WorldWideScience

Sample records for frequent hand washing

  1. Regular use of a hand cream can attenuate skin dryness and roughness caused by frequent hand washing

    Directory of Open Access Journals (Sweden)

    Kampf Günter

    2006-02-01

    Full Text Available Abstract Background Aim of the study was to determine the effect of the regular use of a hand cream after washing hands on skin hydration and skin roughness. Methods Twenty-five subjects washed hands and forearms with a neutral soap four times per day, for 2 minutes each time, for a total of two weeks. One part of them used a hand cream after each hand wash, the others did not (cross over design after a wash out period of two weeks. Skin roughness and skin hydration were determined on the forearms on days 2, 7, 9 and 14. For skin roughness, twelve silicon imprint per subject and time point were taken from the stratum corneum and assessed with a 3D skin analyzer for depth of the skin relief. For skin hydration, five measurements per subject and time point were taken with a corneometer. Results Washing hands lead to a gradual increase of skin roughness from 100 (baseline to a maximum of 108.5 after 9 days. Use of a hand cream after each hand wash entailed a decrease of skin roughness which the lowest means after 2 (94.5 and 14 days (94.8. Skin hydration was gradually decreased after washing hands from 79 (baseline to 65.5 after 14 days. The hand wash, followed by use of a hand cream, still decreased skin hydration after 2 days (76.1. Over the next 12 days, however, skin hydration did not change significantly (75.6 after 14 days. Conclusion Repetitive and frequent hand washing increases skin dryness and roughness. Use of a hand cream immediately after each hand wash can confine both skin dryness and skin roughness. Regular use of skin care preparations should therefore help to prevent both dry and rough skin among healthcare workers in clinical practice.

  2. Wash Your Hands

    Science.gov (United States)

    ... don't have soap and clean, running water? Washing hands with soap and water is the best way to get rid of germs in most situations. If soap and water are not available, use an alcohol-based hand sanitizer [423 KB] that contains at least 60% alcohol. ...

  3. Wash Your Hands

    Centers for Disease Control (CDC) Podcasts

    2010-03-08

    This video shows kids how to properly wash their hands, one of the most important steps we can take to avoid getting sick and spreading germs to others.  Created: 3/8/2010 by Centers for Disease Control and Prevention (CDC).   Date Released: 3/8/2010.

  4. The Importance of Hand Washing

    Institute of Scientific and Technical Information of China (English)

    杨昌寿

    2004-01-01

    Medical experts say the most effective way to prevent the spread of diseases is for people to wash their hands with soap and water. The Word Bank and the United Nations carried out a study to urge hand washing around the world. They say programmes to increase hand washing with

  5. Please wash your hands often

    OpenAIRE

    2007-01-01

    This poster advises washing hands "before and after using the toilet, handling food, touching animals, eating, drinking, or smoking." It advocates "always use clean water / never wash your hands in used wash water!" The purpose is to protect self and others from diseases. LTRA-2 (An Agricultural Markets Model for Biodiversity Conservation)

  6. Responsibility and hand washing behaviour.

    Science.gov (United States)

    Taylor, Jasmine; Purdon, Christine

    2016-06-01

    Recent research suggests that compulsions persist due to a self-perpetuating mechanism of poor memory confidence and repetition. However, most of this work has examined checking compulsions and findings may not generalize well to washing compulsions. This study examined the role of responsibility in the persistence of washing behaviour. Hand washing was examined in undergraduates (n = 80) high and low in contamination fears (CF) under conditions of high or low responsibility (RL). Wash duration and number of visits to objects/locations key to the wash (e.g., soap) were examined. Overvalued responsibility predicted washing duration across groups. Neither wash duration nor number of visits was associated with memory for the wash. Wash duration predicted post-wash certainty that the wash had prevented harm, but only in the high CF group, and that effect varied according to RL: longer wash duration predicted greater certainty under conditions of low RL but predicted less certainty under conditions of high RL. Greater repetition predicted poorer sensory confidence, but only in the high CF group under high RL conditions. The data were collected in an analogue sample of modest size. Replication in a clinical sample is required. Self-perpetuating mechanisms identified in perseverative checking seem to also be present in perseverative washing, but only under conditions of high responsibility. Sensory confidence may be more important to perseverative washing than memory confidence. More research is required to understand self-perpetuating mechanisms at play when washing to under conditions of high responsibility. Copyright © 2016 Elsevier Ltd. All rights reserved.

  7. Hand washing frequency in an emergency department.

    Science.gov (United States)

    Meengs, M R; Giles, B K; Chisholm, C D; Cordell, W H; Nelson, D R

    1994-06-01

    Objectives Previous studies, conducted mainly in ICUs, have shown low compliance with hand-washing recommendations, with failure rates approaching 60%. Hand washing in the emergency department has not been studied. We examined the frequency and duration of hand washing in one emergency department and the effects of three variables: level of training, type of patient contact (clean, dirty, or gloved), and years of staff clinical experience. Design Observational. Setting ED of a 1100-bed tertiary referral, central city, private teaching hospital. Participants Emergency nurses, faculty, and resident physicians. Participants were informed that their activities were being monitored but were unaware of the exact nature of the study. Interventions An observer recorded the number of patient contacts and activities for each participant during 3-hour observation periods. Activities were categorized as either clean or dirty according to a scale devised by Fulkerson. The use of gloves was noted and hand-washing technique and duration were recorded. A hand-washing break in technique was defined as failure to wash hands after a patient contact and before proceeding to another patient or activity. Results Eleven faculty, 11 resident physicians, and 13 emergency nurses were observed. Of 409 total contacts, 272 were clean, 46 were dirty, and 91 were gloved. Hand washing occurred after 32.3% of total contacts (SD, 2.31%). Nurses washed after 58.2% of 146 contacts (SD, 4.1%), residents after 18.6% of 129 contacts (SD, 3.4%), and faculty after 17.2% of 134 contacts (SD, 3.3%). Nurses had a significantly higher hand washing frequency than either faculty (p < 0.0001) or resident physicians (p < 0.0001).(ABSTRACT TRUNCATED AT 250 WORDS)

  8. Teaching hand-washing with pictorial cues

    Directory of Open Access Journals (Sweden)

    Timo Saloviita

    2016-01-01

    Full Text Available Applied behavior analysis has been shown to be an effective means to teach daily living skills to individuals with intellectual disability. In the present study pictorial cues based on task analysis, system of least prompts, and social reinforcement were used to teach a man with mild intellectual disability to wash his hands correctly. An ABAB reversal design was used with follow-up after two weeks. The results show a rapid increase in hand-washing skills.

  9. Hand washing promotion for preventing diarrhoea

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    Ejemot-Nwadiaro, Regina I; Ehiri, John E; Arikpo, Dachi; Meremikwu, Martin M; Critchley, Julia A

    2015-01-01

    Background Diarrhoea accounts for 1.8 million deaths in children in low- and middle-income countries (LMICs). One of the identified strategies to prevent diarrhoea is hand washing. Objectives To assess the effects of hand washing promotion interventions on diarrhoeal episodes in children and adults. Search methods We searched the Cochrane Infectious Diseases Group Specialized Register (27 May 2015); CENTRAL (published in the Cochrane Library 2015, Issue 5); MEDLINE (1966 to 27 May 2015); EMBASE (1974 to 27 May 2015); LILACS (1982 to 27 May 2015); PsycINFO (1967 to 27 May 2015); Science Citation Index and Social Science Citation Index (1981 to 27 May 2015); ERIC (1966 to 27 May 2015); SPECTR (2000 to 27 May 2015); Bibliomap (1990 to 27 May 2015); RoRe, The Grey Literature (2002 to 27 May 2015); World Health Organization (WHO) International Clinical Trial Registry Platform (ICTRP), metaRegister of Controlled Trials (mRCT), and reference lists of articles up to 27 May 2015. We also contacted researchers and organizations in the field. Selection criteria Individually randomized controlled trials (RCTs) and cluster-RCTs that compared the effects of hand washing interventions on diarrhoea episodes in children and adults with no intervention. Data collection and analysis Three review authors independently assessed trial eligibility, extracted data, and assessed risk of bias. We stratified the analyses for child day-care centres or schools, community, and hospital-based settings. Where appropriate, incidence rate ratios (IRR) were pooled using the generic inverse variance method and random-effects model with 95% confidence intervals (CIs). We used the GRADE approach to assess the quality of evidence. Main results We included 22 RCTs: 12 trials from child day-care centres or schools in mainly high-income countries (54,006 participants), nine community-based trials in LMICs (15,303 participants), and one hospital-based trial among people with acquired immune deficiency

  10. Hand Washing: Do's and Dont's

    Science.gov (United States)

    ... aren't available. However, be sure to supervise young children using alcohol-based hand sanitizers. Remind your child to make sure the sanitizer completely dries before he or she touches anything. Store ... in child care settings. Young children cared for in groups outside the home ...

  11. Hand wash and manual skin wipes

    NARCIS (Netherlands)

    Brouwer, D.H.; Boeniger, M.F.; Hemmen, J. van

    2000-01-01

    Hand wash and skin wipes are major techniques that have been used for dermal exposure sampling. Both techniques remove chemicals either deposited on or transferred to the skin contaminant layer by a combination of chemical and mechanical actions. The paper overviews identified methods and

  12. Hand wash and manual skin wipes

    NARCIS (Netherlands)

    Brouwer, D.H.; Boeniger, M.F.; Hemmen, J. van

    2000-01-01

    Hand wash and skin wipes are major techniques that have been used for dermal exposure sampling. Both techniques remove chemicals either deposited on or transferred to the skin contaminant layer by a combination of chemical and mechanical actions. The paper overviews identified methods and techniques

  13. Hand wash and manual skin wipes

    NARCIS (Netherlands)

    Brouwer, D.H.; Boeniger, M.F.; Hemmen, J. van

    2000-01-01

    Hand wash and skin wipes are major techniques that have been used for dermal exposure sampling. Both techniques remove chemicals either deposited on or transferred to the skin contaminant layer by a combination of chemical and mechanical actions. The paper overviews identified methods and techniques

  14. Hand washing promotion for preventing diarrhoea.

    Science.gov (United States)

    Ejemot-Nwadiaro, Regina I; Ehiri, John E; Arikpo, Dachi; Meremikwu, Martin M; Critchley, Julia A

    2015-09-03

    Diarrhoea accounts for 1.8 million deaths in children in low- and middle-income countries (LMICs). One of the identified strategies to prevent diarrhoea is hand washing. To assess the effects of hand washing promotion interventions on diarrhoeal episodes in children and adults. We searched the Cochrane Infectious Diseases Group Specialized Register (27 May 2015); CENTRAL (published in the Cochrane Library 2015, Issue 5); MEDLINE (1966 to 27 May 2015); EMBASE (1974 to 27 May 2015); LILACS (1982 to 27 May 2015); PsycINFO (1967 to 27 May 2015); Science Citation Index and Social Science Citation Index (1981 to 27 May 2015); ERIC (1966 to 27 May 2015); SPECTR (2000 to 27 May 2015); Bibliomap (1990 to 27 May 2015); RoRe, The Grey Literature (2002 to 27 May 2015); World Health Organization (WHO) International Clinical Trial Registry Platform (ICTRP), metaRegister of Controlled Trials (mRCT), and reference lists of articles up to 27 May 2015. We also contacted researchers and organizations in the field. Individually randomized controlled trials (RCTs) and cluster-RCTs that compared the effects of hand washing interventions on diarrhoea episodes in children and adults with no intervention. Three review authors independently assessed trial eligibility, extracted data, and assessed risk of bias. We stratified the analyses for child day-care centres or schools, community, and hospital-based settings. Where appropriate, incidence rate ratios (IRR) were pooled using the generic inverse variance method and random-effects model with 95% confidence intervals (CIs). We used the GRADE approach to assess the quality of evidence. We included 22 RCTs: 12 trials from child day-care centres or schools in mainly high-income countries (54,006 participants), nine community-based trials in LMICs (15,303 participants), and one hospital-based trial among people with acquired immune deficiency syndrome (AIDS) (148 participants).Hand washing promotion (education activities, sometimes with

  15. Hand washing compliance among retail food establishment workers in Minnesota.

    Science.gov (United States)

    Allwood, Paul B; Jenkins, Timothy; Paulus, Colleen; Johnson, Lars; Hedberg, Craig W

    2004-12-01

    Inadequate hand washing by food workers is an important contributing factor to foodborne disease outbreaks in retail food establishments (RFEs). We conducted a survey of RFEs to investigate the effect of hand washing training, availability of hand washing facilities, and the ability of the person in charge (PIC) to describe hand washing according to the Minnesota Food Code (food code) on workers' ability to demonstrate food code-compliant hand washing. Only 52% of the PICs could describe the hand washing procedure outlined in the food code, and only 48% of workers could demonstrate code-compliant hand washing. The most common problems observed were failure to wash for 20 s and failure to use a fingernail brush. There was a strong positive association between the PIC being a certified food manager and being able to describe the food code hand washing procedure (odds ratio [OR], 5.5; 95% confidence interval [CI], 2.2 to 13.7), and there was an even stronger association between the PIC being able to describe hand washing and workers being able to demonstrate code-compliant hand washing (OR, 15; 95% CI, 6 to 37). Significant associations were detected among correct hand washing demonstration, physical infrastructure for hand washing, and the hand washing training methods used by the establishment. However, the principal determinant of successful hand washing demonstration was the PIC's ability to describe proper hand washing procedure. These results suggest that improving hand washing practices among food workers will require interventions that address PIC knowledge of hand washing requirement and procedure and the development and implementation of effective hand washing training methods.

  16. Hand Washing Practices Among Emergency Medical Services Providers

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    Joshua Bucher

    2015-10-01

    Full Text Available Introduction: Hand hygiene is an important component of infection control efforts. Our primary and secondary goals were to determine the reported rates of hand washing and stethoscope cleaning in emergency medical services (EMS workers, respectively. Methods: We designed a survey about hand hygiene practices. The survey was distributed to various national EMS organizations through e-mail. Descriptive statistics were calculated for survey items (responses on a Likert scale and subpopulations of survey respondents to identify relationships between variables. We used analysis of variance to test differences in means between the subgroups. Results: There were 1,494 responses. Overall, reported hand hygiene practices were poor among pre-hospital providers in all clinical situations. Women reported that they washed their hands more frequently than men overall, although the differences were unlikely to be clinically significant. Hygiene after invasive procedures was reported to be poor. The presence of available hand sanitizer in the ambulance did not improve reported hygiene rates but improved reported rates of cleaning the stethoscope (absolute difference 0.4, p=0.0003. Providers who brought their own sanitizer were more likely to clean their hands. Conclusion: Reported hand hygiene is poor amongst pre-hospital providers. There is a need for future intervention to improve reported performance in pre-hospital provider hand washing.

  17. Hand-Washing Practices of Women; a Qualitative Study

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    Filiz Hisar

    2012-10-01

    Full Text Available AIM: This study was carried out as a qualitative research in order to determine hand-washing practices of women living a Health Center in the town of Golbasi, Ankara. METHOT: The population of the research was made up of married women living in Number 2 Health Care Center in the town of Golbasi, Ankara. The current study is a qualitative research and carried out through purposive sampling method. Data was collected through in-depth interview method for the descriptive statistics, number, percentile frequency and mean were used for the descriptive statistics and content analysis was used for the analysis of qualitative data. RESULTS: The mean age of the women included in the research was =29.86. It was found that 40% of the women were graduates of a primary school and 86.7% had a nuclear family structure. Almost half of the families experienced frequent diarrhea, and almost all of the families often had a common cold / flu. Eighty percent of the women thought that hand washing protected them against common cold, and 66.7% reported that it protected urinary tract and genital area against diseases. On the other hand, 66.7% of the women reported that they did not know anything about the fact that using a towel commonly causes infections. Forty percent of the women expressed that they were able to make the family members wash their hands before meals, 73% did it after toilet while 40% was able to make them wash their hands when they came home. CONCLUSION: In this study it was determined that women do not pay enough attention to hand-washing. Depending on these results, it is suggested that in this first step, educational studies about the hand-washing should be made widespread. [TAF Prev Med Bull 2012; 11(5.000: 537-544

  18. [A nationwide survey on the hand washing behavior and awareness].

    Science.gov (United States)

    Jeong, Jae Sim; Choi, Jun Kil; Jeong, Ihn Sook; Paek, Kyong Ran; In, Hye-Kyung; Park, Ki Dong

    2007-05-01

    This study was conducted to evaluate the public's awareness of the importance of hand washing and to compare perceptions on the habit of hand washing with actual hand washing behavior. Data were collected by observing 2,800 participants washing their hands after using public restrooms in seven cities nationwide and by surveying 1,000 respondents (age>14 years) through telephone interviews using a structured questionnaire. Although 94% of the survey respondents claimed to mostly or always wash their hands after using public restrooms, only 63.4% of the observed participants did wash their hands after using public restrooms. Significant factors related to increased adherence to hand washing were female gender, approximate ages of 20 to 39 years by their appearance, and the presence of other people from the observation. About 79% of the survey respondents always washed their hands after using bathrooms at home, 73% washed their hands before handling food, and 67% washed their hands upon returning to their home. However, 93.2% and 86.3% of the survey respondents did not wash their hands after coughing or sneezing and after handling money, respectively. Although most of the survey respondents (77.6%) were aware that hand washing is helpful in preventing communicable diseases, 39.6% of the survey respondents did not do so because they were 'not accustomed' to washing their hands and 30.2% thought that washing their hands is 'annoying'. This is the first comprehensive report on hand washing behavior and awareness of the general population in Korea. The result of this study in terms of individual behavior and awareness of hand washing are comparable with similar studies conducted in other countries. However adherence to hand washing is still low and needs to be increased. The results of this study can be used as a baseline in setting up strategies and activities to promote adherence to hand washing.

  19. Hand Washing Practices Among Emergency Medical Services Providers

    National Research Council Canada - National Science Library

    Bucher, Joshua; Donovan, Colleen; Ohman-Strickland, Pamela; McCoy, Jonathan

    2015-01-01

    Hand hygiene is an important component of infection control efforts. Our primary and secondary goals were to determine the reported rates of hand washing and stethoscope cleaning in emergency medical services (EMS...

  20. Hygienic hand washing among nursing students in Turkey.

    Science.gov (United States)

    Celik, Sevim; Koçaşli, Sema

    2008-11-01

    The purpose of this study was to determine the application status of hand-washing information given within the context of infection control measures in practice areas among nursing students. This descriptive study was conducted with 430 students. A questionnaire was filled out by the students. In the statistical analysis, frequency, percentage, and chi(2) values were measured for all the questions in the hand-washing questionnaire. We determined that students wash their hands before and after each clinical procedure at a rate of 80.2%. Most of the students (71.9%) reported that they wash their hands for 1 minute or longer. The students' answers showed that the nursing education program, including hand-washing applications within the context of infection control measures, is updated but that the students neither practice what they have learned nor give adequate attention to the subject.

  1. Effectiveness of a nonrinse, alcohol-free antiseptic hand wash.

    Science.gov (United States)

    Moadab, A; Rupley, K F; Wadhams, P

    2001-06-01

    This study evaluated the efficacy of a novel surfactant, allantoin, and benzalkonium chloride hand sanitizer using the US Food and Drug Administration's method for testing antiseptic hand washes that podiatric physicians and other health-care personnel use. The alcohol-free product, HandClens, was compared with an alcohol-based product, Purell. Independent researchers from the California College of Podiatric Medicine conducted the study using 40 volunteer students from the class of 2001. The results show that HandClens outperformed Purell and met the regulatory requirements for a hand sanitizer. Purell failed as an antimicrobial hand wash and was less effective than a control soap used in the study.

  2. Hand Washing Practices among School Children in Ghana

    Directory of Open Access Journals (Sweden)

    M. Steiner-Asiedu

    2011-07-01

    Full Text Available The high incidence of diarrhoeal diseases and other communicable diseases among children due to poor personal hygiene and sanitation remains a concern on the public health agenda in most countries. To address the problem efficiently, an understanding of the knowledge and practices among target populations is needed to plan and design behavioural interventions. It is against this background that the present study was carried out to determine the hand washing practices among children in private and public school in the Metropolis in the Greater-Accra region of Ghana, with both private and public schools. A total of 295 school children were randomly recruited into the study. The study was cross-sectional in design and used qualitative and quantitative methods to collect data. A questionnaire was used to obtain information on sociodemographics. A check list was used during the observation of hand washing practices and an interview guide was used for the focus group discussions. The results showed that, most school children observed did not practice proper hand washing with soap, both in school and at home due to the unavailability and inaccessibility of hand washing facilities such as soap, towel and clean running water. However, majority (90.2% of those who used the school toilet practiced hand washing with soap after defecation. Private schools were found to be 63% (p = 0.02 less likely to wash their hands after using the toilet, 51% (p = 0.03 less likely to wash their hands before eating and 77% (p<0.001 less likely to wash their hands with soap after eating compared to their public school counterparts. Parents reported the presence of hand washing facilities at home but structured observations during home visits proved otherwise. The need to extend the hand washing campaigns to private schools cannot be overemphasised. It will be useful for the Ghana Education Service to collaborate with all stakeholders; such as Ghana Health Services, National

  3. Transfer of fibres on the hands of living subjects and their persistence during hand washing.

    Science.gov (United States)

    Hong, Sungwook; Han, Aleum; Kim, Sojung; Son, Dasom; Min, Heewon

    2014-12-01

    Textile fibres were transferred to the hands of ten living subjects and their persistence was determined after hand washing. Average number of fibres transferred was 300 ± 133 (female 288 ± 92, male 311 ± 163) per 100 cm(2) hand area in the 100 experiments. However the number of fibres transferred was not gender dependent but individual dependent. The hand texture of subjects was compared with the number of fibres transferred but the relationship was not observed. The number of fibres transferred varied significantly for the 10 repeated experiments performed under the same conditions for the same subject. The subjects were then asked to wash their hands with water. One test group washed their hands with standing water, and the other with running tap water. Afterwards, the number of fibres remaining on the test subjects' hands were investigated. Migration of the fibres on the surface of the observed hands did occur but total loss of transferred fibre after hand washing did not occur. The average number of fibres remaining per 100 cm(2) hand area was 14 ± 10 (range=3-72) for hand washing with standing water, and 10 ± 12 (range=0-79) for washing with running tap water. The results of this study show the possibility of finding fibres on the hands of a person involved in a criminal case even after hand washing before fibre collection.

  4. Hand washing in operating room: a procedural comparison

    Directory of Open Access Journals (Sweden)

    Alessia Stilo

    2016-09-01

    Full Text Available BACKGROUND Hand washing has been considered a measure of personal hygiene for centuries and it is known that an improper hand hygiene by healthcare workers is responsible for about 40% of nosocomial infections. Therefore, surgical hand preparation is a critical element for healthcare safety in order to reduce microbial contamination of  surgical wound in case of non detected break of the gloves. The aim of our study is to evaluate the efficacy three antiseptics: Povi-iodine scrub; EPG (Ethanol, Hydrogen Peroxide, Glycerol, recommended by WHO, and common marseille soap type in a liquid formulation. METHODS It was designed a randomized, double-blind, single-center study conducted in the University Hospital of Messina, from January to June 2013. We asked operators to put the fingertips of their right hand (if not left-handed for one minute on the PCA medium, before washing with the three types of antiseptics, and after washing and drying. Drying was made using sterile gauzes or disposable wipes. Then, we measured the number of colony forming units per mL (CFU/mL and calculated the percentage of microbial load reduction. RESULTS 211 samples have been considered for statistical analysis: in 42 samples, in fact, initial microbial load was lower than after washing. Washing with EPG reduced CFU/ml from  a mean of 38,9 to 4,1 (86,5% reduction, washing with povi-iodine scrub from 59,55 to 12,9 (75,9% reduction and washing with Marseille soap from 47,26 to 12,7 (64,3% reduction. CONCLUSIONS Our study shows that washing with EPG has superior efficacy in CFU reduction. Antiseptic hand washing, however, cannot be considered the only measure to reduce infections: the anomaly of some results (initial microbial load lower than after washing  demonstrates that drying is an essential phase in the presurgical preparation. Therefore, hand hygiene must be part of a more complex strategy of surveillance and control of nosocomial infections

  5. Comparison of traditional hand wash with alcoholic hand rub in ICU setup

    Directory of Open Access Journals (Sweden)

    Maliekal Mona

    2005-01-01

    Full Text Available Background: Nosocomial infection rate are often higher for intensive care unit (ICU than other units of hospitals, and hands of health-care workers (HCWs play a major role in the transmission of the infections. Aim: To compare the efficacy of conventional hand wash with the hand rub in reducing the transient bacterial flora on the hands of nurses in ICU. Subject and Methods: The 34 nurses posted in our ICU during January-March 2003 were included. A total of 204 samples were collected for the residual bacterial flora on fingers using impression method on MacConkey agar plates. The subjects then used alcoholic hand rub or conventional hand wash and the residual bacterial flora rechecked by testing impression of fingers on MacConkey agar. Results: Escherichia coli, Klebsiella spp., nonlactose fermenting Gram-negative bacilli, staphylococci, and streptococci formed the transient bacterial flora on the hands. Moderate to heavy bacterial density was seen in more than 92.2% of the hands before washing or hand rub application. Conventional hand wash resulted in drastic reduction in the transient bacterial flora on hands in 50% cases whereas alcoholic hand rub achieved the effect in 95% of the samples. Conclusion: Compared with conventional hand wash, alcoholic hand rub is far more efficient in reducing transient bacterial flora on the hands of HCWs and it is more convenient and time saving. It is recommended as a hand hygiene practice in critical areas such as ICU.

  6. Increasing hand washing compliance with a simple visual cue.

    Science.gov (United States)

    Ford, Eric W; Boyer, Brian T; Menachemi, Nir; Huerta, Timothy R

    2014-10-01

    We tested the efficacy of a simple, visual cue to increase hand washing with soap and water. Automated towel dispensers in 8 public bathrooms were set to present a towel either with or without activation by users. We set the 2 modes to operate alternately for 10 weeks. Wireless sensors were used to record entry into bathrooms. Towel and soap consumption rates were checked weekly. There were 97,351 hand-washing opportunities across all restrooms. Towel use was 22.6% higher (P=.05) and soap use was 13.3% higher (P=.003) when the dispenser presented the towel without user activation than when activation was required. Results showed that a visual cue can increase hand-washing compliance in public facilities.

  7. Inspections of Hand Washing Supplies and Hand Sanitizer in Public Schools

    Science.gov (United States)

    Ramos, Mary M.; Blea, Mary; Trujillo, Rebecca; Greenberg, Cynthia

    2010-01-01

    Hand washing and hand antisepsis are proven infection control measures in the school setting, yet barriers such as lack of soap, paper towels, and hand sanitizer can hinder compliance. This pilot study measured the prevalence of hand cleaning supplies in public schools. Ten school districts (93 schools) participated in school nurse inspections. In…

  8. [On compulsive hand-washing--psychopathology of "touching"].

    Science.gov (United States)

    Matsumoto, M

    1993-01-01

    Compulsive hand-washing has been well known to the psychiatrists, since Legrand du Saulle described this disorder by the name of "délire du toucher" (1866), which refers to mysophobia or contact-phobia. But its clinical significance seems to have been not fully examined, except from the psychoanalytical point of view, that has observed the repression of sexuality in its pathology. This report presents four cases of compulsive hand-washing, and explores why they exclusively wash their hands. In order to elucidate the reason for their hand-washing and its significance, this report aims to study the relation of following three elements; "Sexuality", "hand" and "touching". As the idioms using "hand" often represent the various modes of sexual life in Japanese language as well as in English, so the "touching by hand" is reasonably considered to evoke the sexual impulsions, which the hand-washers fear and wish to avoid. On the other hand, "touching" is, necessarily in nature, to be touched by the touched object. For example, one who touches the lover's hand is inevitably to be touched by hers. That is; one is forced to be an object of one's object, which becomes to be a subject. In this sense, the act of "touching" means to lose one's "being subject" and to melt oneself into the situation where the structural distinction of subject and object can disappear. So one's act of "touching" or vivid contact with the other can cause anxiety by means of losing one's ego, which may be also a critical point to introduce to create something new. A compulsive hand-washer fears and avoids this critical moment that can make him lose his "being subject", so he "washes his hands of (cuts off relation with)" the situation that can undermine his ego. This avoidance of having contact can be compared to "the lose of vivid contact with the reality (la perte du contact avec la réalité (Minkowski)" observed in schizophrenia. In their ways of life, many hand-washers are not less autistic than

  9. This is the way we wash our hands.

    Science.gov (United States)

    Gallagher, R

    Infection control nurses have a professional, ethical and legal duty to promote effective infection control practices throughout their trusts. This article describes a pilot study set up to observe hand-washing and glove use at Royal United Hospital Bath and sets out its recommendations for improvements in practice.

  10. All You Have to Do is Wash Your Hands

    Centers for Disease Control (CDC) Podcasts

    2009-03-26

    This CDC Kidtastics podcast teaches children how and when to wash their hands properly.  Created: 3/26/2009 by National Center for Zoonotic, Vector-Borne, and Enteric Diseases (NCZVED).   Date Released: 3/26/2009.

  11. Patients' Hand Washing and Reducing Hospital-Acquired Infection.

    Science.gov (United States)

    Haverstick, Stacy; Goodrich, Cara; Freeman, Regi; James, Shandra; Kullar, Rajkiran; Ahrens, Melissa

    2017-06-01

    Hand hygiene is important to prevent hospital-acquired infections. Patients' hand hygiene is just as important as hospital workers' hand hygiene. Hospital-acquired infection rates remain a concern across health centers. To improve patients' hand hygiene through the promotion and use of hand washing with soap and water, hand sanitizer, or both and improve patients' education to reduce hospital-acquired infections. In August 2013, patients in a cardiothoracic postsurgical step-down unit were provided with individual bottles of hand sanitizer. Nurses and nursing technicians provided hand hygiene education to each patient. Patients completed a 6-question survey before the intervention, at hospital discharge and 1, 2, and 3 months after the intervention. Hospital-acquired infection data were tracked monthly by infection prevention staff. Significant correlations were found between hand hygiene and rates of infection with vancomycin-resistant enterococci (P = .003) and methicillin-resistant Staphylococcus aureus (P = .01) after the intervention. After the implementation of hand hygiene interventions, rates of both infections declined significantly and patients reported more staff offering opportunities for and encouraging hand hygiene. This quality improvement project demonstrates that increased hand hygiene compliance by patients can influence infection rates in an adult cardiothoracic step-down unit. The decreased infection rates and increased compliance with hand hygiene among the patients may be attributed to the implementation of patient education and the increased accessibility and use of hand sanitizer. ©2017 American Association of Critical-Care Nurses.

  12. Effect of hand wash agents on controlling the transmission of pathogenic bacteria from hands to food.

    Science.gov (United States)

    Fischler, George E; Fuls, Janice L; Dail, Elizabeth W; Duran, Melani H; Rodgers, Nancy D; Waggoner, Andrea L

    2007-12-01

    The goals of this study were to evaluate the effectiveness of two hand wash regimens in reducing transient bacteria on the skin following a single hand wash and the subsequent transfer of the bacteria to a ready-to-eat food item, freshly cut cantaloupe melon. The number of bacteria recovered from hands and the quantity transferred to the melon were significantly less following the use of an antibacterial soap compared with plain soap. The antimicrobial soap achieved > 3-log reductions versus Escherichia coli and 3.31- and 2.83-log reductions versus Shigella flexneri. The plain soap failed to achieve a 2-log reduction against either organism. The bacteria recovered from the melon handled by hands treated with antimicrobial hand soap averaged 2 log. Melon handled following hand washing with plain soap had > 3 log bacteria in the experiments. Based on previously published feeding studies, an infection rate in the range of approximately 15 to 25% would be expected after ingesting melon containing 2 log CFU compared with ingesting greater than the 3 log transferred from hands washed with plain soap, which would result in a higher infection attack rate of 50 to 80%. The data thus demonstrate there is a greater potential to reduce the transmission and acquisition of disease through the use of an antimicrobial hand wash than through the use of plain soap.

  13. Comparison of hand hygiene monitoring using the 5 Moments for Hand Hygiene method versus a wash in-wash out method.

    Science.gov (United States)

    Sunkesula, Venkata C K; Meranda, David; Kundrapu, Sirisha; Zabarsky, Trina F; McKee, Melissa; Macinga, David R; Donskey, Curtis J

    2015-01-01

    One strategy to promote improved hand hygiene is to monitor health care workers' adherence to recommended practices and give feedback. For feasibility of monitoring, many health care facilities assess hand hygiene practices on room entry and exit (wash in-wash out). It is not known if the wash in-wash out method is comparable with a more comprehensive approach, such as the World Health Organization's My 5 Moments for Hand Hygiene method. During a 1-month period, a surreptitious observer monitored hand hygiene compliance simultaneously using the wash in-wash out and My 5 Moments for Hand Hygiene methods. For 283 health care worker room entries, the methods resulted in similar rates of hand hygiene compliance (70% vs 72%, respectively). The wash in-wash out method required 148 hand hygiene events not required by the My 5 Moments for Hand Hygiene method (ie, before and after room entry with no patient or environmental contact) while not providing monitoring for 89 hand hygiene opportunities in patient rooms. The monitoring methods resulted in similar overall rates of hand hygiene compliance. Use of the wash in-wash out method should include ongoing education and intermittent assessment of hand hygiene before clean procedures and after body fluid exposure in patient rooms. Published by Elsevier Inc.

  14. To wash or not to wash the hands? Reasons for a nursing team.

    OpenAIRE

    2008-01-01

    A qualitative study was performed by asking the nursing team at an emergency care hospital about the reasons that lead them to wash their hands or not, since this is an important measure to control cross infection in hospitals. The data, obtained by using the focus groups technique were submitted to enunciation analysis, resulting in emerging topics. It was found out that the supply of material and environmental resources is essential but does not solve all problems. The procedure is performe...

  15. Comparing hand washing to hand sanitizers in reducing elementary school students' absenteeism.

    Science.gov (United States)

    Vessey, Judith A; Sherwood, Jessie J; Warner, Dorothy; Clark, Diane

    2007-01-01

    To compare the efficacy of an alcohol-based hand sanitizer to standard hand washing in reducing illness and subsequent absenteeism in school-age children. A randomized cross-over design was used with 18 classrooms of 2nd and 3rd grade students (n = 383) from 4 elementary schools. Half of the classes from each school used an anti-microbial gel hand sanitizer while the other half used soap and water for regular hand hygiene for 2 months, then, the students switched cleaning methods for the following 2 months. No significant differences in absenteeism rates were demonstrated. A follow-up focus group comprised of teachers and school nurses indicated that hand sanitizers were preferred over soap and water. Hand sanitizers are an appropriate alternative to hand washing for hand cleansing and may offer additional benefits in the school setting.

  16. Patients' feelings about hand washing, MRSA status and patient information.

    Science.gov (United States)

    Duncan, Christopher Paul; Dealey, Carol

    The purpose of this study was to explore patient opinion about asking healthcare professionals to wash their hands before a clinical procedure and to explore if methicillin-resistant Staphylococcus aureus (MRSA) status and access to patient information about infection control would influence the patients' anxiety about asking. A descriptive survey was undertaken using a semi-structured questionnaire. The questionnaire was distributed to a randomized convenience sample of 185 inpatients across all departments of an acute NHS Trust hospital (response rate 58.9%). Spearman's rank order and Kendall Tau-b tests were used to analyse specific correlations. Respondents were more confident than anxious about being involved in a campaign that empowered patients to ask staff to wash their hands. Patients were more anxious to ask if their previous admission episodes were fewer, if their knowledge of MRSA was high and if there was less information about infection control available. Patients who had contracted MRSA in the past were less anxious, as they had a better understanding of the disease. In addition, more patients felt less anxious about asking staff to wash their hands if staff wore a badge saying 'It's OK to ask'.

  17. Antimicrobial efficacy of soap and water hand washing versus an alcohol-based hand cleanser.

    Science.gov (United States)

    Holton, Ronald H; Huber, Michaell A; Terezhalmy, Geza T

    2009-12-01

    The emergence of alcohol-based hand cleansers may represent an alternative to soap and water in the clinical dental setting. In this study, the antimicrobial efficacy of traditional hand washing vs. a unique alcohol-based hand cleanser with persistence was evaluated. Two experienced dentists participated over a 10-day period. On days 1-5, each clinician used an antibacterial liquid soap (Dial, Dial Corporation, Scottsdale, AZ). Days 6-10, an alcohol-based hand cleanser (Triseptin Water Optional, Healthpoint Surgical, Fort Worth, TX) was used. Sampling was by modified glove juice technique. The results indicate that the alcohol-based hand cleanser dramatically outperforms the traditional hand washing agent in the general dental setting.

  18. Hand hygiene in the dermatologist's office: to wash or to rub?

    Science.gov (United States)

    Messina, Michael J; Brodell, Lindsey A; Brodell, Robert T; Mostow, Eliot N

    2008-12-01

    Hand hygiene is a central factor in preventing the spread of disease in the dermatologist's office. The role of hand washing and alcohol-based hand rubs is considered with emphasis on compliance, effectiveness, side effects, and cost. Specific recommendations highlight the importance of using alcohol-based hand rubs as an adjunct to traditional hand-washing methods.

  19. [To wash or not to wash the hands? Reasons for a nursing team].

    Science.gov (United States)

    Martini, Angela Conte; Dall'Agnol, Clarice Maria

    2005-04-01

    A qualitative study was performed by asking the nursing team at an emergency care hospital about the reasons that lead them to wash their hands or not, since this is an important measure to control cross infection in hospitals. The data, obtained by using the focus groups technique were submitted to enunciation analysis, resulting in emerging topics. It was found out that the supply of material and environmental resources is essential but does not solve all problems. The procedure is performed mainly because of visible dirt and it is a neglected and undervalued practice with predominant focus on protecting the professionals.

  20. Hand washing practices in two communities of two states of Eastern India: an intervention study.

    Science.gov (United States)

    Ray, Sandip Kumar; Zaman, Forhad Akhtar; Laskar, Nasrin Banu

    2010-01-01

    Public health importance of hand washing as well as its importance in reduction of communicable diseases such as diarrhea and acute respiratory infections have been highlighted in many studies worldwide. This study was designed to study the hand washing practices followed in two urban slums as well as to assess and compare the status of different components of hand washing at the pre- and post-intervention phases. A community-based cross-sectional intervention study on hand washing practices was carried out at two urban slums situated in two states of Eastern India with similar sociocultural and linguistic background. The study was carried out by using an interview technique as well as observation of hand washing practices. Interpersonal communication for behavioural change was chosen as a method of intervention. The majority (>90%) practiced hand washing after defecation in both the study areas. However, hand washing following all six steps and for stipulated time period was seen to be poor before intervention. Significant improvement was observed in all the aspects of hand washing after intervention in both the areas. The poor practice of hand washing was observed in some situations and needed attention. Use of soap and clean material for drying hands after hand washing was poor initially followed by improvement after intervention. Based on the findings of the study, it could be suggested that Behaviour Change Communication program should be further planned with emphasis on different components of hand washing with a final objective to bring down the incidence of target diseases.

  1. FORMULATION AND EVALUATION OF HERBAL HAND WASH FROM MATRICARIA CHAMOMILLA FLOWERS EXTRACTS

    Directory of Open Access Journals (Sweden)

    Ali Heyam Saad

    2011-06-01

    Full Text Available Nasocomial infection has emerged as a critical issue in hospital care outcome, resulting in substantial morbidity and mortality. The hands of health care workers are the primary routes of transmission of infection to patients. Hence, it brings up the use of antiseptic for hand washing purposes. Many of the antiseptic available in market are alcohol based sanitizers which have some shortcomings or adverse effects. Their frequent use can lead to skin irritation. Chamomile is one of the most widely used and well-documented medicinal plants in the world. This study aimed to formulate effective herbal hand wash using Matricaria chamomilla (German chamomile flowers with emphasis on safety and efficacy and to avoid the risk posed by synthetic antimicrobials. Evaluation of the antimicrobial activity against skin pathogens of the prepared herbal hand wash was performed using disc diffusion method. Its efficacy was checked and compared with the commercial ones. Results revealed that chamomile soap formulation was more efficient in reducing the number of organisms from hands than the commercial antiseptic soaps thus it can be used as an antiseptic soap with less or no side effects.

  2. Harmony: A Hand Wash Monitoring and Reminder System using Smart Watches

    Directory of Open Access Journals (Sweden)

    Md Abu Sayeed Mondol

    2015-08-01

    Full Text Available Hand hygiene compliance is extremely important in hospitals, clinics and food businesses. Caregivers' compliance with hand hygiene is one of the most effective tools in preventing healthcare associated infections (HAIs in hospitals and clinics. In food businesses, hand hygiene compliance is essential to prevent food contamination, and thus food borne illness. Washing hands properly is the cornerstone of hand hygiene. However, the hand wash compliance rate by the workers (care givers, waiters, chefs, food processors and so on is not up to the mark. Monitoring hand wash compliance along with a reminder system increases the compliance rate significantly. Quality of a hand wash is also important which can be achieved by washing hands in accordance with standard guidelines. In this paper, we present Harmony, a hand wash monitoring and reminder system that monitors hand wash events and their quality, provides real time feedback, reminds the person of interest when he/she is required to wash hands, and stores related data in a server for further use. Worker worn smart watches are the key components of Harmony that can differentiate hand wash gestures from other gestures with an average accuracy of about 88%. Harmony is robust, scalable, and easy to install, and it overcomes most of the problems of existing related systems.

  3. How often do you wash your hands? A review of studies of hand-washing practices in the community during and after the SARS outbreak in 2003.

    Science.gov (United States)

    Fung, Isaac C-H; Cairncross, Sandy

    2007-06-01

    We reviewed evidence of hand-washing compliance in community settings during the 2003 SARS outbreak. Literature was searched through PubMed, Cochrane Library, Wan Fang database and Google. English and Chinese papers were reviewed. Studies containing data on hand-washing, self-reported or directly observed, in community settings were selected. Case-control studies and studies in healthcare settings were excluded. Fourteen studies were reviewed. Self-reported hand-washing compliance increased in the first phase of the SARS outbreak and maintained a high level 22 months after the outbreak. The decline of hand-washing in Hong Kong after SARS was relatively slow. A significant gender difference in hand-washing compliance (female > male) was found in eight studies. The importance of family support and 'significant female others' in hand hygiene promotion are noted. The impact of education is uncertain. Perceived susceptibility to and severity of SARS, and perceived efficacy of hand-washing in preventing SARS, also predicted self-reported hand-washing compliance.

  4. Efficacy of alcohol-based gels compared with simple hand wash and hygienic hand disinfection.

    Science.gov (United States)

    Kampf, G; Ostermeyer, C

    2004-04-01

    A recent research letter on the limited efficacy of alcohol-based hand gels has alerted the global infection control community and raised the question of the true significance of data obtained according to EN 1500. It has been described that a 1 min simple hand wash reduces artificial contamination of hands by a log(10) reduction factor of 2.8 and a 1 min reference hand disinfection with 2-propanol (60%, v/v) by a factor of 4.6 steps. The EN 1500 gel data show that the 30 s efficacy of most gels is closer to a simple hand wash than to the reference hand disinfection. The 30 s efficacy of most alcohol-based liquid products and one gel, however, is almost identical to the reference hand disinfection. In many European countries alcohol-based liquid products have been established as a standard practice in hygienic hand disinfection for decades. Replacement of these products with most available gels would be a step backward in terms of efficacy and has still to be seen critically from the efficacy point of view.

