scholarly journals Environmental Disinfection of a Dental Clinic during the Covid-19 Pandemic: A Narrative Insight

2020 ◽  
Vol 2020 ◽  
pp. 1-15 ◽  
Author(s):  
Antonio Scarano ◽  
Francesco Inchingolo ◽  
Felice Lorusso
Keyword(s):  
Health Care ◽  
Low Cost ◽  
Essential Elements ◽  
Dental Clinic ◽  
Dental Clinics ◽  
Biological Hazard ◽  
Ultraviolet C ◽  
Turbine Speed ◽  
Cleaning And Disinfection ◽  
No Touch Disinfection

Background. The control of biological hazard risk in health care and dental clinic environments represents a critical point in relation to the Covid-19 infection outbreak and international public health emergency. The purpose of the present review was to evaluate the scientific literature on the no-touch disinfection procedures in dental clinics aiming to limit transmission via airborne particles or fomites using no-touch procedures for environmental decontamination of dental clinics. Methods. An electronic database literature search was performed to retrieve research papers about Covid-19 and no-touch disinfection topics including full-length articles, editorials, commentaries, and outbreak studies. A total of 86 papers were retrieved by the electronic research. Results. No clinical article about the decontamination of a dental clinic during the Covid-19 pandemic was detected. About the topic of hospital decontamination, we found different no-touch disinfection procedures used in hospital against highly resistant organisms, but no data were found in the search for such procedures with respect to SARS-CoV-2: (1) aerosolized hydrogen peroxide, (2) H2O2 vapor, (3) ultraviolet C light, (4) pulsed xenon, and (5) gaseous ozone. One paper was retrieved concerning SARS-CoV-2; 32 documents focused on SARS and MERS. The cleaning and disinfection protocol of health care and dental clinic environment surfaces are essential elements of infection prevention programs, especially during the SARS-CoV-2 pandemic. Conclusion. The decontamination technique that best suits the needs of the dental clinic is peroxide and hypochlorous which can be sprayed via a device at high turbine speed with the ability of producing small aerosol particles, recommendable also for their low cost.

scholarly journals Ultraviolet-C decontamination of a dental clinic setting: required amount of UV light

2020 ◽  
Vol 23 (2) ◽  
Author(s):  
Sergio Brossi Botta ◽  
Fernanda De Sá Teixeira ◽  
Fernando Seishim Hanashiro ◽  
Wagner Wlysses Rodrigues de Araújo ◽  
Alessandra Cassoni ◽  
...  
Keyword(s):  
Ultraviolet Light ◽  
Dental Care ◽  
High Speed ◽  
Uv Light ◽  
Dental Clinic ◽  
Dental Clinics ◽  
Ultraviolet C ◽  
Time Required ◽  
Short Time ◽  
Patient Change

AbstractViruses can spread to the environment, and it can be challenging to clear it. A direct approach to limit airborne transmission of pathogens in dental clinic offices is to inactivate viruses within a short time of their production and block the person-to-person transmission routes in dental clinics. For this, we can use chemical substances on surfaces and germicidal ultraviolet light (UV), typically at 254 nm, for complementary disinfection of surfaces and air contaminated by aerosols produced by high-speed handpiece or ultrasound scaler. Based on the literature review and the similarity of Sars-Cov-2 with other previously studied corovaviruses, COVID-19 is sensitive to UV irradiation that can break the genome of this virus, inactivating it. In our study, we performed the calculation of the time required to decontaminate a dental care room between each patient change. We can conclude that the use of UVC can be incorporated into the dental care routine to reduce cross contamination.KeywordsUVC-decontamination; Sterilization; Ultraviolet light; Dentistry; Sars-Cov-2.

Separation or Synthesis: A Holistic Approach to Therapeutics

1996 ◽  
Vol 17 (8) ◽  
pp. 279-283
Author(s):  
Kathi J. Kemper
Keyword(s):  
Health Care ◽  
Nurse Practitioners ◽  
Low Cost ◽  
Self Regulation ◽  
Holistic Approach ◽  
Medical Settings ◽  
The Public ◽  
Specialized Health Care ◽  
Definition Of ◽  
Spiritual Healers

Over the past 50 years, health care has grown more complex and specialized. Health-care institutions now are staffed with an array of specialist physicians, social workers, psychologists, therapists, and nutritionists as well as general practitioners and nurses. The types of providers outside of the hospital are even more numerous and diverse: physicians; nurses; nurse practitioners; chiropractors; counselors; acupuncturists; herbalists; spiritual healers; and purveyors of nutritional supplements, aromatherapy, crystals, and more. Intent on distinguishing their "products," providers focus on differences, polarizing into distinct camps such as "mainstream or traditional" versus "alternative or unconventional." Although these dichotomies are simple, they also can mislead. The definition of "alternative" is very dependent on the definition "mainstream"; acupuncture may be an alternative in one setting, but it clearly is traditional within Asian communities. Therapies that once were considered unconventional, such as hypnosis and meditation, have moved into many mainstream medical settings. (See Sugarman article "Hypnosis: Teaching Children Self-regulation" in the January 1996 issue of Pediatrics in Review.) The public wants health care that is low-cost, safe, effective, and personalized. Practitioners of "natural" therapies often are viewed as more humanistic and less technological than busy physicians. According to one study, in 1990, alternative medical therapies were used by nearly one third of Americans.1

scholarly journals Low cost, multiscale and multi-sensor application for flooded areas mapping

