scholarly journals Effectiveness of Supraglottic Airways Management Among Paramedics

2021 ◽  
Vol 8 (3) ◽  
pp. 150-154
Author(s):  
Szymon Wit ◽  
Paweł Więch ◽  
Marta Kłęk ◽  
Marek Muster ◽  
Grzegorz Kucaba
Keyword(s):  
Health Care ◽  
Laryngeal Mask Airway ◽  
Tidal Volume ◽  
Laryngeal Tube ◽  
Health Care Facilities ◽  
Safe Alternative ◽  
Single Breath ◽  
Care Facilities ◽  
Airway Opening ◽  
The Mean

Aim: The aim of the study was to evaluate the effectiveness of supraglottic airways management by paramedics using selected methods in simulated conditions. Material and methods: The study included a group of 115 professionally active paramedics working in various health care facilities in the Podkarpackie Province. Each subject was asked to open the airways using a laryngeal mask airway (LMA) and a disposable laryngeal tube (LT-D) in simulated conditions. The study assessed the effectiveness of the airway opening taking into account: average tidal volume of a single breath in ml, average minute tidal volume in ml, time of insertion in seconds, the need for a second attempt, pressure on incisors in N. The obtained results were statistically analysed, p<0.05 was considered statistically significant. The calculations were performed with the SPSS 20 software. results: The study showed that the time of inserting of LT-D is the same as the time of LMA (LT-D: 25.95s ± 7.89s vs. LMA: 24.78s ± 8.32s; p>0.05). The mean tidal volume of a single breath was significantly higher with the LMA com-pared to LT-D (LMA 633.24 ml vs. LT-D 579.68 ml, p<0.05). During LMA insertion, the pressure on incisors of 11.41N ± 6.22N was used, while in case of LT-D this pressure amounted to 13.15N ± 3.68N. Every fourth examined paramedic had problems with correct insertion of LT-D tube in accordance with the adopted algorithm. Conclusions: The supralottic LMA and LT-D tools seem to be an effective and safe alternative of the airway management in case of life emergency

scholarly journals Disinfection efficacy studies on three different disinfection methods in health care facilities by ATP method

2015 ◽  
Author(s):  
Harry Zhuang ◽  
BCIT School of Health Sciences, Environmental Health ◽  
Helen Heacock ◽  
Fred Shaw
Keyword(s):  
Health Care ◽  
Medical Equipment ◽  
Health Care Facilities ◽  
Relative Light Unit ◽  
Monitoring Methods ◽  
Log Reduction ◽  
Disinfection Methods ◽  
Care Facilities ◽  
The Mean ◽  
High Level

  Objectives: Nosocomial infection has always been a significant topic in the field of public health. The disinfection procedures involved in health care facilities are extremely important to prevent potential transmission of diseases. Therefore, this study was performed to compare the disinfection efficacy between three different disinfection methods (Accel wipes, Hubscrub industrial washer, and Steam vapor) on three pieces of non-critical medical equipment: wheelchairs, mattresses and bath chairs. Methods: The method used to evaluate the disinfection efficacy compared the reduction of contaminants count in the relative light unit using ATP monitoring methods. 30 samples of each of the three types of medical equipment were swabbed pre-disinfection and post-disinfection using the three disinfection methods. The recorded reduction number was then converted using log transformation. Statistical analysis was conducted using NCSS to assess differences between the disinfection methods. Results: The mean log-reduction of disinfection for Accel wipes, Hubscrub, and steam vapor were 1.067, 1.490, and 1.485 respectively. Steam vapor and Hubscrub displayed statistically significantly better disinfection efficacy compared to Accel wipes in terms of log reduction (overall p=0.000002). Conclusion: Hubscrub and steam vapor are better disinfectants compared to Accel wipes in terms of mean log reduction values; however, all three disinfection methods demonstrated effectiveness when cleaning and disinfecting non-critical medical equipment. For critical medical equipment, steam vapor and Hubscrub industrial washing are effective while Accel wipes do not meet the standards of high-level disinfection. As a result, combination usages of all three disinfection methods are recommended at health care facilities based on the categories of the medical equipment.  

