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