2017 ◽  
Author(s):  
Daniele Giordan ◽  
Davide Notti ◽  
Alfredo Villa ◽  
Francesco Zucca ◽  
Fabiana Calò ◽  
...  
Keyword(s):  
High Resolution ◽  
Low Cost ◽  
Essential Elements ◽  
Basin Scale ◽  
High Resolution Images ◽  
Maximum Water ◽  
Urbanized Areas ◽  
Flooded Area ◽  
Elevation Model ◽  
Flooded Areas

Abstract. Flood mapping and estimation of maximum water depth are essential elements for a first damages evaluation, civil protection interventions planning and detection of areas where remedial are more needed. In this work, we present and discuss a methodology for mapping and quantifying flood severity over plain areas. The proposed methodology considers a multiscale and multi-sensor approach using free or low-cost data/sensors. We applied this method to November 2016 Piemonte (NW Italy) flood. We first mapped flooded areas at basin scale using free satellite data from low to medium-high resolution using both SAR (Sentinel-1, Cosmo-Skymed) and multispectral sensors (MODIS, Sentinel-2). Using very- and ultra- high-resolution images from the low-cost aerial platform and Remotely Piloted Aerial System, we refined the flooded zone, and we detected the most damaged sector. The presented method considers both urbanized and not urbanized areas. Nadiral images have several limitations in particular in urbanized areas, where the use of terrestrial images solved this limitation. Very- and ultra-high resolution images have been processed with Structure from Motion (SfM) for the realization of 3-D models. These data, combined with available digital elevation model, allowed us to obtain maps of flooded area, maximum water high and damaged infrastructures.

Workplace-based clinical leadership training increases willingness to lead

2015 ◽  
Vol 28 (2) ◽  
pp. 100-118 ◽  
Author(s):  
Aleece MacPhail ◽  
Carmel Young ◽  
Joseph Elias Ibrahim
Keyword(s):  
Health Care ◽  
Quality Of Care ◽  
Leadership Training ◽  
Low Cost ◽  
Leadership Role ◽  
Leadership Roles ◽  
Senior Executive ◽  
Clinical Leadership ◽  
Content Type

Purpose – The purpose of this paper is to reflect upon a workplace-based, interdisciplinary clinical leadership training programme (CLP) to increase willingness to take on leadership roles in a large regional health-care centre in Victoria, Australia. Strengthening the leadership capacity of clinical staff is an advocated strategy for improving patient safety and quality of care. An interdisciplinary approach to leadership is increasingly emphasised in the literature; however, externally sourced training programmes are expensive and tend to target a single discipline. Design/methodology/approach – Appraisal of the first two years of CLP using multiple sourced feedback. A structured survey questionnaire with closed-ended questions graded using a five-point Likert scale was completed by participants of the 2012 programme. Participants from the 2011 programme were followed up for 18 months after completion of the programme to identify the uptake of new leadership roles. A reflective session was also completed by a senior executive staff that supported the implementation of the programme. Findings – Workplace-based CLP is a low-cost and multidisciplinary alternative to externally sourced leadership courses. The CLP significantly increased willingness to take on leadership roles. Most participants (93 per cent) reported that they were more willing to take on a leadership role within their team. Fewer were willing to lead at the level of department (79 per cent) or organisation (64 per cent). Five of the 11 participants from the 2011 programme had taken on a new leadership role 18 months later. Senior executive feedback was positive especially around the engagement and building of staff confidence. They considered that the CLP had sufficient merit to support continuation for at least another two years. Originality/value – Integrating health-care professionals into formal and informal leadership roles is essential to implement organisational change as part of the drive to improve the safety and quality of care for patients and service users. This is the first interdisciplinary, workplace-based leadership programme to be described in the literature, and demonstrates that it is possible to deliver low-cost, sustainable and productive training that increases the willingness to take on leadership roles.

Sensible use of observational clinical data

2011 ◽  
Vol 22 (1) ◽  
pp. 7-13 ◽  
Author(s):  
J Marc Overhage ◽  
Lauren M Overhage
Keyword(s):  
Health Care ◽  
Clinical Trials ◽  
Medical Research ◽  
Observational Data ◽  
Clinical Data ◽  
Low Cost ◽  
Clinical Care ◽  
Data Sets ◽  
Large Size ◽  
Health Care Operations

Observational data sets offer many potential advantages for medical research including their low cost, large size and generalisability. Because they are collected for clinical care and health care operations purposes, observational data sets have some limitations that must be considered in order to perform useful analyses. Sensible use of observational data sets can yield valuable insights, particularly when clinical trials are impractical.

Ethnomedicines for Diarrhoea and Dysentery by the tribals of Visakhapatnam District, Andhra Pradesh

2019 ◽  
Vol 26 (1) ◽  
pp. 49-54
Author(s):  
P. Naidu ◽  
P. Yadav
Keyword(s):  
Health Care ◽  
Medicinal Plants ◽  
Andhra Pradesh ◽  
Low Cost ◽  
Traditional Healers ◽  
Eastern Ghats ◽  
Tribal Community ◽  
Traditional Health ◽  
Traditional Health Care ◽  
Visakhapatnam District

Traditional health care system is practiced by indigenous tribal community inhabiting Eastern Ghats of Visakhapatnam district in Andhra Pradesh. Diarrhoea and Dysentery are prevalent causing morbidity and mortality. This study documented 62 medicinal plants used locally for the treatment of diarrhoea and dysentery. The traditional healers provide safe and low cost remedies accumulated, enriched and passed on through generations without any written documentation.

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