  5. Using Olfaction and Unpleasant Reminders to Reduce the Intention-behavior Gap in Hand Washing.

    Science.gov (United States)

    Pellegrino, Robert; Crandall, Philip G; Seo, Han-Seok

    2016-01-06

    Lack of hand washing is a leading cause of food borne illnesses. To successfully increase hand hygiene compliance, interventions must have continual engagement with employees. This study used a real-time prospective memory (PM) scenario to measure the effectiveness of a control and sensory reminders of disgust to influence hand washing behavior and performance. First, a model of hand washing performance was built by having six participants' hands contaminated with GermGlo (a florescent micro-particle) and then washed their hands using predetermined protocols while monitored by an electronic hand hygiene verification (HHV) system. Next, eighty Hispanic/Latino participants, in a between-group experimental design, performed a PM experiment while one of four reminders were present (hand washing poster, disgusting image, disgusting sound, and disgusting odor) as the HHV recorded their hand washing performance. Visual cues, typical of hand washing campaigns, were not as effective at increasing hand hygiene compliance as disgust-induced sensory cues. Furthermore, olfactory disgust showed a significantly higher probability that individuals would engage in hand washing behaviors than all other conditions. This study provides new insight into the effectiveness of different senses and emotion to reduce the intention-behavior gap associated with modifying behaviors, and broadens current PM research to a real-time application.

  6. Single treatment with ethanol hand rub is ineffective against human rhinovirus--hand washing with soap and water removes the virus efficiently.

    Science.gov (United States)

    Savolainen-Kopra, Carita; Korpela, Terttu; Simonen-Tikka, Marja-Leena; Amiryousefi, Ali; Ziegler, Thedi; Roivainen, Merja; Hovi, Tapani

    2012-03-01

    Ethanol-containing hand rubs are used frequently as a substitute for hand washing with water and soap. However, not all viruses are inactivated by a short term rubbing with alcohol. The capacity of a single round of instructed and controlled hand cleaning with water and soap or ethanol-containing hand rub, respectively, was tested for removal of human rhinovirus administered onto the skin of healthy volunteers on the back of the hands. Hand washing with soap and water appeared to be much more efficient for removing rhinoviruses from skin than rubbing hands with an ethanol-containing disinfectant. After washing with soap and water the virus was detected in 3/9 (33.3%) test persons from the left hand and 1/9 (11.1%) cases from the right hand, whereas the virus was detected invariably by real-time RT-PCR from both hands after cleaning with alcohol hand rub (P-value soap can clean efficiently hands contaminated with the virus responsible for an extensive share of common cold episodes.

  7. Bacteriological Aspects of Hand Washing: A Key for Health Promotion and Infections Control.

    Science.gov (United States)

    Ataee, Ramezan Ali; Ataee, Mohammad Hosein; Mehrabi Tavana, Ali; Salesi, Mahmud

    2017-01-01

    The aim of this review is to show the historical aspects of hands washing for healthy life and explains how can reduce the transmission of community-acquired infectious agents by healthcare workers and patients. This review article is prepared based on available database. The key words used were hands washing, risk assessment, hands hygiene, bacterial flora, contamination, infection, nosocomial, tap water, sanitizer, bacterial resistance, hands bacterial flora, washing methods, antiseptics, healthcare workers, healthcare personnel, from PubMed, ScienceDirect, Embase, Scopus, Web of Sciences, and Google Scholar. Data were descriptively analyzed. The insistence on hand washing has a history of 1400 years. The research results indicate that the bacteria released from the female washed hands in wet and dry condition was lower than from the male's hands with a significance level (3 CFU vs. 8 CFU; confidence interval 95%, P ≤ 0.001). The valuable results of the study indicated that released amount of bacterial flora from wet hands is more than 10 times in compared to dry hands. In addition, established monitoring systems for washing hands before and after patient's manipulation as well as after toilet were dominant indices to prevent the transfer of infectious agents to the patients. Increasing awareness and belief of the healthcare workers have shown an important role by about 30% reduction in the transfection. Hand washing could reduce the episodes of transmission of infectious agents in both community and healthcare settings. However, hand washing is an important key factor to prevent transmission of infectious agents to patients. There is no standard method for measuring compliance. Thus, permanent monitoring of hand washing to reduce the transmission of infections is crucial. Finally, the personnel must believe that hand washing is an inevitable approach to infection control.

  8. Hand-washing practices amongst mothers of under-5 children in Port Harcourt, Nigeria.

    Science.gov (United States)

    Opara, Peace; Alex-Hart, Balafama; Okari, Tamunoiyowuna

    2017-02-01

    Hand-washing with soap and water (HWWS) can prevent a significant proportion of childhood diarrhoea and respiratory infections, the two main global causes of child mortality. However, good hand-washing practices are rare, especially in low-income countries, and findings suggest that hand-washing at critical times such as after defaecation or cleaning an infant's perineum are not common practice. The study explored hand-washing practices among mothers of children under-5 in Port Harcourt. This was a cross-sectional study of self-reported hand-washing practices among mothers of children under-5 presenting to the paediatric clinics of the University of Port Harcourt Teaching Hospital. Using a simple structured questionnaire, the data collected included biodata, perceptions, and self-reported behaviour concerning hand-washing at critical times. 154 mothers participated in the study. Sixty-four (41.6%) mothers usually washed their hands with soapy water in a container, 30 (19.5%) used soap and running water, and 60 (38.9%) used only water, either running or in a container. After cleaning an infant's perineal area, 60 (40.3%) and 39 (25.3%) used soap and running water and soapy water in a container, respectively, to wash their hands while 48 (31.2%) used plain water. Before feeding infants, 47 (30.5%) washed their hands with soap and running water. HWWS at critical times was significantly associated with mothers' level of education (P Hand-washing practices by mothers in Port Harcourt are poor. Extensive education of the public is required to reduce the risks of childhood infections associated with lack of hand-washing.

  9. [Microbiological characteristics of selected liquid soaps for hands washing].

    Science.gov (United States)

    Tyski, Stefan; Bocian, Ewa; Zawistowska, Anna; Mrówka, Agnieszka; Kruszewska, Hanna; Grzybowska, Wanda; Zareba, Tomasz

    2013-01-01

    According to common belief, supported by the authority of the World Health Organization - WHO, the common (social) hand washing is the simplest, cheapest and the most effective way of reduction the hospital-acquired infections. For this purpose products of"liquid soaps", present in a large number on the market, are most often applied. Microbiological status (microbiological purity and antimicrobial activity) of"liquid soaps" available on the Polish market is not known, because relevant routinely studies have not been performed. Only the antibacterial and / or antifungal activity of certain formulations is sometimes assessed, especially when the manufacturer suggests the standardized application of the products for surgical or hygienic procedures. The aim of this study was to determine the microbiological quality, especially microbiological purity and antimicrobial activity of the selected hands washing products, presents on the Polish market. The 12 selected commercial products, available on the market in Poland, dedicated for hands washing were included into study. Microbiological purity test was carried out in accordance with the Polish Pharmacopoeia (FP) monograph (FP monograph numbers correspond to numbers of the European Pharmacopoeia monograph- Ph. Eur.) No 2.6.12 "Microbiological examination of non-sterile products: microbial enumaration tests", and the monograph of FP No. 2.6.13 "Microbiological examination of non-sterile products: test for specified microorganisms". The following physico-chemical properties of soaps were examined: the pH of the formulations was measured according to the monograph FP No. 2.2.3. "Potentiometric determination of pH", the density of products was assayed according to the monograph FPNo. 2.2.5. "Relative density" and determination the water activity was performed by monograph FP No 2.9.39 "Water-solid interactions: determination of sorption-desorption isotherms and of water activity". Next, antibacterial and antifungal

  10. Factors Influencing Hand Washing Behaviour in Primary Schools: Process Evaluation within a Randomized Controlled Trial

    Science.gov (United States)

    Chittleborough, Catherine R.; Nicholson, Alexandra L.; Basker, Elaine; Bell, Sarah; Campbell, Rona

    2012-01-01

    This article explores factors that may influence hand washing behaviour among pupils and staff in primary schools. A qualitative process evaluation within a cluster randomized controlled trial included pupil focus groups (n = 16, aged 6-11 years), semi-structured interviews (n = 16 teachers) and observations of hand washing facilities (n = 57).…

  11. Many Parts of the World Lack Soap for Hand-Washing

    Science.gov (United States)

    ... 167056.html Many Parts of the World Lack Soap for Hand-Washing Areas with lowest rates are in Africa, research ... that they do without, a new study finds. Hand-washing with soap can help prevent the spread of diseases, especially ...

  12. Evaluating the Utility of Commercial Videotapes for Teaching Hand Washing to Children with Autism

    Science.gov (United States)

    Rosenberg, Nancy E.; Schwartz, Ilene S.; Davis, Carol A.

    2010-01-01

    We evaluated the effects of using a commercially available video model to teach three preschoolers with autism to wash their hands. While one child learned 80% of the hand washing steps, 2 of the 3 children did not learn from the commercial model. All were subsequently exposed to a customized video model, which resulted in at least some…

  13. OBSERVED HAND WASHING PRACTICES AMONG HEALTH WORKERS IN TWO CRITICAL PAEDIATRICS WARDS OF A SPECIALIST HOSPITAL

    Directory of Open Access Journals (Sweden)

    Balafama Abinye Alex-Hart

    2014-01-01

    Full Text Available Hand washing in between patient care by health workers is the single most important measure against occurrence and spread of nosocomial infections within health facilities. This study was done to observe health workers hand washing practices in two critical Paediatric wards of a specialist hospital. Trained observers observed and recorded health workers’ hand washing compliance while carrying out their routine patient care. Other information recorded included the time of observation and health workers’ occupation and rank. Data was fed in to excel spread sheet and analyzed using SPSS version 16.0. A total of 150 health workers were observed in this study. There were 116 (77.3% females and 34 (22.7% males giving a male: Female ratio of 1: 3.4. There were 86 (57.3% doctors and 64 (42.7% nurses. During the period of observation, soap with running water was found in only 39 (26.0% occasions. Common cotton towel was found in 78.7% of the period of observation as the only available hand drying facility. Doctors’ hand washing rates before and after patients contact were 17.4 and 64.0% respectively. Doctors’ hand washing rates before and after simple procedures ranged from 0 to 56.5 and 60.6 to 100% respectively. Nurses’ hand washing rates before and after simple procedures ranged from 1.3 to 28.6% and 19.7 to 88.4% respectively. Health workers (doctors and nurses hand washing rates on entering the wards was 4%. Hand washing rate before leaving the wards was 74.7%. Majority of the health workers dried their hands with non-disposable common cotton towels on 72.0% of the occasions. Hand washing rates was very low before patient contact and before simple procedures.

  14. Comparison of four methods of hand washing in situations of inadequate water supply.

    Science.gov (United States)

    Ogunsola, F T; Adesiji, Y O

    2008-01-01

    Hand washing is the single most important means of preventing hospital acquired infections, but requires for effectiveness, a constant supply of running water and proper facilities. Most developing countries do not have constant running water facilities, so alternate methods have been developed and used in clinics and hospitals. To compare and validate alternate methods of hand washing developed for use in Nigeria. The hands of 12 volunteers were pre-contaminated with known isolates of Klebsiella pneumoniae, Escherichia coli and Pseudomonas aeruginosa. The volunteers washed their hands as described by Ayliffe. The hands and equipment were cultured pre- and post-contamination and post-hand washing. The water used for the hand wash was also cultured pre-hand washing to control for water-based contamination. Each method was evaluated three times and various parts of the equipment were cultured to determine the areas contaminated by the hands during the hand wash. "Elbow-way" was shown to be the best and the gold standard Sink and Tap for promoting an effective hand washing, as there was no evidence of post-contamination. The worst was the single-bowl method in which the hands of all the 12 (100%) volunteers were contaminated from the bowl, followed by the two-bowl initiative 10 (83%) and the bucket and bowl 9 (75%). The bucket and bowl as well as the single-bowl methods most commonly used in hospitals result in gross contamination of the bowls and bucket and are therefore unsafe and should be discouraged. The elbow way on the other hand appears to be an easy and safe alternative in situations where there is no running water.

  15. Effect of intensive hand washing education on hand washing behaviors in thai households with an influenza-positive child in urban Thailand.

    Science.gov (United States)

    Kaewchana, Suchada; Simmerman, Mark; Somrongthong, Ratana; Suntarattiwong, Piyarat; Lertmaharit, Somrat; Chotipitayasunondh, Tawee

    2012-07-01

    This study assessed the effect of intensive education on self-reported frequency of hand washing (FHW), measured quality of hand washing (QHW), and measured scores of knowledge, attitude, and practice (KAP) after 7 days and 90 days home-based intensive education of participants (aged >7 years) in households with a influenza-positive child. The authors provided intensive hand washing education using interactive participation including individual training, self-monitoring diary, provision of soap, and so on. There were significant improvements on FHW and QHW on day 7, control group (n(1) = 135) reported 3.9 hand washing episodes/day, whereas the intervention group (n(2) = 140) reported 5.7 episodes/day; control group (n(1) = 164) obtained a 3.2 measured quality score, whereas the intervention group (n(2) = 166) obtained a score of 6.4. Pre-education and 90 days post-education, FHW significantly improved by 2 episodes/day and QHW increased by 3 scores/episode. Knowledge of influenza and hand washing following coughing/sneezing showed significant improvement, but attitude modification toward severity of influenza requires a more intensified and longer intervention.

  16. Ineffective hand washing and the contamination of carrots after using a field latrine.

    Science.gov (United States)

    Monaghan, J M; Hutchison, M L

    2016-04-01

    A study was undertaken to simulate the likely effects of a field worker with poor hygienic practices that had returned to work too soon after recovering from an infection by an enteric pathogen. The studies simulated a variety of hand-washing practices from no washing to washing with soap and water followed by an application of alcohol gel after using a field latrine. The numbers of generic Escherichia coli isolated from workers' hands declined with increasing thoroughness of hand-washing treatments with unwashed hands > water > water and soap > water, soap and alcohol gel. Where gloves were worn the counts obtained for the treatments were significantly reduced, but it was observed that unwashed hands contaminated gloves during the process of putting them on. Hand contamination following the use of a field latrine transferred contamination to carrots. These results suggest that if no gloves are worn it would be best practice to wash hands with water and soap and apply alcohol gel after using a field latrine. Wearing gloves reduced the risk of contaminating handled produce but workers should still wash their hands after using a field latrine before applying gloves. This study shows that inadequate hand hygiene in the field following the use of a field latrine can transfer bacterial contamination to hand-harvested carrots. Where fresh produce crops are to be handled by workers, wearing gloves reduces the risk of contaminating produce but workers should still wash their hands after using a field latrine before applying gloves. If no gloves are worn it would be best practice to wash hands with water and soap and apply alcohol gel after using a field latrine. © 2016 The Society for Applied Microbiology.

  17. Washing our hands of the congenital cytomegalovirus disease epidemic

    Directory of Open Access Journals (Sweden)

    Cannon Michael J

    2005-06-01

    Full Text Available Abstract Background Each year in the United States, an estimated 40,000 children are born with congenital cytomegalovirus (CMV infection, causing an estimated 400 deaths and leaving approximately 8000 children with permanent disabilities such as hearing or vision loss, or mental retardation. More children are affected by serious CMV-related disabilities than by several better-known childhood maladies, including Down syndrome, fetal alcohol syndrome, and spina bifida. Discussion Congenital CMV is a prime target for prevention not only because of its substantial disease burden but also because the biology and epidemiology of CMV suggest that there are ways to reduce viral transmission. Because exposure to the saliva or urine of young children is a major cause of CMV infection among pregnant women, it is likely that good personal hygiene, especially hand-washing, can reduce the risk of CMV acquisition. Experts agree that such measures are likely to be efficacious (i.e., they will work if consistently followed and the American College of Obstetricians and Gynecologists recommends that physicians counsel pregnant women about preventing CMV acquisition through careful attention to hygiene. However, because of concerns about effectiveness (i.e., Will women consistently follow hygienic practices as the result of interventions?, the medical and public health communities appear reluctant to embrace primary CMV prevention via improved hygienic practices, and educational interventions are rare. Current data on the effectiveness of such measures in preventing CMV infection are promising, but limited. There is strong evidence, however, that educational interventions can prevent other infectious diseases with similar transmission modes, suggesting that effective interventions can also be found for CMV. Until a CMV vaccine becomes available, effective educational interventions are needed to inform women about congenital CMV prevention. Summary Perhaps no single

  18. A 1-minute hand wash does not impair the efficacy of a propanol-based hand rub in two consecutive surgical hand disinfection procedures.

    Science.gov (United States)

    Kampf, G; Ostermeyer, C

    2009-11-01

    We studied the effect of a 1-min hand wash on the bacterial hand flora in two consecutive surgical hand disinfection procedures. A propanol-based hand rub (PBHR; Sterillium) and n-propanol (60%, v/v) were tested in a Latin-square design according to EN 12791 in four variations. The reference alcohol was always applied for 3 min after a 1-min hand wash (variation 1). The PBHR was applied for 1.5 min (first application) or 0.5 min (second application). Variation 2 included a 1-min hand wash before both applications, variation 3 included the hand wash before application 1, in variation 4 hands were not washed at all before application. Pre- and post-values were obtained according to EN 12791. The reference disinfection reduced bacteria by 2.99 log(10) (immediate efficacy) and 2.22 log(10) after 3 h. The second reference disinfection reduced bacteria by 0.95 log(10) (immediate efficacy) and 0.68 log(10) after 3 h. The PBHR always yielded an equivalent reduction with and without a preceding hand wash (p > 0.05; Friedman test). A 1-min hand wash before application of the PBHR did not significantly change its efficacy for surgical hand disinfection in two consecutive surgical procedures of 3 h.

  19. Microbiologic effectiveness of hand washing with soap in an urban squatter settlement, Karachi, Pakistan.

    Science.gov (United States)

    Luby, S P; Agboatwalla, M; Raza, A; Sobel, J; Mintz, E D; Baier, K; Hoekstra, R M; Rahbar, M H; Hassan, R; Qureshi, S M; Gangarosa, E J

    2001-10-01

    We conducted a study in a squatter settlement in Karachi, Pakistan where residents report commonly washing their hands to determine if providing soap, encouraging hand washing, and improving wash-water quality would improve hand cleanliness. We allocated interventions to 75 mothers and collected hand-rinse samples on unannounced visits. In the final model compared with mothers who received no hand-washing intervention, mothers who received soap would be expected to have 65% fewer thermotolerant coliform bacteria on their hands (95% CI 40%, 79%) and mothers who received soap, a safe water storage vessel, hypochlorite for water treatment, and instructions to wash their hands with soap and chlorinated water would be expected to have 74% fewer (95% CI 57%, 84%). The difference between those who received soap alone, and those who received soap plus the safe water vessel was not significant (P = 0.26). Providing soap and promoting hand washing measurably improved mothers' hand cleanliness even when used with contaminated water.

  20. Observation of everyday hand-washing behavior of Japanese, and effects of antibacterial soap.

    Science.gov (United States)

    Toshima, Y; Ojima, M; Yamada, H; Mori, H; Tonomura, M; Hioki, Y; Koya, E

    2001-08-15

    People wash their hands only for a short time outside the home and when preparing meals at home. This may not be sufficient for those who prepare meals because of possible secondary contamination from food. Although washing with a placebo soap for a short period (lathering 3 s and rinsing 8 s) cleansed from hands about 95% of the total coliforms transferred from ground meat, an antibacterial soap further reduced the coliform count significantly (p wash their hands, using an antibacterial soap on the areas that have been in contact with raw meat, poultry, seafood, eggs, vegetables and other foods.

  1. Protective Effect of Hand-Washing and Good Hygienic Habits Against Seasonal Influenza: A Case-Control Study

    National Research Council Canada - National Science Library

    Liu, Mingbin; Ou, Jianming; Zhang, Lijie; Shen, Xiaona; Hong, Rongtao; Ma, Huilai; Zhu, Bao-Ping; Fontaine, Robert E

    2016-01-01

    Previous observational studies have reported protective effects of hand-washing in reducing upper respiratory infections, little is known about the associations between hand-washing and good hygienic...

  2. Optimal hand washing technique to minimize bacterial contamination before neuraxial anesthesia: a randomized control trial.

    Science.gov (United States)

    Siddiqui, N; Friedman, Z; McGeer, A; Yousefzadeh, A; Carvalho, J C; Davies, S

    2017-02-01

    Infectious complications related to neuraxial anesthesia may result in adverse outcomes. There are no best practice guidelines regarding hand-sanitizing measures specifically for these procedures. The objective of this study was to compare the growth of microbial organisms on the operator's forearm between five common techniques of hand washing for labor epidurals. In this single blind randomized controlled trial, all anesthesiologists performing labor epidurals in a tertiary care hospital were randomized into five study groups: hand washing with alcohol gel only up to elbows (Group A); hand washing with soap up to elbows, sterile towel to dry, followed by alcohol gel (Group B); hand washing with soap up to elbows, non-sterile towel to dry, followed by alcohol gel (Group C); hand washing with soap up to elbows, non-sterile towel to dry (Group D) or hand washing with soap up to elbows, sterile towel to dry (Group E). The number of colonies for each specimen/rate per 100 specimens on one or both arms per group was measured. The incidence of colonization was 2.5, 23.0, 18.5, 114.5, and 53.0 in Groups A, B, C, D and E, respectively. Compared to Group A, the odds ratio of bacterial growth for Group B was 1.52 (P=0.519), Group C 5.44 (P=0.003), Group D 13.82 (Phand-sanitizing practices among epidural practitioners. Copyright © 2016 Elsevier Ltd. All rights reserved.

  3. Teaching a Young Autistic Boy How to Wash His Hands and Face.

    Science.gov (United States)

    Quenville, Pam

    1980-01-01

    Marked positive changes were observed in face and hand washing behavior over the 10 session behavior modification program which employed a chocolate milkshake as the major material reinforcer. (Author/DLS)

  4. Self-reported hand washing behaviors and foodborne illness: a propensity score matching approach.

    Science.gov (United States)

    Ali, Mir M; Verrill, Linda; Zhang, Yuanting

    2014-03-01

    Hand washing is a simple and effective but easily overlooked way to reduce cross-contamination and the transmission of foodborne pathogens. In this study, we used the propensity score matching methodology to account for potential selection bias to explore our hypothesis that always washing hands before food preparation tasks is associated with a reduction in the probability of reported foodborne illness. Propensity score matching can simulate random assignment to a condition so that pretreatment observable differences between a treatment group and a control group are homogenous on all the covariates except the treatment variable. Using the U.S. Food and Drug Administration's 2010 Food Safety Survey, we estimated the effect of self-reported hand washing behavior on the probability of self-reported foodborne illness. Our results indicate that reported washing of hands with soap always before food preparation leads to a reduction in the probability of reported foodborne illness.

  5. Observance of hand washing procedures performed by the medical personnel before patient contact. Part I

    Directory of Open Access Journals (Sweden)

    Anna Garus-Pakowska

    2013-02-01

    Full Text Available Introduction: According to the Centers for Disease Control and Prevention (CDC as well as the World Health Organization (WHO recommendations, medical staff are obliged to decontaminate the skin of the hands before every single patient contact. Materials and Methods: The study was performed by quasi-observation among the group of 188 medical staff (nurses and physicians working in three selected hospitals of the Łódź province. The procedure of hand washing and disinfection performed directly before the patient contact according to the CDC and WHO recommendations were observed. The results was subject to statistical analysis (p < 0.05. Results: During 1544 hours of observation 4101 activities requiring hand washing were recorded. The medical staff obeyed the hand washing procedure before the patient contact only in 5.2% of the situations. There was no activity observed before which hand hygiene was maintained in 100% of cases. Observance of hand hygiene depended signifi cantly on the type of the performed activity, the professional group, and the workload index. A decrease in percentage observance of hand hygiene according to the time of the day was found to be of statistical signifi cance. The mean time of hand washing was 8.5 s for physicians and 6.6 s for nurses. Conclusion: The level of observance of hand washing procedures among the medical staff prior to the patient contact appears to be alarmingly below the expectations.

  6. Effectiveness of hand washing and disinfection methods in removing transient bacteria after patient nursing.

    Science.gov (United States)

    Ojajärvi, J

    1980-10-01

    The effectiveness of various hand washing and disinfection methods in removing transient skin bacteria was studied in hospital after dry or moist contamination of the hands when nursing burn patients. The results were compared with those of laboratory tests with volunteers. A fairly good correlation of the bacterial reductions existed between hospital and laboratory tests. All other methods removed Staph. aureus from the hands more effectively than liquid soap. Gram-negative bacilli were more easily removed than staphylococci, even with soap wash alone. In hospital, none of the washing and disinfection methods always removed all patient-borne bacteria from the hands. After dry or moist contamination and subsequent washing with soap only, colonies of Staph. aureus were often detected in finger-print samples. Staphylococci were more often completely removed by a 4% chlorhexidine detergent scrub and alcoholic solutions (either with or without previous soap wash) than by liquid soap, hexachlorophene or iodophor preparations. Gram-negative bacilli were more easily removed by all the washing and disinfection methods. After moist contamination, Gram-negative bacilli were more often completely removed from the hands by ethanol than by other treatments. The results of the present study emphasize the importance of always using gloves when nursing a profuse spreader of bacteria or one who must be protected from infection.

  7. 三种洗手用品洗手效果比较%Comparison of hand-washing effects of three kinds of hand-washing products

    Institute of Scientific and Technical Information of China (English)

    朱波; 沈伟; 黄家勤; 彭宇生; 王鹏; 黄忠团; 张淑萍

    2014-01-01

    Objective To compare the hand-washing effects of traditional soap, hand sanitizer, waterless hand sanitizer used by clinical medical workers. Methods The effects of three hand-washing products received bacteriological monitoring and statistical analysis. Results The average bacterial counts of soap, hand sanitizer, waterless hand sanitizer were 10.1cfu/cm2, 8.3cfu/cm2 and 3.6cfu/cm2. Conclusion The hand-washing effect of waterless hand sanitizer is better than that of traditional soap and hand sanitizer, and it's convenient, fast and highly effective, thereby worthy of wide clinical promotion.%目的:比较临床医护人员使用传统的肥皂、洗手液、无水洗手液三种洗手用品洗手的效果。方法分别对三种洗手用品的效果进行细菌学监测并作统计学分析。结果肥皂、洗手液、无水洗手液洗手后平均菌数分别为10.1cfu/cm2、8.3cfu/cm2和3.6cfu/cm2。结论无水洗手液洗手效果优于传统的肥皂和洗手液,且方便、快速、高效,值得临床广泛推广。

  8. Risk assessment of hand washing efficacy using literature and experimental data.

    Science.gov (United States)

    Montville, Rebecca; Chen, Yuhuan; Schaffner, Donald W

    2002-03-01

    This study simulated factors that influence the levels of bacteria on foodservice workers' hands. Relevant data were collected from the scientific literature and from laboratory experiments. Literature information collected included: initial bacterial counts on hands and water faucet spigots, bacterial population changes during hand washing as effected by soap type, sanitizing agent, drying method, and the presence of rings. Experimental data were also collected using Enterobacter aerogenes as a surrogate for transient bacteria. Both literature and experimental data were translated into appropriate discrete or probability distribution functions. The appropriate statistical distribution for each phase of the hand washing process was determined. These distributions were: initial count on hands, beta (2.82, 2.32, 7.5); washing reduction using regular soap, beta (3.01, 1.91, -3.00, 0.60); washing reduction using antimicrobial soap, beta (4.19, 2.99, -4.50, 1.50); washing reduction using chlorhexidine gluconate (CHG), triangular (-4.75, -1.00, 0); reductions from hot air drying, beta (3.52, 1.92, -0.20, 1.00); reduction from paper towel drying, triangular (-2.25, -0.75, 0); reduction due to alcohol sanitizer, gamma (-1.23, 4.42) -5.8; reduction due to alcohol-free sanitizer, gamma (2.22, 5.38) -5.00; and the effect of rings, beta (8.55, 23.35, 0.10, 0.45). Experimental data were fit to normal distributions (expressed as log percentage transfer rate): hand-to-spigot transfer, normal (-0.80, 1.09); spigot to hand, normal (0.36, 0.90). Soap with an antimicrobial agent (in particular, CHG) was observed to be more effective than regular soap. Hot air drying had the capacity to increase the amount of bacterial contamination on hands, while paper towel drying caused a slight decrease in contamination. There was little difference in the efficacy of alcohol and alcohol-free sanitizers. Ring wearing caused a slight decrease in the efficacy of hand washing. The experimental data

  9. Adequate Hand Washing and Glove Use Are Necessary To Reduce Cross-Contamination from Hands with High Bacterial Loads.

    Science.gov (United States)

    Robinson, Andrew L; Lee, Hyun Jung; Kwon, Junehee; Todd, Ewen; Rodriguez, Fernando Perez; Ryu, Dojin

    2016-02-01

    Hand washing and glove use are the main methods for reducing bacterial cross-contamination from hands to ready-to-eat food in a food service setting. However, bacterial transfer from hands to gloves is poorly understood, as is the effect of different durations of soap rubbing on bacterial reduction. To assess bacterial transfer from hands to gloves and to compare bacterial transfer rates to food after different soap washing times and glove use, participants' hands were artificially contaminated with Enterobacter aerogenes B199A at ∼9 log CFU. Different soap rubbing times (0, 3, and 20 s), glove use, and tomato dicing activities followed. The bacterial counts in diced tomatoes and on participants' hands and gloves were then analyzed. Different soap rubbing times did not significantly change the amount of bacteria recovered from participants' hands. Dicing tomatoes with bare hands after 20 s of soap rubbing transferred significantly less bacteria (P soap rubbing. Wearing gloves while dicing greatly reduced the incidence of contaminated tomato samples compared with dicing with bare hands. Increasing soap washing time decreased the incidence of bacteria recovered from outside glove surfaces (P bacterial cross-contamination in food service environments.

  10. Observance of hand washing procedures performed by the medical personnel after the patient contact. Part II

    Directory of Open Access Journals (Sweden)

    Anna Garus-Pakowska

    2013-04-01

    Full Text Available Objectives: The Centers for Disease Control and Prevention (CDC as well as the World Health Organization (WHO state that adequate hand hygiene maintained by medical personnel is an indispensable prerequisite for controlling nosocomial infections. The recommendations of CDC and WHO emphasize the obligation to wash hands after each contact with a patient, after the exposure to a potentially infectious material or upon the contact with objects surrounding the patient. Materials and Methods: The study was performed by quasi-observation among the group of 188 medical staff members (nurses and physicians working in three selected hospitals of the Łódź Province. The procedure of hand washing/disinfection performed directly after the patient contact according to the recommendations of CDC and WHO was observed. The results were subject to statistical analysis (p < 0.05. Results: During 1544 h of observations, 4101 activities requiring hand washing were recorded. The medical personnel followed the hand hygiene procedures after the patient contact in 26.4% of the situations that require hygiene according to the guidelines. The level of observance of the hand washing procedures depended significantly on the type of performed activity, profession, degree of workload, index of activity, and time of duty hours. The mean time of hand washing after patient contact was 9.2 s for physicians and 6.7 s for nurses. Conclusion: Both the level of observance of hygienic procedures after the contact with patients as well as the time of hand washing are insufficient. There is an urgent need to work out educational programs on maintaining proper hand hygiene for medical personnel.

  11. Nurses' motivation to wash their hands: a standardized measurement approach.

    Science.gov (United States)

    O'boyle, C A; Henly, S J; Duckett, L J

    2001-08-01

    Handwashing is a simple procedure that is critical to prevention and control of infections, yet many health care workers (HCWs) do not practice hand hygiene according to recommended guidelines. The Handwashing Assessment Inventory (HAI) is a self-report instrument that is designed to measure the motivational schema of HCWs for handwashing.

  12. Assessment of knowledge of hand washing among health care ...

    African Journals Online (AJOL)

    among health care providers in Juba Teaching. Hospital, South Sudan ... workers at JHT using a validated self-administered ... Medical Students. 89. 43.6. Other ... was: primary and secondary (36, 17.7%), college (116,. 56.9%) .... Efficacy of Soap and Water and. 4. Alcohol-based Hand-rub Preparations Against Live H1N1.

  13. FOCUS ON HAND WASHING Yakubu Tahir Maigari Departm

    African Journals Online (AJOL)

    HP

    2014-10-24

    Oct 24, 2014 ... proven to be not merely a religious dogma, but rather a profound natural law .... of doing things like ablution and taking food, while the left hand is used in ... result the frenzied mood he had been subjected to completely ...

  14. Skin irritation and dryness associated with two hand-hygiene regimens: soap-and-water hand washing versus hand antisepsis with an alcoholic hand gel.

    Science.gov (United States)

    Boyce, J M; Kelliher, S; Vallande, N

    2000-07-01

    To compare the frequency of skin irritation and dryness associated with using an alcoholic-hand-gel regimen for hand antisepsis versus using soap and water for hand washing. Prospective randomized trial with crossover design. Irritation and dryness of nurses' hands were evaluated by self-assessment and by visual assessment by a study nurse. Epidermal water content of the dorsal surface of nurses' hands was estimated by measuring electrical capacitance of the skin. Miriam Hospital, a 200-bed university-affiliated teaching hospital. Thirty-two nurses working on three hospital wards participated in the trial, which lasted 6 weeks. Self-assessment scores of skin irritation and dryness decreased slightly during the 2 weeks when nurses used the alcoholic-hand-gel regimen (mean baseline score, 2.72; mean final score, 2.0; P=.08) but increased substantially during the 2 weeks when nurses used soap and water (mean baseline score, 2.0; mean final score, 4.8; Phand-gel regimen was used (mean baseline and final scores were both 0.55), but scores increased substantially when nurses used soap and water (baseline score, 0.59; mean final score, 1.21; P=.05). Epidermal water content of the dorsal surface of nurses' hands changed little when the alcoholic-hand-gel regimen was used (mean+/-standard deviation baseline electrical capacitance reading, 24.8+/-6.8; mean final reading, 25.7+/-7.3), but decreased significantly (skin became dryer) with soap-and-water hand washing (mean baseline, 25.9+/-7.5; mean final reading, 20.5+/-5.4; P=.0003). Hand antisepsis with an alcoholic-hand-gel regimen was well tolerated and did not result in skin irritation and dryness of nurses' hands. In contrast, skin irritation and dryness increased significantly when nurses washed their hands with the unmedicated soap product available in the hospital. Newer alcoholic hand gels that are tolerated better than soap may be more acceptable to staff and may lead to improved hand-hygiene practices.

  15. Three kinds of psychological determinants for hand-washing behaviour in Kenya.

    Science.gov (United States)

    Aunger, Robert; Schmidt, Wolf-Peter; Ranpura, Ashish; Coombes, Yolande; Maina, Peninnah Mukiri; Matiko, Carol Nkatha; Curtis, Valerie

    2010-02-01

    Washing hands with soap at the right times - primarily after contact with faeces, but also before handling food or feeding an infant - can significantly reduce the incidence of childhood infectious disease. Here, we present empirical results which substantiate a recent claim that washing hands can be the consequence of different kinds of psychological causes. Such causes can be divided into three kinds of control over behaviour: automatic or habitual responses, motivated or goal-driven behaviour to satisfy needs, and cognitive causes which reflect conscious concerns. Empirical results are based on 3-h-long structured observations of hand-washing behaviour in 802 nationally representative Kenyan households with children under five, and structured interviews with the primary female caretaker in these households, collected in March 2007. Factor analysis of questionnaire responses identified three psychological factors which are also significant predictors of observed hand-washing behaviour: having the habit of hand-washing at particular junctures during the day, the motivated need for personal or household cleanliness, and a lack of cognitive concern about the cost of soap use. These factors each represent a different kind of psychological cause. A perceived link between clean hands and sexual attractiveness also appeared in the factor analysis, but was not a determinant of actual behaviour. We also report evidence that those who express concern about the cost of soap use are those with relatively few economic resources. We suggest that those developing hygiene promotion programmes should consider the possible existence of multiple types of strategies for increasing hand-washing behaviour. Copyright 2009 Elsevier Ltd. All rights reserved.

  16. Effectiveness of hand washing and disinfection methods in removing transient bacteria after patient nursing.

    OpenAIRE

    1980-01-01

    The effectiveness of various hand washing and disinfection methods in removing transient skin bacteria was studied in hospital after dry or moist contamination of the hands when nursing burn patients. The results were compared with those of laboratory tests with volunteers. A fairly good correlation of the bacterial reductions existed between hospital and laboratory tests. All other methods removed Staph. aureus from the hands more effectively than liquid soap. Gram-negative bacilli were more...

  17. Hand washing with soap and WASH educational intervention reduces under-five childhood diarrhoea incidence in Jigjiga District, Eastern Ethiopia: A community-based cluster randomized controlled trial.

    Science.gov (United States)

    Hashi, Abdiwahab; Kumie, Abera; Gasana, Janvier

    2017-06-01

    Despite the tremendous achievement in reducing child mortality and morbidity in the last two decades, diarrhoea is still a major cause of morbidity and mortality among children in many developing countries, including Ethiopia. Hand washing with soap promotion, water quality improvements and improvements in excreta disposal significantly reduces diarrhoeal diseases. The objective of this study was to evaluate the effect of hand washing with soap and water, sanitation and hygiene (WASH) educational Intervention on the incidence of under-five children diarrhoea. A community-based cluster randomized controlled trial was conducted in 24 clusters (sub-Kebelles) in Jigjiga district, Somali region, Eastern Ethiopia from February 1 to July 30, 2015. The trial compared incidence of diarrhoea among under-five children whose primary caretakers receive hand washing with soap and water, sanitation, hygiene educational messages with control households. Generalized estimating equation with a log link function Poisson distribution family was used to compute adjusted incidence rate ratio and the corresponding 95% confidence interval. The results of this study show that the longitudinal adjusted incidence rate ratio (IRR) of diarrhoeal diseases comparing interventional and control households was 0.65 (95% CI 0.57, 0.73) suggesting an overall diarrhoeal diseases reduction of 35%. The results are similar to other trials of WASH educational interventions and hand washing with soap. In conclusion, hand washing with soap practice during critical times and WASH educational messages reduces childhood diarrhoea in the rural pastoralist area.

  18. Removing pesticides from the hands with a simple washing procedure using soap and water.

    Science.gov (United States)

    Marquart, Hans; Brouwer, Derk H; van Hemmen, Johannes J

    2002-11-01

    Crop activities lead to dermal exposure of workers to pesticides. The efficacy of hand washing as a control measure is unknown. The efficacy of water and soap was studied for some pesticides and exposure situations. Pre-washing contamination levels in field studies were calculated from foliar residues by models using transfer factors. Between 24.5% and 50.7% of the calculated prewashing contamination was removed in two field studies with three pesticides, with coefficients of variation between 43% and 72%. In a human volunteer study, on average 45.8% and 85.7% was removed for two pesticides (coefficients of variation 6% and 7%). No influence of 'washing vigour' was found and efficacy did not depend on pre-washing contamination levels. The combination of field studies and laboratory experiments was successful, partly compensating for weaknesses in both approaches.

  19. Impact of regular soap provision to primary schools on hand washing and E. coli hand contamination among pupils in Nyanza Province, Kenya: a cluster-randomized trial.

    Science.gov (United States)

    Saboori, Shadi; Greene, Leslie E; Moe, Christine L; Freeman, Matthew C; Caruso, Bethany A; Akoko, Daniel; Rheingans, Richard D

    2013-10-01

    We assessed whether supplying soap to primary schools on a regular basis increased pupil hand washing and decreased Escherichia coli hand contamination. Multiple rounds of structured observations of hand washing events after latrine use were conducted in 60 Kenyan schools, and hand rinse samples were collected one time in a subset of schools. The proportion of pupils observed practicing hand washing with soap (HWWS) events was significantly higher in schools that received a soap provision intervention (32%) and schools that received soap and latrine cleaning materials (38%) compared with controls (3%). Girls and boys had similar hand washing rates. There were non-significant reductions in E. coli contamination among intervention school pupils compared with controls. Removing the barrier of soap procurement can significantly increase availability of soap and hand washing among pupils; however, we discuss limitations in the enabling policy and institutional environment that may have prevented reaching desired levels of HWWS.

  20. Does a preceding hand wash and drying time after surgical hand disinfection influence the efficacy of a propanol-based hand rub?

    Directory of Open Access Journals (Sweden)

    Kohlmann Thomas

    2006-06-01

    Full Text Available Abstract Background Recently, a propanol-based hand rub has been described to exceed the efficacy requirements of the European standard EN 12791 in only 1.5 min significantly. But the effect of a 1 min preceding hand wash and the effect of one additional minute for evaporation of the alcohol after its application on the efficacy after a 1.5 min application time has never been studied. Methods We have investigated a propanol-based hand rub (Sterillium®, based on 45% propan-2-ol, 30% propan-1-ol and 0.2% mecetronium etilsulfate in three variations: with (A and without (B a 1 min hand wash before the disinfection of 1.5 min with immediate sampling after the disinfection; and (C without a hand wash before the disinfection but with sampling 1 min after the disinfection. The efficacy of the three variations was compared to the reference treatment of EN 12791. All experiments were performed in a Latin-square design with 20 volunteers. Pre- and post-values (immediate and after 3 hr were obtained according to EN 12791. Results The 3 min reference disinfection reduced resident hand bacteria on average by 1.8 log10 steps (immediate effect and 1.4 log10-steps (sustained effect respectively. Method A was equally effective as the reference (immediate efficacy: 1.5 log10-steps; sustained efficacy: 1.6 log10-steps. Method B seemed to be more effective (immediate efficacy: 2.3 log10-steps; sustained efficacy: 1.7 log10-steps. Method C revealed the best efficacy (immediate efficacy: 2.3 log10-steps; sustained efficacy: 2.0 log10-steps. A comparison of all three treatment variations and the reference treatment revealed a significant difference for the immediate efficacy (p = 0.026; Friedman test, but not for the sustained efficacy (p = 0.430. A post-hoc-test for the immediate efficacy indicated a significant difference between methods A and C (p Conclusion An application of the propanol-based hand rub for 1.5 min after 1 min hand wash fulfills the efficacy

  1. Proper Hand-Washing Techniques in Public Restrooms: Differences in Gender, Race, Signage, and Time of Day

    Science.gov (United States)

    Kinnison, Andrea; Cottrell, Randal R.; King, Keith A.

    2004-01-01

    The purpose of this study was to evaluate hand washing behaviors in public restrooms with and without reminder signs. Gender, race, signage, and time of day were examined to determine if there were differences in hand washing compliance based on these variables. Participants included male and female adults entering restrooms at two public shopping…

  2. IMPACT OF HAND WASHING PRACTICES ON DIAR-RHOEA!, MORBIDITY AMONG UNDER-FIVE CHILDREN IN JAJMAU AREA OF KANPUR

    Directory of Open Access Journals (Sweden)

    S C Saxena

    1994-06-01

    Full Text Available The present study was designed to find out the prevalence of diarrhoea among under five children in four randomly selected areas of Jajmau, Kanpur and to know the impact of hand washing practices on the childhood diarrhoeal morbidity and mortality. It was observed that the diarrhoeal prevalence was significantly associated with age of child, highest in the age group of 1-3 years belonging to joint families and was also found significantly higher among economically poor Muslim children (66.48% as compared to Hindu children (43.23% The diarrhoeal prevalence was observed associated with hand washing practices. The children who did not wash their hands after defecation showed higher prevalence. Even the prevalence was observed higher among those children whose parents did not wash their hands after cleaning the child excreta. The diarrhoeal prevalence was also found higher among those children whose mothers did not wash their hands before feeding the child.