scholarly journals The Correlation Between ATP Measurement and Microbial Contamination of Inanimate Surfaces

2021 ◽  
Author(s):  
Andreas van Arkel ◽  
Ina Willemsen ◽  
Jan Kluytmans
Keyword(s):  
Health Care ◽  
Nursing Home ◽  
Microbial Contamination ◽  
Bacterial Load ◽  
Agar Plate ◽  
Health Care Facilities ◽  
Home Setting ◽  
Care Facilities ◽  
Nursing Home Setting ◽  
The Mean

Abstract Background:The objective of this study was to determine the correlation between adenosine triphosphate (ATP) measurements and microbial contamination using a standardized method. Methods: ATP measurements and aerobic colony counts (ACC’s) were conducted on 10 pre-defined fomites in a hospital and nursing home setting. Per fomite two ATP measurements and two agar plate measurements were conducted, each measurement was conducted on a 25 cm2 surface. Both measurements were compared and analyzed for correlation. Results: In total 200 paired measurements were conducted, 200 ATP measurements and 200 ACC’s. The mean of all ATP measurements tested on the same surface was calculated, as was for all 200 ACC’s. There was a strong correlation between the mean of two ATP measurements on two different sites on the same fomite (R=0.800, p<0.001) as well as between two ACC measurements on the same fomite (R=0.667, p<0.001). A much weaker correlation was found between RLU values and ACC’s (R=0.244, p<0.001). Conclusions: Reproducibility of ATP measurements and ACC’s on the same fomite was good. However, the correlation between RLU values and ACC’s on hospital surfaces was much lower. This may be explained by the wide variety of biological material that is measured with ATP, of which the bacterial load is only one of many components. ATP measurement can be used to give a quantifiable outcome for the rating of cleanliness in health care facilities, however the results cannot be translated into the level of microbial contamination.

Celecoxib exposures reported to Texas poison control centers from 1999 to 2004

2006 ◽  
Vol 25 (5) ◽  
pp. 261-266 ◽  
Author(s):  
M B Forrester
Keyword(s):  
Health Care ◽  
Age Distribution ◽  
Health Care Facilities ◽  
Poison Control ◽  
Clinical Effects ◽  
Medical Outcome ◽  
Patient Age ◽  
Poison Control Centers ◽  
Care Facilities ◽  
The Mean

Concerns have been raised about the safety of celecoxib. This study described the pattern of exposures involving only celecoxib (isolated exposures) reported to Texas poison control centers from 1999 to 2004. The mean dose was 701 mg. The patient age distribution was 5 / 5 years (48%), 6 / 19 years (8%), and 20 years (44%). In 78% of cases, exposure was unintentional. Of the exposures, 74% were managed outside of health care facilities. The final medical outcome was classified as no effect for 82% of the cases, and minor effects for 12% of the cases. Adverse clinical effects were listed for 5% of the patients, the most frequently reported being rash (3%), drowsiness (3%), pruritis (2%), and vomiting (2%). The most frequently listed treatment was decontamination by dilution (43%) or food (32%). The majority of isolated celecoxib exposures could be managed outside of health care facilities, and the outcome was generally favorable.

scholarly journals Assessment of bioaerosols in tuberculosis high-risk areas of health care facilities in central Thailand

2019 ◽  
Vol 12 (2) ◽  
pp. 55-63
Author(s):  
Jarmmaree Sornboot ◽  
Wichai Aekplakorn ◽  
Pongrama Ramasoota ◽  
Surat Bualert ◽  
Somying Tumwasorn ◽  
...  
Keyword(s):  
Health Care ◽  
Indoor Air ◽  
Health Care Facilities ◽  
Central Type ◽  
Change Rate ◽  
Air Change Rate ◽  
Care Facilities ◽  
Risk Areas ◽  
The Mean ◽  
Central Thailand