  3. Effect of washing hands with soap on diarrhoea risk in the community: a systematic review.

    Science.gov (United States)

    Curtis, Val; Cairncross, Sandy

    2003-05-01

    We set out to determine the impact of washing hands with soap on the risk of diarrhoeal diseases in the community with a systematic review with random effects meta-analysis. Our data sources were studies linking handwashing with diarrhoeal diseases. Seven intervention studies, six case-control, two cross-sectional, and two cohort studies were located from electronic databases, hand searching, and the authors' collections. The pooled relative risk of diarrhoeal disease associated with not washing hands from the intervention trials was 1.88 (95% CI 1.31-2.68), implying that handwashing could reduce diarrhoea risk by 47%. When all studies, when only those of high quality, and when only those studies specifically mentioning soap were pooled, risk reduction ranged from 42-44%. The risks of severe intestinal infections and of shigellosis were associated with reductions of 48% and 59%, respectively. In the absence of adequate mortality studies, we extrapolate the potential number of diarrhoea deaths that could be averted by handwashing at about a million (1.1 million, lower estimate 0.5 million, upper estimate 1.4 million). Results may be affected by the poor quality of many of the studies and may be inflated by publication bias. On current evidence, washing hands with soap can reduce the risk of diarrhoeal diseases by 42-47% and interventions to promote handwashing might save a million lives. More and better-designed trials are needed to measure the impact of washing hands on diarrhoea and acute respiratory infections in developing countries.

  4. The effect of Ebola Virus Disease outbreak on hand washing among secondary school students in Ondo State Nigeria, October, 2014.

    Science.gov (United States)

    Ilesanmi, Olayinka Stephen; Alele, Faith Osaretin

    2015-01-01

    Hand washing with soap and water is one of the cheapest, most effective ways of limiting the spread of Ebola Virus Disease (EVD). Despite its importance the prevalence of hand washing was low before the EVD outbreak in Nigeria. This study aimed at determining the factors associated with improved hand washing practices following the EVD outbreak. A descriptive cross sectional study of 440 students from a secondary school in Owo, Ondo State was done. Data was collected in October 2014 when Nigeria was yet to be declared EVD free. Systematic random sampling was used. A semi-structured, interviewer administered questionnaire was used. Data was analysed with epi info version 7, descriptive statistics were done, Chi square test was used for the assessment of significant associations between proportions. Determinants of good hand washing practices was identified using logistics regression analysis at 5% level of significance. Of 440 respondents, mean age was 13.7±1.9 years. Females were 48.2%. Only 4.6% have never heard of Ebola Virus Disease.Level of hand washing with soap and water improved by62.6%. Significant improvement in hand washing was in 75.8% of those who heard through social media (p hand washing practices was associated with watching television (AOR: 2.2; CI 95%: 1.1-4.3) and listening to health education in church (AOR: 2.4; CI 95%: 1.2-4.7).Major reason for change in hand washing practices was because of EVD deadly nature, 170(40.5%). Watching health education messages on television and listening to it in church are the determinants of change in hand washing practices. Promotion of hand washing with soap and water needs to be sustained to prevent other diseases. Training of students on prevention of EVD was conducted in selected schools.

  5. A survey of hand-washing facilities in the outpatient department of a tertiary care teaching hospital in India.

    Science.gov (United States)

    Devnani, Mahesh; Kumar, Rajiv; Sharma, Rakesh Kumar; Gupta, Anil Kumar

    2011-03-02

    Inadequate hand-washing facilities have been reported as a barrier to hand washing. This study aimed to evaluate the availability and accessibility of hand-washing facilities and supplies of hand-washing agents in the outpatient department (OPD) complex of a tertiary care teaching hospital. A checklist containing 13 variables was prepared and all rooms of direct patient care in the OPD were assessed on one occasion.  Out of 211 rooms surveyed, a hand-washing facility was available in 209 (99.05%) rooms. Among these, 206 (98.56%) sinks were easily accessible and were placed close to users. Almost all sinks (99.5%) had hand-operated taps. Thirty-five (16.75%) sinks had no soap stand, and at 21 (10.5%) sinks, soap stands were found to be broken. At 14 (6.70%) sinks, soap bars were not available, while an antiseptic agent was available at 6 (2.87%) sinks. Four (1.91%) sinks had no towel stand, and at 8 (3.83%) sinks the towel stands were broken. At 43 (20.57%) sinks no towel was available, and at 23 (11%) sinks the towels provided were dirty. No sink drain was found to be blocked. No sink had hand-washing instructions displayed demonstrating the correct technique of hand washing. Physical facilities required for hand washing were adequate though not perfect. There is a need to shift from hand-operated taps to non-manual taps and from cloth towels to paper towels. Hospital managers in developing countries should continuously strive to provide the best possible hand-washing facilities within their financial resources.

  6. Exploring the gap between hand washing knowledge and practices in Bangladesh: a cross-sectional comparative study.

    Science.gov (United States)

    Rabbi, Sifat E; Dey, Nepal C

    2013-01-30

    Hand washing is considered as one of the most effective hygiene promotion activities for public health in developing countries. This study compared hand washing knowledge and practices in BRAC's water; sanitation and hygiene (WASH) programme areas over time. This study is a cross-sectional comparative study between baseline (2006), midline (2009) and end-line (2011) surveys in 50 sub-districts from the first phase of the programme. Thirty thousand households from 50 sub-districts were selected in two steps: i) 30 villages were selected from each sub-district by cluster sampling, and ii) 20 households were chosen systematically from each village. The matched households were considered (26,404 in each survey) for analysis. Data were collected from households through face-to-face interview using a pre-tested questionnaire. Respondents were the adult female members of the same households, who had knowledge of day-to-day household activities related to water, sanitation and hygiene. A gap between perception and practice of proper hand washing practices with soap was identified in the study areas. Hand washing practice with soap before eating was much lower than after defecation. In baseline data, 8% reported to wash their hands with soap which significantly increased to 22% in end line. Hand washing knowledge and practices before cooking food, before serving food and while handling babies is considerably limited than other critical times. A multivariate analysis shows that socio-economic factors including education of household head and respondent, water availability and access to media have strong positive association with hand washing with soap. Gap between knowledge and practice still persists in hand washing practices. Long term and extensive initiatives can aware people about the effectiveness of hand washing.

  7. Exploring the gap between hand washing knowledge and practices in Bangladesh: a cross-sectional comparative study

    Directory of Open Access Journals (Sweden)

    Rabbi Sifat E

    2013-01-01

    Full Text Available Abstract Background Hand washing is considered as one of the most effective hygiene promotion activities for public health in developing countries. This study compared hand washing knowledge and practices in BRAC’s water; sanitation and hygiene (WASH programme areas over time. Methods This study is a cross-sectional comparative study between baseline (2006, midline (2009 and end-line (2011 surveys in 50 sub-districts from the first phase of the programme. Thirty thousand households from 50 sub-districts were selected in two steps: i 30 villages were selected from each sub-district by cluster sampling, and ii 20 households were chosen systematically from each village. The matched households were considered (26,404 in each survey for analysis. Data were collected from households through face-to-face interview using a pre-tested questionnaire. Respondents were the adult female members of the same households, who had knowledge of day-to-day household activities related to water, sanitation and hygiene. Results A gap between perception and practice of proper hand washing practices with soap was identified in the study areas. Hand washing practice with soap before eating was much lower than after defecation. In baseline data, 8% reported to wash their hands with soap which significantly increased to 22% in end line. Hand washing knowledge and practices before cooking food, before serving food and while handling babies is considerably limited than other critical times. A multivariate analysis shows that socio-economic factors including education of household head and respondent, water availability and access to media have strong positive association with hand washing with soap. Conclusion Gap between knowledge and practice still persists in hand washing practices. Long term and extensive initiatives can aware people about the effectiveness of hand washing.

  8. [One in five surgeons do not wash hands after visiting a toilet - an ethnographic field study].

    Science.gov (United States)

    Burcharth, Jakob; Pommergaard, Hans-Christian; Alamili, Mahdi; Danielsen, Anne Kjærgaard; Rosenberg, Jacob

    2014-12-08

    Non-compliance with regard to hand hygiene is a major problem in the health-care system especially among surgeons and anaesthetists. The purpose of this study was to examine the hand hygiene routines after toilet visits among participants attending an international surgical congress. An observational study was conducted at the American College of Surgeons (ACS) Clinical Congress 2012 and at the American Medical Writers Association (AMWA) Congress 2012 as comparison. The study was performed as an ethnographic field study. A standardized observational matrix was developed for observing whether hand washing (as a surrogate measure of hand hygiene) was performed after toilet visits by observers. Frequencies were compared using Fisher's exact test. A total of 100 persons were observed (80% males). Of the 50 males observed at the ACS meeting, ten males did not use hand hygiene in relation to toilet visits (20%), while only one person at the AMWA meeting out of the 50 observed did not use hand hygiene (2%), p = 0.008. At both congresses only males did not use hand hygiene in relation to toilet visits. One in five surgeons did not wash hands after visiting a toilet. Even though the observed surgeons were not observed in an operating theatre or in a setting that required a distinct degree of hand hygiene, it does reveal a worrying behaviour. It is not known whether this was a conscious act, the result of business, or if it was due to lack of knowledge about the effects of hand hygiene on bacterial transmission. not relevant. This study was neither registered at the National Committee of Health Research nor at Clinical Trials since it did not meet the requirements of registration.

  9. Evaluation of the antiviral activity of a green tea solution as a hand-wash disinfectant.

    Science.gov (United States)

    Shin, Woo-Jin; Kim, Young-Kyung; Lee, Kwang-Hee; Seong, Baik-Lin

    2012-01-01

    Based on the broad-spectrum antiviral effect of green tea catechins, we established an experimental skin contact model for influenza virus transmission and evaluated the use of a green tea solution as a first-hand disinfectant. The infectivity of the virus on the skin cell layer became obsolete when washed with the green tea solution. The skin contact model could be applied to develop non-pharmaceutical intervention measures for reducing human transmission of the influenza virus.

  10. Efficiency of the surgical washing of hands with brush and without brush

    Directory of Open Access Journals (Sweden)

    Fresia Canales Carmona

    2013-10-01

    Full Text Available The purpose of this article is to establish the answer to a clinical question regarding the effectiveness ofpreoperative hygiene with hand washing brush or without it. This first technique has been performed on the skinto reduce transient bacteria and to inhibit the growth of resident microorganisms as a common and required actbefore any surgical procedure. Despite this measure and others such as prophylactic antibiotics, the mainoperative complication continues to be the surgical wound infection. Today, it is as prevalent as in the past withthe consequent negative effects derived from it, both for the institutions and for patients. Being controversialtoday which one is the most effective and safe surgical hand washing method for the binomial: professionalsurgical team/ patient, this study is done under the criteria of the Evidence-Based Nursing.A question was builtin PICO format (Personal, Intervention, Comparison and Outcome. After this is done, continues informationsearch in the databases GOOGLE ACADÉMICO, Pub Med, Cochrane y Base de Datos para la Investigación enEnfermería (BDIE We obtained 20 articles related to the topic of them 8, which fulfilled the set CASPe criteriato answer the clinical question, were analyzed. We conclude that washing hands with a brush is equally effectiveas without brush technique in terms of decreased of the superficial skin bacterial flora, although this technique hasadvantages over the traditional practice.

  11. ASSOCIATION OF DIARRHOEA WITH PRACTICES OF HAND WASHING AND EXCRETA DISPOSAL IN CHILDREN

    Directory of Open Access Journals (Sweden)

    Avinash Kr.

    2015-04-01

    Full Text Available INTRODUCTION: Diarrhoea is a common and preventable disease, but still it accounts for approximately 11% of all mortality in children under five years of age. Diarrhoeal infections are more common when there is a shortage of adequate sanitation, hygiene and safe water f or drinking, cooking and cleaning. To prevent stool pathogens from gaining access to the domestic environment, efforts should concentrate on hand washing after stool contact, especially after defaecation or after cleaning up a child. MATERIALS AND METHODS: Present study was conducted from Dec - 2014 to Feb - 2015, after selecting a total of 500 children. The association of diarrhoea in these children were studied in relation practices of hand washing and excreta disposal among them. OBSERVATION: It was observed in our study that the incidence of diarrhoea was more in children excreting inside the household premises (32%, in comparison to those excreting outside (11.5%. Incidence of diarrhoea in children having the habits of washing hands was lower (13.6%, tha n the children not having the habit (21.8%. CONCLUSION: Based on the above findings we conclude that human stools in the domestic environment are a source of diarrhoeal infection, and safe disposal of stools should be one of the key measures to prevent di arrhoeal diseases.

  12. Methods to evaluate the microbicidal activities of hand-rub and hand-wash agents.

    Science.gov (United States)

    Rotter, M; Sattar, S; Dharan, S; Allegranzi, B; Mathai, E; Pittet, D

    2009-11-01

    In vitro carrier tests, suspension tests, time-kill curves, and determinations of minimum inhibitory concentrations to evaluate the microbicidal activities of hand antiseptics provide only a preliminary indication of the antimicrobial spectrum and speed of action of a given formulation. Ex vivo testing with human or animal skin at human skin temperature and at contact times reflecting field conditions may give a better indication of a formulation's ability to tackle hand-transmitted pathogens. Field testing of hands for levels of skin microbiota before and after antisepsis may be easier to perform, but it is subject to many uncontrollable factors. Whereas randomised clinical trials may be the ultimate approach to assess the effectiveness of hand hygiene protocols and products in preventing microbial cross-transmission and, ultimately, infections, they can be prohibitively expensive, time-consuming, difficult to design, and therefore impractical. Hence, the primary emphasis should be on in vivo testing on human hands, using a well-designed protocol that closely simulates the recommended field use of the formulation, and possibly followed by clinical studies. The use of these method is the most likely to yield useful data on the potential of a formulation to interrupt the spread of pathogens transmitted by hands in healthcare settings. This review provides a critical assessment of the methods currently used to meet regulatory requirements for hand antiseptics in Europe and North America.

  13. Are we sending the wrong message when we ask health care workers to wash their hands?

    Science.gov (United States)

    Kurtz, Sharon L

    2016-10-01

    When asking healthcare workers to wash their hands, perhaps a better message would be to ask them not to transmit diseases. This changes the emphasis from a single act of adherence to a concept of behavior change. Proper hand hygiene, proper use of personal protective equipment, and cough etiquette are the means to an end, to stop the transfer to organisms and disease, but not the ultimate goal itself. The ultimate goal is to stop the transmission of diseases and ultimately to decrease the occurrence of healthcare associated infections.

  14. "I wash my hands of it!?" - Trends in hand hygiene over the past decades.

    Science.gov (United States)

    Rotter, Manfred L

    2007-09-13

    Hand hygiene is the most important measure to protect against the spread of nosocomial infections. With the development of in vitro und in vivo test methods for evaluation of the effect of hand hygiene, there has been a sharp increase over the past 50 years in the body of knowledge relating to effective methods for removal from the hands or killing and inactivation of pathogens. In 1958 the German Society of Hygiene and Microbiology (DGHM) published a first "Guidelines for Testing Chemical Disinfectants" and included only those hand disinfection products on its "List of Tested Chemical Disinfectants Found To Be Effective" that had been tested as per the methods cited in the guidelines. The American Society of Testing and Materials (today: ASTM International) was next, with the first test protocols for hand disinfection products, which in 1974 were adopted by the US Food and Drug Agency as "Guidelines" in a "Tentative Final Monograph" (TFM) and in 1994, having revised it to incorporate new insights, it was published once again. Where the user is concerned, guidelines for hand disinfection containing information on indication and implementation are of course more important than methods dealing with efficacy testing of products. Such guidelines are compiled within the hospitals by the infection control teams set up during the 1970s. Written guidelines were also published by several healthcare institutions, scientific societies and associations. The guidelines formulated by the World Health Organisation (WHO), in an expert committee under the direction of Didier Pittet, proved to be the most successful of the attempts undertaken at global level to enhance hand hygiene. The most remarkable changes appear to be the efforts aimed at improving compliance among medical personnel and the increasing international acceptance of hand disinfection by using alcohols in the form of rubs; whether this will be with lotions or gels remains to be seen.

  15. Quantifying the effect of hand wash duration, soap use, ground beef debris, and drying methods on the removal of Enterobacter aerogenes on hands.

    Science.gov (United States)

    Jensen, Dane A; Danyluk, Michelle D; Harris, Linda J; Schaffner, Donald W

    2015-04-01

    Hand washing is recognized as a crucial step in preventing foodborne disease transmission by mitigating crosscontamination among hands, surfaces, and foods. This research was undertaken to establish the importance of several keys factors (soap, soil, time, and drying method) in reducing microorganisms during hand washing. A nonpathogenic nalidixic acid-resistant Enterobacter aerogenes surrogate for Salmonella was used to assess the efficacy of using soap or no soap for 5 or 20 s on hands with or without ground beef debris and drying with paper towel or air. Each experiment consisted of 20 replicates, each from a different individual with ∼ 6 log CFU/ml E. aerogenes on their hands. A reduction of 1.0 ± 0.4 and 1.7 ± 0.8 log CFU of E. aerogenes was observed for a 5-s wash with no soap and a 20-s wash with soap, respectively. When there was no debris on the hands, there was no significant difference between washing with and without soap for 20 s (P > 0.05). Likewise, there was no significant difference in the reductions achieved when washing without soap, whether or not debris was on the hands (P > 0.05). A significantly greater reduction (P soap when there was ground beef debris on the hands. The greatest difference (1.1 log CFU greater average reduction) in effectiveness occurred when ground beef debris was on the hands and a 20-s wash with water was compared with a 20-s wash with soap. Significantly greater (P 4.0 log CFU per towel) when hands are highly contaminated. Our results support future quantitative microbial risk assessments needed to effectively manage risks of foodborne illness in which food workers' hands are a primary cause.

  16. A study on prevalence of bacteria in the hands of children and their perception on hand washing in two schools of Bangalore and Kolkata.

    Science.gov (United States)

    Ray, Sandip Kumar; Amarchand, Ritvik; Srikanth, Jayanthi; Majumdar, Kunal Kanti

    2011-01-01

    Contaminated hands play a major role in fecal-oral transmission of diseases. In 1847, Dr Semmelweis Ignac pointed to the link between infection and unclean hands, and demonstrated that washing hands could reduce transmission of puerperal fever (child birth fever), a dreaded disease with high mortality in those days. A cross-sectional study was conducted to find out the extent of germs present in hand, and also the students' perception on hand washing. This was assessed by questionnaire as well as by collection of swab from hand and performing bacteriological culture in the laboratory. In regard to students' perception about the dirty areas of the hands, it was observed that majority (78%) felt palm was likely to be more dirty while less than 70% felt that web spaces could harbor dirt. Almost 86% reported that they washed hands before eating lunch, but only 21.3% said they always used soap while 47.3% never used it. Availability of soap all the time in the school was reported by only 18.4% students. The swabs of 61% children showed potential pathogens. The commonest of these was Staphylococcus aureus which was seen in 44% samples. The students' hands were contaminated before taking food. Although they washed hands before meals, they hardly used soap due to non-availability of soap. The school authority should be asked to keep soaps in the toilets for hand washing.

  17. A study on prevalence of bacteria in the hands of children and their perception on hand washing in two schools of Bangalore and Kolkata

    Directory of Open Access Journals (Sweden)

    Sandip Kumar Ray

    2011-01-01

    Full Text Available Background: Contaminated hands play a major role in fecal-oral transmission of diseases. In 1847, Dr Semmelweis Ignac pointed to the link between infection and unclean hands, and demonstrated that washing hands could reduce transmission of puerperal fever (child birth fever, a dreaded disease with high mortality in those days. Materials and Methods: A cross-sectional study was conducted to find out the extent of germs present in hand, and also the students′ perception on hand washing. This was assessed by questionnaire as well as by collection of swab from hand and performing bacteriological culture in the laboratory. Results: In regard to students′ perception about the dirty areas of the hands, it was observed that majority (78% felt palm was likely to be more dirty while less than 70% felt that web spaces could harbor dirt. Almost 86% reported that they washed hands before eating lunch, but only 21.3% said they always used soap while 47.3% never used it. Availability of soap all the time in the school was reported by only 18.4% students. The swabs of 61% children showed potential pathogens. The commonest of these was Staphylococcus aureus which was seen in 44% samples. Conclusion: The students′ hands were contaminated before taking food. Although they washed hands before meals, they hardly used soap due to non-availability of soap. The school authority should be asked to keep soaps in the toilets for hand washing.

  18. Does a preceding hand wash and drying time after surgical hand disinfection influence the efficacy of a propanol-based hand rub?

    OpenAIRE

    Kohlmann Thomas; Kamp Philipp; Kampf Günter; Hübner Nils-Olaf; Kramer Axel

    2006-01-01

    Abstract Background Recently, a propanol-based hand rub has been described to exceed the efficacy requirements of the European standard EN 12791 in only 1.5 min significantly. But the effect of a 1 min preceding hand wash and the effect of one additional minute for evaporation of the alcohol after its application on the efficacy after a 1.5 min application time has never been studied. Methods We have investigated a propanol-based hand rub (Sterillium®, based on 45% propan-2-ol, 30% propan-1-o...

  19. Comparison of a waterless hand-hygiene preparation and soap-and-water hand washing to reduce coliforms on hands in animal exhibit settings.

    Science.gov (United States)

    Davis, M A; Sheng, H; Newman, J; Hancock, D D; Hovde, C J

    2006-10-01

    Outbreaks of enteric disease associated with exposure to live animals on exhibit have occurred with increasing frequency in recent years. Possibly the most important pathogen causing such outbreaks is Escherichia coli O157:H7, because of the serious illness it can cause. Hand hygiene is consistently protective against disease among persons exposed to animals implicated in these outbreaks. Livestock barns have limited hand-washing facilities, therefore a waterless hand-sanitizing gel would be a potentially preventive measure readily available to visitors and animal exhibitors. This study compared the reduction of bacterial counts on hands of animal exhibitors when soap and water was used or when an ethanol-based hand gel was used after animal handling. Participants were youth and adults involved with showing livestock. The sanitation methods were similar in reducing the total bacteria and coliform counts on the hands of the participants (Wilcoxon rank sum test P values 0.12 and 0.69 respectively).

  20. The analysis on compliance of medical care personnel with different hand-wash and effect of hand-washing%医护人员对不同洗手液的依从性及洗手效果的观察

    Institute of Scientific and Technical Information of China (English)

    刘莉; 林晓红; 谭伊丽; 何秀湘

    2008-01-01

    Objective To study the compliante condition which medical care personnel wash hand;to find out the relationship of different hand-wash with compliance of medical care personnel;thus to increase compliance hand-washing as well as control nosocomial infection.Methods The medical care personnel were divided into 3 groups:hand-washing with flowing water,Dianfu and Jifro Antiseptic Gel.The results of hand-washing effect and hand-washing compliante were compared.The results of hand-washing effect and hand-washing complialice were compared.Results Hand-washing with Jifro Antiseptic Gel had good effect and was easily accepted by medical care staff,and the compliance of hand-washing had significant difference compared to others.Conclusion Only provided with conditions which medical care personnel are easily accepted,the hand-washing compliance could be able to increase and the nosocomial infection be controlled.%目的 探讨医护人员洗手依从条件,了解不同洗手液与医护人员洗手行为依从性的关系,提高洗手行为依从性,保持手卫生,控制医院感染.方法 将监测科室随机分为3组,分别用皂液流水洗手和碘伏、洁芙柔消毒凝胶快速洗手方式,比较其洗手依从率以及洗手效果.结果 洁芙柔消毒凝胶快速洗手液,效果好、易被医护人员接受、洗手依从率显著提高.结论 必须具备医护人员易于接受的洗手依从条件,才能提高洗手依从性,控制医院感染.

  1. Interventions to improve the compliance of health care professionals to hand washing: an integrative review

    Directory of Open Access Journals (Sweden)

    Adriana Cristina de Oliveira

    2013-12-01

    Full Text Available The objective of this study was to identify the main strategies used to improve the compliance of health care professionals to hand washing. This is an integrative literature review, which search included journals in English, Spanish and Portuguese. Twenty—three articles were included. An electronic tool was developed on Microsoft Office Excel and the main results were submitted to descriptive analysis. Of the total studies, 87.1% had before and after designs and several methods were used to monitor compliance rate (direct observation, supply use and self-reported rates. Multimodal interventions were used in 87.0%, and the most often employed were: education, feedback, alcohol being available and posters. The largest challenge identified was not only improving the compliance rates to hand washing, but, most of all, keeping them high. It was observed there is a need to use multimodal strategies that contribute to behavior change considering the local setting. Descriptors: Hand Disinfection; Health Personnel; Cross Infection; Nursing.

  2. A comparison of hand washing techniques to remove Escherichia coli and caliciviruses under natural or artificial fingernails.

    Science.gov (United States)

    Lin, Chia-Min; Wu, Fone-Mao; Kim, Hoi-Kyung; Doyle, Michael P; Michael, Barry S; Williams, L Keoki

    2003-12-01

    Compared with other parts of the hand, the area beneath fingernails harbors the most microorganisms and is most difficult to clean. Artificial fingernails, which are usually long and polished, reportedly harbor higher microbial populations than natural nails. Hence, the efficacy of different hand washing methods for removing microbes from natural and artificial fingernails was evaluated. Strains of nonpathogenic Escherichia coli JM109 and feline calicivirus (FCV) strain F9 were used as bacterial and viral indicators, respectively. Volunteers with artificial or natural nails were artificially contaminated with ground beef containing E. coli JM109 or artificial feces containing FCV. Volunteers washed their hands with tap water, regular liquid soap, antibacterial liquid soap, alcohol-based hand sanitizer gel, regular liquid soap followed by alcohol gel, or regular liquid soap plus a nailbrush. The greatest reduction of inoculated microbial populations was obtained by washing with liquid soap plus a nailbrush, and the least reduction was obtained by rubbing hands with alcohol gel. Lower but not significantly different (P > 0.05) reductions of E. coli and FCV counts were obtained from beneath artificial than from natural fingernails. However, significantly (P hands with artificial nails than from natural nails before and after hand washing. In addition, microbial cell numbers were correlated with fingernail length, with greater numbers beneath fingernails with longer nails. These results indicate that best practices for fingernail sanitation of food handlers are to maintain short fingernails and scrub fingernails with soap and a nailbrush when washing hands.

  3. Hand Washing with Soap: the Most Effective ‘Do-It-Yourself’ Vaccine?

    Directory of Open Access Journals (Sweden)

    Hiremath Ravishekhar, Kotwal Atul, Kunte Renuka, Hiremath Sandhya, Venkatesh

    2012-09-01

    Full Text Available Hand washing is one of the most effective means of preventing diseases and have a major impact on public health in any country. It is known to significantly reduce the two leading causes of mortality – diarrheal diseases and acute respiratory infections, including the recent outbreak of pandemic influenza. Because hand washing with soap can prevent the transmission of a variety of pathogens, it may be more effective than any single vaccine or hygiene behaviour. Promoted broadly enough, hand washing with soap can be viewed as an essential do-it-yourself vaccine. “Good hand hygiene is the first line of defense against spread of many illnesses”. Therefore public should be provided with adequate knowledge and tools to enable them to protect themselves and their families from infection and illness by practicing proper hand hygiene through support of key stakeholders, Government, industry, and donors who can offer unique resources which are necessary to ensure the success of a large-scale program. Conducting a situation assessment and, where needed, making the case for hand washing on topics ranging from cost effectiveness to health impact will give the hand washing program a solid foundation. This is the important time to re-look at our hand hygiene habits, for hands are the key carrier of germs that spread infections, and good hand hygiene is the one tool within easy reach of everyone, that can reduce the risk of infection. If the millennium development targets for reduction in child mortality are to be met, hand washing habits must be improved.

  4. An exploratory study of patient's feelings about asking healthcare professionals to wash their hands.

    Science.gov (United States)

    Duncan, C

    2007-01-01

    The purpose of this study was to explore patient opinion about asking healthcare professionals to wash their hands prior to a clinical procedure and to explore if MRSA status and access to patient information about infection control would influence anxiety about asking. A descriptive survey was undertaken using a semi-structured questionnaire. The questionnaire was distributed to a randomised convenience sample of 185 in-patients across all departments of an acute NHS Trust hospital (response rate 59.4%). Spearman's rank order and Kendall Tau-b tests were used to analyse specific correlations. Respondents were more confident than anxious to be involved in a campaign that asked patients to ask staff to wash their hands. Patients were more anxious to ask if previous admission episodes were fewer, if their knowledge of MRSA was high and if there was less information about infection control available. Less anxiety was associated with patients who had MRSA in the past and the suggestion that staff wore badges saying 'It's OK to ask'.

  5. Acute calcific tendonitis of dorsal interosseous muscles of the hand: uncommon site of a frequent disease

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    D. Schneider

    2017-05-01

    Full Text Available Acute calcific tendinopathy is one of the manifestations of hydroxyapatite crystal deposition disease. While it is more frequent in the shoulder, it has been described in virtually all areas of the body, but rarely in the muscles of the hand. Its etiopathogenesis is not yet fully understood and despite being a fairly frequent condition, it is commonly misdiagnosed. The onset of the disease is usually acute and resolves spontaneously. Acute calcific tendinitis of the interosseous tendons of the hand is an uncommon site of a frequent condition. The clinical presentation is similar to other entities, thus errors in diagnosis frequently occur, resulting in over-treatment or unnecessary tests. We describe a case of acute calcific tendinitis of the interosseous muscles of the hand with a brief review of the current literature with emphasis on diagnostic imaging methods.

  6. Efficacy of Instant Hand Sanitizers against Foodborne Pathogens Compared with Hand Washing with Soap and Water in Food Preparation Settings: A Systematic Review.

    Science.gov (United States)

    Foddai, Antonio C G; Grant, Irene R; Dean, Moira

    2016-06-01

    Hands can be a vector for transmitting pathogenic microorganisms to foodstuffs and drinks, and to the mouths of susceptible hosts. Hand washing is the primary barrier to prevent transmission of enteric pathogens via cross-contamination from infected persons. Conventional hand washing involves the use of water, soap, and friction to remove dirt and microorganisms. The availability of hand sanitizing products for use when water and soap are unavailable has increased in recent years. The aim of this systematic review was to collate scientific information on the efficacy of hand sanitizers compared with washing hands with soap and water for the removal of foodborne pathogens from the hands of food handlers. An extensive literature search was carried out using three electronic databases: Web of Science, Scopus, and PubMed. Twenty-eight scientific publications were ultimately included in the review. Analysis of this literature revealed various limitations in the scientific information owing to the absence of a standardized protocol for evaluating the efficacy of hand products and variation in experimental conditions. However, despite conflicting results, scientific evidence seems to support the historical skepticism about the use of waterless hand sanitizers in food preparation settings. Water and soap appear to be more effective than waterless products for removal of soil and microorganisms from hands. Alcohol-based products achieve rapid and effective inactivation of various bacteria, but their efficacy is generally lower against nonenveloped viruses. The presence of food debris significantly affects the microbial inactivation rate of hand sanitizers.

  7. Clostridium difficile colitis: wash your hands before stopping the proton pump inhibitor.

    Science.gov (United States)

    Metz, David C

    2008-09-01

    Proton pump inhibitors (PPIs) have revolutionized the management of acid-related disorders. The potential adverse effects related to PPI use fall into four main categories: idiosyncratic reactions, drug-drug interactions, drug-induced reflex hypergastrinemia, and drug-induced hypochlorhydria. Clostridium difficile (C. difficile) colitis, an epidemic of major importance among hospitalized individuals, is potentially facilitated by the fourth mechanism in PPI users. This article interprets the results of the accompanying study by Aseeri et al. that demonstrated a positive association between PPI exposure and C. difficile colitis by examining the findings according to the Bradford Hill criteria. Instead of stopping PPIs when patients are admitted to hospital, I propose continuing the therapy at the lowest effective maintenance dose and adhering to careful barrier nursing and hand washing among patients.

  8. Design, development and transfer of a sanitation hand-washing dispenser to rural areas in South Africa

    CSIR Research Space (South Africa)

    Wilkinson, M

    2006-02-01

    Full Text Available was ranked fifth in the list of causes of premature mortality in South Africa in 2000 and is also a major cause of death among children under the age of five. All sanitation programmes and interventions in South Africa focus some attention on hand- washing...

  9. Quantitative assessment of risk reduction from hand washing with antibacterial soaps.

    Science.gov (United States)

    Gibson, L L; Rose, J B; Haas, C N; Gerba, C P; Rusin, P A

    2002-01-01

    The Centers for Disease Control and Prevention have estimated that there are 3,713,000 cases of infectious disease associated with day care facilities each year. The objective of this study was to examine the risk reduction achieved from using different soap formulations after diaper changing using a microbial quantitative risk assessment approach. To achieve this, a probability of infection model and an exposure assessment based on micro-organism transfer were used to evaluate the efficacy of different soap formulations in reducing the probability of disease following hand contact with an enteric pathogen. Based on this model, it was determined that the probability of infection ranged from 24/100 to 91/100 for those changing diapers of babies with symptomatic shigellosis who used a control product (soap without an antibacterial ingredient), 22/100 to 91/100 for those who used an antibacterial soap (chlorohexadine 4%), and 15/100 to 90/100 for those who used a triclosan (1.5%) antibacterial soap. Those with asymptomatic shigellosis who used a non-antibacterial control soap had a risk between 49/100,000 and 53/100, those who used the 4% chlorohexadine-containing soap had a risk between 43/100,000 and 51/100, and for those who used a 1.5% triclosan soap had a risk between 21/100,000 and 43/100. The adequate washing of hands after diapering reduces risk and can be further reduced by a factor of 20% by the use of an antibacterial soap. Quantitative risk assessment is a valuable tool in the evaluation of household sanitizing agents and low risk outcomes.

  10. A STUDY ON THE AWARENESS AND PRACTICES OF HAND WASHING AMONGST MOTHERS OF UNDER-FIVE CHILDREN IN THE SLUMS OF GUWAHATI CITY

    Directory of Open Access Journals (Sweden)

    Kaberi

    2016-03-01

    Full Text Available INTRODUCTION Hand washing with soap at critical events reduces the incidence of diarrhoeal diseases by about 42% to 47% and respiratory infections by 30% which are important contributors of under-five child morbidity and mortality in India. The awareness and hand washing practices amongst mothers residing in poor environmental settings of slums are important as they are the primary caregivers and have a determining role in the health of their children. OBJECTIVES To assess the awareness, practices and factors associated with hand washing amongst mothers of under-five children in slums of Guwahati City, Assam. MATERIALS AND METHODS The study was a community based cross-sectional study carried out for a period of three months from August 2015 to October 2015 in two slums under the urban field practice area of the Department of Community Medicine, Guwahati. 150 mothers having under-five children were included in the study. RESULTS 100.00% of the mothers were aware about the role of hand washing in prevention of diseases. 100% mothers practised hand washing with soap after defaecation. 84.30% and 85.71% washed their hands with water alone before feeding a child and cooking respectively. None of the mothers were aware and practised the recommended steps and time for hand washing. CONCLUSION The factors identified as barriers to hand washing practices in the study can be overcome by health education with involvement of the community.

  11. Sensor recorded changes in rates of hand washing with soap in response to the media reports of the H1N1 pandemic in Britain.

    Science.gov (United States)

    Fleischman, Diana S; Webster, Gregory D; Judah, Gaby; de Barra, Mícheál; Aunger, Robert; Curtis, Valerie A

    2011-01-01

    Objectives To examine how the frequency of information regarding a real disease threat influences hand washing with soap. Design and setting The authors installed wireless devices in highway service station lavatories in England to record the proportion of individuals washing hands with soap from May 2009 to January 2010. Participants Participants were users of men's and women's toilets. Combined there was an average of 6800 participant entrances into the lavatories daily. Primary outcome measure The primary outcome measure is the proportion of soap usage to the number of entries into the lavatories. Results Hand-washing rates were positively related to both H1NI coverage in blogs and the news; however, these relationships were stronger for men than for women. Conclusions Hand washing with soap increases proportionally to the frequency of media key words related to H1N1. Women's hand washing was more strongly associated with incidence of media keywords than men's.

  12. Oregano essential oil as an antimicrobial additive to detergent for hand washing and food contact surface cleaning.

    Science.gov (United States)

    Rhoades, J; Gialagkolidou, K; Gogou, M; Mavridou, O; Blatsiotis, N; Ritzoulis, C; Likotrafiti, E

    2013-10-01

    To investigate the potential use of oregano essential oil as an antimicrobial agent in liquid soap for hand washing and for food contact surface cleaning. Oregano essential oil (O.E.O.) was emulsified in liquid detergent solution. This was challenge tested against a commercial antimicrobial soap in hand washing trials using natural flora. Soap with O.E.O. was as effective as the commercial antimicrobial soap at reducing aerobic plate count on the hands and more effective than plain soap with no additives. Cloths wetted with soap with O.E.O. were used to clean three different surfaces contaminated with four bacterial pathogens. For three of the four pathogens, the addition of 0·5% v/v O.E.O. to the soap solution enhanced cleaning performance and also reduced bacterial survival on the cloth after cleaning. Oregano essential oil (0·5%) is effective as an antimicrobial additive to detergent solutions for hand washing and surface cleaning. This preliminary study has shown that oregano essential oil is a potential alternative to antimicrobials used in various detergents, such as chloroxylenol and triclosan, which can have adverse environmental and health effects. Further development could lead to a commercial product. © 2013 The Society for Applied Microbiology.

  13. Acceptability and Use of Portable Drinking Water and Hand Washing Stations in Health Care Facilities and Their Impact on Patient Hygiene Practices, Western Kenya

    OpenAIRE

    Bennett, Sarah D.; Ronald Otieno; Ayers, Tracy L.; Aloyce Odhiambo; Faith, Sitnah H.; Robert Quick

    2015-01-01

    Many health care facilities (HCF) in developing countries lack access to reliable hand washing stations and safe drinking water. To address this problem, we installed portable, low-cost hand washing stations (HWS) and drinking water stations (DWS), and trained healthcare workers (HCW) on hand hygiene, safe drinking water, and patient education techniques at 200 rural HCFs lacking a reliable water supply in western Kenya. We performed a survey at baseline and a follow-up evaluation at 15 month...

  14. Use of Electronic Loggers to Measure Changes in the Rates of Hand Washing with Soap in Low-Income Urban Households in India.

    Directory of Open Access Journals (Sweden)

    Richard L Wright

    Full Text Available We evaluated the utility of electronic loggers to measure the effects of a simple intervention designed to influence the rates of hand washing with soap within enclosed toilets and bathrooms in low-income urban households in Kerala, India. 58 households were given three items with embedded electronic loggers for a period of 2-5 days. Two logged soaps tracked hand and body washing in the bathroom. The third logged item was a water vessel used for flushing the toilet and for post-defecation anal cleansing; this served as a marker of toilet use. In addition, 28 households in a Soap by toilet arm were given an additional logged soap, to be kept by the toilet, and used for hand washing. Compared with the Soap in bathroom arm, the loggers in the Soap by toilet households recorded 73% greater daily use of soaps designated for hand washing (t(36=2.92, p<0.01 and 172% greater use within 2 minutes of the use of the water vessel (t(36=3.51, p = 0.001. We conclude that the loggers were capable of detecting changes in the rates of hand washing with soap and changes in hand washing with soap after use of the toilet. Further adoption of logger technologies would enable more insightful studies of hand washing within urban environments.

  15. Use of Electronic Loggers to Measure Changes in the Rates of Hand Washing with Soap in Low-Income Urban Households in India

    Science.gov (United States)

    Wright, Richard L.; Zillmer, Ruediger; Biran, Adam; Hall, Peter; Sidibe, Myriam

    2015-01-01

    We evaluated the utility of electronic loggers to measure the effects of a simple intervention designed to influence the rates of hand washing with soap within enclosed toilets and bathrooms in low-income urban households in Kerala, India. 58 households were given three items with embedded electronic loggers for a period of 2-5 days. Two logged soaps tracked hand and body washing in the bathroom. The third logged item was a water vessel used for flushing the toilet and for post-defecation anal cleansing; this served as a marker of toilet use. In addition, 28 households in a Soap by toilet arm were given an additional logged soap, to be kept by the toilet, and used for hand washing. Compared with the Soap in bathroom arm, the loggers in the Soap by toilet households recorded 73% greater daily use of soaps designated for hand washing (t(36)=2.92, p<0.01) and 172% greater use within 2 minutes of the use of the water vessel (t(36)=3.51, p = 0.001). We conclude that the loggers were capable of detecting changes in the rates of hand washing with soap and changes in hand washing with soap after use of the toilet. Further adoption of logger technologies would enable more insightful studies of hand washing within urban environments. PMID:26101886

  16. A Survey of Premature Parents' Hand-washing Compliance and Cognition%早产儿家长洗手依从性及认知情况调查

    Institute of Scientific and Technical Information of China (English)

    吕慧; 赵鹏; 张丽萍

    2012-01-01

    Objective To investigate the premature parents' hand-washing cognition and the causes for its poor compliance so as to take interventions for providing the evidence for higher nursing quality. Methods From March to August 2010,102 premature parents were selected using convenience sampling to investigate the hand-washing cognition and its compliance so as to determine the causes of its poor compliance. Results Of the 102 premature parents,high compliance of hand-washing was observed in 26(25. 49%) , moderate compliance of hand-washing in 21(20. 59%)and poor compliance of hand-washing in 55(53. 92%). The causes for the poor compliance of hand-washing in the premature parents were listed in turn as:poor mastery of hand-washing indications,knowing nothing about hand-washing due to incomplete health education of health care worker, ideological ignorance, failing to care the crying baby due to full engagement, worrying about the harm of residuum of hand sanitizer to baby's body,and concering for harm of frequent hand-washing to the skin. Before the training,the premature parents were observed with incomplete awareness of the importance of hand-washing and only 60 (57. 69%) premature parents had better mastery of its value. Lower awareness of the hand-washing indications and proper hand washing procedures were observe among the premature parents and more than 50% of the parents did not know how to properly wash their hands. After the training,98(96. 08%)premature parents had better mastery of the importance of hand-washing and up to 100% of them mastered the hand-washing indications and the matery of hand-washing procedures were improved. There were significant differences on the items before and after the training (P<0. 01). Conclusion The cognition of hand-washing knowledge and the hand-washing complicance are poor in premature parents. By adopting effective interventions, we should improve premature parents hand-washing compliance and cognition.%目的 探讨早产儿

  17. Efficacy of Moringa oleifera leaf powder as a hand-washing product: a crossover controlled study among healthy volunteers.

    Science.gov (United States)

    Torondel, Belen; Opare, David; Brandberg, Bjorn; Cobb, Emma; Cairncross, Sandy

    2014-02-14

    Moringa oleifera is a plant found in many tropical and subtropical countries. Many different uses and properties have been attributed to this plant, mainly as a nutritional supplement and as a water purifier. Its antibacterial activity against different pathogens has been described in different in vitro settings. However the potential effect of this plant leaf as a hand washing product has never been studied. The aim of this study is to test the efficacy of this product using an in vivo design with healthy volunteers. The hands of fifteen volunteers were artificially contaminated with Escherichia coli. Moringa oleifera leaf powder was tested as a hand washing product and was compared with reference non-medicated liquid soap using a cross over design following an adaptation of the European Committee for Standardization protocol (EN 1499). In a second part of tests, the efficacy of the established amount of Moringa oleifera leaf powder was compared with an inert powder using the same protocol. Application of 2 and 3 g of dried Moringa oleifera leaf powder (mean log10-reduction: 2.44 ± 0.41 and 2.58 ± 0.34, respectively) was significantly less effective than the reference soap (3.00 ± 0.27 and 2.99 ± 0.26, respectively; p Moringa oleifera (2 and 3 g) but using a wet preparation, was also significantly less effective than reference soap (p Moringa oleifera powder in dried or wet preparation (mean log10-reduction: 2.70 ± 0.27 and 2.91 ± 0.11, respectively) compared with reference soap (2.97 ± 0.28). Application of calcium sulphate inert powder was significantly less effective than the 4 g of Moringa oleifera powder (p Moringa oleifera powder in dried and wet application had the same effect as non-medicated soap when used for hand washing. Efficacious and available hand washing products could be useful in developing countries in controlling pathogenic organisms that are transmitted through contaminated hands.

  18. Effectiveness of hand washing on the removal of iron oxide nanoparticles from human skin ex vivo.

    Science.gov (United States)

    Lewinski, Nastassja A; Berthet, Aurélie; Maurizi, Lionel; Eisenbeis, Antoine; Hopf, Nancy B

    2017-08-01

    In this study, the effectiveness of washing with soap and water in removing nanoparticles from exposed skin was investigated. Dry, nanoscale hematite (α-Fe2O3) or maghemite (γ-Fe2O3) powder, with primary particle diameters between 20-30 nm, were applied to two samples each of fresh and frozen ex vivo human skin in two independent experiments. The permeation of nanoparticles through skin, and the removal of nanoparticles after washing with soap and water were investigated. Bare iron oxide nanoparticles remained primarily on the surface of the skin, without penetrating beyond the stratum corneum. Skin exposed to iron oxide nanoparticles for 1 and 20 hr resulted in removal of 85% and 90%, respectively, of the original dose after washing. In the event of dermal exposure to chemicals, removal is essential to avoid potential local irritation or permeation across skin. Although manufactured at an industrial scale and used extensively in laboratory experiments, limited data are available on the removal of engineered nanoparticles after skin contact. Our finding raises questions about the potential consequences of nanoparticles remaining on the skin and whether alternative washing methods should be proposed. Further studies on skin decontamination beyond use of soap and water are needed to improve the understanding of the potential health consequences of dermal exposure to nanoparticles.

  19. Cytomegalovirus survival and transferability and the effectiveness of common hand-washing agents against cytomegalovirus on live human hands.

    Science.gov (United States)

    Stowell, Jennifer D; Forlin-Passoni, Daniela; Radford, Kay; Bate, Sheri L; Dollard, Sheila C; Bialek, Stephanie R; Cannon, Michael J; Schmid, D Scott

    2014-01-01

    Congenital cytomegalovirus (CMV) transmission can occur when women acquire CMV while pregnant. Infection control guidelines may reduce risk for transmission. We studied the duration of CMV survival after application of bacteria to the hands and after transfer from the hands to surfaces and the effectiveness of cleansing with water, regular and antibacterial soaps, sanitizer, and diaper wipes. Experiments used CMV AD169 in saliva at initial titers of 1 × 10(5) infectious particles/ml. Samples from hands or surfaces (points between 0 and 15 min) were placed in culture and observed for at least 2 weeks. Samples were also tested using CMV real-time PCR. After application of bacteria to the hands, viable CMV was recovered from 17/20 swabs at 0 min, 18/20 swabs at 1 min, 5/20 swabs at 5 min, and 4/20 swabs at 15 min. After transfer, duration of survival was at least 15 min on plastic (1/2 swabs), 5 min on crackers and glass (3/4 swabs), and 1 min or less on metal and cloth (3/4 swabs); no viable virus was collected from wood, rubber, or hands. After cleansing, no viable virus was recovered using water (0/22), plain soap (0/20), antibacterial soap (0/20), or sanitizer (0/22). Viable CMV was recovered from 4/20 hands 10 min after diaper wipe cleansing. CMV remains viable on hands for sufficient times to allow transmission. CMV may be transferred to surfaces with reduced viability. Hand-cleansing methods were effective at eliminating viable CMV from hands.

  20. Use of Electronic Loggers to Measure Changes in the Rates of Hand Washing with Soap in Low-Income Urban Households in India: e0131187

    National Research Council Canada - National Science Library

    Richard L Wright; Ruediger Zillmer; Adam Biran; Peter Hall; Myriam Sidibe

    2015-01-01

      We evaluated the utility of electronic loggers to measure the effects of a simple intervention designed to influence the rates of hand washing with soap within enclosed toilets and bathrooms in low...

  1. Use of Electronic Loggers to Measure Changes in the Rates of Hand Washing with Soap in Low-Income Urban Households in India

    National Research Council Canada - National Science Library

    Wright, Richard L; Zillmer, Ruediger; Biran, Adam; Hall, Peter; Sidibe, Myriam

    2015-01-01

    We evaluated the utility of electronic loggers to measure the effects of a simple intervention designed to influence the rates of hand washing with soap within enclosed toilets and bathrooms in low...

  2. No germs on me: a social marketing campaign to promote hand-washing with soap in remote Australian Aboriginal communities.

    Science.gov (United States)

    McDonald, Elizabeth; Slavin, Nicola; Bailie, Ross; Schobben, Xavier

    2011-03-01

    A social marketing campaign promoting hand-washing with soap was implemented to reduce the high burden of infection experienced by Australian Aboriginal children living in remote communities. Epidemiological evidence of effect and other evidence were used to identify the hygiene intervention and health promotion approach for the project. We drew on the findings of: (i) a systematic literature review to identify the intervention for which there is strong effect in similar populations and contexts; and (ii) a narrative literature review to determine our health promotion approach. This process provided practitioners with confidence and understanding so they could address a complex problem in a politically and otherwise sensitive context.

  3. Use of Electronic Loggers to Measure Changes in the Rates of Hand Washing with Soap in Low-Income Urban Households in India.

    Science.gov (United States)

    Wright, Richard L; Zillmer, Ruediger; Biran, Adam; Hall, Peter; Sidibe, Myriam

    2015-01-01

    We evaluated the utility of electronic loggers to measure the effects of a simple intervention designed to influence the rates of hand washing with soap within enclosed toilets and bathrooms in low-income urban households in Kerala, India. 58 households were given three items with embedded electronic loggers for a period of 2-5 days. Two logged soaps tracked hand and body washing in the bathroom. The third logged item was a water vessel used for flushing the toilet and for post-defecation anal cleansing; this served as a marker of toilet use. In addition, 28 households in a Soap by toilet arm were given an additional logged soap, to be kept by the toilet, and used for hand washing. Compared with the Soap in bathroom arm, the loggers in the Soap by toilet households recorded 73% greater daily use of soaps designated for hand washing (t(36)=2.92, psoap and changes in hand washing with soap after use of the toilet. Further adoption of logger technologies would enable more insightful studies of hand washing within urban environments.

  4. Outbreaks where food workers have been implicated in the spread of foodborne disease. Part 9. Washing and drying of hands to reduce microbial contamination.

    Science.gov (United States)

    Todd, Ewen C D; Michaels, Barry S; Smith, Debra; Greig, Judy D; Bartleson, Charles A

    2010-10-01

    During various daily activities at home and work, hands quickly become contaminated. Some activities increase the risk of finger contamination by pathogens more than others, such as the use of toilet paper to clean up following a diarrheal episode, changing the diaper of a sick infant, blowing a nose, or touching raw food materials. Many foodborne outbreak investigation reports have identified the hands of food workers as the source of pathogens in the implicated food. The most convenient and efficient way of removing pathogens from hands is through hand washing. Important components of hand washing are potable water for rinsing and soaps to loosen microbes from the skin. Hand washing should occur after any activity that soils hands and certainly before preparing, serving, or eating food. Antimicrobial soaps are marginally more effective than plain soaps, but constant use results in a buildup of the antimicrobial compound on the skin. The time taken to wash hands and the degree of friction generated during lathering are more important than water temperature for removing soil and microorganisms. However, excessive washing and scrubbing can cause skin damage and infections. Drying hands with a towel removes pathogens first by friction during rubbing with the drying material and then by wicking away the moisture into that material. Paper rather than cloth towels should be encouraged, although single-use cloth towels are present in the washrooms of higher class hotels and restaurants. Warm air dryers remove moisture and any surface microorganisms loosened by washing from hands by evaporation while the hands are rubbed together vigorously; however, these dryers take too long for efficient use. The newer dryers with high-speed air blades can achieve dryness in 10 to 15 s without hand rubbing.

  5. Removal of Escherichia coli and Enterococcus faecalis after Hand Washing with Antimicrobial and Nonantimicrobial Soap and Persistence of These Bacteria in Rinsates.

    Science.gov (United States)

    Pérez-Garza, J; García, S; Heredia, N

    2017-09-06

    Food handlers are important sources of contamination in the agricultural environment. This study was conducted (i) to evaluate the activity of antimicrobial soaps against Escherichia coli and Enterococcus faecalis using a hand washing model with soiled hands and (ii) to determine the survival and persistence of these bacteria in rinsates. Sterilized agricultural soil from tomato and pepper farms was inoculated with E. coli or E. faecalis at 10(3) or 10(6) CFU/g. Decontaminated hands were placed in contact with contaminated soil for 2 min and were then washed with soaps with or without antimicrobial compounds (citric extracts, chloroxylenol, triclosan, or chlorhexidine gluconate). As the control, hands were washed with sterile distilled water. The levels of bacteria remaining on the hands and recovered from the rinsates were determined using a membrane filtration method and selective media. Antimicrobial soaps removed levels of E. coli similar to those removed by distilled water and nonantimicrobial soap on hands contaminated with E. coli at 10(3) CFU/g. However, when hands were contaminated with E. coli at 10(6) CFU/g, more E. coli was removed with the chlorhexidine gluconate soap. When hands were contaminated with E. faecalis at 10(3) CFU/g, bacteria were removed more effectively with soaps containing chloroxylenol or chlorhexidine gluconate. When hands were contaminated with E. faecalis at 10(6) CFU/g, all of the antimicrobial soaps were more effective for removing the bacteria than were distilled water and nonantimicrobial soap. E. coli grew in all of the hand washing rinsates except that containing triclosan, whereas E. faecalis from the 10(6) CFU/g treatments grew in rinsates containing chlorhexidine gluconate and in the distilled water rinsates. Washing with antimicrobial soap was more effective for reducing bacteria on soiled hands than was washing with water or nonantimicrobial soap. However, persistence or growth of bacteria in these rinsates poses health

  6. 重症监护病房医护人员洗手方法的调查%Investigation on Hand-washing Methods of ICU Medical Staff

    Institute of Scientific and Technical Information of China (English)

    欧阳玲; 王楠; 王志彬; 姚一; YAOYi

    2011-01-01

    [Objective] To know the status of hand-washing methods of ICU medical staff in No. 174 Hospital of PLA, improve the correct rate of hand-washing, and strengthen the prevention and isolation measures for nosocomial infection. [Methods] Using field inspection arid questionnaire survey, the hand-washing methods of ICU medical staff were investigated. [Results] The total implementation rate of hand-washing indications in ICU was 68. 9% . The hand-washing implementation rate before aseptic operation, after invasive operation and after contacting blood and secretion was 86. 0% , 92. 0% and 100. 0% , respectively. 73. 7% of medical staff washed their hands with correct method, and 42.0% washed their hands with enough time. The main causes of low correct rate of hand-washing were shortage of education about related knowledge, and lack of supervision and monitoring systems. [Conclusion]The implementation rate of main hand-washing indications among ICU medical staff was high, but the correct rate of hand-washing methods needs to be improved.%目的 了解解放军第174医院重症监护病房医务人员卫生洗手方法的情况,提高洗手的正确性,加强医院感染预防隔离措施.方法 采用现场检查和问卷调查方法,对重症监护病房医务人员洗手方法进行调查.结果 重症监护病房洗手指征总执行率为68.9%,在执行无菌操作之前和侵入性操作之后以及接触血液分泌物之后洗手执行率依次为86.0%、92.0%和100.0%.洗手方法正确者占73.7%,洗手达到规定时间者只占42.0%.洗手正确率低的原因主要是未进行相关知识教育,缺乏监督监测制度.结论 重症监护病房医务人员洗手主要指征执行率相对较高,但洗手方法的正确性有待提高.

  7. 规范洗手周活动促进手卫生依从性的效果研究%Research of standard hand-washing week promoting hand hygiene

    Institute of Scientific and Technical Information of China (English)

    龚光明; 周红芳; 徐俊炜

    2011-01-01

    目的 评估全员参与"规范洗手周"活动后,某医院医务人员对手卫生相关知识的知晓程度、洗手正确率及洗手依从性的提高情况.方法 制定"规范洗手周"活动方案,开展"规范洗手周"活动,跟踪活动后至创建"三级甲等"肿瘤专科医院初评共1个月时间,对441名医务人员进行手卫生相关知识提问及洗手技术考核,对238名医务人员进行操作前、后手卫生情况的观察,对考核与观察结果进行分析.结果 通过开展"规范洗手周"活动,医师、护士、工勤人员手卫生相关知识知晓率、洗手正确率及洗手依从性均得剑了明显提高;医师、护士、工勤人员手卫生相关知识的平均知晓率分别为87.69%、94.17%、77.46%,正确洗手合格率分别为88.46%、95.83%、94.37%,操作前洗手依从性分别为82.61%、91.60%、76.32%,操作后洗手依从性分别为91.30%、97.71%、92.11%.结论 "规范洗手周"活动的开展,普及了手卫生知识,提高了洗手质量及洗手依从性,显现了"规范洗手周"活动后成效,进一步推进了手卫生工作.%OBJECTIVE To evaluate the hand hygiene-related knowledges, and hand washing compliance rates,after full participation "standard hand-washing Week".METHODS Development of "standard hand-washing Week" program, and conduct it, then followed up a month, from the post-activities to preliminary evaluation of create a "three A-level" cancer hospital.441 medical staff on hand hygiene and hand-washing technology related knowledge assessment questions, and observed 238 medical staff hand hygiene before and after operation, analysis the observations and assessment.RESULTS Through "standard hand-washing Week", doctors, nurses, workers and service personnel knowledge of hand hygiene awareness, proper hand washing and hand-washing compliance rate has been significantly improved both.hand hygiene-related knowledge awareness were 87.69%, 94.17%,77.47%; proper hand washing

  8. Scared of New Virus?Wash Your Hands,Experts Say

    Institute of Scientific and Technical Information of China (English)

    Maggie; Fox; 杜扬

    2003-01-01

    选注者言:Maggie Fox是著名记者。此文告诉我们预防“非典”的一个有效方法,即:Wash Your Hands。现在有一条电广告,一个嗲声嗲气的女孩,在电视上说:开始洗脸吧。我们要说的是,值此SARS(即“非典型性肺炎”。又称:严重急性呼吸综合症)横行之际,开始洗手吧!本文的一个重要信息是:Dr.Carlo Urba-ni,the WHO doctor who first identified the outbreak,died after treating some ofthe first patients in Vietnam.

  9. [Fighting the flu with soap and water. Hand washing as an infection control recommendation to the population--7 hypotheses from a qualitative study about hygiene, flu and pandemic].

    Science.gov (United States)

    Meilicke, G; Weissenborn, A; Biederbick, W; Bartels, C

    2008-11-01

    Medical interventions like vaccination and antiviral prophylaxis are only two ways of protecting the population from infectious diseases. A third and decisive method is to apply non-pharmaceutical interventions like hand hygiene. A qualitative study identified the role hand washing actually plays in the daily life of the population. Based on the results, seven hypotheses are proposed which point to the need for further research about promotion of hand hygiene, e.g. the conception and evaluation of hand washing advertising campaigns. HYPOTHESIS 1: Health tips are more likely to be followed if they communicate clearly and understandably the personal relevance of the information to the recipients. HYPOTHESIS 2: For many, hygiene serves above all to make them feel good and more comfortable around others. HYPOTHESIS 3: The feeling of disgust is an emotional connection between health and hygiene. HYPOTHESIS 4: People mainly wash their hands ritually and when they actually feel the need to clean their hands. HYPOTHESIS 5: As far as most people are aware, the means of transmission of influenza and other respiratory diseases are only the ones they can observe, namely coughing, sneezing, and the resulting visible droplets. HYPOTHESIS 6: People are more motivated to wash their hands after learning that infections can be spread via the hands. HYPOTHESIS 7: A pandemic situation increases the population's demand for information and people's willingness to protect themselves from infection.

  10. [Antimicrobial effects and efficacy on habitually hand-washing of strong acidic electrolyzed water--a comparative study of alcoholic antiseptics and soap and tap water].

    Science.gov (United States)

    Sakashita, Mikako; Iwasawa, Atsuo; Nakamura, Yoshiko

    2002-05-01

    The rate of bacterial elimination for the stamp method was compared with regular hand-washing (using soap and tap water), hygienic hand-washing (using alcoholic antiseptics), and hand-washing using strong acidic electrolyzed water (the SAEW method) in routine work. After routine work, the average number of bacteria remaining on the nurse's hands with using the SAEW-method, rubbing method and tap water method, were: 54 +/- 63, 89 +/- 190, 128 +/- 194 CFU/agar plate, respectively (n = 81). In this study. It was clarified that a much larger number of Bacillus sp. were detected for the rubbing method than for the other methods. After further nurse work, the most number of absorbed bacteria on a nurse's hands were counted after cleaning a patient's body. The rate of bacteria elimination for hand-washing with soap and tap water after taking care of a patient was insufficient, especially when before care was provided the number of bacteria on the nurse's hands were less than 100 CFU/agar plate. From these results, the following manual for sanitary hand washing is recommended: 1. At first, dirty hands should be cleaned and the number of bacteria should be reduced using soap and tap water or by scrubbing with disinfectants. 2. After the number of bacteria has been reduced, use the SAEW method routinely. 3. For care requiring a high level of cleanliness or if no tap water facilities are available, use the rubbing method. Finally, routine use of the SAEW method in ICU could be recommended with conventional disinfectants and soap and tap water on a case by case basis for less than adverse reactions, such as in the case of rough-hands or keeping a low level of bacteria on hands.

  11. Acceptability and use of portable drinking water and hand washing stations in health care facilities and their impact on patient hygiene practices, Western kenya.

    Directory of Open Access Journals (Sweden)

    Sarah D Bennett

    Full Text Available Many health care facilities (HCF in developing countries lack access to reliable hand washing stations and safe drinking water. To address this problem, we installed portable, low-cost hand washing stations (HWS and drinking water stations (DWS, and trained healthcare workers (HCW on hand hygiene, safe drinking water, and patient education techniques at 200 rural HCFs lacking a reliable water supply in western Kenya. We performed a survey at baseline and a follow-up evaluation at 15 months to assess the impact of the intervention at a random sample of 40 HCFs and 391 households nearest to these HCFs. From baseline to follow-up, there was a statistically significant increase in the percentage of dispensaries with access to HWSs with soap (42% vs. 77%, p<0.01 and access to safe drinking water (6% vs. 55%, p<0.01. Female heads of household in the HCF catchment area exhibited statistically significant increases from baseline to follow-up in the ability to state target times for hand washing (10% vs. 35%, p<0.01, perform all four hand washing steps correctly (32% vs. 43%, p = 0.01, and report treatment of stored drinking water using any method (73% vs. 92%, p<0.01; the percentage of households with detectable free residual chlorine in stored drinking water did not change (6%, vs. 8%, p = 0.14. The installation of low-cost, low-maintenance, locally-available, portable hand washing and drinking water stations in rural HCFs without access to 24-hour piped water helped assure that health workers had a place to wash their hands and provide safe drinking water. This HCF intervention may have also contributed to the improvement of hand hygiene and reported safe drinking water behaviors among households nearest to HCFs.

  12. 医务人员洗手现状分析与方法探讨%Analysis of the hand-washing situation and method in medical staff

    Institute of Scientific and Technical Information of China (English)

    陈明纯; 林伟青; 肖惠兰

    2009-01-01

    Objective To investigate the situation of hand-washing method in medical staff, and try to find the best way and improvement of hand-washing to medical staff. Methods Hand-washing methed of medical staff was observed. The bacterial clearance rate and qualified rate were compared in three hand-washing ways: with ,soap, or after hand-washing with lodophor, or fast speed hand disinfectant. Results The result of fast speed hand disinfectant was the best. Its qualified rate and bacterial clearance rate were 100% and 97.1% respctively. The rates of the method after hand-washing with lodophor were 97.8% and 95.7%respctively. The rates of method with soap were 96.1% and 90.2% respctively. Conclusions The situation of hand-washing in medical staff is not satisfactory, and needs to be improved by the medical training and facilities improvement. It is convenient to wash hands by the method of fast speed hand disinfec-tant, and can improve the compliance of medical staff and decrease the rates of nosocomial infection.%目的 了解医务人员洗手现状,探讨有效的洗手方式和促进措施.方法 采用现场观察医务人员洗手现状和榆测肥皂普通洗手、普通洗手+碘伏及快速手消毒液洗手方式的除菌率和合格率,并进行比较分析.结果 快速手消毒液洗手效果最好,除菌率97.1%、合格率为100%;其次为普通洗手+碘伏,除菌率95.7%、合格率97.8%;肥皂普通洗手除菌率90.2%、合格率96.1%.结论 医务人员洗手现状不容乐观,需加强培训教育,改善洗手设施.消毒液擦手方便、有效,可提高医务人员手卫生依从性,降低医院感染的发生.

  13. Acceptability and use of portable drinking water and hand washing stations in health care facilities and their impact on patient hygiene practices, Western kenya.

    Science.gov (United States)

    Bennett, Sarah D; Otieno, Ronald; Ayers, Tracy L; Odhiambo, Aloyce; Faith, Sitnah H; Quick, Robert

    2015-01-01

    Many health care facilities (HCF) in developing countries lack access to reliable hand washing stations and safe drinking water. To address this problem, we installed portable, low-cost hand washing stations (HWS) and drinking water stations (DWS), and trained healthcare workers (HCW) on hand hygiene, safe drinking water, and patient education techniques at 200 rural HCFs lacking a reliable water supply in western Kenya. We performed a survey at baseline and a follow-up evaluation at 15 months to assess the impact of the intervention at a random sample of 40 HCFs and 391 households nearest to these HCFs. From baseline to follow-up, there was a statistically significant increase in the percentage of dispensaries with access to HWSs with soap (42% vs. 77%, pdrinking water (6% vs. 55%, pdrinking water using any method (73% vs. 92%, pdrinking water did not change (6%, vs. 8%, p = 0.14). The installation of low-cost, low-maintenance, locally-available, portable hand washing and drinking water stations in rural HCFs without access to 24-hour piped water helped assure that health workers had a place to wash their hands and provide safe drinking water. This HCF intervention may have also contributed to the improvement of hand hygiene and reported safe drinking water behaviors among households nearest to HCFs.

  14. The status and reflection of the hand - washing compliance among nursing staff%护理人员洗手依从性的现状与思考

    Institute of Scientific and Technical Information of China (English)

    郭青; 许虹; 史长文

    2011-01-01

    To enhance the hand -washin8 compliance of nursing staff is the powerful measure to reduce the rate of hospital infection.This paper reviewed the status of hand - washing compliance among nursing staff.The problems mainly included indifferent to hang - washing,lack of effective supervision and management systems, inadequate hand -washing facilities,and the shortage of nursing staff.To improve the compliance of hand -washing and ensure the safety of patients, the following measures should be taken,including updating the conception of nursing staff,enhancing their hand - washing consciousness,implementing multi - channel management measures, providing convenient hand -washing facilities,and reasonable allocation of nursing human resources.%提高护理人员洗手依从性是降低医院感染率的有力措施.文章阐述了目前护理人员洗手依从性的现状,护理人员没有足够重视洗手,缺乏有效的监督管理机制,洗手设施设置不够完善,护理人力配置不足等方面的问题.应通过转变观念,增强护理人员洗手意识,开展多渠道的行政监督管理措施,提供便利的洗手设施,合理配置护理人力资源以提高护理人员洗手依从性,保障患者医疗安全.

  15. Limited impact of sustained simple feedback based on soap and paper towel consumption on the frequency of hand washing in an adult intensive care unit.

    Science.gov (United States)

    Bittner, Marvin J; Rich, Eugene C; Turner, Paul D; Arnold, William H

    2002-03-01

    To determine whether hand washing would increase with sustained feedback based on measurements of soap and paper towel consumption. Prospective trial with a nonequivalent control group. Open multibed rooms in the Omaha Veterans Affairs Medical Center's Surgical Intensive Care Unit (SICU) and Medical Intensive Care Unit (MICU). Unit staff. Every weekday from May 26 through December 8, 1998, we recorded daytime soap and paper towel consumption, nurse staffing, and occupied beds in the SICU (intervention unit) and the MICU (control unit) and used these data to calculate estimated hand washing episodes (EHWEs), EHWEs per occupied bed per hour, and patient-to-nurse ratios. In addition, from May 26 through June 26 (baseline period) and from November 2 through December 8 (follow-up period), live observers stationed daily for random 4-hour intervals in the MICU and the SICU counted actual hand washing episodes (CHWEs). The intervention consisted of posting in the SICU, but not in the MICU, a graph showing the weekly EHWEs per occupied bed per hour for the preceding 5 weeks. Directly counted hand washing fell in the SICU from a baseline of 2.68+/-0.72 (mean +/- standard deviation) episodes per occupied bed per hour to 1.92+/-1.35 in the follow-up period. In the MICU, episodes fell from 2.58+/-0.95 (baseline) to 1.74+/-0.69. In the MICU, the withdrawal of live observers was associated with a decrease in estimated episodes from 1.36+/-0.49 at baseline to 1.01+/-0.36, with a return to 1.16+/-0.50 when the observers returned. In the SICU, a similar decrease did not persist throughout a period of feedback. Estimated hand washing correlated negatively with the patient-to-nurse ratio (r = -0.35 for the MICU, r = -0.46 for the SICU). Sustained feedback on hand washing failed to produce a sustained improvement. Live observers were associated with increased hand washing, even when they did not offer feedback. Hand washing decreased when the patient-to-nurse ratio increased.

  16. Exposures related to hand eczema

    DEFF Research Database (Denmark)

    Ibler, K.S.; Jemec, G.B.E.; Agner, T.

    2012-01-01

    between exposures (domestic and at work) and prevalence and severity of hand eczema. Methods. Self-administered questionnaires were sent to 3181 healthcare workers in Denmark. Results. Two thousand two hundred and sixty-nine (71%) workers responded to the questionnaire. Frequent hand washing....... Conclusions. Although healthcare workers are recommended to use disinfectants when the hands are not visibly dirty, hand washing is still significantly related to hand eczema. Frequent hand washing may be a question of behavioural habits, and a focus for future guidance should be on changing hand washing......Background. Hand eczema is common in healthcare workers, owing to intensive exposure to wet work and skin irritants. Targeted interventions and vocational guidance based on documented exposures and risk factors are needed. Objectives. The aims of the study were to investigate the relationship...

  17. Investigation and Management of Hand Washing in 98 Probationer Nurse%98名实习护士洗手状况调查及管理对策

    Institute of Scientific and Technical Information of China (English)

    高焕香; 严贞; 李玉倩

    2015-01-01

    Objective To survey the status of the practice nurses to wash their hands and its influence factors, discuss preventive measures, reduce the hospital infection rate. Methods Take the self-designed questionnaire on 98 practice nurses from a hospital in Hubei province in the form of questionnaire survey, statistical analysis of survey results. Results 15.31% of the practice nurse often wash your hands before operation, 17.35% of the practice nurse after set to sel to wash your hands often, 13.27% of the practice nurse often wash your hands before contact with the patient, etc. Conclusion Most of the practice nurse hand washing is in poor conditions. The nurse hand hygiene education intervention, strengthen teaching management, monitoring the implementation of hand hygiene, improve the hospital hand washing equipment, improve the hand hygiene compliance behavior, standardized management.%目的了解实习护士洗手状况及影响因素,探讨防范措施,降低医院的感染率。方法采取自行设计的调查问卷对湖北省某医院98名实习护士进行调查,对调查结果进行统计分析。结果15.31%的实习护士操作前经常洗手,17.35%的实习护士脱手套后经常洗手,13.27%的实习护士接触患者前经常洗手等。结论大部分的实习护士洗手状况差。医院管理者应对实习护士进行手卫生的教育干预,加强带教管理,实施手卫生的监测,完善医院洗手设备配置,提高手卫生依从性,从而降低医院感染率。

  18. The Prevalence Of Careers And Microbial Spectrum Of Health Care Worker,s Hand And Relation Between Detergent Used For Washing

    Directory of Open Access Journals (Sweden)

    Khodada A

    2004-09-01

    Full Text Available Background: Many of hospital acquired infections that cause so much morbidity and mortality and have great economical burden are transmitted via contaminated hands of health care workers (HCW.Prevalence of these infections can decrease up to 30% with hygienic measures. In this study we assessed the prevalence of careers and microbial spectrum of HCW,s hand and relation between detergent used for washing and reduction of microbial load of HCW, s hand. Materials and Methods: This study was done in two part: Descriptive part (cross sectional and analytical part (before –after. Cases were Consist of all staff Working in wards of center of pediatrics hospital (Including attends, residents, interns, nurses and workers. In first part ,we assess hand microbial spectrum and contamination load of 72 staff and in second part, we assessed and compared hand microbial spectrum and load before and after of washing with four detergent : plain soap (60 staff , liquid soap (60 staff , betadin scrub in ward (60 staff and betadin scrub in operating room manner (26 staff. Results: %87.5 of personnel had positive cultures-.The most prevalent bacteria were staph. epidermidis (%79.4, staph. oreus (%42.9, klebsiella (%12.7, E-coli (%12.7. The rate of reduction or negative cultures in groups used betadin were greater than the first two group (P-value <0/05.Thirty staff (10 with plain soap,10 with liquid soap and 10 with operating room betadin scrub dried their hands after washing. Forty percent of first, fifty percent of second and ninety percent of third group have negative culture after drying. Also 11 samples were drawn from faucets that all of them were positive. Conclusion: Prevalence of careers is high among HCWS and drying of hands can an important role in hospital infection rate. Faucets have heavy contamination and can transmit bacteria to hands after washing. For theses reasons education and of staff to correct hand washing and drying before every contact

  19. 护理人员手卫生认知及洗手行为的调查分析%Analysis about the nursing staff knowledge of hand hygiene and hand washing behavior

    Institute of Scientific and Technical Information of China (English)

    孙林静; 李莎莎; 尹作娟; 栗杰

    2012-01-01

    目的:了解我院护理人员对手卫生的认知情况、洗手行为现状及其影响因素,为提高护理人员手卫生状况提供参考.方法:采用问卷调查方式对我院120名临床护理人员进行手卫生认知、行为的调查,并对结果进行分析.结果:19.17%的护理人员掌握洗手方法,50·83%的人员了解;16.67%的护理人员掌握洗手指征,64.17%的人员了解;高达90%的护理人员对手卫生相关知识不清楚;63.33%的人员不清楚自我防护知识.护理操作前42.50%的护理人员从不洗手;完成操作后68.33%的人员能做到每次洗手;80.00%的护理人员在每次接触患者体液、血液、污染物后按时洗手;51.67%的护理人员能在工作结束下班前洗手,仅9.17%的人员从不洗手.结论:医护人员应加强洗手意识及对洗手卫生知识的学习,医院加强对洗手的管理,根据当地实际条件改善洗手设施,坚持正确洗手,从而避免经手传播医院感染的发生.%Objective: To understand the nursing staff in our hospital for hand hygiene cognition, hand washing behavior status, influencing factors, in order to provide reference for improving hand hygiene of nurses. Methods: By means of questionnaire survey of 120 clinical nurses were hand hygiene cognition, behavior were investigated, and the results were analyzed. Results;19.17% nursing staff in hand washing method,50. 83% understanding; 16. 67% nursing staff in hand washing indications,64.17% to understand. The high of 90% personnel opponents health related knowledge is not clear. 63. 33% staff don't know self protection knowledge. Nursing before operation 42.5% staff never wash; after the completion of the operation of 68. 33% can do it every time, 80% in every contact with body fluids or blood contamination on time after washing hands, all without exception occurs. 51. 67% staff before the end of work washing hands,only 9. 17% never washing. Conclusion;Health care professionals should strengthen

  20. An experimental study on the epidemiology of enteroviruses: water and soap washing of poliovirus 1--contaminated hands, its effectiveness and kinetics.

    Science.gov (United States)

    Schürmann, W; Eggers, H J

    1985-01-01

    As enteroviruses are mainly transmitted by the fecal-oral route, this study was initiated to investigate the nature of the binding of enteroviruses to human skin. Using poliovirus 1, Mahoney, we investigated the overall effectiveness of soap and water hand-washing of 1 and 5 min duration. The virus-skin interaction was studied by kinetic analysis of repeated serial washings. The following results were obtained: (1) Soap and water washing for 5 min reduced the number of infective particles on hands by 2-4 logs of ten. (2) Poliovirus binding to skin was essentially reversible. (3) Removal of virus followed a triexponential decline curve, suggesting loose, intermediate, and strong binding. (4) Washing agents more effective than soap were sand, aluminum hydroxide powder, and buffer alone, suggesting that friction was more important than emulsification. The results demonstrate the tenacity of poliovirus on skin, and offer a rationale for the epidemiology of enteroviruses on experimental grounds. From a practical point of view these results stress the need for an effective chemical hand disinfectant, particularly in hospitals.

  1. 产妇手卫生知识培训前后洗手行为及效果调查%Observation on effect of hands-washing before and after hand hygiene knowledge training for the primipara

    Institute of Scientific and Technical Information of China (English)

    孙美农; 干玎竹; 丁小英; 李春燕

    2012-01-01

    Objective: To explore the hands-washing results before and after hand hygiene knowledge training for the primipara.Methods: Two hundred primipara who met the inclusion criteria were included by convenience sampling.Hand sampling specimens were collected and survey was conducted among the 200 primipara before and after hand hygiene knowledge training. Results: The accuracy of hands-washing increased from 31.5% to 88.2%, and the qualified rate of hands-washing increased from 53.5% to76.5% after the hand hygiene knowledge training-Conclusion: The hand hygiene knowledge training and the guidance for right hands-washing method can reduce the probability of hospital maternal infection.%目的:探讨对产妇进行手卫生知识培训前后其洗手行为及效果.方法:采取便利抽样法,对符合纳入标准的住院产妇200名进行手卫生培训,分别收集培训前、后产妇手部采样标本和调查问卷.结果:培训前后洗手方法正确率由31.5%上升至88.2%,洗手效果合格率由53.5%提高到76.5%.结论:培训产妇手卫生知识,指导其正确洗手方法,可以降低医院内母婴感染的机率.

  2. Evaluation of the impact of a simple hand-washing and water-treatment intervention in rural health facilities on hygiene knowledge and reported behaviours of health workers and their clients, Nyanza Province, Kenya, 2008

    DEFF Research Database (Denmark)

    Sreenivasan, N; Gotestrand, S A; Ombeki, S

    2015-01-01

    Many clinics in rural western Kenya lack access to safe water and hand-washing facilities. To address this problem, in 2005 a programme was initiated to install water stations for hand washing and drinking water in 109 health facilities, train health workers on water treatment and hygiene...

  3. Administration of hand-washing compliance of medical staff and nosocomial infections%医务人员洗手依从性管理与医院感染

    Institute of Scientific and Technical Information of China (English)

    董明驹; 史莉; 杨富强; 宋涛

    2011-01-01

    目的 调查医院医务人员手卫生和洗手依从性的现状,探讨手卫生与医院感染的关系,制定手卫生的管理对策.方法 了解医务人员手污染现状和携带病原菌的种类.结果 医务人员工作中细菌携带率为100.0%,洗手后细菌携带率为20.8%;携带的病原菌包括:金黄色葡萄球菌、凝固酶阴性葡萄球菌、肠球菌属、铜绿假单胞菌、鲍氏不动杆菌、大肠埃希菌、肺炎克雷伯菌、产气肠杆菌、变形菌属等.结论 医务人员手污染是病原菌传播的重要途径,必须重视手卫生的监督管理,提高对洗手的认知性和依从性,才能有效的预防经手传播的医院感染.%OBJECTIVE To investigate the status of hand hygiene and hand-washing compliance of medical staff and approach the relation between hand hygiene and nosocomial infections to institute the administration strategy for hand hygiene.METHODS The hand contamination of medical staff and the carrying pathogenic species were investigated.RESULTS The carrying rate of pathogenic bacterium before hand-washing was 100.0%, while that after hand-washing was 20.8%.The carrying pathogenic bacteria includeds Staphylococcus aureus, coagulase negative staphylococcus, enterococci, Pseudomonas aeruginosa , Acinetobacter baumanii , Escherichia coli , K lebsiella pneumouia, Enterobacter aerogenes, Bacillus proteus and so on.CONCLUSION The hand contamination of medical staff is the major way for the spread of pathogenic bacteria.It should be attached importance to the supervision of hand hygiene and the improvement of recognition and compliance of hand-washing to effectively prevent the nosocomial infections caused by the hand contamination.

  4. Investigation of hand washing state in patients undergoing infusion in outpatient clinic%门诊输液患者洗手现状的调查分析

    Institute of Scientific and Technical Information of China (English)

    谭玲; 文若兰

    2008-01-01

    目的 了解门诊输液患者洗手状况及其影响因素,以便采取有效措施,提高患者的手卫生意识.方法 对300例门诊成人输液患者进行洗手行为调查;检测其洗手前后的细菌菌落数;并现场观察输液室环境及可提供的洗手设施.结果 门诊输液患者手的细菌菌落数高,超出医护人员标准20~36倍;执行正确洗手技术比例较低;输液室洗手设施简陋,不符合卫生洗手要求.结论 应加强对门诊输液患者的洗手知识宣传教育,提高其对洗手重要性的认识,同时医院应改善输液室的洗手设施,以减少污染.%Objective To investigate the hand washing state and its influencing factors in patients undergoing infusion in outpatient clinic in order to adopt measures to enhance the patients' consciousness of hand hygiene. Methods 300 adult patients undergoing infusion in outpatient clinic were investigated.The bacteria condition before and after washing hands was observed. The condition and washing apparatus in the infusion room were also evaluated. Results The bacteria amount in the hands of patients undergoing infusion was 20 to 36 times higher than the standard level. The washing apparatus was simple and did not reach the standard requirement. Conclusion We should strengthen the propaganda of hand hygiene knowledge to patients undergoing infusion and improve their recognition of the importance of hand washing. The hospital should improve the washing facilities to reduce hospital infeciton.

  5. Analysis of standardized hand-washing spectrum for the improvement of the hand-washing hygiene rate for hepatobiliary surgery medical staff%规范化外科洗手图谱对提高肝胆外科医护人员手卫生合格率的效果分析

    Institute of Scientific and Technical Information of China (English)

    刘平玉; 程月娥

    2015-01-01

    目的:探讨《规范化外科洗手图谱》对提高肝胆外科医护人员手卫生合格率的应用效果。方法根据中华人民共和国卫生部《消毒技术规范》和解放军总后勤部《医院感染管理技术规范》中对外科洗手程序、接台手术洗手、脱去手套后洗手的要求绘制《规范化外科洗手图谱》。纳入2011年1月至2013年10月参加手术的医护人员400名,按数字表法随机分为实验组与对照组,每组各200名。实验组人员按照规范化外科洗手图谱洗手,对照组人员采用传统教学法或凭经验洗手。结果实验组医护人员洗手程序合格率、手卫生合格率均高于对照组,细菌学检测阳性率、手术后患者医院感染发生率低于对照组,差异有统计学意义(P <0.01)。结论《规范化外科洗手图谱》可提高医护人员手卫生合格率,且简单、实用,值得推广。%Objective To investigate the effect of standardized hand-washing spectrum for the improvement of the hand-wash-ing hygiene rate for hepatobiliary surgery medical staff.Methods The standardized surgical hand-washing spectrum was developed in accordance with the requirements of pre-surgical hand-washing procedures,hand-washing of operation table distribution and hand-wash-ing after removing surgical gloves,as specified in《the Technical Standards for Disinfection》(the Ministry of Health of the People′s Re-public of China)and 《the Technical Standards for Nosocomial Infection Management》(the General Logistics Department of PLA).Four hundred surgical personnel involved in surgeries were enrolled for the study and were randomized into the experimental group and the control group,each consisting of 200 people.The surgical personnel in the experimental group washed their hands as required by the standardized hand-washing spectrum,and those in the control group washed their hands with conventional methods or by experience. Results The

  6. To Determine Some Knowledge and Attitudes Related to the Social Hand Washing of Individuals who Apply to a Primary Health Center

    Directory of Open Access Journals (Sweden)

    Funda Sevencan

    2009-06-01

    Full Text Available AIM: The aim of this study is to determine some knowledge and attitudes related to the social hand washing of individuals who apply to a health center and to examine the relationships with some socio-demographic characteristic. METHODS: The universe of this epidemiological descriptive study was applicants (over 18 years old of a primary health center in five business days. A questionnaire, which was prepared by the researchers, was applied to the applicants who agree to participate in the survey with face to face interview method. The mean scores of the knowledge and positive attitude of participants were calculated and the percentage distribution, t-test and One Way Anova were used in analysis. RESULTS: 77.9% of participants in research were female, 31.0% were primary school graduate and 75.5% were married. Of the participants, 41.5% were washing hands 11 times and over in a day. The mean scores of the knowledge and positive attitudes of participants were 61.6±21.4 and 61.9±13.4, respectively. The mean knowledge and positive attitudes scores were significantly different increases with education (p=0.002, p=0.013 respectively. The mean scores of positive attitudes of females were higher than males and difference is statistically significant (p=0.001. CONCLUSION: According to the results of this study, it can be said that the knowledge and positive attitudes about hand washing influenced by socio-demographic characteristics. It can be concluded that the most appropriate solution for improving knowledge and positive attitudes about hand washing is to increase the level of education. [TAF Prev Med Bull 2009; 8(3.000: 207-216

  7. Improve the Passing Rate of Initial Hand - Washing Equipment%提高医疗器械手工清洗合格率

    Institute of Scientific and Technical Information of China (English)

    郭亚丽; 卢艳红

    2012-01-01

    Objective To increase the passing rate of initial hand - washing equipment. Method QC group activities. Result The passing rate of the initial hand - washing equipment in supply room increased from 88. 6% to 98. 1%. Conclusion The passing rate of initial hand - washing equipment effectively improved through QC group intervention. It greatly stimulated the enthusiasm of nurses and it is worth promoting.%目的 提高医疗器械初次手工清洗合格率.方法 QC小组活动.结果 医疗器械初次手工清洗合格率从活动前的88.6%提高至活动后的98.1%,达到了活动目标.结论 通过QC小组干预,可有效提高医疗器械初次手工清洗合格率,激发护理人员工作积极性,值得推广.