AbstractBackgroundLong-term surveillance of airborne bioaerosols in health care facilities is required to protect the health of patients and health care workers. Feasible methods to measure airborne bioaerosol concentrations and determine associated environmental factors may help to avoid nosocomial tuberculosis (TB).ObjectivesTo describe the concentrations and size of airborne bioaerosols and to identify the potential contributors to indoor airborne bioaerosols in TB high-risk areas in health care facilities.MethodsWe conducted a cross-sectional study in 7 large health care facilities located in Bangkok and nearby in central Thailand using a 6-stage Andersen cascade impactor to collect viable airborne bioaerosols that were quantified using culture techniques. Environmental parameters were determined using a tracer gas technique with an indoor air quality meter. Other potential factors were assessed using a questionnaire.ResultsThe mean indoor airborne bacterial and fungal concentrations were 596.1 and 521.2 colony-forming units (cfu)/m3, respectively, and the mean outdoor airborne bacterial and fungal concentrations were 496.5 and 650.1 cfu/m3, respectively. The majority of airborne bioaerosols were in respirable sizes. The indoor-to-outdoor ratios were 1.2 for bacteria and 0.8 for fungi. Air change rate was inversely correlated with indoor airborne bioaerosol concentrations, whereas emergency department central-type air conditioners and relative humidity were positively correlated with the indoor airborne bioaerosol concentrations (P < 0.05).ConclusionsHigh indoor bioaerosol concentrations found in the health care facilities suggest that it is imperative to improve the indoor air quality. Improved air change rate and avoiding use of central-type air-conditioning systems may reduce bioaerosol concentrations.

scholarly journals The correlation between ATP measurement and microbial contamination of inanimate surfaces

2021 ◽  
Vol 10 (1) ◽  
Author(s):  
Andreas van Arkel ◽  
Ina Willemsen ◽  
Jan Kluytmans
Keyword(s):  
Health Care ◽  
Nursing Home ◽  
Microbial Contamination ◽  
Bacterial Load ◽  
Agar Plate ◽  
Health Care Facilities ◽  
Home Setting ◽  
Care Facilities ◽  
Nursing Home Setting ◽  
The Mean

Abstract Background The objective of this study was to determine the correlation between adenosine triphosphate (ATP) measurements and microbial contamination using a standardized method. Secondarily, analyzing reproducibility of ATP measurements and aerobic colony counts (ACC’s) on the same surface. Methods ATP measurements and ACC’s were conducted on 10 pre-defined fomites in a hospital and nursing home setting. Per fomite two ATP measurements and two agar plate measurements were conducted, each measurement was conducted on a 25 cm2 surface. Both measurements were compared and analyzed for correlation. Results In total 200 paired measurements were conducted, 200 ATP measurements and 200 ACC’s. The mean of all ATP measurements tested on the same surface was calculated, as was for all 200 ACC’s. There was a strong correlation between the mean of two ATP measurements on two different sites on the same fomite (R = 0.800, p < 0.001) as well as between two ACC measurements on the same fomite (R = 0.667, p < 0.001). A much weaker correlation was found between RLU values and ACC’s (R = 0.244, p < 0.001). Conclusions Reproducibility of ATP measurements and ACC’s on the same fomite was good. However, the correlation between RLU values and ACC’s on hospital surfaces was much lower. This may be explained by the wide variety of biological material that is measured with ATP, of which the bacterial load is only one of many components. ATP measurement can be used to give a quantifiable outcome for the rating of cleanliness in health care facilities, however the results cannot be translated into the level of microbial contamination.

scholarly journals Early detection of IUGR: can it prevent stillbirth?

2018 ◽  
Vol 7 (9) ◽  
pp. 3629
Author(s):  
Ashwini Vishalakshi L. ◽  
Reddi Rani P.
Keyword(s):  
Health Care ◽  
Retrospective Study ◽  
Early Detection ◽  
Health Care Facilities ◽  
Doppler Studies ◽  
Hypertensive Disorders ◽  
Care Facilities ◽  
The Mean ◽  
Twin Pregnancies ◽  
Period Of Gestation