  8. 医护人员不同手卫生方法的效果评价%Evaluation of hand-sterilizing effect with hand disinfectant and hand washing sanitizer among doctors and nurses

    Institute of Scientific and Technical Information of China (English)

    林少珍; 何芳; 叶秀云

    2013-01-01

    Objective To compare the sterilizing effects of the hands with quick hand disinfectant and hand sanitizer among medical workers and nurses. Methods A hundred medical personnel selected were randomly divided into quick hand disinfection group and hand sanitizer group, each consisted of 50 cases. The total number of bacteria were detected, were observed in the two groups before and after washing hands. Results The numbers of bacteria on the hands of both groups were significantly reduced after washing and steriliztion (≥ 50cfu/cm2), (t=54.91,P 0.05) .Conclusion The sterilization of methods of hand sterilization and hand sanitizere were all good, but the effect of hand sterilization was apparently better.%目的 比较快速手消毒液与洗手液洗手的消毒效果,探讨适合的手卫生方法.方法 选取本院100例医护人员,随机将其分为快速手消毒液组和洗手液组等两组,每组各50例.观察两组洗手前后的细菌总数.结果 快速手消毒液组和洗手液组对手带菌量≥50cfu/cm2的洗手后细菌群落数均较洗手前减少,差异有统计学意义(t=54.97,P<0.01;t=52.78,P< 0.01);洗手后两组细菌群落数比较,差异有统计学意义(t=9.33,P<0.01);两组合格率比较,差异有统计学意义(x2=8.90,P< 0.01).快速手消毒液组和洗手液组对手带菌量<50 cfu/cm2的洗手后细菌群落数均较洗手前减少,差异有统计学意义(t=38.98,P< 0.01;t=36.53,P< 0.01);洗手后两组细菌群落数比较,差异无统计学意义(t=0.33,P>0.05);两组合格率比较,差异无统计学意义(x2=0.10,P> 0.05).结论 两种手卫生方法均消毒效果显著,但手部污染明显(带菌量≥50cfu/cm2)时,用快速手消毒液处理的合格率低于洗手液,此时应选用洗手液加流动水洗手.

  9. A pilot study of a portable hand washing station for recently displaced refugees during an acute emergency in Benishangul-Gumuz Regional State, Ethiopia.

    Science.gov (United States)

    Husain, Farah; Hardy, Colleen; Zekele, Lemlem; Clatworthy, David; Blanton, Curtis; Handzel, Thomas

    2015-01-01

    Diarrheal disease is a common cause of morbidity and mortality. Displaced populations are especially vulnerable due to overcrowded camps and limited access to water and sanitation facilities, increasing the risk for outbreaks. Hand washing with soap is effective against disease transmission, and studies suggest access to a convenient hand washing station may be the key to increasing hand washing behavior. This pilot study evaluated the acceptability, durability and use of a novel hand washing bag (HWB) at the household level among Sudanese refugees immediately following an acute emergency. We distributed one HWB to every household (n = 874) in Adamazin Transit Center in western Ethiopia. The evaluation consisted of baseline and endline surveys, three monthly monitoring visits and focus group discussions (FGDs) over a six month period. FGD data were analyzed using the Risk, Attitudes, Norms, Abilities, and Self-Regulatory model. Survey and monitoring data were analyzed using SPSS. Note: Residents were resettled to Bambasi Refugee Camp during the study period where the endline survey was conducted. Baseline data suggested water quantity and availability of soap were below SPHERE standards, however participants responded positively to the HWB. At the end of the monitoring period, 73.9 % of the same households retained their original HWBs and 66.7 % of bags had water at the time of the visit. The mean lifespan of the HWB during the monitoring period was 2.73 months. From a new sample of households selected for the endline evaluation, 93.0 % had an original HWB, but only 39.4 % had water in the bag. Endline FGD participants felt the HWB was useful, but reported insufficient soap and hygiene messaging. The HWB performed well during the early phases of the emergency, however longer term results in this setting are unclear. The low levels of reported use measured by proxy indicators at six months indicated decreasing acceptability over time or a reflection of

  10. Adesão à técnica de lavagem de mãos em Unidade de Terapia Intensiva Neonatal Compliance with hand washing technique in a Neonatal Intensive Care Unit

    Directory of Open Access Journals (Sweden)

    Mariana Reclusa Martinez

    2009-06-01

    physicians (14%, 26 nurses (60%, three (7% laboratory and X-ray technicians and eight (19% relatives of patients. Among these, 24 (55.8% washed their hands before entering the unit. The procedure was adopted more frequently during the morning (75% than in the afternoon (39%. The correct technique was never adopted by any observed category. CONCLUSIONS: Hand washing techniques are rarely followed in hospitals and, therefore, educational programs to increase the compliance with health professionals are urgent.

  11. Effect of different methods of hand washing on surgical hand antisepsis%不同清洁洗手方法对外科手消毒效果的影响

    Institute of Scientific and Technical Information of China (English)

    谢伏娟; 刘秋秋; 贺吉群

    2011-01-01

    OBJECTIVE To compare the influence on the effect of surgical hand antisepsis by different methods hand washing.METHODS With the same liquid skin cleaner and surgical hand disinfectant, prior to surgical hand antisepsis, three methods were selected to compare their immediate antimicrobial efficacies and effct on skin conditions, including hand rub (group A), hand scrub (group B) and no pre-wash (group C).RESULTS In the group C,the colonies(0.27 ±0.45 CFU/cm2 )and the positive rate(46.7%)after surgical hand antisepsis were higher than that of group A and B, there was no significant difference between the group A and B.Hand rub resulted in a smaller skin damage than hand scrub.CONCLUSION Hand rub is the recommended method for prior hand washing to surgical hand antisepsis.%目的 比较不同的清洁洗手方法 对外科手消毒效果的影响. 方法 使用同种手清洁剂和外科手消毒剂,分别采取揉搓清洁洗手(A组)、刷洗清洁洗手(B组)和不进行清洁洗手(C组)3种方法 后按同样的方法 进行外科手消毒,比较其即刻消毒效果和对手部皮肤的影响. 结果 C组外科手消毒后手部菌落数(0.27±0.45)CFU/cm2及手部带菌阳性率(46.7%)明显高于A组和B组,差异有统计学意义(P<0.01),A组和B组之间比较,差异无统计学意义,均有较好的即刻消毒效果,但刷洗法对皮肤损伤较大. 结论 外科手消毒前推荐使用揉搓清洁洗手方法 .

  12. KNOWLEDGE OF HAND WASHING AND FOOD HANDLING PRACTICES OF THE STREET FOOD VENDORS OF AGARTALA, A NORTH EASTERN CITY OF INDIA .

    Directory of Open Access Journals (Sweden)

    Taranga

    2013-10-01

    Full Text Available ABSTRACT: OBJECTIVES: To assess the knowledge o f hand washing and food handling practices of the street food vendors. STUDY DESIGN: Community based cross - sectional study conducted in Agartala municipal area. METHODS: Structured interview schedule was administered to 234 street food vendors selected by probability proportionate to size sampling technique during 1 st July to 31 st August 2011. Microsoft Excel and Epi - info version - 6 were used for data entry and analysis and p ≤ 0.05 was considered significant. RESULTS: One hundred and seventeen vendors (50% were aged between 30 – 40 years and 98.29% were males. Forty eight (20.5% vendors were illiterate and 40.2% vendors were from rural areas. One hundred and five vendors (44.9% with primary and 78 (32.1% with secondary level education knew that unclean hands and dishes can transmit diseases while serving roadside foods. 58.3%, 6 1.9%, and 69.23% of the vendors were illiterate, primary and secondary educated respectively. Majority of them were not using soap for washing hands. 87.5%, 58.09%, 74.3% and 50% of the illiterate, primary educated, secondary educated, and senior secondary educated vendors did not use detergent for washing dishes before and after each serving. One hundred and sixty five (70.5% vendors stored unsold food for the next day, while 29.1% of the vendors discarded the left - over food. CONCLUSIONS: Basic food safet y knowledge and practice of hygiene and sanitation by the street food vendors was found to be inadequate. Issuing of food license to them should be subjected to fulfillment the above conditions or they should be trained regarding safe food handling.

  13. Hand hygiene and hand-washing compliance of medical staff:current status and administration strategies%医务人员手卫生与洗手依从性现状及管理对策

    Institute of Scientific and Technical Information of China (English)

    范文; 黄娥; 段六生; 雷鸿斌; 易光明

    2011-01-01

    目的 了解医务人员手卫生的现状,研究手卫生与医院感染的关系,从而制定手卫生管理对策.方法随机抽查8个临床科室部分医务人员手污染现状,研究医务人员手携带病原菌的种类及性质,分析其污染因素.结果医务人员工作过程中手细菌携带率为100.0%,洗手后细菌携带率为30.4%;携带的主要细菌为:大肠埃希菌、肺炎克雷伯菌、铜绿假单胞菌、产碱假单胞菌、变形菌属、金黄色葡萄球菌、凝固酶阴性葡萄球菌和肠球菌属等.结论医务人员手部污染是医院交叉感染的重要危险因素,必须强化医务人员医院感染理念教育,重视手卫生的监督管理,提高对洗手的认知性和依从性,才能有效预防与控制由手传播的医院内交叉感染.%OBJECTIVE To understand the status of hand hygiene of medical staff and investigate the relation between hand hygiene and nosocomial infections to institute the administration strategy of hand hygiene.METHODS The random inspection of hand hygiene was performed for parts of medical staff in 8 clinical departments. The species of carrying pathogens were investigated. The reasons for contamination were analyzed.RESULTS The carrying rate of pathogenic bacteria before hand-washing was 100. 0% while which after hand-washing was 30.4 %. The common pathogenic were Escherichia coli, Klebsiella pneumouia, Pseudomonas aeruginosa , Pseudomonas alcaligenes , Bacillus proteus, Staphylococcus aureus , Coagulase negative Staphylococcus and Enterococci, and so on. CONCLUSION The hand contamination is the important risk factor of hospital cross infection. The hospital infections idea of medical staff should be strengthened, the supervision of hand hygiene and the enhancement of the recognition and compliance of hand-washing should be attached importance to effectively prevent and control the hospital cross infection communicated through hands.

  14. The disinfection effect analysis for two kinds of hands washing methods.%两种洗手方法对手消毒的效果分析

    Institute of Scientific and Technical Information of China (English)

    吴丽清; 张霞

    2011-01-01

    目的:探讨传统的外科洗手方法与改良后的外科洗手方法对手消毒的效果影响. 方法:在2009年1~6月,对参加手术的医护人员200人次分为对照组和实验组各100人次,其中每组医师、护士各50人次.传统的洗手方法设为对照组,改进后的洗手方法设为实验组,两组在手消毒后均取样培养.并对同期1 060例妇科手术患者的切口感染及愈合不良率进行分析,其中属于对照组患者500例,属于实验组患者560例.结果:对照组和实验组的医护人员手细菌培养结果均为无菌生长,对照组切口感染21例,感染率4.2%,实验组切口感染25例,感染率4.46 %,两组切口感染率无明显差异,且比国内及国外的医院感染率均低.结论:传统的洗手方法与改良后的洗手方法对手的消毒均能达到无菌要求,而且能缩短洗手时间,更有利于急症手术.%Objective: Discussing the different disinfection effect between the traditional and improved methods of hands washing. Methonds: From January to June, 2009, taking 200 perasn-times medical staffs who participate in gynascological operations as samples, 100 person -times as experimental group,the other 100 person - time as contrast group. Each group includes 50 doctors and 50 nurses. The experimental group uses the traditional method to wash their hands and the contrast group uses improved method to wash their hands. Both groups take samples for bacteria culture after disinfecting their hands.And taking 1060 patients at the same term who have gynaecological operations as zamples to analyze the rate of surgical incision infections and badness wound healings, 500 patients of them as experimental group and other 560 patients as contrast group. Results:The bacteria culture from the nedical staffs hands in both experimental group and contrast group are axenic growth. There are 23 infected cases in contrast group, with the rate 4. 6%, while there are 26 infected cases in

  15. Typhoid fever: hurdles to adequate hand washing for disease prevention among the population of a peri-urban informal settlement in Fiji.

    Science.gov (United States)

    Greenwell, James; McCool, Judith; Kool, Jacob; Salusalu, Mosese

    2013-01-01

    The Pacific island nation of Fiji Islands has high rates of endemic typhoid fever which is difficult to diagnose and often underreported. However, the majority of cases are preventable through use of safe water; adequate sanitation; vaccination; and, most sustainable of all, simple hygienic behaviour, such as hand washing with soap (HWWS). Despite many attempts by public health authorities, little progress has been made in the area of environmental adaptation and behaviour change. To explore perceptions of typhoid fever risk among urban squatters and behavioural determinants surrounding HWWS, indigenous Fijians living in informal settlements with high typhoid fever incidence were invited to participate in focus group discussions. In-depth interviews were conducted with community leaders. Perceptions of typhoid fever suggest confusion about risk factors, symptoms and communicability. Environmental barriers for hand washing were related to water and soap access. Standard social marketing approaches have been trialled with little clear evidence of impact. Despite this, we continue to advocate for the social and cultural determinants of typhoid prevention to remain central to future public health strategies. Despite behaviour change being notoriously difficult, we argue that community-driven behaviour adaptation initiatives based on sound epidemiological evidence and health communication theory are likely to have significant impact and greater likelihood of sustainability.

  16. Typhoid fever: hurdles to adequate hand washing for disease prevention among the population of a peri-urban informal settlement in Fiji

    Directory of Open Access Journals (Sweden)

    Mosese Salusalu

    2013-01-01

    Full Text Available Problem/context: The Pacific island nation of Fiji Islands has high rates of endemic typhoid fever which is difficult to diagnose and often underreported. However, the majority of cases are preventable through use of safe water; adequate sanitation; vaccination; and, most sustainable of all, simple hygienic behaviour, such as hand washing with soap (HWWS. Despite many attempts by public health authorities, little progress has been made in the area of environmental adaptation and behaviour change. Action: To explore perceptions of typhoid fever risk among urban squatters and behavioural determinants surrounding HWWS, indigenous Fijians living in informal settlements with high typhoid fever incidence were invited to participate in focus group discussions. In-depth interviews were conducted with community leaders. Outcome: Perceptions of typhoid fever suggest confusion about risk factors, symptoms and communicability. Environmental barriers for hand washing were related to water and soap access. Standard social marketing approaches have been trialled with little clear evidence of impact. Despite this, we continue to advocate for the social and cultural determinants of typhoid prevention to remain central to future public health strategies. Discussion: Despite behaviour change being notoriously difficult, we argue that community-driven behaviour adaptation initiatives based on sound epidemiological evidence and health communication theory are likely to have significant impact and greater likelihood of sustainability.

  17. Effectiveness of hand sorting, flotation/washing, dehulling and combinations thereof on the decontamination of mycotoxin-contaminated white maize.

    Science.gov (United States)

    Matumba, Limbikani; Van Poucke, Christof; Njumbe Ediage, Emmanuel; Jacobs, Bart; De Saeger, Sarah

    2015-01-01

    Maize is one of the major staple foods of Sub-Saharan Africa and is consumed as whole or dehulled grain. In this region, where the environmental conditions favour fungal growth and mycotoxin production, the majority of the population are subsistence consumers who, unfortunately, have little or no access to mycotoxin testing of their food. In an attempt to develop feasible reduction strategies in dietary mycotoxin exposure of the population, a three-factorial design experiment was conducted to examine and compare the efficacy of hand sorting, flotation, dehulling and combinations thereof in removing naturally occurring aflatoxins, fumonisins, nivalenol, deoxynivalenol and alternariol in shelled white maize. Regression analysis was used to determine the significant (p mycotoxins from the maize. Results from this experiment indicated that hand sorting had the greatest effect on mycotoxin removal, while flotation yielded the least effect. In particular hand sorting left mycotoxin exposure among subsistence consumers.

  18. COMPARISION STUDY ON THE ANTIBACTERIAL EFFECT OF A HAND WASHING LIQUID AND SOAP%液体洗手液与固体肥皂除菌效果比较研究

    Institute of Scientific and Technical Information of China (English)

    赵建平; 周秀岚

    2012-01-01

    目的 比较某种洗手液与肥皂对医务人员手的除菌效果,以指导医务人员正确洗手.方法 通过现场采样和细菌定量检验的方法,对洗手液和肥皂洗手后的除菌效果进行评价.结果 医务人员洗手前手上平均检出菌数为288 cfu/cm2.用新打开的肥皂按规范步骤洗手1遍,手上存活菌数为29 cfu/cm2;洗手2遍,手上存活菌数平均为6 cfu/cm2.用洗手液洗手1遍,手上检出存活菌数为9 cfu/cm2.结论 用普通肥皂洗手连续按规范程序洗2遍相当于新型洗手液洗1遍的除菌效果,推荐使用洗手液洗手.%Objective To compare the antibacterial effect of a hand washing liquid and soap, in order to guide proper hand washing of medical staff. Methods Field sample and quantitative bacterial detection were used to estate the antibacterial effect after washing by hand washing liquid and soap. Results The average colony on the medical staffs hands before washing was 288 cfu/cm2 . The colony decreased to 29 cfu/cm2 after washing followed the standard by new soap. The average colony was 9 cfu/cm2 by hand washing liquid. Conclusions The antibacterial effect of soap for 2 times was equal to that of hand washing liquid after washing for 1 times. Hand washing liquid was suggested to use.

  19. 不同洗手方法对医护人员手消毒效果的影响%Effect of different hand washing methods on sterilization of medical staff

    Institute of Scientific and Technical Information of China (English)

    吴冉; 王晓; 孙素芬; 程延

    2015-01-01

    Objective:To investigate the sterilization effects of different hand washing methods,So as to provide convenient,fast,and reliable hand hygiene method for the medical staff. Methods:60 medical staff was randomly divided into control group and experimental group. The control group used ordinary hand soap and the experimental group received free hands sanitizers respectively,after hand washing making bacterial culture. Observated the number of bac-terial colonies in the hand of two groups. Results:Ordinary hand washing gel,free hand sanitizers pass rate was 73. 33% and 96. 67% separately,they both have no detected pathogens,compared the difference of two hand - washing effect included statistically significant ( P < 0. 05). Conclusion:Both methods can be used to hand washing sterilization for medical staff,free hand washing sanitizers group is more effective than ordinary hand washing group.%目的::观察医护人员不同洗手方法的消毒效果,为医务人员提供方便、快捷、可靠的手卫生方法。方法:2014年2~3月随机将门诊医护人员60人等分为试验组和对照组,对照组使用普通洗手液,观察组使用免洗手消毒液洗手,所有医护人员洗手后均进行手部细菌培养。结果:对照组和试验组合格率分别为73.33%,96.67%,均未检出致病菌,两组洗手效果比较差异有统计学意义(P <0.05)。结论:两种洗手方法均可用于临床医务人员的手部清洗除菌,免洗手消毒液洗手组的洗手效果优于普通洗手液洗手组。

  20. An investigation of the effects of a hand washing intervention on health outcomes and school absence using a randomised trial in Indian urban communities.

    Science.gov (United States)

    Nicholson, Julie A; Naeeni, Mojgan; Hoptroff, Michael; Matheson, Jane R; Roberts, Anthony J; Taylor, David; Sidibe, Myriam; Weir, Anthony J; Damle, Satyawan G; Wright, Richard L

    2014-03-01

    To evaluate how an intervention, which combined hand washing promotion aimed at 5-year-olds with provision of free soap, affected illnesses among the children and their families and children's school absenteeism. We monitored illnesses, including diarrhoea and acute respiratory infections (ARIs), school absences and soap consumption for 41 weeks in 70 low-income communities in Mumbai, India (35 communities per arm). Outcomes from 847 intervention households (containing 847 5-year-olds and 4863 subjects in total) and 833 control households (containing 833 5-year-olds and 4812 subjects) were modelled using negative binomial regression. Intervention group 5-year-olds had fewer episodes of diarrhoea (-25%, 95% confidence intervals [CI] = -37%, -2%), ARIs (-15%, 95% CI = -30%, -8%), school absences due to illnesses (-27%, 95% CI = -41%, -18%) and eye infections (-46%, 95% CI = -58%, -31%). Further, there were fewer episodes of diarrhoea and ARIs in the intervention group for 'whole families' (-31%, 95% CI = -37%, -5%; and -14%, 95% CI = -23%, -6%, respectively), 6- to 15-year-olds (-30%, 95% CI = -39%, -7%; and -15%, 95% CI = -24%, -6%) and under 5 s (-32%, 95% CI = -41%, -4%; and -20%, 95% CI = -29%, -8%). Direct-contact hand washing interventions aimed at younger school-aged children can affect the health of the whole family. These may be scalable through public-private partnerships and classroom-based campaigns. Further work is required to understand the conditions under which health benefits are transferred and the mechanisms for transference. © 2014 John Wiley & Sons Ltd.

  1. In vivo protocol for testing efficacy of hand-washing agents against viruses and bacteria: experiments with rotavirus and Escherichia coli.

    Science.gov (United States)

    Ansari, S A; Sattar, S A; Springthorpe, V S; Wells, G A; Tostowaryk, W

    1989-01-01

    Ten antiseptic formulations, an unmedicated liquid soap, and tap water alone were compared for their capacities to eliminate human rotavirus from the finger pads of adult volunteers; three of the antiseptics, the soap, and the tap water alone were also tested against Escherichia coli. A fecal suspension of virus or bacterium was placed on each finger pad and air dried. The contaminated site was exposed to the test product for 10 s, rinsed in tap water, and dried on a paper towel. The residual virus or bacterium was then eluted. Selected agents were also tested by an analogous whole-hand method by which the entire palm surfaces of both hands were contaminated. Alcohols (70%) alone or with Savlon reduced the virus titer by greater than 99%, whereas the reductions by Proviodine, Dettol, and Hibisol ranged from 95 to 97%. Aqueous solutions of chlorhexidine gluconate were significantly less effective for virus removal or inactivation than 70% alcohol solutions. Furthermore, Savlon in water (1:200) was found to be much less effective in eliminating the virus (80.6%) than the bacterium (98.9%). The tap water alone and the soap reduced the virus titers by 83.6 and 72.5% and the bacterial titers by 90 and 68.7%, respectively. The results of the whole-hand method agreed well with those of the finger pad protocol. We conclude that the finger pad method is a suitable model for testing the in vivo efficacy of hand-washing agents and emphasize the need for using appropriate test viruses and bacteria. PMID:2559658

  2. Intensified hand-hygiene campaign including soap-and-water wash may prevent acute infections in office workers, as shown by a recognized-exposure -adjusted analysis of a randomized trial.

    Science.gov (United States)

    Hovi, Tapani; Ollgren, Jukka; Savolainen-Kopra, Carita

    2017-01-09

    Variable exposure to causative agents of acute respiratory (RTI) or gastrointestinal tract infections (GTI) is a significant confounding factor in the analysis of the efficacy of interventions concerning these infections. We had an exceptional opportunity to reanalyze a previously published dataset from a trial assessing the effect of enhanced hand hygiene on the occurrence of RTI or GTI in adults, after adjustment for reported exposure and other covariates. Twenty-one working units (designated clusters) each including at least 50 office employees, totaling 1,270 persons, were randomized into two intervention arms (either using water-and-soap or alcohol-rub in hand cleansing), or in the control arm. Self-reported data was collected through weekly emails and included own symptoms of RTI or GTI, and exposures to other persons with similar symptoms. Differences in the weekly occurrences of RTI and GTI symptoms between the arms were analyzed using multilevel binary regression model with log link with personal and cluster specific random effects, self-reported exposure to homologous disease, randomization triplet, and seasonality as covariates in the Bayesian framework. Over the 16 months duration of the trial, 297 persons in the soap and water arm, 238 persons in the alcohol-based hand rub arm, and 230 controls sent reports. The arms were similar in age distribution and gender ratios. A temporally-associated reported exposure strongly increased the risk of both types of infection in all trial arms. Persons in the soap-and-water arm reported a significantly - about 24% lower weekly prevalence of GTI than the controls whether they had observed an exposure or not during the preceding week, while for RTI, this intervention reduced the prevalence only during weeks without a reported exposure. Alcohol-rub did not affect the symptom prevalence. We conclude that while frequent and careful hand washing with soap and water partially protected office-working adults from GTI, the

  3. A large cholera outbreak in Kano City, Nigeria: the importance of hand washing with soap and the danger of street-vended water.

    Science.gov (United States)

    Hutin, Yvan; Luby, Stephen; Paquet, Christophe

    2003-03-01

    The aim of this study was to identify the risk factors for cholera during an outbreak in Nigeria. Cases were defined as recent onset of acute diarrhoea with dehydration in a patient hospitalised at the Infectious Diseases Hospital in Kano City. Meningitis patients admitted concurrently at the same hospital were recruited as unmatched controls. Data were collected on age, sex, place of residence, hygienic practices, and on food and water consumption. A total of 5600 cholera cases and 340 cholera deaths were reported between December 1995 and May 1996 (attack rate = 86.3 per 100,000 population) in the state of Kano. Compared to the 77 controls, the 102 cases were more likely to have drunk street-vended water (age-adjusted odds ratio (AAOR) = 3.2; 95% confidence interval (CI): 1.4-7.1) and less likely to have drunk tap water in their homes (AAOR = 0.2; 95% CI: 0.1-0.7) or to have washed hands with soap prior to eating food (AAOR = 0.2; 95% CI: 0.1-0.6). While no data suggested that the municipal water supply was contaminated, safe water systems and hand hygiene practices might have prevented a high proportion of cases if implemented early during this outbreak.

  4. 品管圈活动对提高护士晨间护理洗手率的影响性研究%Study of QCC to Improve the Effect of Nursing Nurse Hand Washing Rate

    Institute of Scientific and Technical Information of China (English)

    张海燕

    2015-01-01

    Objective Through the application of QCC in nursing in order to improve the rate of hand washing morning care. Methods Through the pipe circle activities, ifnd out the main factors that affect nurses morning care hand washing rate, for mainly due to formulate corresponding measures and implementation, the QC circle activities before and after the early morning nurse nursing rate of hand washing. Results After comparing the rate of hand washing before and after the study, the rate of hand washing was significantly higher than that of the control group (P<0.05) after three weeks, and the washing rate (P<0.05) was signiifcantly higher than that in the ifrst three weeks after application. Conclusion QC circle activities application to improve the rate of the nurses of the morning wash, can markedly improve the nurses' hand washing rate, thereby reducing the incidence of hospital infection.%目的:通过品管圈活动在护理中的应用以达到提高护士晨间护理洗手率的目的。方法通过品管圈活动,找出影响护士晨间护理洗手率的主要原因,针对主要原因制定相应对策并实施,最后比较品管圈活动前后护士晨间护理洗手率。结果对研究对象应用前后的洗手率进行统计与比较后发现,应用后3周洗手率高于对照组(P<0.05);应用后组间比较观察组优于应用前3周的洗手率(P<0.05)。结论品管圈活动应用于提高护士晨间护理洗手率中,提高了护士的洗手率,进而降低了医院感染事件的发生。

  5. 烧伤病房陪护人员不同洗手方法的效果探讨%Effects of different hand-washing methods in accompanying nursing people in Burn Ward

    Institute of Scientific and Technical Information of China (English)

    陈冰冰; 林玉丹; 许翠玲; 阮明珍

    2016-01-01

    Objective To discuss the effects of two different hand-washing methods of accompanying nursing staff members in Burn Ward.Methods Convenience sampling method was used to select 1 50 accompanying nursing staff members of patients with burn injury from August 201 5 to December 201 5.They were divided in to experimental group (even number)and control group (odd number)according to the sequence number of hospitalization.In the control group,accompanying nursing staffs were used health essence anti-virus hand soap (I)plus seven-step hand-washing method to wash hands for 3 minutes,followed by rinsing with running water for 30s,leaving specimen after natural drying.Accompanying nursing staffs in the experimental group were used health essence mixtalol hand disinfectant plus seven-step hand-washing method to wash hands for one minute,leaving specimen after natural drying.Positive rates of bacteria were compared between the two groups before and after hand-washing.Results The positive rates of bacteria between two groups before and after hand-washing and 2 h after hand washing had no statistical significance (P >0.05). Conclusions The two sterilizing methods can both be used in accompanying nursing staffs to wash and sterilize hands.The irritation effect of health essence mixtalol hand disinfectant is significantly lower than health essence anti-virus hand soap,which is a more convenient and effective sterilizing method.%目的:探讨烧伤病房陪护人员2种不同洗手方法的洗手效果。方法采用便利抽样法选取2015年8—12月烧伤患者的陪护人员150人,根据患者入院先后进行编号,奇数分入对照组(75人),用健之素牌抗菌洗手液(Ⅰ)+七步洗手法揉搓3 min 后用流动水冲洗30 s,待自然干燥后留取样本;偶数分入试验组(75人),采用健之素牌复合醇手消毒液+七步洗手法揉搓1 min,待自然干燥后留取样本。比较两组洗手前后细菌检测阳性率。结果

  6. 护理技术操作中洗手及戴手套的执行情况分析%Analysis on execution situation of hands washing and gloves wearing in nursing procedures

    Institute of Scientific and Technical Information of China (English)

    苏秀珍

    2012-01-01

    目的 探讨分析护理技术操作中执行洗手及戴手套的情况.方法 采用操作考核与现场考察的方法对全院的122名护理人员在技术操作中执行洗手及戴手套的情况进行调查;采用问卷调查对157名护理实习生对洗手及戴手套的认识进行调查.结果 在临床操作中洗手和戴手套的执行率低,戴手套仍未引起护理人员的重视,包括带教老师.不便于操作是戴手套执行率低的主要原因;在连续操作之间采用快速手消毒剂(ABHR)洗手具有可行性.结论 从岗前培训抓起,应在护理技术操作制度和细节上体现洗手、戴手套,具体到“六步洗手法”和戴手套等,以提高执行的自觉性.%Objective To study the execution situation of hands washing and gloves wearing in nursing procedures.Methods A total of 122 nurses were surveyed by operation examination combined with site observation about the execution situation of hands washing and gloves wearing in nursing procedures.157 nursing students were surveyed by questionnaires about the cognition of hands washing and gloves wearing.Results Performing rate of hands washing and gloves wearing was lower in clinical practice.Gloves wearing were ignored including the teachers.Inconvenient to operate was the main cause without gloves.So,it was feasible to use alcohol - based hand rub (ABHR) to wash hands during continuous operation.Conclusions The training of standard precaution should be started from nursing school and the pre-job training,and in the nursing procedures it should be emphasized guide lines such as " 6 -steps hand wash -technique",gloves wearing et al.Students should practice in the detail in order to improve the compliance.

  7. Application of the Hand-washing Tips in the CPR nursing operation%"洗手口诀"在心肺复苏护理操作中的应用

    Institute of Scientific and Technical Information of China (English)

    李东雅; 何诗雯; 陈偶英

    2015-01-01

    Objective To explore the application effect of the Hand-washing Tips in the CPR nursing opera-tion. Methods The students of 2012 nursing class 1 ( control group) adopted traditional cardiopulmonary resuscitation ( CPR) nursing operation teaching method, while the students of 2012 nursing class 2 ( observation group) adopted the Hand-washing Tips based on the traditional methods. Then at the semester test, the hand washing status before and after CPR operation of the two groups of students , which included the number of correct order, omission, correct method were compared. Results The number of the students with hand washing site omission before the operation in observation group were apparently higher than those of control group ( P<0. 05 ) . The number of correct order, correct method of observation group were significantly higher than those of control group, the differences between the two groups were sta-tistically significant ( P<0. 01; P<0. 05 ); the number of the students with hand washing site omission after the opera-tion in observation group was apparently lower than that of control group ( P<0. 05 ) . Conclusion The application of the Hand-washing Tips in the CPR nursing operation can cover Seven Hand-washing Actions essentials, improve hand washing quality and future clinical health education levels of students and improve the hand-washing compliance rate of nurses, patients and attendants.%目的 探讨"洗手口诀"在心肺复苏护理操作中的应用效果. 方法 2012级专科1班(对照组)采用常规心肺复苏护理操作教学方法,2012级专科2班(观察组)在常规心肺复苏护理操作教学方法基础上,加用"洗手口诀",比较两组学生期末考试心肺复苏操作前后的洗手环节情况,包括顺序正确数、部位遗漏数、方法正确数. 结果 观察组心肺复苏操作前洗手部位遗漏人数低于对照组( P<0. 05 );观察组心肺复苏操作后洗手顺序正确人数、洗手方法正确人数均

  8. 门诊3种洗手液应用效果评估及医务人员手消毒依从性调查%Effect of 3 kinds of hand washings and investigation of the hand disinfection dependence in outpatient staffs

    Institute of Scientific and Technical Information of China (English)

    常晓琳; 王爱平

    2016-01-01

    Objective To provide basis in hand washings selecting and analyze the reasons of negative dependence in doctors and nurses. Methods Two hundred and forty-eight outpatient staffs,which including 160 doctors and 88 nurses,were divided into four dif-ferent groups by different hand washings:Group A with Jifro hand antiseptic wash free gel,Group B with Walch hand washing,Group C with Weihua antiseptic liquid, and Ggroup D is soap liquid as control group, 62 cases ( 40 doctors and 22 nurses ) in each group. Bacterial colony,hand drying time and hand skin assessment were observed. The hand disinfection dependence in doctors and nurses was assessed. Results The bacterial colony was decreased in the four groups before and after hand washing(P0. 05). The hand skin assessment in Walch group was better than the other groups(P0.05)。洗手后1个月,B组手部皮肤自评分优于其他3组,差异均有统计学意义(P<0.05)。导致医护人员对手消毒依从性差的原因包括工作忙节奏太快、干手时间长浪费时间、对洗手剂使用不了解、皮肤干燥龟裂不适、医源性感染认识不足;护师依从性优于医师,差异有统计学意义(P<0.05)。结论3种常用洗手液均能达到有效的杀菌目的,威露士可以推荐用于门诊常规手消毒。护师对手消毒的依从性优于医师。

  9. Current status of hand-washing compliance of medical staffs in grass-root hospitals and administration strategies%基层医院医护人员洗手依从性现状及管理措施

    Institute of Scientific and Technical Information of China (English)

    孔双红

    2012-01-01

    目的 调查医院医护人员手卫生及洗手依从性现状,探讨手卫生与医院感染的相关性,制定手卫生管理对策.方法 随机抽查临床科室部分医护人员手污染的现状、了解医护人员手携带细菌的种类及性质,分析手污染的原因.结果 医护人员在常规医疗活动中,手部细菌携带率为100.0%,洗手后细菌携带率为29.6%;携带的细菌主要是:大肠埃希菌、肺炎克雷伯菌、铜绿假单胞菌、产碱假单胞菌、变形菌属、产气肠杆菌、金黄色葡萄球菌、凝固酶阴性葡萄球菌和肠球菌属等.结论 医护人员手部污染是医院感染的重要危险因素,必须强化医护人员预防医院感染的理念,提高对洗手的认知性和依从性,优化手卫生措施,有效预防与控制经手传播的医院感染.%OBJECTIVE To investigate the status of hand hygiene and hand-washing compliance of medical staffs and approach the correlation between hand hygiene and nosocomial infections to institute the administration strategy of hand hygiene.METHODS The random inspection of hand hygiene was performed for random selected medical staffs in clinical departments.The species of carrying pathogens were determined, and the reasons for contamination were analyzed.RESULTS The carrying rate of pathogenic bacteria before hand-washing was 100.0% while that after hand-washing was 29.6%.The carrying pathogenic bacteria mostly comprised of Esche-richiacoli, Klebsiella pneumonia, Pseudomonas aeruginosa , P.alcaligenes, Proteus, Enterobacter aerogenes, Staphylococcus aureus, coagulase negative Staphylococcus, Enterococci and so on.CONCLUSION The hand contamination is an important risk factor for nosocomial infections.We should strengthen hospital infections awareness of medical staffs, enhance the recognition and compliance of hand-washing and optimize hand hygiene measures to prevent and effectively control the nosocomial infections communicated through hands.

  10. Hand Hygiene Saves Lives

    Medline Plus

    Full Text Available ... Tricky Treats Hygiene Fight Germs. Wash Your Hands! Go with the Flow Hand Hygiene Saves Lives Wash ... Wes Studi: Signs (:30) Traveler’s Health Way to Go Way to Go: Many Healthy Returns (4:00) ...

  11. Evaluation of the impact of a simple hand-washing and water-treatment intervention in rural health facilities on hygiene knowledge and reported behaviours of health workers and their clients, Nyanza Province, Kenya, 2008.

    Science.gov (United States)

    Sreenivasan, N; Gotestrand, S A; Ombeki, S; Oluoch, G; Fischer, T K; Quick, R

    2015-03-01

    Many clinics in rural western Kenya lack access to safe water and hand-washing facilities. To address this problem, in 2005 a programme was initiated to install water stations for hand washing and drinking water in 109 health facilities, train health workers on water treatment and hygiene, and motivate clients to adopt these practices. In 2008, we evaluated this intervention's impact by conducting observations at facilities, and interviewing staff and clients about water treatment and hygiene. Of 30 randomly selected facilities, 97% had water stations in use. Chlorine residuals were detectable in at least one container at 59% of facilities. Of 164 interviewed staff, 79% knew the recommended water-treatment procedure. Of 298 clients, 45% had received training on water treatment at a facility; of these, 68% knew the recommended water-treatment procedure. Use of water stations, water treatment, and client training were sustained in some facilities for up to 3 years.

  12. Using Observational Data to Estimate the Effect of Hand Washing and Clean Delivery Kit Use by Birth Attendants on Maternal Deaths after Home Deliveries in Rural Bangladesh, India and Nepal.

    Science.gov (United States)

    Seward, Nadine; Prost, Audrey; Copas, Andrew; Corbin, Marine; Li, Leah; Colbourn, Tim; Osrin, David; Neuman, Melissa; Azad, Kishwar; Kuddus, Abdul; Nair, Nirmala; Tripathy, Prasanta; Manandhar, Dharma; Costello, Anthony; Cortina-Borja, Mario

    2015-01-01

    Globally, puerperal sepsis accounts for an estimated 8-12% of maternal deaths, but evidence is lacking on the extent to which clean delivery practices could improve maternal survival. We used data from the control arms of four cluster-randomised controlled trials conducted in rural India, Bangladesh and Nepal, to examine associations between clean delivery kit use and hand washing by the birth attendant with maternal mortality among home deliveries. We tested associations between clean delivery practices and maternal deaths, using a pooled dataset for 40,602 home births across sites in the three countries. Cross-sectional data were analysed by fitting logistic regression models with and without multiple imputation, and confounders were selected a priori using causal directed acyclic graphs. The robustness of estimates was investigated through sensitivity analyses. Hand washing was associated with a 49% reduction in the odds of maternal mortality after adjusting for confounding factors (adjusted odds ratio (AOR) 0.51, 95% CI 0.28-0.93). The sensitivity analysis testing the missing at random assumption for the multiple imputation, as well as the sensitivity analysis accounting for possible misclassification bias in the use of clean delivery practices, indicated that the association between hand washing and maternal death had been over estimated. Clean delivery kit use was not associated with a maternal death (AOR 1.26, 95% CI 0.62-2.56). Our evidence suggests that hand washing in delivery is critical for maternal survival among home deliveries in rural South Asia, although the exact magnitude of this effect is uncertain due to inherent biases associated with observational data from low resource settings. Our findings indicating kit use does not improve maternal survival, suggests that the soap is not being used in all instances that kit use is being reported.

  13. Using Observational Data to Estimate the Effect of Hand Washing and Clean Delivery Kit Use by Birth Attendants on Maternal Deaths after Home Deliveries in Rural Bangladesh, India and Nepal

    Science.gov (United States)

    Seward, Nadine; Prost, Audrey; Copas, Andrew; Corbin, Marine; Li, Leah; Colbourn, Tim; Osrin, David; Neuman, Melissa; Azad, Kishwar; Kuddus, Abdul; Nair, Nirmala; Tripathy, Prasanta; Manandhar, Dharma; Costello, Anthony; Cortina-Borja, Mario

    2015-01-01

    Background Globally, puerperal sepsis accounts for an estimated 8–12% of maternal deaths, but evidence is lacking on the extent to which clean delivery practices could improve maternal survival. We used data from the control arms of four cluster-randomised controlled trials conducted in rural India, Bangladesh and Nepal, to examine associations between clean delivery kit use and hand washing by the birth attendant with maternal mortality among home deliveries. Methods We tested associations between clean delivery practices and maternal deaths, using a pooled dataset for 40,602 home births across sites in the three countries. Cross-sectional data were analysed by fitting logistic regression models with and without multiple imputation, and confounders were selected a priori using causal directed acyclic graphs. The robustness of estimates was investigated through sensitivity analyses. Results Hand washing was associated with a 49% reduction in the odds of maternal mortality after adjusting for confounding factors (adjusted odds ratio (AOR) 0.51, 95% CI 0.28–0.93). The sensitivity analysis testing the missing at random assumption for the multiple imputation, as well as the sensitivity analysis accounting for possible misclassification bias in the use of clean delivery practices, indicated that the association between hand washing and maternal death had been over estimated. Clean delivery kit use was not associated with a maternal death (AOR 1.26, 95% CI 0.62–2.56). Conclusions Our evidence suggests that hand washing in delivery is critical for maternal survival among home deliveries in rural South Asia, although the exact magnitude of this effect is uncertain due to inherent biases associated with observational data from low resource settings. Our findings indicating kit use does not improve maternal survival, suggests that the soap is not being used in all instances that kit use is being reported. PMID:26295838

  14. Using Observational Data to Estimate the Effect of Hand Washing and Clean Delivery Kit Use by Birth Attendants on Maternal Deaths after Home Deliveries in Rural Bangladesh, India and Nepal.

    Directory of Open Access Journals (Sweden)

    Nadine Seward

    Full Text Available Globally, puerperal sepsis accounts for an estimated 8-12% of maternal deaths, but evidence is lacking on the extent to which clean delivery practices could improve maternal survival. We used data from the control arms of four cluster-randomised controlled trials conducted in rural India, Bangladesh and Nepal, to examine associations between clean delivery kit use and hand washing by the birth attendant with maternal mortality among home deliveries.We tested associations between clean delivery practices and maternal deaths, using a pooled dataset for 40,602 home births across sites in the three countries. Cross-sectional data were analysed by fitting logistic regression models with and without multiple imputation, and confounders were selected a priori using causal directed acyclic graphs. The robustness of estimates was investigated through sensitivity analyses.Hand washing was associated with a 49% reduction in the odds of maternal mortality after adjusting for confounding factors (adjusted odds ratio (AOR 0.51, 95% CI 0.28-0.93. The sensitivity analysis testing the missing at random assumption for the multiple imputation, as well as the sensitivity analysis accounting for possible misclassification bias in the use of clean delivery practices, indicated that the association between hand washing and maternal death had been over estimated. Clean delivery kit use was not associated with a maternal death (AOR 1.26, 95% CI 0.62-2.56.Our evidence suggests that hand washing in delivery is critical for maternal survival among home deliveries in rural South Asia, although the exact magnitude of this effect is uncertain due to inherent biases associated with observational data from low resource settings. Our findings indicating kit use does not improve maternal survival, suggests that the soap is not being used in all instances that kit use is being reported.

  15. The importance of TCM foam washing for hand keratotic eczema%中药泡洗对手部角化性湿疹的重要性

    Institute of Scientific and Technical Information of China (English)

    付红娟; 宋晓霞; 郭建辉

    2012-01-01

      Eczema is a skin disease, a cause is unclear, the course is repeated, like related to the physical. Generally divided into acute, subacute and chronic three types. The characteristics of hand eczema: The skin lesions were subacute or chronic eczema performance, mostly occurred in the dorsal and tip of finger palm surface, spread to the back of the hand and wrist, state of confusion, or was small pieces of skin lesions, the chronic skin lesions showed infiltration hypertrophy, finger activities lead to chapped. Swelling of the skin of Jiazhou, nails can be thickened irregular. Because hands frequent contact with external substances, regardless of their etiology, often subjected to secondary factors leaving the condition changes,. generally more stubborn to treat.%  湿疹是一类病因不清、病程反复,似与一定的体质有关的一种皮肤病[1]。一般分为急性、亚急性、慢性三种类型。手部湿疹的特点:皮损呈亚急性或慢性湿疹表现,多发生于指背及指端掌面,可蔓延至手背和手腕,境界不清或呈小片状皮损,呈慢性时有浸润肥厚,因手指活动而有皲裂。甲周皮肤肿胀,指甲可变厚不规则。因两手经常接触外界物质,故手部湿疹无论其病因如何,常受继发因素影响而使病情变化,一般比较顽固难治。

  16. Influence of flushing foam time with flowing water for hand washing%流动水冲洗皂液时间对洗手效果的影响

    Institute of Scientific and Technical Information of China (English)

    张富玉; 阚志超; 龙莉; 杨亚敏

    2011-01-01

    OBJECTIVE To know the influence of flushing time after washing hand with soap fluid for hand washing effect, and determine the optimal flushing time.METHODS The clinical staff 60 were engaged in work were randomly divided into two groups and collected specimen respectively before washing hands, Then flushed the foam afterwashing hands with soap fluid and rubbing 15 seconds according to the method of six-step.Group 1: flushed for 20 seconds, group 2: flushed for 30 seconds.The groups were respectively collected specimen again after waiting for dry hands.The bacterium colony after cultivating for 48 hours in 37 ℃ incubator was counted.RESULTS After washing and flushing for 20 seconds or 30 seconds, the number of bacterial colony decreased, and the effect and qualified rate of flushing for 30 seconds was better than flushing for 20 seconds.CONCLUSION Flushing time for hand washing effect has influence, the effect of flushing for 30 seconds is better than flushing for 20 seconds.%目的 了解使用皂液洗手后流动水冲洗时间对洗手效果的影响,并确定最佳冲水时间.方法 对临床正在从事工作的60名医务人员随机分为两组,洗手前分别采集标本,采集后用皂液按六步洗手法洗手,揉搓15 s后用流动水按六步洗手法冲洗手上肥皂沫,第1组冲洗20 S,第2组冲洗30 s,两组待手干后分别再次采集标本;标本采集后均置37℃温箱培养48 h后进行细菌学计数.结果 洗手后冲洗20、30 s细菌菌落数均较洗手前下降(P=12.273,P<0.05).结论 冲洗时间对洗手效果有影响,冲洗30 s效果优于冲洗20 s效果.

  17. Influencing factors of hand washing compliance of personnel in supply room and intervention measures%供应室人员洗手依从性影响因素及干预措施

    Institute of Scientific and Technical Information of China (English)

    张梅; 富秀玉; 王晓祺

    2011-01-01

    OBJECTIVE To observe and understand the status of hand washing compliance of the personnel in supply room, to analyze the influencing factors so as to formulate the corresponding measures to improve the hand washing compliance.METHODS Retrospective analytical method was adopted to observe the implementation of hand washing of the personnel in supply room in Apr 2010.RESULTS A total of 10 cases in 3 groups were observed, the compliance rate of the personnel in charge with reclaiming was 63.80%.The compliance rate of the personnel who allocated the disinfection objects was 59.44%, the compliance rate of the personnel in charge with the loading and unloading the items was 45.41%.The implementation rate of hand washing was generally low,the implementation rate of the recycling personnel was higher than that of allocating personnel, and the personnel in charge with disinfection was the lowest.CONCLUSION The hand washing compliance of the personnel in supply room is low, so the effective intervention measures should be adopted to improve the hand hygiene compliance.%目的 观察了解供应室人员洗手依从性的现状,分析供应室人员洗手依从性的影响因素,制定提高洗手依从性的措施.方法 采用回顾分析的方法,对供应室回收人员、无菌发放人员、消毒员2010年4月洗手执行率进行隐蔽观察记录.结果 观察3组10人洗手情况,回收人员在回收污染物品前后洗手依从率为63.80%,无菌发放人员在摆放和下送发放灭菌物品及一次性物品前后洗手依从率为59.44%,消毒员在装载和卸载灭菌物品时洗手依从率为45.41%,洗手执行率普遍较低,其中回收人员洗手执行率大于无菌发放人员,消毒员洗手依从性最低.结论 针对供应室人员洗手依从性低,应采取有效的干预措施,以提高手卫生依从性.

  18. 重症监护室医务人员手卫生状况及干手措施对洗手效果的影响%Hand hygiene status and effect of hand-drying measures on hand-washing of health care workers in an intensive care unit

    Institute of Scientific and Technical Information of China (English)

    李光香; 陈金之; 包惠荣; 杜娟

    2014-01-01

    Objective To realize hand hygiene status and effect of hand-drying measures on hand-washing of health care workers(HCWs)in an intensive care unit(ICU).Methods From February to April 2013,210 HCWs in an ICU were selected and randomly divided into three groups,group A dried hands with paper towel,group B with hand drier,and group C with personal towel,specimens from hands before hand-washing,after hand-washing,and after hand-drying were taken and performed detection.Results Hand microorganism count in group A,B and C before washing hands after contacting patients was (29.10±15.08)CFU/cm2 ,(31.42±14.76)CFU/cm2 and (30.36±15.52) CFU/cm2 respectively,the difference was not statistically different(F=0.048,P >0.05);After six-step hand-washing, hand microorganism count before hand drying in group A,B and C was (3.26 ±0.61 )CFU/cm2 ,(2.98 ±0.59) CFU/cm2 and (3.87±0.67)CFU/cm2 respectively,compared with hand microorganism count before hand-washing, the difference was statistically different(all P <0.01 ).After adopting different hand-drying methods,microorgan-ism count in three groups was statistically different(F =1 .892,P <0.05),group A ([1 .29±0.58]CFU/cm2 )was significantly lower than group B and C,group B ([9.51 ±0.73 ]CFU/cm2 )was significantly lower than group C ([22.76±4.11]CFU/cm2 );the qualified rate in group A (90.00%)was significantly higher than group B and C, group B (68.57%)was significantly higher than group C (47.14%).The top 5 pathogens isolated from HCWs’ hands were Pseudomonas aeruginosa ,Acinetobacter baumannii ,Klebsiella pneumoniae ,Escherichia coli ,and Coag-ulase negative Staphylococcus ,these strains were highly consistent with the top 5 multidrug-resistant organisms (MDROs)isolated from ICU patients in this hospital in 2013.Conclusion HCWs’hands are seriously contamina-ted after all kinds of medical performance;if hands are improperly dried,secondary contamination may occur;patho-gens isolated from HCWs’hands are highly consistent

  19. 医护人员洗手依从性调查分析及干预措施研究%Sdudy on the investigation of hand-washing compliance in clinical medical staffs and intervention

    Institute of Scientific and Technical Information of China (English)

    高国贞; 苏影云

    2008-01-01

    Objective To investigate the actuality of medical staffs'hand-washing nowadays,find the factors which influence the medical staffs'hand-washing compliance and discuss the intervenient measure of enhancing hand-washing compliance.Methods 210 medical staffs were investigated and were observated purposely by the researchers in secret who have got training.Results The hand-washing compliance rate among medical staffs was low(46.2%),after intervention the hand-washing compliance rate in experiment group(81.3%)were significantly higher than that in control groop(42%).Conclusion The medical staffs understood the knowledge of hand-washing but didnt do it according to the criterion completely.Enhancing the hand-washing compliance rate is depending on some conditiond,which are as follows:(1)Strengthen the training of all staffs by different kinds of metrheds;(2)The leaders pay more attention to;(3)Training and education must be persevered in.%目的 探讨提高医护人员洗手的依从性的方法,进而降低院内感染的发生率.方法 采用隐蔽性方法对广州市甲、乙、丙3所三甲医院内科、外科、妇科、儿科、ICU、急诊、普通门诊等科室210名医护人员进行洗手依从性的观察并进行问卷调查,了解医护人员对洗手的认识情况和执行情况,分析影响依从性的因素将洗手依从性接近的两所医院的医护人员分别设为试验组和对照组,试验组给予一系列综合干预.结果 问卷调查显示:医护人员洗手知识知晓率为96.6%,自评洗手依从性为95.1%,但隐蔽性观察结果显示操作前后依从率分别为39.3%和53.0%,平均依从性只有46.2%;试验组经采取一系列干预措施后,操作前后洗手的依从性分别为76.7%和85.8%,明显高于对照组的35.2%和48.7%.结论 医护人员对洗手有正确认识,但未能切实贯彻到行动中,知行分离.通过加强医护人员洗手的教育和监督,改善洗手条件等综合措施可提高医护人员洗手的依从性.

  20. Increasing the frequency of hand washing by healthcare workers does not lead to commensurate reductions in staphylococcal infection in a hospital ward

    Directory of Open Access Journals (Sweden)

    Kerr Kevin G

    2008-09-01

    Full Text Available Abstract Background Hand hygiene is generally considered to be the most important measure that can be applied to prevent the spread of healthcare-associated infection (HAI. Continuous emphasis on this intervention has lead to the widespread opinion that HAI rates can be greatly reduced by increased hand hygiene compliance alone. However, this assumes that the effectiveness of hand hygiene is not constrained by other factors and that improved compliance in excess of a given level, in itself, will result in a commensurate reduction in the incidence of HAI. However, several researchers have found the law of diminishing returns to apply to hand hygiene, with the greatest benefits occurring in the first 20% or so of compliance, and others have demonstrated that poor cohorting of nursing staff profoundly influences the effectiveness of hand hygiene measures. Collectively, these findings raise intriguing questions about the extent to which increasing compliance alone can further reduce rates of HAI. Methods In order to investigate these issues further, we constructed a deterministic Ross-Macdonald model and applied it to a hypothetical general medical ward. In this model the transmission of staphylococcal infection was assumed to occur after contact with the transiently colonized hands of HCWs, who, in turn, acquire contamination only by touching colonized patients. The aim of the study was to evaluate the impact of imperfect hand cleansing on the transmission of staphylococcal infection and to identify, whether there is a limit, above which further hand hygiene compliance is unlikely to be of benefit. Results The model demonstrated that if transmission is solely via the hands of HCWs, it should, under most circumstances, be possible to prevent outbreaks of staphylococcal infection from occurring at a hand cleansing frequencies Conclusion Although our study confirmed hand hygiene to be an effective control measure, it demonstrated that the law of

  1. Why language matters: a tour through hand hygiene literature.

    Science.gov (United States)

    Pires, Daniela; Tartari, Ermira; Bellissimo-Rodrigues, Fernando; Pittet, Didier

    2017-01-01

    Hand hygiene has evolved over the last decades and many terminologies emerged. We aimed to analyse the evolution in the frequency of utilization of key hand hygiene terms in the literature along the years. We identified keywords and Medical Subject Headings (MeSH) used in MEDLINE® indexation related to hand hygiene by searching international guidelines and the MeSH database. We performed a MEDLINE® search combining the selected keywords and MeSH and analysed the number of publications retrieved yearly. The literature search yielded 9019 publications when all hand hygiene related search terms were combined, between 1921 and November 2016. The total number of publications per year increased from a median of 4 (IQR 3, 6) in the 1950's to 554 (IQR 478, 583) between 2011 and 2015. The most frequently used keywords are hand disinfection, hand hygiene, hand washing, handrub, hand sanitizer and alcohol-based hand rub (ABHR). Until the 1990s, hand disinfection and hand washing were the most frequently used terms. Whilst the last decade has seen a remarkable increase in publications mentioning hand disinfection and hand hygiene and for the first time handrub, hand sanitizers and ABHR were introduced in the literature. Hand disinfection, hand hygiene and hand sanitizers are the main MeSH used by MEDLINE®. Since 2013 hand hygiene is the most frequently used MeSH and keyword. The change seen in literature in the last two decades, from hand washing and hand disinfection to hand hygiene, most probably reflect the paradigm shift favouring use of ABHR over soap and water promoted by international guidelines in the early 2000s.

  2. Hand Hygiene Saves Lives

    Medline Plus

    Full Text Available ... Matters: Preserving Choice, Protecting Health (4:30) Salt Matters: Preserving Choice, Protecting Health (2:00) Tricky Treats Hygiene Fight Germs. Wash Your Hands! Go with the Flow Hand Hygiene Saves Lives Wash Your Hands Physical Activity Knees Lifted High Making Health Easier: Active ...

  3. Hand washing with soap and water together with behavioural recommendations prevents infections in common work environment: an open cluster-randomized trial.

    Science.gov (United States)

    Savolainen-Kopra, Carita; Haapakoski, Jaason; Peltola, Piia A; Ziegler, Thedi; Korpela, Terttu; Anttila, Pirjo; Amiryousefi, Ali; Huovinen, Pentti; Huvinen, Markku; Noronen, Heikki; Riikkala, Pia; Roivainen, Merja; Ruutu, Petri; Teirilä, Juha; Vartiainen, Erkki; Hovi, Tapani

    2012-01-16

    Hand hygiene is considered as an important means of infection control. We explored whether guided hand hygiene together with transmission-limiting behaviour reduces infection episodes and lost days of work in a common work environment in an open cluster-randomized 3-arm intervention trial. A total of 21 clusters (683 persons) were randomized to implement hand hygiene with soap and water (257 persons), with alcohol-based hand rub (202 persons), or to serve as a control (224 persons). Participants in both intervention arms also received standardized instructions on how to limit the transmission of infections. The intervention period (16 months) included the emergence of the 2009 influenza pandemic and the subsequent national hand hygiene campaign influencing also the control arm. In the total follow-up period there was a 6.7% reduction of infection episodes in the soap-and water arm (p = 0.04). Before the onset of the anti-pandemic campaign, a statistically significant (p = 0.002) difference in the mean occurrence of infection episodes was observed between the control (6.0 per year) and the soap-and-water arm (5.0 per year) but not between the control and the alcohol-rub arm (5.6 per year). Neither intervention had a decreasing effect on absence from work. We conclude that intensified hand hygiene using water and soap together with behavioural recommendations can reduce the occurrence of self-reported acute illnesses in common work environment. Surprisingly, the occurrence of reported sick leaves also increased in the soap-and water-arm. ClinicalTrials.gov: NCT00981877 The Finnish Work Environment Fund and the National Institute for Health and Welfare.

  4. Hand washing with soap and water together with behavioural recommendations prevents infections in common work environment: an open cluster-randomized trial

    Directory of Open Access Journals (Sweden)

    Savolainen-Kopra Carita

    2012-01-01

    Full Text Available Abstract Background Hand hygiene is considered as an important means of infection control. We explored whether guided hand hygiene together with transmission-limiting behaviour reduces infection episodes and lost days of work in a common work environment in an open cluster-randomized 3-arm intervention trial. Methods A total of 21 clusters (683 persons were randomized to implement hand hygiene with soap and water (257 persons, with alcohol-based hand rub (202 persons, or to serve as a control (224 persons. Participants in both intervention arms also received standardized instructions on how to limit the transmission of infections. The intervention period (16 months included the emergence of the 2009 influenza pandemic and the subsequent national hand hygiene campaign influencing also the control arm. Results In the total follow-up period there was a 6.7% reduction of infection episodes in the soap-and water arm (p = 0.04. Before the onset of the anti-pandemic campaign, a statistically significant (p = 0.002 difference in the mean occurrence of infection episodes was observed between the control (6.0 per year and the soap-and-water arm (5.0 per year but not between the control and the alcohol-rub arm (5.6 per year. Neither intervention had a decreasing effect on absence from work. Conclusions We conclude that intensified hand hygiene using water and soap together with behavioural recommendations can reduce the occurrence of self-reported acute illnesses in common work environment. Surprisingly, the occurrence of reported sick leaves also increased in the soap-and water-arm. Trial Registration ClinicalTrials.gov: NCT00981877 Source of funding The Finnish Work Environment Fund and the National Institute for Health and Welfare.

  5. Hand washing with soap and water together with behavioural recommendations prevents infections in common work environment: an open cluster-randomized trial

    Science.gov (United States)

    2012-01-01

    Background Hand hygiene is considered as an important means of infection control. We explored whether guided hand hygiene together with transmission-limiting behaviour reduces infection episodes and lost days of work in a common work environment in an open cluster-randomized 3-arm intervention trial. Methods A total of 21 clusters (683 persons) were randomized to implement hand hygiene with soap and water (257 persons), with alcohol-based hand rub (202 persons), or to serve as a control (224 persons). Participants in both intervention arms also received standardized instructions on how to limit the transmission of infections. The intervention period (16 months) included the emergence of the 2009 influenza pandemic and the subsequent national hand hygiene campaign influencing also the control arm. Results In the total follow-up period there was a 6.7% reduction of infection episodes in the soap-and water arm (p = 0.04). Before the onset of the anti-pandemic campaign, a statistically significant (p = 0.002) difference in the mean occurrence of infection episodes was observed between the control (6.0 per year) and the soap-and-water arm (5.0 per year) but not between the control and the alcohol-rub arm (5.6 per year). Neither intervention had a decreasing effect on absence from work. Conclusions We conclude that intensified hand hygiene using water and soap together with behavioural recommendations can reduce the occurrence of self-reported acute illnesses in common work environment. Surprisingly, the occurrence of reported sick leaves also increased in the soap-and water-arm. Trial Registration ClinicalTrials.gov: NCT00981877 Source of funding The Finnish Work Environment Fund and the National Institute for Health and Welfare. PMID:22243622

  6. Distribution of bacteria on hands and the effectiveness of brief and thorough decontamination procedures using non-medicated soap.

    Science.gov (United States)

    Chamberlain, A N; Halablab, M A; Gould, D J; Miles, R J

    1997-04-01

    Our perception of the role of hand washing in the clinical situation is based on experimental studies in which test-bacteria are usually inoculated onto the skin surface and removed using hand washing preparations containing antiseptics. In this study, we have investigated the distribution of bacteria on the hands of volunteers and the effectiveness of long (3 minute) and brief (10 second) washes in removing both naturally-occurring and artificially-inoculated bacteria (Micrococcus sp.), using only soap and water. There was a tenfold reduction in median counts of artificially inoculated bacteria following both long and brief washes. However, less than 50% of naturally-occurring bacteria were removed and, for hands previously disinfected by immersion in 70% ethanol, the washing procedure increased bacterial counts. In both unwashed hands, and hands washed following a strict protocol, the mean variation in counts of naturally-occurring bacteria at different sites (wrists, dorsal surface, palmar surface, fingertips and interdigital spaces) was only two-fold. The efficiency of recovery of naturally-occurring organisms was estimated by repeated swabbing, to be more than 60%. The data question the value of typical hand wash procedures recommended by many authorities for use in clinical situations and of the perfunctory hand washes frequently adopted by nursing staff in busy wards. Experimental evidence is required to justify procedures and to identify the precise circumstances in which they are of value.

  7. Comparison of surgical hand scrub and alcohol surgical hand rub on reducing hand microbial burden.

    Science.gov (United States)

    Ghorbani, Azam; Shahrokhi, Akram; Soltani, Zahra; Molapour, Azam; Shafikhani, Mahin

    2012-02-01

    This study was performed to compare the effects of two hand decontamination methods on the microbial burden of operating room staff hands. The surgical hand washing methods compared were a traditional surgical hand scrub using a povidone iodine solution, and a social wash using a liquid non-antibacterial soap followed by the application of an alcoholic hand rub.

  8. Hand Hygiene: When and How

    Science.gov (United States)

    ... handrub? How to handwash? RUB HANDS FOR HAND HYGIENE! WASH HANDS WHEN VISIBLY SOILED Duration of the entire procedure: ... from its use. When? YOUR 5 MOMENTS FOR HAND HYGIENE 1 BEFORETOUCHINGA PATIENT 2 B P ECFLOER R ...

  9. Hand hygiene practices of veterinary support staff in small animal private practice.

    Science.gov (United States)

    Nakamura, R K; Tompkins, E; Braasch, E L; Martinez, J G; Bianco, D

    2012-03-01

    To evaluate the hand hygiene (HH) practices among veterinary technicians (VT) and veterinary support staff (VSS) in small animal private practice. This was a prospective questionnaire-based study involving 182 VT and VSS from 18 small animal hospitals in the USA. Questions asked included gender, number of animals handled per work shift, frequency of hand washing, reason for not washing more frequently, most common available hand washing agent, education regarding the importance of HH and frequency of ring wearing. Less than half of the respondents [76 of 182 (41·7%)] reported washing their hands regularly between handling patients and 154 of 182 (85·6%) believed they should have washed more frequently. The most commonly employed HH agent was hand soap [154 of 182 (84·6%)] and the most common reason cited for not washing more frequently was being too busy [132 of 182 (72·5%)]. Only 96 of 182 (52·7%) respondents were educated by doctors at their hospital regarding the importance of HH. The HH practices among VT and VSS in small animal private practice is poor. Hand soap was the most commonly employed agent among respondents in this study. Education of VT and VSS regarding the importance of HH requires improvement. © 2012 British Small Animal Veterinary Association.

  10. Research on bacterial contamination of surgical hand washing water and its influen-cing factors%外科洗手用水细菌污染及其影响因素研究

    Institute of Scientific and Technical Information of China (English)

    王大连; 史敏杰; 马小燕; 宋妨华; 沈秀; 杨海英

    2015-01-01

    Objective To study the reasons of bacterial contamination of surgical hand washing water in operating room so as to implement continuous water quality improvement. Methods Field sampling and bacteria inspection were adopted to monitor the hand washing water for use before operation in a hospital operating room,and to propose improvement measures. Results The electric storage water heater to supply warm water at 37℃ was used for hand washing before operation in the hospital operating room,the rate of bacteria in the water exceeding the allowable limit was 62. 5%;Adjusting the heating temperature of the electric storage water heater to 75℃and then mixing the heat water and cold water to supply warm water, the rate of bacteria in the water exceeding allowable limit was still 51. 4%;When the heater tank was cleaned and sterilized thoroughly and then warm water was supplied by mixing the 80℃ heat water and cold water,or tap water was used directly in summer,the total bacteria at both the occasions did not exceed the allowable limit. Conclusion The electric storage wa-ter heaters used in hospitals are susceptible to contamination. The heaters should be cleaned and sterilized periodically,or using tap water directly in summer to avoid contamination of hand washing water.%目的 研究医院手术室外科洗手用水细菌污染超标的原因,进行水质持续质量改进. 方法 采用现场采样和细菌检验方法,对某医院手术室术前洗手用水进行监测,提出改进措施. 结果 该医院手术室术前洗手用水采用储水式热水器供37℃热水,水中细菌超标率达62. 5%. 将储水式热水器水温调至75℃再与冷水混合供应暖水,细菌超标率仍为51. 4%. 经对热水器内胆彻底清洗消毒后,以80℃热水与冷水混合使用,或在夏季直接供应市政自来水,细菌总数均不超标. 结论 医院使用储水式热水器供水容易受到污染,需要定期清洗消毒热水器,或在夏季直接引入市

  11. Washing the guilt away: Effects of personal versus vicarious cleansing on guilty feelings and prosocial behavior

    OpenAIRE

    2014-01-01

    For centuries people have washed away their guilt by washing their hands. Do people need to wash their own hands, or is it enough to watch other people wash their hands? To induce guilt, we had participants write about a past wrong they had committed. Next, they washed their hands, watched a washing-hands video, or watched a typing-hands video. After the study was over, participants could help a Ph.D. student complete her dissertation by taking some questionnaires home and returning them with...

  12. Washing the guilt away: effects of personal versus vicarious cleansing on guilty feelings and prosocial behavior

    OpenAIRE

    2014-01-01

    For centuries people have washed away their guilt by washing their hands. Do people need to wash their own hands, or is it enough to watch other people wash their hands? To induce guilt, we had participants write about a past wrong they had committed. Next, they washed their hands, watched a washing-hands video, or watched a typing-hands video. After the study was over, participants could help a Ph.D. student complete her dissertation by taking some questionnaires home and returning them with...

  13. Ultrasonic washing of textiles.

    Science.gov (United States)

    Choi, Junhee; Kim, Tae-Hong; Kim, Ho-Young; Kim, Wonjung

    2016-03-01

    We present the results of experimental investigation of ultrasonic washing of textiles. The results demonstrate that cavitation bubbles oscillating in acoustic fields are capable of removing soils from textiles. Since the washing performance is mitigated in a large washing bath when using an ultrasonic transducer, we propose a novel washing scheme by combining the ultrasonic vibration with a conventional washing method utilizing kinetic energy of textiles. It is shown that the hybrid washing scheme achieves a markedly enhanced performance up to 15% in comparison with the conventional washing machine. This work can contribute to developing a novel laundry machine with reduced washing time and waste water.

  14. Clinical investigation of different washing hands methods of medical personnel%医务人员不同方法洗手效果的临床调查

    Institute of Scientific and Technical Information of China (English)

    蔡林; 张可; 王丽云

    2011-01-01

    目的 为医务人员寻找高效的洗手消毒方法,制定改进措施. 方法 全院在班医务人员300名随机分3组进行监测,试验1组:0.2%过氧乙酸液毛巾擦洗手,试验2组:百能牌消毒剂;对照组:肥皂流动水洗手. 结果 3组除菌率依次为97.5%、94.3%、76.3%,过氧乙酸组及百能牌消毒剂组与对照组比较,差异有统计学意义. 结论 0.2%过氧乙酸与百能牌消毒剂可达到良好消毒效果,但百能牌消毒剂使用较简单方便.%OBJECTIVE To explore which method for sterilizing hands is more effective, convenient and without stimulation for medical personnel. METHODS A total of 300 nurses on duty were divided into three groups randomly. In the test group, of 0. 2% peracetic and acid, Baineng disinfectant fluid were used, In the control group only soap with flowing water was used for hands sterilization. RESULTS The rates of bacterial removal were 97.5% ,94.3% and 76.3% ,respectively. The efficacy of Baineng disinfectant fluid was similar to 0. 2% peracetic acid. Both of them were significantly different from others. CONCLUSION 0. 2% peracetic acid and Baineng disinfectant fluid can achieve a good disinfection effect, and Baineng disinfectant fluid is simple and convenient for use.

  15. 两种外科洗手法对眼科医护人员手卫生消毒效果的临床研究%Clinical research on the disinfection effects of two types of surgical hand-washing methods of ophthalmic medical workers

    Institute of Scientific and Technical Information of China (English)

    李灵

    2015-01-01

    目的:探讨眼科医护人员揉搓洗手法与刷洗洗手法两种外科洗手法的消毒效果。方法:选择眼科参加手术的医护人员100人,随机等分为A组(揉搓洗手组)和B组(刷洗洗手组),两组人员均使用相同手清洁剂和外科手消毒剂,洗手消毒前后对手部进行采样培养,检测细菌菌落数。结果:两组人员洗手前组间手部菌落数无差异(P>0.05),洗手前后手部细菌培养菌落数有明显差异(P0.05)and significant difference in each group before and after hand-washing(P < 0.05).The counts of bacterial colonies of two groups after hand-washing were not more than 5 CFU/cm2 but some bacterial colonies were detected in twelve subjects:ten cases in group A and two in group B. The bacterial colonies in group A were more than group B significantly(P < 0.05).ConclusionThe two types of surgical hand-washingmethods both hand rubbing with hand-washing and hand scrubbing with hand-washing are up to the standard of proper disinfection effects,but the disinfection effect of the latter is much better than the former.

  16. Perceptions and behaviors related to hand hygiene for the prevention of H1N1 influenza transmission among Korean university students during the peak pandemic period

    Directory of Open Access Journals (Sweden)

    Kim Seon-Ung

    2010-07-01

    Full Text Available Abstract Background This study was performed to better assess the perceptions, motivating factors, and behaviors associated with the use of hand washing to prevent H1N1 influenza transmission during the peak pandemic period in Korea. Methods A cross-sectional survey questionnaire was completed by 942 students at a university campus in Suwon, Korea, between December 1 and 8, 2009. The survey included questions regarding individual perceptions, motivating factors, and behaviors associated with hand washing for the prevention of H1N1 influenza transmission. Results Compared to one year prior, 30.3% of participants reported increasing their hand washing frequency. Female students were more likely to practice more frequent hand washing. Women also perceived the effectiveness of hand washing to be lower, and illness severity and personal susceptibility to H1N1 infection to be higher. Study participants who were female (OR: 1.79-3.90 who perceived of hand washing to be effective (OR: 1.34-12.15 and illness severity to be greater (OR: 1.00-3.12 washed their hands more frequently. Conclusions Korean students increased their frequency of hand hygiene practices during the pandemic, with significant gender differences existing in the attitudes and behaviors related to the use of hand hygiene as a means of disease prevention. Here, the factors that affected hand washing behavior were similar to those identified at the beginning of the H1N1 or SARS pandemics, suggesting that public education campaigns regarding hand hygiene are effective in altering individual hand hygiene habits during the peak periods of influenza transmission.

  17. Epidemics and Frequent Recombination within Species in Outbreaks of Human Enterovirus B-Associated Hand, Foot and Mouth Disease in Shandong China in 2010 and 2011.

    Directory of Open Access Journals (Sweden)

    Ting Zhang

    Full Text Available The epidemiology and molecular characteristics of human enterovirus B (HEV-B associated with hand, foot and mouth disease (HFMD outbreaks in China are not well known. In the present study, we tested 201 HEV isolates from 233 clinical specimens from patients with severe HFMD during 2010-2011 in Linyi, Shandong, China. Of the 201 isolates, 189 were fully typed and 18 corresponded to HEV-B species (six serotypes CVA9, CVB1, CVB4, Echo 6, Echo 25 and Echo 30 using sensitive semi-nested polymerase chain reaction analysis of VP1 gene sequences. Phylogenetic analysis based on the VP1 region showed that eight E30SD belonged to a novel sub-genogroup D2; E25SD belonged to a novel sub-genogroup D6; E6SD belonged to sub-lineage C6 and five CVB1SD belonged to subgroup 4C; and B4SD belonged sub-lineage D2. The full viral genomes of the CVB1SD, E6SD, E25SD and E30SD isolates were sequenced. Analysis of phylogenetic and similarity plots indicated that E25SD recombined with E25-HN-2, E30FDJS03 and E4AUS250 at noncontiguous P2A-P3D regions, while E30SD, E30FDJ03, E25-HN-2 and E9 DM had shared sequences in discrete regions of P2 and P3. Both E6SD and B1SD shared sequences with E1-HN, B4/GX/10, B5-HN, and A9-Alberta in contiguous regions of most of P2 and P3. Genetic algorithm recombination detection analysis further confirmed the existence of multiple potential recombination points. In conclusion, analysis of the complete genomes of E25SD, E30SD, CVB1SD and E6SD isolated from HFMD patients revealed that they formed novel subgenogroup. Given the prevalence and recombination of these viruses in outbreaks of HFMD, persistent surveillance of HFMD-associated HEV-B pathogens is required to predict potential emerging viruses and related disease outbreaks.

  18. 穴位注射联合中药颗料外洗治疗手部湿疹疗效观察%Efficacy observation of point injection combined Chinese medicine granule washing treatment of hand eczema

    Institute of Scientific and Technical Information of China (English)

    陈树钊

    2015-01-01

    目的:探讨观察穴位注射联合中药颗料外洗治疗手部湿疹的疗效。方法手部湿疹患者80例根据随机抽签方法分为治疗组与对照组各40例,对照组给予传统穴位注射治疗,治疗组在对照组治疗的基础上给予自拟中药颗粒洗剂治疗。结果治疗后治疗组的显效率分别为97.5%和85.0%,治疗组的显效率明显高于对照组(P<0.05)。两组治疗后的皮损与自觉症状评分明显低于治疗前(P<0.05),同时治疗后治疗组的皮损与自觉症状评分明显低于对照组(P<0.05)。经过观察,两组治疗后血清IL-15和IL-21值明显低于治疗前(P<0.05),同时治疗后治疗组的血清IL-15和IL-21值明显低于对照组(P<0.05)。结论穴位注射联合中药颗料外洗治疗手部湿疹能通过保护、润肤、收敛、抗过敏、止痒等综合作用改善临床症状,促进临床疗效的提高。%ObjectiveTo investigate the efficacy of point injection combined Chinese medicine granule washing treatment of hand eczema.Methods80 patients with hand eczema accorded a random draw method were equally divided into the treatment group and control group, the control group were received traditional acupuncture point injection therapy, the treatment group were added given self-made medicine particles lotion treatment on the basis of the control group.Results The effective rates of the treatment group and the control group were 97.5% and 85.0% respectively which the treatment group had significantly higher efficiency (P<0.05). After treatment, the skin lesions and symptoms scores were significantly lower than before treatment (P<0.05), while the lesions and symptoms scores in the treatment group were significantly lower than the control group (P<0.05). After treatment, the serum IL-15 and IL-21 were significantly lower than before treatment (P<0.05), while serum IL-15 and IL-21 value of the treatment group were significantly lower than

  19. Hand Washing Program: Challenges and Perspectives

    Directory of Open Access Journals (Sweden)

    Annia Cecilia Bernal Consuegra

    2011-03-01

    Full Text Available El paradigma de la calidad de la atención, surge con mayor fuerza y urgencia que nunca antes. La seguridad del paciente implica la evaluación permanente y proactiva de los riesgos asociados a la atención en salud para diseñar e implantar de manera constante las barreras de seguridad necesarias. La implementación de los programas de seguridad del paciente en el Centro Especializado Ambulatorio "Héroes de Playa Girón" de Cienfuegos es una iniciativa institucional que busca responder a los nuevos retos de la atención de la salud, para el Mejoramiento Continuo de la Calidad.

  20. Effect analysis of quality control circle activity improving hand-washing compliance of circulating nurses in operating room%品管圈活动对提高手术室巡回护士洗手依从性效果分析

    Institute of Scientific and Technical Information of China (English)

    万美萍; 吴明琴; 罗媛榕

    2015-01-01

    目的:分析影响护理人员手卫生执行的相关因素,探究品管圈活动对于提高手术室巡回护士洗手依从性及综合素质的效果。方法选取我院12名手术室巡回护士为研究对象,采用品管圈的管理方式对其进行护理干预,比较不同时段内护理人员的洗手依从性及综合素质。结果干预实施前及干预1周后、干预2周后巡回护士的总体洗手执行率分别为72%、80.0%、73.3%,总体洗手执行率在干预1周后显著上升。2周后又回落到了干预前相似水平,干预实施前及干预1周后、干预2周后巡回护士的平均素质得分分别为(52.4±4.6)、(68.0±6.4)、(83.6±8.5),差异均有统计学意义(P<0.01)。结论品管圈活动可以有效提高手术室巡回护士的综合素质,在短期内也可迅速提升其洗手的依从性,但由于品管圈活动缺乏长期监督管理的环境,巡回护士其交接安置患者洗手率会严重回落,直接导致总体洗手依从性会再次回落。%ObjectiveTo analyze related factors of hand hygiene implementation and to explore effect of quality control circle activity on improving hand-washing compliance and comprehensive quality of circulating nurses in operating room.Methods12 circulating nurses of operating room in our hospital were selected as research objects and they were received nursing intervention by management method of quality control circle. Hand-washing compliance and comprehensive quality of nursing staff during different periods were compared.Results Total hand-washing implementation rates before intervention, 1 week after intervention and 2 weeks after intervention of circulating nurses were 72%, 80.0% and 73.3% respectively. Total hand-washing implementation rate of 1 week after intervention was significantly increased while total hand-washing implementation rate of weeks after intervention was the same as that before intervention. Average quality

  1. Study in knowledge,attitude and behavior of six-step hand-washing procedure among health professionais in the department of infections diseases%传染科医护人员六步洗手法的知信行调查研究

    Institute of Scientific and Technical Information of China (English)

    谢媛琪; 王昱

    2008-01-01

    目的 了解传染科医护人员六步洗手方法的知信行状况.方法 通过问卷调查的形式,调查广东省某4所三甲医院传染科医务人员对六步洗手法的知晓率,执行意愿和在临床工作中的依从性情况. 结果 168名医务人员全部知晓六步洗手法,知晓率为100%.医务人员对六步洗手法的执行意愿和依从性状况不尽相同.洗手知识平均得分为(4.36±2.08)分,态度得分为(26.08±6.14)分,二者的相关系数为0.358.结论 洗手的重要性已经得到肯定,被广大医务人员所知晓并接受,但在临床工作中洗手依从性不乐观.%Objective To study the knowledge,attitude and behavior of six-step hand-washing procedure in the infectious department.Methods Questionnaires were used to investigate the knowledge,acceptability and compliance of six-step hand-washing procedure in the clinical workers in four class a tertiary hospitals of Guangdong province.Results 168 medical staff all knew the six-step hand-washing procedure(100%).However,the rates of acceptability and compliance varied from one occasion to another.The knowledge about hand-washing scored(4.36±2.08),(26.08±6.14)for attitude,The correlation coefficient was 0.358.Conclusions Though the importance of hand-washing has been confirmed and accepted by the medical staff,their compliance of hand-washing during work is not very optimistic.

  2. Occupational hand eczema among nursing staffs in Korea: Self-reported hand eczema and contact sensitization of hospital nursing staffs.

    Science.gov (United States)

    Lee, Sang W; Cheong, Seung H; Byun, Ji Y; Choi, You W; Choi, Hae Y

    2013-03-01

    Occupational hand eczema is frequent in hospital workers, especially in nurses. A comprehensive understanding regarding hand eczema is essential for establishing proper prevention and treatment strategies. The purpose of this study was to identify the risk factors for hand eczema in hospital nursing staffs. A self-administered questionnaire study was performed on hospital nursing staffs at a single general hospital in Korea. In addition, 70 patients with hand eczema underwent patch testing. Five hundred and twenty-five of 700 invited nurses completed the study (response rate, 75.0%). The overall frequency of symptom-based hand eczema was 75.6%, and self-reported hand eczema was 31.0%. Risk factors for hand eczema were young age, history of atopic dermatitis, frequent hand washing (>20 times/day) and long duration of glove wearing (>5 min). Hand eczema was less frequent among frequent hand moisturizer users (>3-4 times/day). Positive patch test reactions were observed in 61.4%. Frequent allergens were nickel sulfate (35.7%), cobalt chloride (28.6%) and thiomersal (21.4%). Among various antibiotics, ciprofloxacin (11.4%), trimethoprim/sulfamethoxazole (11.4%) and gentamicin (7.1%) were revealed as common allergens, in order of frequency. Hand eczema is quite common among hospital nursing staffs. Proper preventive programs and educations are demanded.

  3. 一种复方洗手消毒液对两种微藻毒性的研究%Toxic Effects of a Compound Hand-washing Disinfectant Solution on Two Microalgae

    Institute of Scientific and Technical Information of China (English)

    杨弯弯; 孙燕; 张维昊

    2011-01-01

    Effect of a compound hand -washing disinfectant solution on Chlorella vulgaris and Euglena gracilis was investigated by detecting its biomass and chlorophyll fluorescence index FvFm. Result turned out that it showed inhibitional effect on Chlorella vulgaris with concentration more than O.lmL/L, Euglena gracilis with concentration more than 0.2 mL/L. When the concentration exceeded 0.2 mL/L,the PS II reactive center of Chlorella vulgaris was compelled and FvFm couldn't be restored to the normal level, while the PS H reactive center of Euglena gracilis could restore to the normal level under the testing concentration, which demonstrated that Euglena gracilis is more tolerant than Chlorella vulgaris, the hand sanitizer could have certain effect on algae species when discharged into water.%文章以小球藻和纤细裸藻为对象,研究了以三氯生作为主要灭菌剂的某复方洗手消毒液对其生物量和叶绿素荧光指数Fv/Fm 的影响。结果显示:洗手液浓度大于01 mL/L时对小球藻的生长有抑制作用,大于02mL/L时小球藻的PSⅡ反应中心受到胁迫,且Fv/Fm无法恢复到正常水平;洗手液浓度大于0.2mL/L时对纤细裸藻的生长有抑制作用,而纤细裸藻的PSⅡ反应中心随着胁迫时间的延长都能恢复到较为正常的水平,表明纤细裸藻的耐受能力强于小球藻,排入水体的洗手液可能对藻类种群变化有一定影响。

  4. Washing the guilt away: Effects of personal versus vicarious cleansing on guilty feelings and prosocial behavior

    Directory of Open Access Journals (Sweden)

    Hanyi eXu

    2014-02-01

    Full Text Available For centuries people have washed away their guilt by washing their hands. Do people need to wash their own hands, or is it enough to watch other people wash their hands? To induce guilt, we had participants write about a past wrong they had committed. Next, they washed their hands, watched a washing-hands video, or watched a typing-hands video. After the study was over, participants could help a Ph.D. student complete her dissertation by taking some questionnaires home and returning them within 3 weeks. Results showed that guilt and helping behavior were lowest among participants who washed their hands, followed by participants who watched a washing-hands video, followed by participants who watched a typing-hands video. Guilt mediated the effects of cleansing on helping. These findings suggest that washing one’s own hands, or even watching someone else wash their hands, can wash away one’s guilt and lead to more helpful behavior.

  5. Higienização das mãos: o ensino e a prática entre graduandos na área da saúde = Hand washing: teaching and practice among undergraduate health sector students

    Directory of Open Access Journals (Sweden)

    Anaclara Ferreira Veiga Tipple

    2007-07-01

    Full Text Available Estudo realizado com graduandos do último ano/semestre da área da saúde de Instituições de Ensino Superior (IES em Goiás/2005, com objetivo de verificar a compreensão destes acerca da higienização das mãos (HM, identificar a contribuição das IES na formação dos alunos sobre esta temática, identificar fatores que favorecem a adesão àHM e verificar a disponibilidade de recursos materiais para HM nos Estabelecimentos de Assistência à Saúde (EAS utilizados como cenários de prática. Observados os aspectos éticos, os dados foram obtidos pela aplicação de questionário, previamente avaliado, eprocessados no programa Epiinfo (CDC, 2004, quando indicado, aplicado o teste quiquadrado. Participaram do estudo 777 graduandos (68,0%; dos cursos de Biomedicina, Enfermagem, Farmácia, Fisioterapia, Fonoaudiologia, Medicina, Odontologia e TerapiaOcupacional. Houve discordância entre o entendimento sobre HM e a adesão. Embora tenhamos evidenciado que as IES tenham abordado este tema durante a formação dos profissionais, isto não foi suficiente para alterar a práxis.This study was undertaken with students during their last year/semester of health sector studies at Higher Education Institutions (HEI, in Goiás State/2005. It aimed to verify the understanding of these students about hands washing (HW, identifythe contribution of the HEI to the students’ education on this theme, identify factors that favor the practice of HW, and verify the availability of material resources for HW at Health Assistance Establishments (HAE used as practice scenarios. After observing ethical aspects, the data was obtained through a previously-evaluated questionnaire, and processed using Epi Info software (CDC, 2004, when the chi-square test was applied. 777 students took part (68.0% in the study, belonging to the following courses: Biomedicine, Nursing, Pharmacy, physiotherapy, phonoaudiology, Medicine, Dentistry and Occupational Therapy. There was a

  6. Spread from the Sink to the Patient: In Situ Study Using Green Fluorescent Protein (GFP)-Expressing Escherichia coli To Model Bacterial Dispersion from Hand-Washing Sink-Trap Reservoirs.