Background: Maternal mortality in India is decreasing with the advances in health care facilities, increase in the number of hospital deliveries, improvement in the transport facilities etc. Present study aimed at to evaluate the causes for antepartum stillbirths.Methods: It is a retrospective study from the case records of the stillbirths that occurred from June 2015 to March 2018. All stillbirths between 28-41 weeks were studies. Stillbirths occurring in twin pregnancies were excluded. The total number of stillbirths that were studied was 102. Results: Most of the IUDs occurred between 28-37 weeks 82 (80.39%). The mean period of gestation at which the stillbirth occurred was 33.84±3.8 weeks. There was more number of male stillborns as compared to female stillborns. When the weight distribution of all stillbirths was compared with weight for gestational age 48 (47.5%) were <10% (SGA) and 46 (45.09%) of stillbirths weighed between 10th and 50th percentile Most of the IUDs were caused due to cord accidents, abruption and as a complication of hypertensive disorders of pregnancy.Conclusions: Stillbirths were higher in IUGR fetusus as compared to AGA fetuses. Hence in order to prevent stillbirth it would be mandatory to detect IUGR at an earlier stage and delivery should be planned if the fetus shows any features of compromise. Doppler studies can help in deciding the timing of delivery.

scholarly journals The Correlation between ATP Measurement and Microbial Contamination of Inanimate Surfaces

2021 ◽  
Author(s):  
Andreas van Arkel ◽  
Ina Willemsen ◽  
Jan Kluytmans
Keyword(s):  
Health Care ◽  
Nursing Home ◽  
Microbial Contamination ◽  
Bacterial Load ◽  
Agar Plate ◽  
Health Care Facilities ◽  
Home Setting ◽  
Care Facilities ◽  
Nursing Home Setting ◽  
The Mean

Abstract Background:The objective of this study was to determine the correlation between adenosine triphosphate (ATP) measurements and microbial contamination using a standardized method. Secondarily, analyzing reproducibility of ATP measurements and aerobic colony counts (ACC’s) on the same surface. Methods: ATP measurements and ACC’s were conducted on 10 pre-defined fomites in a hospital and nursing home setting. Per fomite two ATP measurements and two agar plate measurements were conducted, each measurement was conducted on a 25 cm2 surface. Both measurements were compared and analyzed for correlation.Results: In total 200 paired measurements were conducted, 200 ATP measurements and 200 ACC’s. The mean of all ATP measurements tested on the same surface was calculated, as was for all 200 ACC’s. There was a strong correlation between the mean of two ATP measurements on two different sites on the same fomite (R=0.800, p<0.001) as well as between two ACC measurements on the same fomite (R=0.667, p<0.001). A much weaker correlation was found between RLU values and ACC’s (R=0.244, p<0.001). Conclusions: Reproducibility of ATP measurements and ACC’s on the same fomite was good. However, the correlation between RLU values and ACC’s on hospital surfaces was much lower. This may be explained by the wide variety of biological material that is measured with ATP, of which the bacterial load is only one of many components. ATP measurement can be used to give a quantifiable outcome for the rating of cleanliness in health care facilities, however the results cannot be translated into the level of microbial contamination.

ETHNOVETERINARY MEDICINAL USES OF SOME MEDICINAL PLANTS ON PNEUMONIA BY THE GUJJAR AND PAHARI TRIBES OF POONCH DISTRICT OF JAMMU AND KASHMIR

2017 ◽  
Vol 23 (2) ◽  
Author(s):  
JAMIL AHMED KHAN ◽  
RAJINDER PAUL
Keyword(s):  
Health Care ◽  
Medicinal Plants ◽  
Medicinal Plant ◽  
Natural Resources ◽  
Indigenous People ◽  
Health Care Facilities ◽  
Jammu And Kashmir ◽  
Medicinal Uses ◽  
Modern Health Care ◽  
Care Facilities

Poonch district of Jammu and Kashmir is a reservoir of enormous natural resources including the wealth of medicinal plants. The present paper deals with 12 medicinal plant species belonging to 8 genera of angiosperms used on pneumonia in cattle such as cows, sheep, goats and buffaloes in different areas of Poonch district. Due to poverty and nonavailability of modern health care facilities, the indigenous people of the area partially or fully depend on surrounding medicinal plants to cure the different ailments of their cattles. Further research on modern scientific line is necessary to improve their efficacy, safety and validation of the traditional knowledge.

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