    Science.gov (United States)

    Kotay, Shireen; Chai, Weidong; Guilford, William; Barry, Katie; Mathers, Amy J

    2017-04-15

    There have been an increasing number of reports implicating Gammaproteobacteria as often carrying genes of drug resistance from colonized sink traps to vulnerable hospitalized patients. However, the mechanism of transmission from the wastewater of the sink P-trap to patients remains poorly understood. Herein we report the use of a designated hand-washing sink lab gallery to model dispersion of green fluorescent protein (GFP)-expressing Escherichia coli from sink wastewater to the surrounding environment. We found no dispersion of GFP-expressing E. coli directly from the P-trap to the sink basin or surrounding countertop with coincident water flow from a faucet. However, when the GFP-expressing E. coli cells were allowed to mature in the P-trap under conditions similar to those in a hospital environment, a GFP-expressing E. coli-containing putative biofilm extended upward over 7 days to reach the strainer. This subsequently resulted in droplet dispersion to the surrounding areas (dispersion rather than dispersion directly from the P-trap. This work helps to further define the mode of transmission of bacteria from a P-trap reservoir to a vulnerable hospitalized patient.IMPORTANCE Many recent reports demonstrate that sink drain pipes become colonized with highly consequential multidrug-resistant bacteria, which then results in hospital-acquired infections. However, the mechanism of dispersal of bacteria from the sink to patients has not been fully elucidated. Through establishment of a unique sink gallery, this work found that a staged mode of transmission involving biofilm growth from the lower pipe to the sink strainer and subsequent splatter to the bowl and surrounding area occurs rather than splatter directly from the water in the lower pipe. We have also demonstrated that bacterial transmission can occur via connections in wastewater plumbing to neighboring sinks. This work helps to more clearly define the mechanism and risk of transmission from a wastewater

  7. Survival of pneumococcus on hands and fomites

    Directory of Open Access Journals (Sweden)

    Beissbarth Jemima

    2008-11-01

    Full Text Available Abstract Background Pneumococcal hand contamination in Indigenous children in remote communities is common (37%. It is not clear whether this requires frequent inoculation, or if pneumococci will survive on hands for long periods of time. Thus the aim of this study was to determine the survival time of pneumococci on hands and fomites. Findings The hands of 3 adult volunteers, a glass plate and plastic ball were inoculated with pneumococci suspended in two different media. Survival at specified time intervals was determined by swabbing and re-culture onto horse blood agar. Pneumococci inoculated onto hands of volunteers were recovered after 3 minutes at 4% to 79% of the initial inoculum. Recovery from one individual was consistently higher. By one hour, only a small number of pneumococci were recovered and this was dependent on the suspension medium used. At subsequent intervals and up to 3 hours after inoculation, Conclusion The poor survival of pneumococci on hands suggests that the high prevalence of pneumococcal hand contamination in some populations is related to frequent inoculation rather than long survival. It is plausible that hand contamination plays a (brief role in transmission directly, and indirectly through contamination via fomites. Regular hand washing and timely cleansing or removal of contaminated fomites may aid control of pneumococcal transmission via these routes.

  8. Pollutants Characterization of Car Wash Wastewater

    Directory of Open Access Journals (Sweden)

    Hashim Nor Haslina

    2016-01-01

    Full Text Available The huge quantity of water consumed per car during washing cars yields the untreated effluents discharged to the stormwater system. Wastewater samples from snow car wash and two full hand service car wash station were analyzed for pH and the presence of PO43-,TP, O&G, alkalinity, TSS, NO3-, NO2-, COD and surfactant in accordance Standard Method of Water and Wastewater 2012. Two full hand wash service stations and one station of snow foam service were investigated in this study. Amongst the stations, snow foam car wash station indicates the highest concentration of PO43-, TP, O&G, TSS, COD and surfactant with the average value of 10.18 ± 0.87 mg/L, 30.93 ± 0.31 mg/L , 85.00 ± 0.64 mg/L 325.0 ± 0.6 mg/L, 485.0 ± 0.3 mg/L and 54.00 ± 2.50 mg/L as MBAS, respectively. Whereas, in parameters characterization in different stages throughout the car wash process, O&G was found to be the highest in pre soak stage, PO43-, TP, TSS and COD in washing stage and NO3- and NO2- in rinse stage. All parameters were compared to Environmental Quality (Industrial Effluent Regulations, 2009. There is a strong need to study on the characterization of car wash water in order to suggest the suitable treatment need for this type of wastewater.

  9. Wastewater Treatment Model in Washing Stations for Vehicles Transporting Dangerous Goods

    Directory of Open Access Journals (Sweden)

    Robert Muha

    2004-09-01

    Full Text Available Car washing is a task performed by every passenger carowner more or less frequently, mainly to achieve a finer appearanceof the vehicle rather than for the need for cleanness.In the transport business, the owner's concern is to presentclean and orderly vehicles on the road as a relevant external elementof order, implying good corporate image to customers. Onthe other hand, in dangerous goods transportation there areother reasons requiring special technology of washing, applicableto the transport means used, depending on the change oftype of goods in carriage, the preliminary preparation of a vehicleto load the cargo, or to undergo maintenance.Water applied in the technology of washing collects the residueof goods carried in the vehicle and is polluted to such an extentthat it cannot be discharged into sewers - nor directly into awatercourse - without previous treatment.The paper presents a solution model and a sequence oftechnological procedures involved in an efficient treatment ofthe polluted wastewater in tank wash stations, in which mostlyvehicles carrying ADR goods are washed.

  10. 中药外洗联合光疗对急性手部湿疹患者EASI评分及复发率的影响%Influence of External Washing with Chinese Medicine Combined with Phototherapy on the Score of EASI and the Recurrence Rate of Patients with Acute Hand Eczema

    Institute of Scientific and Technical Information of China (English)

    钟萍; 徐丽红; 王鹏; 柴宝

    2016-01-01

    目的:观察中药外洗联合光疗对急性手部湿疹患者EASI评分及复发率的影响.方法:将2013年2月-2015年2月本院收治的90例急性手部湿疹患者随机分为光疗组、中药洗剂组、中药洗剂联合光疗组各30例.光疗组单纯采用光疗进行,选择304 nm中波高能紫外线进行照射治疗;中药洗剂组单纯采用中药外洗治疗;中药洗剂联合光疗组给予中药外洗联合光疗进行治疗.治疗2周后观察两组患者临床瘙瘁症状的改善情况,用EASI评估湿疹面积以及皮损严重程度,比较3组的有效率、不良反应发生率及复发情况.结果:光疗组的有效率60%低于中药洗剂组的有效率70%,两组差异性不显著(P>0.05);光疗组和中药洗剂组的有效率均明显低于中药洗剂联合光疗组的有效率93.3%,差异有统计学意义(P<0.05);治疗前3组患者的EASI各指标评分对比,差异性不显著(P>0.05);治疗后EASI评分相比治疗前下降,中药洗剂联合光疗组EASI评分变化更突出,其次为中药洗剂组,光疗组EASI评分改善明显不足其余两组,差异有统计学意义(P<0.05).光疗组不良反应发生率、复发率明显高于其余两组,而中药洗剂联合光疗组患者并无明显不良反应,随访期间亦无复发.结论:中药外洗联合光疗更利于改善急性手部湿疹患者的瘙痒症状,减少皮损面积,减轻皮损状况,疗效确切.%Objective:To observe the influence of external washing with Chinese medicine combined with phototherapy on the score of EASI and the recurrence rate of patients with acute hand eczema.Methods:Totally 90 patients with acute hand eczema hospitalized between February,2013 and February,2015 were randomized into phototherapy group,Chinese medicine washing group,Chinese medicine washing + phototherapy group,with 30 cases in each group.Phototherapy group were simply given phototherapy with 304 nm medium-high energy ultraviolet radiation.Chinese medicine

  11. A novel educational programme to improve knowledge regarding health care-associated infection and hand hygiene.

    Science.gov (United States)

    Fitzpatrick, Maureen; Everett-Thomas, Ruth; Nevo, Igal; Shekhter, Ilya; Rosen, Lisa F; Scheinman, Stephen R; Arheart, Kristopher L; Birnbach, David J

    2011-06-01

    Lack of hand hygiene by health-care workers is the most significant cause of health care-associated infection. This programme was designed to make health-care workers want to wash their hands, to change their knowledge regarding hand hygiene and health care-associated infection, and influence practice. Improvement between pre- and post-test scores was statistically significant. Compliance is a multifactorial problem that involves knowledge and behaviour. Educational awareness and frequent reminders are critical to maintain high rates of hand hygiene compliance.

  12. Application of ultrasound to textiles washing in aqueous solutions.

    Science.gov (United States)

    Gotoh, Keiko; Harayama, Kokoro

    2013-03-01

    The ultrasound was applied to textile washing as a mechanical action for soil removal. The polyester fabric was soiled with carbon black or oleic acid as a model contaminant, and washed with the original fabric in aqueous solutions without and with alkali or surfactant by applying ultrasound, shaking or stirring action. The detergency and soil redeposition were evaluated from the change in the surface reflectance of artificially soiled fabrics and the original fabric due to washing. In comparison with shaking and stirring actions, ultrasound was found to remove the particulate and oily soils efficiently in a short time and at low bath ratio. With increasing ultrasound power, the detergency of both soils increased and exceeded that obtained with Wascator, a horizontal axis drum type washer. Using three standard fabrics for determining mechanical action during washing, it was shown that ultrasound washing caused little mechanical damage to the fabric. However, the soil redeposition was frequently observed for ultrasonic washing, especially at low bath ratio.

  13. Live-line insulator washing: Experimental investigation to assess safety and efficiency requirements

    Energy Technology Data Exchange (ETDEWEB)

    Perin, D.; Pigini, A.; Visintainer, I. [CESI, Milano (Italy); Channakeshava; Ramamoorty, M. [CPRI, Bangalore (India)

    1994-12-31

    A laboratory investigation was carried out to study live-line washing of insulators, with special attention to the two washing procedures which adopt hand-held nozzles or helicopter mounted nozzles. The aspects related to safety and those related to efficiency and reliability were considered. On the basis of the results, safe working distances and indications to define optimal washing procedures were derived.

  14. Soil washing treatability study

    Energy Technology Data Exchange (ETDEWEB)

    Krstich, M.

    1995-12-01

    Soil washing was identified as a viable treatment process option for remediating soil at the FEMP Environmental Management Project (FEMP). Little information relative to the specific application and potential effectiveness of the soil washing process exists that applies to the types of soil at the FEMP. To properly evaluate this process option in conjunction with the ongoing FEMP Remedial Investigation/Feasibility Study (RI/FS), a treatability testing program was necessary to provide a foundation for a detailed technical evaluation of the viability of the process. In August 1991, efforts were initiated to develop a work plan and experimental design for investigating the effectiveness of soil washing on FEMP soil. In August 1992, the final Treatability Study Work Plan for Operable Unit 5: Soil Washing (DOE 1992) was issued. This document shall be referenced throughout the remainder of this report as the Treatability Study Work Plan (TSWP). The purpose of this treatability study was to generate data to support initial screening and the detailed analysis of alternatives for the Operable Unit 5 FS.

  15. [Hand infections].

    Science.gov (United States)

    Schiele, Philippe; Le Nen, Dominique

    2013-11-01

    Superficial and deep hand infections are frequent in general medical practice. Clinical examination is a crucial step for an adapted provided care. Most of the time, surgery is the only way to heal infections. However, in some cases (like bites), empiric antibiotherapy is first indicated to limit infection. Staphyloccocus aureus as well as Group Beta Streptococcus are the most frequently pathogenes associated with hand infections. Methicillin resistant S. Aureus must always be considered in the diagnoses. Whatever treatment is provided, clinical assessement must be repeated within two days. An early adaquated treatment prevent functional complications and in some cases death of the patients.

  16. Hand carriage of Candida occurs at lesser rates in hospital personnel who use antimicrobial hand disinfectant.

    Science.gov (United States)

    Yildirim, Mustafa; Sahin, Idris; Oksuz, Sukru; Sencan, Irfan; Kucukbayrak, Abdulkadir; Cakir, Selma; Ozaydin, Cigdem

    2014-09-01

    The hands of hospital personnel are considered to be important for colonization and infection of patients with Candida spp. The aim of this study was to evaluate the effectiveness of different hand disinfectants in reducing the carriage of Candida species on the hands of hospital personnel. A controlled study was conducted at Duzce University School of Medicine Hospital. Eighty hospital personnel were included in the trial. Subjects were divided into 4 groups according to hand hygiene procedures: group 1, hand rubbing with alcohol-based solution; group 2, hand washing with 4% chlorhexidine gluconate; group 3, hand washing with 7.5% povidone-iodine; group 4, hand washing with plain soap and water. The hands of all participants were tested by culture with the broth wash technique. Hand carriage of Candida spp. was lower in the 4% chlorhexidine gluconate group (10.5%, p = 0.006), in the 7.5% povidone-iodine group (18.7%, p = 0.043), and in the alcohol-based hand rub group (21.1%, p = 0.048) compared to the group washing hands with plain soap and water (50%). The use of hand disinfectant containing antimicrobial agents is more effective than hand washing with water and soap in reducing carriage of Candida on the hands of hospital personnel. It is recommended that hospital personnel use an antimicrobial hand disinfectant in units where there is a high risk of Candida infection.

  17. Healthcare worker and family caregiver hand hygiene in Bangladeshi healthcare facilities: results from the Bangladesh National Hygiene Baseline Survey.

    Science.gov (United States)

    Horng, L M; Unicomb, L; Alam, M-U; Halder, A K; Shoab, A K; Ghosh, P K; Opel, A; Islam, M K; Luby, S P

    2016-11-01

    Healthcare facility hand hygiene impacts patient care, healthcare worker safety, and infection control, but low-income countries have few data to guide interventions. To conduct a nationally representative survey of hand hygiene infrastructure and behaviour in Bangladeshi healthcare facilities to establish baseline data to aid policy. The 2013 Bangladesh National Hygiene Baseline Survey examined water, sanitation, and hand hygiene across households, schools, restaurants and food vendors, traditional birth attendants, and healthcare facilities. We used probability proportional to size sampling to select 100 rural and urban population clusters, and then surveyed hand hygiene infrastructure in 875 inpatient healthcare facilities, observing behaviour in 100 facilities. More than 96% of facilities had 'improved' water sources, but environmental contamination occurred frequently around water sources. Soap was available at 78-92% of handwashing locations for doctors and nurses, but just 4-30% for patients and family. Only 2% of 4676 hand hygiene opportunities resulted in recommended actions: using alcohol sanitizer or washing both hands with soap, then drying by air or clean cloth. Healthcare workers performed recommended hand hygiene in 9% of 919 opportunities: more after patient contact (26%) than before (11%). Family caregivers frequently washed hands with only water (48% of 2751 opportunities), but with little soap (3%). Healthcare workers had more access to hand hygiene materials and performed better hand hygiene than family, but still had low adherence. Increasing hand hygiene materials and behaviour could improve infection control in Bangladeshi healthcare facilities. Copyright © 2016 The Authors. Published by Elsevier Ltd.. All rights reserved.

  18. Simulated Microbe Removal around Finger Rings Using Different Hand Sanitation Methods

    National Research Council Canada - National Science Library

    Archana A. Alur Madhavi J. Rane James Po Scheetz Douglas J. Lorenz Lawrence Gettleman

    2009-01-01

    ...℃ water alone, or with liquid hand soap. Light levels (in lux) of fluorescent powder before and after washing were measured and delta scores calculated for changes in light levels, equivalent to effectiveness of hand washing...

  19. Efektivitas Hand Sanitizer Dibanding Mencuci Tangan Memakai Sabun dalam Menjaga Kebersihan Tangan pada Mahasiswa Fakultas Kedokteran Universitas Sumatera Utara Angkatan 2012

    OpenAIRE

    Akim, Muhammad

    2015-01-01

    Hand washing is a simple way to remove impurities and minimize germs on hand with water flowing and can be done by adding certain ingredients. Hand washing can prevent more than 1 million deaths per year due to diarrhea problems, whilst hand washing with soap can reduce diarrhea until 47 %. The goals is to determine the effectiveness of hand sanitizing compared to hand washing with soap in maintaining hand hygiene of students in Faculty of Medicine, North Sumatera University, class of 2012...

  20. [Optimizing surgical hand disinfection].

    Science.gov (United States)

    Kampf, G; Kramer, A; Rotter, M; Widmer, A

    2006-08-01

    For more than 110 years hands of surgeons have been treated before a surgical procedure in order to reduce the bacterial density. The kind and duration of treatment, however, has changed significantly over time. Recent scientific evidence suggests a few changes with the aim to optimize both the efficacy and the dermal tolerance. Aim of this article is the presentation and discussion of new insights in surgical hand disinfection. A hand wash should be performed before the first disinfection of a day, ideally at least 10 min before the beginning of the disinfection as it has been shown that a 1 min hand wash significantly increases skin hydration for up to 10 min. The application time may be as short as 1.5 min depending on the type of hand rub. Hands and forearms should be kept wet with the hand rub for the recommended application time in any case. A specific rub-in procedure according to EN 12791 has been found to be suitable in order to avoid untreated skin areas. The alcohol-based hand rub should have a proven excellent dermal tolerance in order to ensure appropriate compliance. Considering these elements in clinical practice can have a significant impact to optimize the high quality of surgical hand disinfection for prevention of surgical site infections.

  1. Children's hand hygiene behaviour and available facilities: an observational study in Dutch day care centres.

    Science.gov (United States)

    van Beeck, A H Elise; Zomer, Tizza P; van Beeck, Eduard F; Richardus, Jan Hendrik; Voeten, Helene A C M; Erasmus, Vicki

    2016-04-01

    Children attending day care centres are at increased risk of infectious diseases, in particular gastrointestinal and respiratory infections. Hand hygiene of both caregivers and children is an effective prevention measure. This study examined hand hygiene behaviour of children attending day care centres, and describes hygiene facilities at day care centres. Data were collected at 115 Dutch day care centres, among 2318 children cared for by 231 caregivers (August to October 2010). Children's hand hygiene behaviour was observed and data on hand hygiene facilities of the day care centres collected by direct unobtrusive observation. National guidelines indicate hand hygiene is required before eating, after toilet use and after playing outside. Among 1930 observed hand hygiene opportunities for children, overall adherence to hand hygiene guidelines was 31% (95% CI: 29-33%). Adherence after both toilet use and playing outside was 48%. Hands were less frequently washed before eating, where guideline adherence was 15%. In 38% of the playrooms there was no soap within reach of children and 17% had no towel facilities. In over 40% of the playrooms, appropriate hand hygiene facilities for children were lacking. Adequate hand washing facilities were available for children in only half of the participating day care centres in our study and children washed their hands in only 15-48% of the occasions defined by official guidelines. More attention is needed to hand hygiene of children attending day care centres in the prevention of infectious diseases. © The Author 2015. Published by Oxford University Press on behalf of the European Public Health Association. All rights reserved.

  2. Contamination of healthcare workers' hands with bacterial spores.

    Science.gov (United States)

    Sasahara, Teppei; Ae, Ryusuke; Watanabe, Michiyo; Kimura, Yumiko; Yonekawa, Chikara; Hayashi, Shunji; Morisawa, Yuji

    2016-08-01

    Clostridium species and Bacillus spp. are spore-forming bacteria that cause hospital infections. The spores from these bacteria are transmitted from patient to patient via healthcare workers' hands. Although alcohol-based hand rubbing is an important hand hygiene practice, it is ineffective against bacterial spores. Therefore, healthcare workers should wash their hands with soap when they are contaminated with spores. However, the extent of health care worker hand contamination remains unclear. The aim of this study is to determine the level of bacterial spore contamination on healthcare workers' hands. The hands of 71 healthcare workers were evaluated for bacterial spore contamination. Spores attached to subject's hands were quantitatively examined after 9 working hours. The relationship between bacterial spore contamination and hand hygiene behaviors was also analyzed. Bacterial spores were detected on the hands of 54 subjects (76.1%). The mean number of spores detected was 468.3 CFU/hand (maximum: 3300 CFU/hand). Thirty-seven (52.1%) and 36 (50.7%) subjects were contaminated with Bacillus subtilis and Bacillus cereus, respectively. Nineteen subjects (26.8%) were contaminated with both Bacillus species. Clostridium difficile was detected on only one subject's hands. There was a significant negative correlation between the hand contamination level and the frequency of handwashing (r = -0.44, P < 0.01) and a significant positive correlation between the hand contamination level and the elapsed time since last handwashing (r = 0.34, P < 0.01). Healthcare workers' hands may be frequently contaminated with bacterial spores due to insufficient handwashing during daily patient care.

  3. Hand to hand.

    Science.gov (United States)

    Bedell, Susanna E; Graboys, Thomas B

    2002-08-01

    Examination of the hands has the potential to transform the encounter between physician and patient. Taking the hands conveys a sense of warmth and connectedness and is a means to communicate the physician's mindfulness. The hands can focus the examination on the individual patient as a complete human being, and not merely a disease or a collection of symptoms. The hands provide readily accessible information that may not be available through other evaluations, and they offer clues to a patient's physical and mental health. Commonplace observations, such as those revealed in the hands, can unravel medical mysteries and provide profound clinical insights.

  4. Wash-Out in N_2-dominated leptogenesis

    CERN Document Server

    Hahn-Woernle, Florian

    2009-01-01

    We study the wash-out of a cosmological baryon asymmetry produced via leptogenesis by subsequent interactions. Therefore we focus on a scenario in which a lepton asymmetry is established in the out-of-equilibrium decays of the next-to-lightest right-handed neutrino. We apply the full classical Boltzmann equations without the assumption of kinetic equilibrium and including all quantum statistical factors to calculate the wash-out of the lepton asymmetry by interactions of the lightest right-handed state. We include scattering processes with top quarks in our analysis. This is of particular interest since the wash-out is enhanced by scatterings and the use of mode equations with quantum statistical distribution functions. In this way we provide a restriction on the parameter space for this scenarios.

  5. The Hand Eczema Trial (HET): Design of a randomised clinical trial of the effect of classification and individual counselling versus no intervention among health-care workers with hand eczema

    DEFF Research Database (Denmark)

    Ibler, Kristina Sophie; Agner, Tove; Hansen, Jane L.;

    2010-01-01

    . The experimental group undergoes patch and prick testing; classification of the hand eczema; demonstration of hand washing and appliance of emollients; individual counselling, and a skin-care programme. The control group receives no intervention. All participants are reassessed after six months. The primary......BACKGROUND: Hand eczema is the most frequently recognized occupational disease in Denmark with an incidence of approximately 0.32 per 1000 person-years. Consequences of hand eczema include chronic severe eczema, prolonged sick leave, unemployment, and impaired quality of life. New preventive...... strategies are needed to reduce occupational hand eczema. METHODS/DESIGN: We describe the design of a randomised clinical trial to investigate the effects of classification of hand eczema plus individual counselling versus no intervention. The trial includes health-care workers with hand eczema identified...

  6. Live-line insulator washing: Experimental investigation to assess safety and efficiency requirements

    Energy Technology Data Exchange (ETDEWEB)

    Perin, D.; Pigini, A.; Visintainer, I. [CESI, Milano (Italy); Ramamoorty, C.M. [CPRI, Bangalore (India)

    1995-01-01

    A laboratory investigation was carried out to study live-line washing of insulators, with special attention to the two washing procedures which adopt hand-held jet nozzles and helicopter mounted nozzles. The aspects related to safety and those related to efficiency and reliability were considered. On the basis of the results, site working distances and indications to define optimal washing procedures were derived.

  7. Contact transfer of anions from hands as a function of the use of hand lotions

    Science.gov (United States)

    Welker, R. W.; Schulman, M.

    2001-01-01

    Contact transfer of anions from human hands can result in contamination of materials, increasing their rate of corrosion. Two types of hand lotion were applied to the hands: one was specially formulated for cleanroom use and the other was a popular commercial lotion. The effect on contact transfer of anions was measured versus anion transfer from washed hands without lotions.

  8. Effect of hand lotion on the effectiveness of hygienic hand antisepsis: Implications for practicing hand hygiene.

    Science.gov (United States)

    Paula, Helga; Hübner, Nils-Olaf; Assadian, Ojan; Bransmöller, Katja; Baguhl, Romy; Löffler, Harald; Kramer, Axel

    2017-08-01

    Skin protection products should be used after washing hands with soap, during breaks, after work, and during leisure time. Aside from their beneficial effects, skin care products may also interact with alcohol-based hand disinfectants by reducing their efficacy. The aim of this study was to investigate the effect of a hand lotion on the effectiveness of hygienic hand antisepsis using an alcohol-based handrub. The effect of a protective hand lotion against an isopropyl alcohol-based handrub was investigated in 20 healthy volunteers according to the European standard test procedure EN 1500 in the following combinations: handwashing and application of hand lotion, only application of hand lotion, and no washing and no hand lotion (control), each for 5 minutes or 1 hour before hand antisepsis. The difference in microbiologic before-and-after values were expressed as log reduction factor. The effectiveness of hand antisepsis was not significantly affected in any of the groups using the tested hand lotion. Hand antisepsis may be delayed for 5 minutes after hand lotion application. Shorter time intervals might be possible but were not tested. Copyright © 2017 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

  9. Impact of hand wash and multi-enzyme machine washable on the cleaning effect to ophthalmic microsurgical instruments%手工初洗加多酶机洗对眼科显微器械清洗效果的影响

    Institute of Scientific and Technical Information of China (English)

    郑金芳; 陈玉霞; 陈雪莲; 梁洁莲; 莫惠霞; 陈清

    2014-01-01

    Objective To investigate the effects of different cleaning methods for cleaning ophthalmic microsurgical instruments.Methods We selected 900 pieces of ophthalmic microsurgical instruments,which were randomly divided into experimental group and control group Ⅰ and control group 2 by date of odd and even number (n=300),hand scrub and multi-enzyme machine washable were used in the experimental group,the control group 1 used hand brushing,while multi-enzyme machine wash used in control group 2,then compare the quality of cleaning in the three groups.Results After cleaning equipment,by visual observation checking the passing rate was 100% in the three groups; magnifier fine detected 100% passing rate in the experimental group and the control group 1,while it was passing rate of 96.3% in the control group 2; using ATP bioluminescence assay to detect,with a pass rate of 99.7% in the experimental group and the control group 1,with a pass rate of 66.3% in the control group 2,experimental group and the control group 1 were superior in cleaning quality than control group 2,while the experimental group was more obvious,the difference was statistically significant,P < 0.01.Conclusion Hand scrub and multi-enzyme machine wash can ensure the cleaning effect effectively,which is conducive to equipment maintenance.%目的 探讨不同清洗方法对眼科显微器械清洗效果的影响.方法 选择眼科手术后显微器械900件,按日期单双数随机分为实验组、对照1组及对照2组各300件,实验组采用手工初洗加多酶机洗,对照1组采用手工刷洗,对照2组采用多酶机洗,比较三组器械的清洗质量.结果 三组器械清洗后,目测法检查合格率均为100%;放大镜精细检测发现实验组、对照1组合格率为100%,对照2组合格率为96.3%;采用中国疾病预防控制中心推荐的ATP生物荧光测定法检测,实验组、对照1组合格率为99.7%,对照2组合格率为66.3%,实验组、对照1

  10. Maybe he should have washed his hands more!

    Institute of Scientific and Technical Information of China (English)

    2000-01-01

    A man is sitting at home one evening when the doorbell rings.When he answers the door,a 6foot tall cockroach is standing there.The cockroach immediately preaches him between the eyes andscampers off.The next evening,the man is sitting at home when the doorbell rings.When he answersthe door,the cockroach is there again.This time,it punches him,kicks him and karate chops himbefore running away.The third evening,the man is sitting at home when the doorbell rings.When he

  11. 27 CFR 19.328 - Wash water.

    Science.gov (United States)

    2010-04-01

    ... 27 Alcohol, Tobacco Products and Firearms 1 2010-04-01 2010-04-01 false Wash water. 19.328 Section... THE TREASURY LIQUORS DISTILLED SPIRITS PLANTS Production Chemical By-Products § 19.328 Wash water. Water used in washing chemicals to remove spirits therefrom may be run into a wash tank or a distilling...

  12. Hand Hygiene in Healthcare Settings 1 PSA (:30)

    Centers for Disease Control (CDC) Podcasts

    2010-08-19

    This 30 second PSA encourages people to wash their hands often while in the hospital or visiting someone in the hospital. It also encourages them to remind their healthcare providers to wash their hands, too.  Created: 8/19/2010 by Centers for Disease Control and Prevention (CDC).   Date Released: 8/19/2010.

  13. Hand Hygiene in Healthcare Settings 2 PSA (:30)

    Centers for Disease Control (CDC) Podcasts

    2010-08-19

    This 30 second PSA encourages people to wash their hands often while in the hospital or visiting someone in the hospital. It also encourages them to remind their healthcare providers to wash their hands, too.  Created: 8/19/2010 by Centers for Disease Control and Prevention (CDC).   Date Released: 8/19/2010.

  14. Enhanced sludge washing evaluation plan

    Energy Technology Data Exchange (ETDEWEB)

    Jensen, R.D.

    1994-09-01

    The Tank Waste Remediation System (TWRS) Program mission is to store, treat, and immobilize highly radioactive Hanford Site waste (current and future tank waste and the strontium/cesium capsules) in an environmentally sound, safe, and cost-effective manner. The scope of the TWRS Waste Pretreatment Program is to treat tank waste and separate that waste into HLW and LLW fractions and provide additional treatment as required to feed LLW and HLW immobilization facilities. Enhanced sludge washing was chosen as the baseline process for separating Hanford tank waste sludge. Section 1.0 briefly discusses the purpose of the evaluation plan and provides the background that led to the choice of enhanced sludge washing as the baseline process. Section 2.0 provides a brief summary of the evaluation plan details. Section 3.0 discusses, in some detail, the technical work planned to support the evaluation of enhanced sludge washing. Section 4.0 briefly discusses the potential important of policy issues to the evaluation. Section 5.0 discusses the methodology to be used in the evaluation process. Section 6.0 summarizes the milestones that have been defined to complete the enhanced sludge washing evaluation and provides a summary schedule to evaluate the performance of enhanced sludge washing. References are identified in Section 7.0, and additional schedule and milestone information is provided in the appendices.

  15. NGAWANG JIGME'S MODERN WASH PAINTINGS

    Institute of Scientific and Technical Information of China (English)

    KELZANG; DORJE

    2007-01-01

    Having received a thorough college education.Ngawang Jigme naturally expresses his academic knowledge and skills through his washing paintings.Though he grew up on the plateau cating Tsampa and yak flesh,drinking yak buttered tea,living in the clear atmosphere,sunny sky and mountain scenery,he would hardly be expected to tolerate the monotone world of wash painting,which adopts black and white as its principal theme and acknow ledges"blur impression"as the ultimate aim.He strives for total absorption int...

  16. Hand hygiene behavior among urban slum children and their care takers in Odisha, India.

    Science.gov (United States)

    Pati, S; Kadam, S S; Chauhan, A S

    2014-06-01

    To study the knowledge and practice of hand washing among mothers and children of shikharchandi slum of Bhubaneswar, Odisha and to recommend possible measures to improve the current practices. Present cross-sectional study was carried out in the Shikharchandi slum located in the Bhubaneswar city of Orissa state in India. 150 women and 80 children were interviewed. Children questionnaire were prepared to suit to their age and according to local context. Components of sanitation like food handling and hand washing were covered in this questionnaire. Hand washing before preparing food is being practiced by 85% of women. Of all women interviewed, 77% wash hands before serving food. Only 15% children said soap was available in their school to wash hands. Out of total children interviewed, 76% told that their teachers tell about sanitation and hand washing in the class. Only 5% children told they were consulted by doctor/health worker during last 3 months. As many as 81% children told that they wash their hands before taking food and 19% children said they take their food without washing hands. Though most of the children told that they wash hands before taking food, but only 17.5% told that they use soap for hand washing. Only 29% children told that their teachers check hand washing in school. When asked about critical timing of hand washing, 44% children told about at least two critical timings and 56% were unaware about the critical timings of hand washing. Inadequate knowledge on this among our study participant is a point of concern. Systematic integration of health and hygiene education in schools through curricular modifications could be an appropriate strategy.

  17. Hand Dominance and Common Hand Conditions.

    Science.gov (United States)

    Lutsky, Kevin; Kim, Nayoung; Medina, Juana; Maltenfort, Mitchell; Beredjiklian, Pedro K

    2016-05-01

    The goals of this study were to (1) assess how frequently patients present for evaluation of common hand disorders in relation to hand dominance and (2) evaluate the effect of hand dominance on function in patients with these conditions. The authors hypothesized that (1) the majority of patients who seek evaluation would have a condition that affects the dominant hand, and (2) disability scores would be worse if the dominant hand is involved. They retrospectively reviewed the records of consecutive patients who presented for treatment to their institution with unilateral symptoms of 5 common disorders of the hand: carpal tunnel syndrome (CTS), de Quervain's tenosynovitis (DEQ), lateral epicondylitis (LE), hand osteoarthritis (OA), and trigger finger (TF). The authors assessed the effect of diagnosis and hand dominance on Disabilities of the Arm, Shoulder and Hand (DASH) scores. The study group comprised 1029 patients (379 men and 650 women) with a mean age of 59.5 years. Ninety percent were right-hand dominant. The dominant and nondominant hands were affected with relatively equal frequency for CTS, DEQ, OA, and TF (range, 45%-53%). Patients with LE had a significantly higher incidence of dominant hand involvement. Men had lower DASH scores than women by an average of 7.9 points, and DASH scores were significantly but slightly higher for the overall group (3.2 points) when the dominant side was affected. Men with LE and women with TF and OA had significantly higher DASH scores when their dominant extremity was affected. Common hand disorders such as CTS, DEQ, OA, and TF affect the dominant and nondominant hands in roughly equivalent proportions, whereas LE is more common on the dominant side. Dominant hand involvement results in significantly worse DASH scores, although the magnitude of this is relatively small. Women have significantly higher DASH scores than men for the conditions evaluated. [Orthopedics. 2016; 39(3):e444-e448.].

  18. Washing technology development for gravel contaminated with uranium

    Energy Technology Data Exchange (ETDEWEB)

    Park, Uk Ryang; Kim, Gye Nam; Kim, Seung Soo; Kim, Wan Suk; Moon, Jai Kwon [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2013-10-15

    The soil washing method has a short decontamination time and is economical. In addition, methods including phytoremediation, solidification/stabilization and bioremediation exist. Phytoremediation and bioremediation are economical, but have low remedial efficiency. In addition, bioremediation causes washing wastewater because it requires a washing process for the separation of microorganisms from the soils. In addition, solidification/stabilization is a commonly used methods, but eventually increases the volume of wastes. As mentioned above, many researches involved in the decontamination of radioactively contaminated soils have been actively processed. On the other hand, researches for decontaminating radioactively contaminated gravels are not being currently processed. In this study, we performed basic experiments using decontamination methods to decontaminate radioactively contaminated gravel. First, we measured the concentration of uranium in gravel included in uranium-contaminated soils and performed a washing experiment to monitor the tendency of uranium removal. In addition, when managing gravel with a low uranium-decontamination rate, we tried to satisfy the radioactivity concentration criteria for self-disposal in the wastes (0.4Bq/g or less) by performing a washing experiment after only a physical crushing process. We performed washing experiments to satisfy the radioactivity concentration criteria for self-disposal (0.4 Bq/g or less) in gravel included in radioactively contaminated soil. We performed washing experiments for gravel whose initial average concentration of uranium was 1.3Bq/g. In addition, the average concentration of uranium was 0.8Bq/g. Too increase the decontamination rate, we crushed the gravel with a jaw crusher and performed the washing experiments. The results were similar to the results without crushing. In addition, it was determined that the smaller the size of the gravel particles, the more efficient the uranium decontamination

  19. Frequently used, highly appreciated?

    DEFF Research Database (Denmark)

    Swart, Joëlle; Peters, Chris; Schrøder, Kim Christian

    Digitalization has made patterns of news consumption immensely more varied than before, complicating industry attempts to adapt to changing user habits. In such a rapidly changing landscape, it is unclear how news audiences negotiate this environment and what impact this may have on the possible......, gender, region and educational level. It finds that the news media perceived most important to consumers’ everyday lives are not necessarily those consumed most frequently, challenging the notion that frequency of use and appreciation of a medium necessarily relate. In terms of the rise of social media...... news mediums become valuable in everyday life and what factors underlie this sense of value for different members of the public....

  20. Comparison of hand hygiene procedures for removing Bacillus cereus spores.

    Science.gov (United States)

    Sasahara, Teppei; Hayashi, Shunji; Hosoda, Kouichi; Morisawa, Yuji; Hirai, Yoshikazu

    2014-01-01

    Bacillus cereus is a spore-forming bacterium. B. cereus occasionally causes nosocomial infections, in which hand contamination with the spores plays an important role. Therefore, hand hygiene is the most important practice for controlling nosocomial B. cereus infections. This study aimed to determine the appropriate hand hygiene procedure for removing B. cereus spores. Thirty volunteers' hands were experimentally contaminated with B. cereus spores, after which they performed 6 different hand hygiene procedures. We compared the efficacy of the procedures in removing the spores from hands. The alcohol-based hand-rubbing procedures scarcely removed them. The soap washing procedures reduced the number of spores by more than 2 log10. Extending the washing time increased the spore-removing efficacy of the washing procedures. There was no significant difference in efficacy between the use of plain soap and antiseptic soap. Handwashing with soap is appropriate for removing B. cereus spores from hands. Alcohol-based hand-rubbing is not effective.

  1. Stery-hand: A new device to support hand disinfection.

    Science.gov (United States)

    Szilagyi, Laszlo; Lehotsky, Akos; Nagy, Melinda; Haidegger, Tamas; Benyo, Balazs; Benyo, Zoltan

    2010-01-01

    Incomplete disinfection can cause serious complications in surgical care. The teaching of effective hand washing is crucial in modern medical training. To support the objective evaluation of hand disinfection, we developed a compact, mobile device, relying on digital imaging and image processing. The hardware consists of a metal case with matte black interior, ultra-violet lighting and a digital camera. Image segmentation and clustering are performed on a regular notebook. The hand washing procedures performed with a soap mixed with UV-reflective powder. This results the skin showing bright under UV light only on the treated (sterile) surfaces. When the surgeon inserts its hands into the box, the camera placed on the top takes an image of the hand for evaluation. The software performs the segmentation and clustering automatically. First, the hand contour is determined from the green intensity channel of the recorded RGB image. Then, the pixels of the green channel belonging to the hand are partitioned to three clusters using a quick, histogram based fuzzy c-means algorithm. The optimal threshold between the intensities of clean and dirty areas is extracted using these clusters, while the final approximated percentage of the clean area is computed using a weighting formula. The main advantage of our device is the ability to obtain objective and comparable result on the quality of hand disinfection. It may find its best use in the clinical education and training.

  2. Hand Hygiene among Health Care Professionals - anno 2007

    DEFF Research Database (Denmark)

    Laustsen, Sussie; Kristensen, Brian

    2007-01-01

    A literature review shows that hand disinfection is superior to hand washing concerning the elimination of microorganisms. Alcohol-based hand rubs quickly and easily reduce the number of microorganisms on hands. It is important that healthcare professionals prevent the transmission of microorgani...

  3. Back to basics: hand hygiene and surgical hand antisepsis.

    Science.gov (United States)

    Spruce, Lisa

    2013-11-01

    Health care-associated infections (HAIs) are a significant issue in the United States and throughout the world, but following proper hand hygiene practices is the most effective and least expensive way to prevent HAIs. Hand hygiene is inexpensive and protects patients and health care personnel alike. The four general types of hand hygiene that should be performed in the perioperative environment are washing hands that are visibly soiled, hand hygiene using alcohol-based products, surgical hand scrubs, and surgical hand scrubs using an alcohol-based surgical hand rub product. Barriers to proper hand hygiene may include not thinking about it, forgetting, skin irritation, a lack of role models, or a lack of a safety culture. One strategy for improving hand hygiene practices is monitoring hand hygiene as part of a quality improvement project, but the most important aspect for perioperative team members is to set an example for other team members by following proper hand hygiene practices and reminding each other to perform hand hygiene.

  4. Clean Hands Help Prevent the Flu

    Centers for Disease Control (CDC) Podcasts

    2009-05-06

    Clean hands can help prevent the spread of infectious diseases, such as flu. This podcast explains the proper way to wash your hands.  Created: 5/6/2009 by Coordinating Center for Infectious Diseases, National Center for Immunization and Respiratory Diseases, Influenza Division (CCID/NCIRD/ID).   Date Released: 5/6/2009.

  5. 21 CFR 1250.87 - Wash water.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Wash water. 1250.87 Section 1250.87 Food and Drugs... Sanitation Facilities and Conditions on Vessels § 1250.87 Wash water. Where systems installed on vessels for wash water, as defined in § 1250.3(n), do not comply with the requirements of a potable water...

  6. 7 CFR 58.429 - Washing machine.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 3 2010-01-01 2010-01-01 false Washing machine. 58.429 Section 58.429 Agriculture Regulations of the Department of Agriculture (Continued) AGRICULTURAL MARKETING SERVICE (Standards....429 Washing machine. When used, the washing machine for cheese cloths and bandages shall be...

  7. Alternative antimicrobial commercial egg washing procedures

    Science.gov (United States)

    Commercial table eggs are washed prior to packaging. Standard wash procedures use an alkaline pH and warm water. If a cool water method could be developed that would still provide a microbiologically safe egg, the industry may save energy costs associated with water heating. Four wash procedures ...

  8. Higienização das mãos: o ensino e a prática entre graduandos na área da saúde - DOI: 10.4025/actascihealthsci.1079 Hand washing: teaching and practice among undergraduate health sector students - DOI: 10.4025/actascihealthsci.1079

    Directory of Open Access Journals (Sweden)

    Milca Severino Pereira

    2008-03-01

    Full Text Available Estudo realizado com graduandos do último ano/semestre da área da saúde de Instituições de Ensino Superior (IES em Goiás/2005, com objetivo de verificar a compreensão destes acerca da higienização das mãos (HM, identificar a contribuição das IES na formação dos alunos sobre esta temática, identificar fatores que favorecem a adesão à HM e verificar a disponibilidade de recursos materiais para HM nos Estabelecimentos de Assistência à Saúde (EAS utilizados como cenários de prática. Observados os aspectos éticos, os dados foram obtidos pela aplicação de questionário, previamente avaliado, e processados no programa Epiinfo (CDC, 2004, quando indicado, aplicado o teste qui-quadrado. Participaram do estudo 777 graduandos (68,0%; dos cursos de Biomedicina, Enfermagem, Farmácia, Fisioterapia, Fonoaudiologia, Medicina, Odontologia e Terapia Ocupacional. Houve discordância entre o entendimento sobre HM e a adesão. Embora tenhamos evidenciado que as IES tenham abordado este tema durante a formação dos profissionais, isto não foi suficiente para alterar a práxisThis study was undertaken with students during their last year/semester of health sector studies at Higher Education Institutions (HEI, in Goiás State/2005. It aimed to verify the understanding of these students about hands washing (HW, identify the contribution of the HEI to the students’ education on this theme, identify factors that favor the practice of HW, and verify the availability of material resources for HW at Health Assistance Establishments (HAE used as practice scenarios. After observing ethical aspects, the data was obtained through a previously-evaluated questionnaire, and processed using Epi Info software (CDC, 2004, when the chi-square test was applied. 777 students took part (68.0% in the study, belonging to the following courses: Biomedicine, Nursing, Pharmacy, physiotherapy, phonoaudiology, Medicine, Dentistry and Occupational Therapy. There was

  9. Wash resistance of insecticide-treated materials.

    Science.gov (United States)

    Ordóñez González, José; Kroeger, Axel; Aviña, Ana Isabel; Pabón, Eulides

    2002-01-01

    The effectiveness of insecticide-treated materials (ITMs) for malaria control is reduced by washing them. This research in Colombia and Bolivia investigated the resistance of different insecticide formulations and, in particular, a commercially available impregnated bednet (PermaNet) which provides chemical protection for the insecticide. The fabrics studied were all polyester; the pyrethroids used for impregnation were deltamethrin (tablet and suspension concentrate both at 25 mg/m2 target dose), lambdacyhalothrin (capsule suspension at 15 mg/m2; laboratory study only), alphacypermethrin (suspension concentrate at 40 mg/m2) and, in the case of PermaNet, deltamethrin (55 mg/m2). The indicator of wash resistance was Anopheles spp. mortality (using the bioassay cone method) before and after different numbers and intensities of washing. When the fabrics were washed under controlled conditions, gently with water and a bar of soap, the wash resistance of all formulations was good (100% Anopheles mortality after 3 washes). However, when the impregnated nets were soaked for 30-60 min and washed with soap powder and tap water by local women in the usual way, the mortality after 4 washes declined considerably (43.5% and 41.3% for deltamethrin tablets and liquid respectively when washing every second day). Alphacypermethrin showed slightly better results after 3 washes every 7th day compared to deltamethrin tablets (63.8% and 43.3% mortality, respectively). The wash resistance offered by PermaNet was much better and longer lasting: Anopheles mortality after 4 washes was 92.6%, after 10 washes 83.7% and after 20 washes 87.1%. The limitations of commercially available wash-resistant nets are, however, their limited accessibility and the difficulty of replacing all existing bednets with a new product.

  10. Hand Hygiene among Health Care Professionals - anno 2007

    DEFF Research Database (Denmark)

    Laustsen, Sussie; Kristensen, Brian

    2007-01-01

    A literature review shows that hand disinfection is superior to hand washing concerning the elimination of microorganisms. Alcohol-based hand rubs quickly and easily reduce the number of microorganisms on hands. It is important that healthcare professionals prevent the transmission...... of microorganisms by hand disinfection before and after patient-related procedures. Factors that influence adherence to hand disinfection are discussed. Udgivelsesdato: Nov 26...

  11. Scalable Frequent Subgraph Mining

    KAUST Repository

    Abdelhamid, Ehab

    2017-06-19

    A graph is a data structure that contains a set of nodes and a set of edges connecting these nodes. Nodes represent objects while edges model relationships among these objects. Graphs are used in various domains due to their ability to model complex relations among several objects. Given an input graph, the Frequent Subgraph Mining (FSM) task finds all subgraphs with frequencies exceeding a given threshold. FSM is crucial for graph analysis, and it is an essential building block in a variety of applications, such as graph clustering and indexing. FSM is computationally expensive, and its existing solutions are extremely slow. Consequently, these solutions are incapable of mining modern large graphs. This slowness is caused by the underlying approaches of these solutions which require finding and storing an excessive amount of subgraph matches. This dissertation proposes a scalable solution for FSM that avoids the limitations of previous work. This solution is composed of four components. The first component is a single-threaded technique which, for each candidate subgraph, needs to find only a minimal number of matches. The second component is a scalable parallel FSM technique that utilizes a novel two-phase approach. The first phase quickly builds an approximate search space, which is then used by the second phase to optimize and balance the workload of the FSM task. The third component focuses on accelerating frequency evaluation, which is a critical step in FSM. To do so, a machine learning model is employed to predict the type of each graph node, and accordingly, an optimized method is selected to evaluate that node. The fourth component focuses on mining dynamic graphs, such as social networks. To this end, an incremental index is maintained during the dynamic updates. Only this index is processed and updated for the majority of graph updates. Consequently, search space is significantly pruned and efficiency is improved. The empirical evaluation shows that the

  12. Distillery spent wash: treatment technologies and potential applications.

    Science.gov (United States)

    Mohana, Sarayu; Acharya, Bhavik K; Madamwar, Datta

    2009-04-15

    Distillery spent wash is the unwanted residual liquid waste generated during alcohol production and pollution caused by it is one of the most critical environmental issue. Despite standards imposed on effluent quality, untreated or partially treated effluent very often finds access to watercourses. The distillery wastewater with its characteristic unpleasant odor poses a serious threat to the water quality in several regions around the globe. The ever-increasing generation of distillery spent wash on the one hand and stringent legislative regulations of its disposal on the other has stimulated the need for developing new technologies to process this effluent efficiently and economically. A number of clean up technologies have been put into practice and novel bioremediation approaches for treatment of distillery spent wash are being worked out. Potential microbial (anaerobic and aerobic) as well as physicochemical processes as feasible remediation technologies to combat environmental pollution are being explored. An emerging field in distillery waste management is exploiting its nutritive potential for production of various high value compounds. This review presents an overview of the pollution problems caused by distillery spent wash, the technologies employed globally for its treatment and its alternative use in various biotechnological sectors.

  13. Distillery spent wash: Treatment technologies and potential applications

    Energy Technology Data Exchange (ETDEWEB)

    Mohana, Sarayu [BRD School of Biosciences, Sardar Patel University, Vallabh Vidyanagar 388120, Gujarat (India)], E-mail: sarayu124@yahoo.com; Acharya, Bhavik K. [BRD School of Biosciences, Sardar Patel University, Vallabh Vidyanagar 388120, Gujarat (India)], E-mail: acharyabhavik@yahoo.com; Madamwar, Datta [BRD School of Biosciences, Sardar Patel University, Vallabh Vidyanagar 388120, Gujarat (India)], E-mail: datta_madamwar@yahoo.com

    2009-04-15

    Distillery spent wash is the unwanted residual liquid waste generated during alcohol production and pollution caused by it is one of the most critical environmental issue. Despite standards imposed on effluent quality, untreated or partially treated effluent very often finds access to watercourses. The distillery wastewater with its characteristic unpleasant odor poses a serious threat to the water quality in several regions around the globe. The ever-increasing generation of distillery spent wash on the one hand and stringent legislative regulations of its disposal on the other has stimulated the need for developing new technologies to process this effluent efficiently and economically. A number of clean up technologies have been put into practice and novel bioremediation approaches for treatment of distillery spent wash are being worked out. Potential microbial (anaerobic and aerobic) as well as physicochemical processes as feasible remediation technologies to combat environmental pollution are being explored. An emerging field in distillery waste management is exploiting its nutritive potential for production of various high value compounds. This review presents an overview of the pollution problems caused by distillery spent wash, the technologies employed globally for its treatment and its alternative use in various biotechnological sectors.

  14. Effectiveness of Hand Sanitizers with and without Organic Acids for Removal of Rhinovirus from Hands

    Science.gov (United States)

    Turner, Ronald B.; Fuls, Janice L.; Rodgers, Nancy D.

    2010-01-01

    These studies evaluated the effectiveness of ethanol hand sanitizers with or without organic acids to remove detectable rhinovirus from the hands and prevent experimental rhinovirus infection. Ethanol hand sanitizers were significantly more effective than hand washing with soap and water. The addition of organic acids to the ethanol provided residual virucidal activity that persisted for at least 4 h. Whether these treatments will reduce rhinovirus infection in the natural setting remains to be determined. PMID:20047916

  15. Effectiveness of hand sanitizers with and without organic acids for removal of rhinovirus from hands.

    Science.gov (United States)

    Turner, Ronald B; Fuls, Janice L; Rodgers, Nancy D

    2010-03-01

    These studies evaluated the effectiveness of ethanol hand sanitizers with or without organic acids to remove detectable rhinovirus from the hands and prevent experimental rhinovirus infection. Ethanol hand sanitizers were significantly more effective than hand washing with soap and water. The addition of organic acids to the ethanol provided residual virucidal activity that persisted for at least 4 h. Whether these treatments will reduce rhinovirus infection in the natural setting remains to be determined.

  16. Ozonated water is inferior to propanol-based hand rubs for disinfecting hands.

    Science.gov (United States)

    Appelgrein, C; Hosgood, G; Dunn, A L; Schaaf, O

    2016-04-01

    Ozone is a strong oxidizing biocide that has broad-spectrum antimicrobial properties. The aim of the study was to compare the efficacy of ozone to a propanol-based hand rub for hand disinfection. Twenty subjects were enrolled in an in-vivo cross-over trial (prEN 12791). Subjects treated their hands with the reference procedure (propan-1-ol 60%) or with ozone (4 ppm). Post-wash bacterial counts were determined from one hand (immediate effect), and from the other hand that had been gloved for 3h (delayed effect). The investigation indicated that ozone is inferior to propan-1-ol 60% hand rub for hand asepsis.

  17. Evaluation of washing procedures for pollution analysis of Ailanthus altissima leaves

    Energy Technology Data Exchange (ETDEWEB)

    Porter, J.R.

    1986-01-01

    A study of nine different washing procedures using Alconox, HCl and Na2 EDTA for use on Ailanthus altissima leaves in particulate pollutant analyses was conducted. Leaf mineral analyses of washed and unwashed samples were carried out for Ca, Mg, K, Na, Fe, Zn, Cu and Mn by atomic absorption spectrometry, for Cl by a specific ion electrode and for Ti by a spectrophotometric procedure. The data showed that a procedure consisting of washing by hand with 1% Alconox, followed by 0.01M Na2 EDTA, was most effective in removing surface Fe, Cu, Zn and Ti and led to little change in lead K or Cl.

  18. Hand Anatomy

    Science.gov (United States)

    ... Z Videos Infographics Symptom Picker Anatomy Bones Joints Muscles Nerves Vessels Tendons About Hand Surgery What is a Hand Surgeon? What is a Hand Therapist? Media Find a Hand Surgeon Home Anatomy Bones Joints Muscles Nerves Vessels Tendons Anatomy The upper extremity is ...

  19. Android Hands

    DEFF Research Database (Denmark)

    Vlachos, Evgenios; Schärfe, Henrik

    2014-01-01

    . On such occasions, android and humanoid hand models should have similar structure, functions, and performance as the human hand. In this paper we present the anatomy, and the key functionalities of the human hand followed by a literature review on android/humanoid hands for grasping and manipulating objects...

  20. Wash durability and optimal drying regimen of four brands of long-lasting insecticide-treated nets after repeated washing under tropical conditions

    Directory of Open Access Journals (Sweden)

    Atieli Francis K

    2010-08-01

    Full Text Available Abstract Background The current study was undertaken to determine the optimal wash-drying regimen and the effects of different washing procedures on the efficacy, and durability of four brands of newly introduced long-lasting insecticide-treated nets (LLINs under tropical conditions. Methods In the current study, the following four LLINs were tested: Olyset®, PermaNet ®2.0, BASF® and TNT®. Nets were divided into three sets; one set was washed by hand rubbing and air-dried either hanging or spread on the ground in direct sunlight or hanging or spread on the ground under the shade. A second set was washed using the WHO protocol (machine and the third set was washed by beating the nets on rocks. The biological activities of the nets were assessed by a three-minute bioassay cone test and the residual insecticide contents were determined using high performance liquid chromatography (HPLC procedure. Results Nets that were dried hanging under the shade retained more insecticide, 62.5% and recorded higher mortality compared to nets which were dried lying on the ground in direct sunlight 58.8%, nets dried under the shade spread on the ground 56.3%, and 57.8% for nets dried hanging in direct sunlight. It was also observed that nets washed by the standard WHO protocol, retained more insecticide and were more effective in killing mosquitoes compared to nets washed by local methods of hand rubbing and beating on rocks. There were significant differences between drying regimens (p ® and TNT there were no significant differences observed between the four drying regimens (p = 0.7944 and 0.4703 respectively. For BASF and Olyset, the differences were significant (p 0.0001. Conclusion The results of this study suggest that washing and drying regimen influence the insecticidal activity of LLINs. The standard WHOPES washing protocol underestimates the amount of insecticide washed from LLINs compared to the abrasive washing procedures that are used in the field

  1. Wastewater washing screens out solids

    Energy Technology Data Exchange (ETDEWEB)

    Mitchell, D.G. [Hycor Corp., Lake Bluff, IL (United States)

    1994-09-01

    Screening, as practiced by most municipal wastewater treatment plants, involves the manual or mechanical separation of all undesirable solids that flow into the sewer system. This consists of putresible or rotting material and inert solids such as paper, food, leaves, plastics, rubber, rocks, glass, metal and cigarette butts. These constituents, if not removed, clog downstream equipment and put a heavy load on aeration basins, dissolved air flotation equipment and digesters. Screenings washing is just entering the U.S. market with numerous benefits including increased efficiency, economics, safer work environment, and the ability to meet more stringent regulations.

  2. Acceptance Rate of Hand Hygiene in Health Worker

    Directory of Open Access Journals (Sweden)

    Fariba Farnoosh

    2013-07-01

    Full Text Available AbstrctBackground and objectives: Transmission pathogens in hospital environment usually are spread through contaminated hands of health care workers. Transmitted infections by health care workers are major problem in survival. The objective of the study was to assess the hand washing by healthcare workers in different opportunities in different wards of the hospital.Material and methods: A cross sectional approach was used in three type hospitals: academic hospital, non-academic general public hospitals and private hospital. Direct observation of hand washing in Healthcare workers in potential opportunities, groups, type of detergent, type of hospital and shifts were analyzed by chi-square in Spss18.Results: Overall, 21.9% had hand washing. The rate of hand washing had significant difference in potential opportunities (p<0.001.After contact with fluid and before contact with patient were the most and the least hand washing respectively. Hand hygiene among three hospitals was found significant difference. Among occupational groups with remove of the students did not seen significant difference.Conclusion: Low rate of hand washing in hospitals under consideration is the fact. Authorities must determine the causes and change the situation.

  3. INVESTIGATION ON THE MEDICAL STAFF HAND HYGIENE IN COMPREHENSIVE ICU%综合重症监护病房医护人员手卫生调查

    Institute of Scientific and Technical Information of China (English)

    王超美; 段红林; 杨军

    2011-01-01

    目的 了解重症监护病房医务人员手卫生现状,研究影响手卫生的因素.方法 通过问卷调查和现场观察的方法, 对本医院重症监护病房医务人员手卫生消毒情况进行了调查.结果 本医院ICU部分医务人员对手卫生知识概念模糊,但对手卫生指征及洗手方法掌握较好.有96%的医务人员认为手卫生重要;有90%的医务人员最习惯的手卫生方式是洗手,只有10%的医务人员习惯快速手消毒剂擦手消毒方式.影响手卫生依从性的因素主要是没有时间,洗手频率太高,怕损伤皮肤,洗手设施不方便等.结论 ICU医务人员手卫生知识欠缺,洗手执行率受主客观因素影响明显,应加强相关知识培训和制度落实.%Objective To know the current status of hand hygiene of medical personnel in comprehensive ICU and the influencing factors of hand hygiene.Methods Questionnaires and on - site observations were used to investigate the knowledge and compliance of hand hygiene of medical personnel in the authors'hospital.Results Parts of the medical personnel have ambiguous understandings of hand hygiene, but they are well aware of hand hygiene indicators and adopt good hand wash methods.96% of medical personnel regard hand hygiene important.The habitual hand hygiene methods of 90% of medical personnel is washing hands, while of 10% is using quick hand disinfectant.Factors influencing hand hygiene compliance are heavy workload, frequent hand - wash, afraid of damage on skin, inconvenience hand - washing facilities etc.Conclusions Medical personnel in ICU have insufficient hand hygiene knowledge.We should strengthen the educatation to medical personnel and raise their awareness in hand hygiene.

  4. Short communication: Automatic washing of hooves can help control digital dermatitis in dairy cows.

    Science.gov (United States)

    Thomsen, Peter T; Ersbøll, Annette Kjær; Sørensen, Jan Tind

    2012-12-01

    The objectives of this study were to develop and test a system for automatic washing of the hooves of dairy cows and to evaluate the effect of frequent automatic washing on the prevalence of digital dermatitis (DD). An automatic hoof washer was developed in an experimental dairy herd and tested in 6 commercial dairy herds in 2 experiments (1 and 2). In the experimental herd, automatic hoof washing resulted in cleaner hooves. In experiments 1 and 2, cows were washed after each milking on the left side only, leaving the right side unwashed as a within-cow control. In experiment 1, hooves were washed with a water and 0.4% soap solution. In experiment 2, hooves were washed with water only. In each experiment, DD was scored in a hoof-trimming chute approximately 60 d after the start of hoof washing. Data were analyzed using a generalized linear mixed model. The outcome was the DD status of each leg (DD positive or DD negative). Herd and cow within herd were included as random effects, and treatment (washing or control) was included as a fixed effect. The statistical analyses showed that the odds ratio of having DD was 1.48 in the control leg compared with the washed leg in experiment 1. In experiment 2, the odds ratio of having DD was 1.27 in the control leg compared with the washed leg. We concluded that automatic washing of hooves with water and soap can help decrease the prevalence of DD in commercial dairy herds.

  5. Relaxation incisions of venomous snake "Japanese mamushi" bites to the hand

    Directory of Open Access Journals (Sweden)

    Sugamata A

    2011-12-01

    Full Text Available Akira Sugamata, Naoki Yoshizawa, Takahiro OkadaDepartment of Plastic and Reconstructive Surgery, Tokyo Medical University Hachioji Medical Center, Tokyo, JapanAbstract: Gloydius blomhoffii, commonly known as Japanese mamushi, is a venomous viper species found widely in Japan. The most frequently bitten regions are the fingers and toes, and severe swelling causes compression of peripheral arteries and/or compartment syndrome of the extremities. We experienced four cases of mamushi bites to the hand, and undertook relaxation incision in the hands of three of these patients. As a result, the patients who underwent relaxation incision did not show any skin necrosis or permanent sensory disturbance in the affected fingers. Relaxation incision can be useful to not only decompress subcutaneous and compartment pressure of the hand, but also to wash out the venom from the bitten region by improving venous and lymphatic drainage.Keywords: mamushi, snakebite, viper, relaxation incision

  6. Hand carriage of Candida species and risk factors in hospital personnel.

    Science.gov (United States)

    Yildirim, Mustafa; Sahin, Idris; Kucukbayrak, Abdulkadir; Ozdemir, Davut; Tevfik Yavuz, M; Oksuz, Sukru; Cakir, Selma

    2007-05-01

    The hands of healthcare workers (HCWs) are considered to be important for colonisation and infection of Candida spp. The objective of this study was to evaluate the rate of Candida carriage on the hands of the hospital personnel the potential risk factors. Samples were collected from the hands of 214 (139 female and 75 male) hospital personnel working at Duzce Medical Faculty Hospital, Duzce, Turkey. Of these, 88 were nurses, 62 resident doctors, 21 laboratory workers, 30 officers and 13 dining room personnel. The hands of all participants were tested by culture with the broth wash technique. Overall, 34.1% of the people analysed were found to harbour Candida spp. on their hands: 30.7% were nurses, 25.8% resident doctors, 28.6% laboratory workers, 84.6% dining room personnel and 43.3% officers. Candida carriage rates of the dining room personnel were higher than found in the other groups (P = 0.001). Isolated Candida species were C. parapsilosis (38.4%), C. tropicalis (26.0%), C. albicans (23.3%), C. kefyr (11.0%) and C. globosa (1.4%). Candida carriage rate was higher in the glove-using group (35.1%) than the non-glove using group (7.1%, P = 0.031). We concluded that carriage of Candida species on the hands of personnel was common especially in non-medical staff. Wearing gloves was found to be related to increased rates of Candida carriage in the nurse group. Candida parapsilosis was the most frequently colonising species that may be a predisposing condition for nosocomial infections transmitted with the hands of HCWs. Hospital personnel should be educated for regular hand washing practice for preventing Candida colonisation.

  7. Postoperative washing of sutured wounds

    Directory of Open Access Journals (Sweden)

    Conrad Harrison

    2016-11-01

    Full Text Available A best evidence topic was written according to the structured protocol. The three part question addressed was: [In patients undergoing closure of surgical wounds with sutures] does [keeping the wound dry for the first 48 h after closure] [reduce the incidence of surgical site infections (SSIs]? 4 relevant papers were culled from the literature and appraised. The authors, date, country, population, study type, main outcomes, key results and study weaknesses were tabulated. Current NICE guidelines recommend cleaning surgical wounds with sterile saline only for the first 48 h following skin closure. We found no evidence that washing wounds with tap water during this period increases the incidence of SSIs compared to keeping them dry. Further randomised controlled trials will enable the construction of conclusive systematic reviews and meta-analyses.

  8. Wash water waste pretreatment system

    Science.gov (United States)

    1977-01-01

    Investigations were completed on wash waters based on each candidate personal cleansing agent. Evaluations of coagulants, antifoam agents, and the effect of promising antifoams on the chemical precipitation were included. Based on these evaluations two candidate soaps as well as their companion antifoam agents were selected for further work. Operating parameters included the effect of soap concentration, ferric chloride concentration, duration of mixing, and pore size of depth filters on the degree of soap removal. The effect of pressure on water flow through filter cartridges and on the rate of decline of water flow was also investigated. The culmination of the program was the recommendation of a pretreatment concept based on chemical precipitation followed by pressure filtration.

  9. Hand Fractures

    Science.gov (United States)

    ... Z Videos Infographics Symptom Picker Anatomy Bones Joints Muscles Nerves Vessels Tendons About Hand Surgery What is a Hand Surgeon? What is ... serve as a framework. This framework supports the muscles that make the wrist ... When one of these hand bones is broken (fractured), it can prevent you ...

  10. Cognition investigation and analysis of hand hygiene of nursing staff in pension institutions

    Directory of Open Access Journals (Sweden)

    Yu Bing

    2017-01-01

    Full Text Available Objective: We investigate and analyze the cognition of hand hygiene of nursing staff in nursing institutions. This method provides reference for improving the hand hygiene condition of nursing staff in nursing homes, and we put forward the feasible solution to this situation. Methods: 100 nurses from five nursing institutions in Changchun were investigated using a self-designed questionnaire, and the results were analyzed. Results: due to the most old-age care institutions personnel are less educated, rapid flow of talents, and the health care training from endowment organization are low frequency or not organized, so most of nursing staff think hand hygiene has nothing to do with the health of the elderly. They grasp the knowledge of some common hand washing, and hand washing before and after the elderly care is not ideal. The effects of hand washing have a number of factors, the main factor is that the pension institutions hand washing facilities incomplete, and in fact the nursing staff work very busy. Discussion: from the government to pension institutions should strengthen and pay more attention to the training of pension agency front-line care staff hand hygiene knowledge, increase the training of professional nursing practitioners, focus on bringing in Colleges and universities social science or medical science related, similar professional personnel and institutional strengthening management of washing hands, according to the actual conditions to improve the hand washing facilities, adhere to wash their hands properly, so as to avoid occurrence of handling of disease spread.

  11. Hand hygiene knowledge and perceptions among anesthesia providers.

    Science.gov (United States)

    Fernandez, Patrick G; Loftus, Randy W; Dodds, Thomas M; Koff, Matthew D; Reddy, Sundara; Heard, Stephen O; Beach, Michael L; Yeager, Mark P; Brown, Jeremiah R

    2015-04-01

    positively to washing their hands after contact with the environment (odds ratio [OR] 0.23, 0.14-0.37, P hand hygiene guidelines occur frequently and are often due to failure to recognize opportunities for hand hygiene after prior contact with contaminated patient and environmental reservoirs. Intraoperative hand hygiene improvement programs should address these knowledge deficits. Predictors for incomplete knowledge as identified in this study should be validated in future studies.

  12. EFRT M-12 Issue Resolution: Solids Washing

    Energy Technology Data Exchange (ETDEWEB)

    Baldwin, David L.; Schonewill, Philip P.; Toth, James J.; Huckaby, James L.; Eslinger, Paul W.; Hanson, Brady D.; Kurath, Dean E.; Minette, Michael J.

    2009-08-14

    Pacific Northwest National Laboratory (PNNL) has been tasked by Bechtel National Inc. (BNI) on the River Protection Project-Hanford Tank Waste Treatment and Immobilization Plant (RPP-WTP) project to perform research and development activities to resolve technical issues identified for the Pretreatment Facility (PTF). The Pretreatment Engineering Platform (PEP) was designed, constructed, and operated as part of a plan to respond to issue M12, “Undemonstrated Leaching Processes.” The PEP is a 1/4.5-scale test platform designed to simulate the WTP pretreatment caustic leaching, oxidative leaching, ultrafiltration solids concentration, and slurry washing processes. The PEP replicates the WTP leaching processes using prototypic equipment and control strategies. Two operating scenarios were evaluated for the ultrafiltration process (UFP) and leaching operations. The first scenario has caustic leaching performed in the UFP-VSL-T01A/B ultrafiltration feed vessels, identified as Integrated Test A. The second scenario has caustic leaching conducted in the UFP-VSL-T02A ultrafiltration feed preparation vessel, identified as Integrated Test B. Washing operations in PEP Integrated Tests A and B were conducted successfully as per the approved run sheets. However, various minor instrumental problems occurred, and some of the process conditions specified in the run sheet were not met during the wash operations, such as filter-loop flow-rate targets not being met. Five analytes were selected based on full solubility and monitored in the post-caustic-leach wash as successful indicators of washing efficiency. These were aluminum, sulfate, nitrate, nitrite, and free hydroxide. Other analytes, including sodium, oxalate, phosphate, and total dissolved solids, showed indications of changing solubility; therefore, they were unsuitable for monitoring washing efficiency. In the post-oxidative-leach wash, two analytes with full solubility were selected as suitable indicators of washing

  13. Optimal Portfolio Choice with Wash Sale Constraints

    DEFF Research Database (Denmark)

    Astrup Jensen, Bjarne; Marekwica, Marcel

    2011-01-01

    We analytically solve the portfolio choice problem in the presence of wash sale constraints in a two-period model with one risky asset. Our results show that wash sale constraints can heavily affect portfolio choice of investors with unrealized losses. The trading behavior of such investors...

  14. Developing a method for quantification of Ascaris eggs on hands

    DEFF Research Database (Denmark)

    Jeandron, Aurelie; Ensink, Jeroen J. H.; Thamsborg, Stig Milan

    was to develop a method to assess the number of Ascaris eggs on hands and determine the egg recovery rate of the method. Under laboratory conditions, hands were contaminated with app. 1000 Ascaris eggs, air dried and washed in a plastic bag retaining the washing water, in order to determine recovery rates...

  15. Comparative antibacterial effectiveness of alcohol and herbal based commercially available hand antiseptics

    OpenAIRE

    K Vipin Jain; Sequeira Peter Simon; Jithesh Jain; S Supreetha; Mathew, M.J.; C B Sudeep

    2013-01-01

    Background: Human skin is a reservoir of numerous microorganisms. Even though hand washing with soap and water alone reduces the microbial load, the complementary uses of hand antiseptics enhance the antimicrobial effect. Aim: To compare the antimicrobial effectiveness of two commercially available hand antiseptics, routinely used in dental practice, after hand washing with antiseptic soap. Method: A clinical trial with cross over design was carried out on 12 health care workers (HCWs). The a...

  16. A fresh look at preoperative body washing

    Science.gov (United States)

    Tanner, Judith; Gould, Dinah; Jenkins, Philip; Hilliam, Rachel; Mistry, Neetesh; Walsh, Susannah

    2012-01-01

    National guidelines do not support preoperative body washing to reduce surgical site infections, instead recommending bathing or showering with soap. Yet preoperative body washing continues to be widely used in many hospitals across Europe. This paper suggests that existing trials of preoperative body washing, upon which guidelines are based, are dated and proposes a new investigation of preoperative body washing using modern definitions of surgical site infection with standardised patient follow up, modern surgical techniques and well designed trials. This paper provides a critique of existing guidelines and describes a randomised trial with 60 participants to compare the effect of soap and two antiseptic washing products on colony forming units (CFUs) for up to six hours. Chlorhexidine gluconate and octenidine were significantly more effective than soap in reducing CFUs in the underarm, and chlorhexidine was significantly more effective than soap in reducing CFUs in the groin. PMID:22448182

  17. Radionuclide content of Las Vegas wash sediments

    Energy Technology Data Exchange (ETDEWEB)

    Rudin, M.J.; Johnson, W.H.; Meyers, A.M. [University of Nevada-Las Vegas (United States). Dept. of Health Physics

    1997-12-31

    The Las Vegas Wash is an excavated waterway channel which drains all surface water and effluent discharge from sewage-treatment facilitates from the greater Las Vegas Metropolitan Area to Lake Mead. Fine and coarse sediment samples were collected at 100-m intervals and analyzed to determine the distribution of gamma-emitting radionuclides in the lower 5,500 m of the Las Vegas Wash. Results indicate depletion of long-lived fission products in upstream Wash sediments. However, trace levels of {sup 137}Cs measured in downstream sediments suggest the resuspension and transport of radioactive fallout within the Wash. Levels of {sup 40}K, {sup 232}Th, {sup 235}U, and {sup 238}U found in Wash sediments were consistent with levels typically found in southeast Nevada soils. (author).

  18. Frequent Itemset Hiding Algorithm Using Frequent Pattern Tree Approach

    Science.gov (United States)

    Alnatsheh, Rami

    2012-01-01

    A problem that has been the focus of much recent research in privacy preserving data-mining is the frequent itemset hiding (FIH) problem. Identifying itemsets that appear together frequently in customer transactions is a common task in association rule mining. Organizations that share data with business partners may consider some of the frequent…

  19. Frequent Itemset Hiding Algorithm Using Frequent Pattern Tree Approach

    Science.gov (United States)

    Alnatsheh, Rami

    2012-01-01

    A problem that has been the focus of much recent research in privacy preserving data-mining is the frequent itemset hiding (FIH) problem. Identifying itemsets that appear together frequently in customer transactions is a common task in association rule mining. Organizations that share data with business partners may consider some of the frequent…

  20. 多功能清洗机的临床应用%The clinical practice of multifunctional wash machine

    Institute of Scientific and Technical Information of China (English)

    陈大芳; 黄素群; 赵渝

    2009-01-01

    Objective: To observe the efficacy of multifunctional wash machine in clinical practice. Methods: The cleaning effect, duration and the amount of cleaning fluid used for trauma treated with the washing machine and hand wash were compared. Results: The washing machine Croup hed better effect than the hand washing Croup , with satisfactory effect, fewer time spent and smaller amout of cleaning fluid. Conclusion: The multifunctional wash machine is superior to hand wash for cleaning trauma and it is a highly efficieieut equipment.%目的:观察多功能清洗机的临床应用效果.方法:比较机洗和手洗外伤的创面清洗效果、清洗所耗时间及所用清洁液量.结果:机洗组清洗创面效果优于手洗组,所耗时间与清洁液量少于机洗组.结论:本多功能清洗机冲洗清创与手工冲洗比较有明显优势,是一种处理创伤的高效率器械.

  1. 49 CFR 230.60 - Time of washing.

    Science.gov (United States)

    2010-10-01

    ..., DEPARTMENT OF TRANSPORTATION STEAM LOCOMOTIVE INSPECTION AND MAINTENANCE STANDARDS Boilers and Appurtenances Washing Boilers § 230.60 Time of washing. (a) Frequency of washing. All boilers shall thoroughly be washed... inspection. The date of the boiler wash shall be noted on the FRA Form No. 1 or FRA Form No. 3. (See...

  2. Hand hygiene instruction decreases illness-related absenteeism in elementary schools: a prospective cohort study.

    Science.gov (United States)

    Lau, Claudia H; Springston, Elizabeth E; Sohn, Min-Woong; Mason, Iyana; Gadola, Emily; Damitz, Maureen; Gupta, Ruchi S

    2012-05-15

    barrier to frequent hand washing. Adding hand hygiene instruction to existing hand hygiene practices improved attendance at public elementary schools during the flu season. Standardized and brief repetitive instruction in hand hygiene holds potential to significantly reduce absenteeism.

  3. Effect of wash bulk on the accuracy of polyvinyl siloxane putty-wash impressions.

    Science.gov (United States)

    Nissan, J; Gross, M; Shifman, A; Assif, D

    2002-04-01

    Variations in the bulk of wash in a putty-wash impression technique can result in dimensional changes proportional to the thickness of the wash material during setting. The purpose of the study was to determine the amount of wash necessary to achieve accurate stone models while using a two-step putty-wash impression technique with polyvinyl siloxane (PVS) impression material. A total of 45 impressions were made of a stainless steel master model, 15 impressions for each wash thickness (1, 2 and 3 mm). The model contained three full-crown abutment preparations, which were used as the positive control. Accuracy was assessed by measuring six dimensions (occlusogingival and interabutments) on stone dies poured from impressions of the master model. One-way analysis of variance (ANOVA) showed statistically significant differences amongst the three wash bulk groups, for all occlusogingival and interabutment measurements (P 2 mm was inadequate to obtain accurate stone dies.

  4. Food washing and placer mining in captive great apes.

    Science.gov (United States)

    Allritz, Matthias; Tennie, Claudio; Call, Josep

    2013-10-01

    Sweet potato washing and wheat placer mining in Japanese macaques (Macaca fuscata) are among the most well known examples of local traditions in non-human animals. The functions of these behaviors and the mechanisms of acquisition and spread of these behaviors have been debated frequently. Prompted by animal caretaker reports that great apes [chimpanzees (Pan troglodytes), bonobos (Pan paniscus), gorillas (Gorilla gorilla), and orangutans (Pongo abelii)] at Leipzig Zoo occasionally wash their food, we conducted a study of food washing behaviors that consisted of two parts. In the first part we assessed the current distribution of the behavior on the basis of caretaker reports. In the second (experimental) part, we provided subjects individually with a water basin and two types of food (apples and cereal) that was either clean or covered/mixed with sand. We found that subjects of all species (except gorillas) placed apples in the water before consumption, and that they did so more often when the apples were dirty than when they were clean. Several chimpanzees and orangutans also engaged in behaviors resembling wheat placer mining.

  5. Hand disinfection in hospitals - benefits and risks.

    Science.gov (United States)

    Kampf, Günter; Löffler, Harald

    2010-12-01

    The WHO regards hand hygiene as an essential tool for the prevention of noso-comial infections. The hygienic hand disinfection has a superior antimicrobial efficacy compared to hand washing and should be performed as the treatment of choice before and after a variety of activities at the point of patient care. Washing hands should be preferred when the hands are visibly soiled. Skin irritation is quite common among healthcare workers and is mainly caused by water, soap and long lasting occlusion. Compliance with hand disinfection in clinical practice is often low. Measures to improve compliance include training, provision of hand rubs where they are needed, and the responsibility of doctors to set a good example. Improved compliance in hand hygiene and targeted use of alcohol-based hand rubs can reduce the nosocomial infection rate by up to 40 %. The benefit of hand disinfection is therefore much larger than possible risks. © The Authors • Journal compilation © Blackwell Verlag GmbH, Berlin.

  6. Hand Eczema

    NARCIS (Netherlands)

    Coenraads, Pieter-Jan

    2012-01-01

    A 33-year-old woman presents with redness of the hands and reports the intermittent occurrence of tiny vesicles, scaling, and fissuring, accompanied by itching on the palms, fingers, and dorsal sides of the hands. She has two young children and works as a nurse in a nearby hospital. She has a histor

  7. Bauxite washing for the removal of clay

    Institute of Scientific and Technical Information of China (English)

    Ishaq Ahmad; Ernst-Ulrich Hartge; Joachim Werther; and Reiner Wischnewski

    2014-01-01

    Clay impurities associated with bauxite negatively affect the Bayer process for alumina production. These impurities should be removed as far as possible by a beneficiation technique before the ore is used as feed for the Bayer process. In this current investigation, bauxite washing was conducted in the laboratory. Bauxite washing is a physical process that causes the disintegration and deagglomeration of the clay matrix, and bauxite is liberated from the clay (mainly rich in silica). Subsequently, separation occurs with the assistance of wet screening at a predetermined cut size. Three techniques were investigated in the laboratory: drum washing, water-jet washing, and ultrasonic washing. Various operating parameters were investigated for drum washing and water-jet washing, including materials retention time, drum rotation speed, solid concentration, water-jet spray duration, pressure, and height. We concluded that the retention time of bauxite inside the drum at a solid concentration of 55wt% and a drum rotation speed of 31 r/min is the dominant parameter for the removal of clay from the bauxite surface.

  8. Bauxite washing for the removal of clay

    Science.gov (United States)

    Ahmad, Ishaq; Hartge, Ernst-Ulrich; Werther, Joachim; Wischnewski, Reiner

    2014-11-01

    Clay impurities associated with bauxite negatively affect the Bayer process for alumina production. These impurities should be removed as far as possible by a beneficiation technique before the ore is used as feed for the Bayer process. In this current investigation, bauxite washing was conducted in the laboratory. Bauxite washing is a physical process that causes the disintegration and deagglomeration of the clay matrix, and bauxite is liberated from the clay (mainly rich in silica). Subsequently, separation occurs with the assistance of wet screening at a predetermined cut size. Three techniques were investigated in the laboratory: drum washing, water-jet washing, and ultrasonic washing. Various operating parameters were investigated for drum washing and water-jet washing, including materials retention time, drum rotation speed, solid concentration, water-jet spray duration, pressure, and height. We concluded that the retention time of bauxite inside the drum at a solid concentration of 55wt% and a drum rotation speed of 31 r/min is the dominant parameter for the removal of clay from the bauxite surface.

  9. Alternative Antimicrobial Commercial Egg Washing Procedures.

    Science.gov (United States)

    Hudson, Lauren K; Harrison, Mark A; Berrang, Mark E; Jones, Deana R

    2016-07-01

    Commercial table eggs are washed prior to packaging. Standard wash procedures use an alkaline pH and warm water. If a cool water method could be developed that would still provide a microbiologically safe egg, the industry may save energy costs associated with water heating. Four wash procedures were evaluated for Salmonella reduction: pH 11 at 48.9°C (industry standard), pH 11 at ambient temperature (∼20°C), pH 6 at 48.9°C, and pH 6 at ambient temperature. Alkaline washes contained potassium hydroxide-based detergent, while pH 6 washes contained approximately 200 ppm of chlorine and a proprietary chlorine stabilizer (T-128). When eggs were inoculated by immersion in a cell suspension of Salmonella Enteritidis and Salmonella Typhimurium, all treatments resulted in a slight and similar reduction of Salmonella numbers (approximately 0.77 log CFU/ml of shell emulsion reduction). When eggs were inoculated by droplet on the shell surface, Salmonella counts were reduced by approximately 5 log CFU when washed with chlorine plus the chlorine stabilizer at both temperatures and with the alkaline wash at the high temperature. The reductions in Salmonella by these treatments were not significantly (P > 0.05) different from each other but were significantly (P < 0.05) more than the reduction observed for the 20°C alkaline treatment and 20°C control water treatments. Ambient temperature acidic washes reduced Salmonella contamination to the same degree as the standard pH 11 warm water wash and may be a viable option to reduce cost, increase shelf life, and slow pathogen growth in and on shell eggs.

  10. Hand disinfection: how irritant are alcohols?

    Science.gov (United States)

    Löffler, Harald; Kampf, Günter

    2008-10-01

    Irritant contact dermatitis is commonly found on hands of healthcare employees and is often explained by contact to water and detergents. Studies on the dermal tolerance clearly show that the degree of skin irritation is significantly lower after application of alcohol in comparison to detergents. It has also been shown in standardised wash tests using a foam roller that the application of alcohol or water immediately after a detergent-based wash can significantly decrease the degree of skin irritation, probably due to a wash-off of residual detergent. If evidence-based hand hygiene is taught early during nurses training it can substantially reduce irritant contact dermatitis supporting initiatives of primary prevention among healthcare employees. The irritant potential of commonly used alcohols in hand antiseptics is very low. If the skin is pre-irritated, e.g. by detergents or water, alcohols can cause a burning sensation which is, however, not an allergic reaction and does not further harm the skin. True allergic reactions to alcohols have so far not been confirmed. From the dermatological point of view the use of alcohols for hand hygiene has clear advantages over washing with water and detergents.

  11. The Effect of Antibacterial Formula Hand Cleaners on the Elimination of Microbes on Hands

    Science.gov (United States)

    Coleman, J. R.

    2002-05-01

    : The purpose of this project is to find out which one of the antibacterial hand cleanser (antibacterial bar soap, antibacterial liquid hand soap, and liquid hand sanitizer) is more effective in eliminating microbes. If antibacterial- formula liquid hand soap is used on soiled hands, then it will be more effective in eliminating microbes. Germs are microorganisms that cause disease and can spread from person-to-person. Bacteria are a kind of microbe, an example of which is Transient Flora that is often found on hands. Hand washing prevents germs from spreading to others. During the procedure, swabs were used to take samples before and after the soiled hands had been washed with one of the antibacterial hand cleansers. Nutrient Easygel was poured into petri dishes to harden for 1 day, and then samples were swabbed on the gel. The Petri dishes were placed in an incubator for 24 hours, and then data was recorded accordingly. The antibacterial liquid hand soap was sufficient in eliminating the majority of bacteria. The hands had 65% of the bacteria on them, and after the liquid hand soap was used only 37% of the bacteria remained.

  12. Wash Flats Management Plan Chincoteague National Wildlife Refuge 1980

    Data.gov (United States)

    US Fish and Wildlife Service, Department of the Interior — The Wash Flats impoundments comprise an area of approximately 1,200 acres. Prior to 1963, the Wash Flats was subject to periodic wash-over during extremely high...

  13. Hand hygiene-meeting the JCAHO safety goal: can compliance with CDC hand hygiene guidelines be improved by a surveillance and educational program?

    Science.gov (United States)

    Benton, Carol

    2007-01-01

    While establishing 2004 department goals, the new JCAHO Safety Goal of improving compliance with CDC hand washing recommendations was an appropriate department initiative for a hospital Wound Care Center. The purpose of the project was to improve physician compliance with hand hygiene. Nursing staff monitored physician hand washing and provided a compliance report to each physician. Informative articles pertaining to hand hygiene were provided to each physician. Follow-up monitoring demonstrated a significant increase in physician compliance with an additional benefit of patients showing interest in hand hygiene. Continuous oversight of hand hygiene may ultimately reduce the incidence of infection transmission.

  14. TANK 7 CHARACTERIZATION AND WASHING STUDIES

    Energy Technology Data Exchange (ETDEWEB)

    Lambert, D.; Pareizs, J.; Click, D.

    2010-02-04

    A 3-L PUREX sludge sample from Tank 7 was characterized and then processed through a series of inhibited water washes to remove oxalate, sodium, and other soluble ions. Current plans use Tank 7 as one of the feed sources for Sludge Batch 7 (SB7). Tank 7 is high in oxalate due to the oxalic acid cleaning of the sludge heels from Tanks 5 and 6 and subsequent transfer to Tank 7. Ten decant and nine wash cycles were performed over a 47 day period at ambient temperature. Initially, seven decants and seven washes were completed based on preliminary estimates of the number of wash cycles required to remove the oxalate in the sludge. After reviewing the composition data, SRNL recommended the completion of 2 or 3 more decant/wash cycles to ensure all of the sodium oxalate had redissolved. In the first 7 washes, the slurry oxalate concentration was 12,300 mg/kg (69.6% oxalate removal compared to 96.1% removal of the other soluble ions). After all ten decants were complete, the slurry oxalate concentration was 3,080 mg/kg (89.2% oxalate removal compared to 99.0% of the other soluble ions). The rate of dissolution of oxalate increased significantly with subsequent washes until all of the sodium oxalate had been redissolved after seven decant/wash cycles. The measured oxalate concentrations agreed very well with LWO predictions for washing of the Tank 7 sample. Highlights of the analysis and washing of the Tank 7 sample include: (1) Sodium oxalate was detected in the as-received filtered solids. 95% of the oxalate was insoluble (undissolved) in the as-received slurry. (2) No sodium oxalate was detected in the post-wash filtered solids. (3) Sodium oxalate is the last soluble species that redissolves during washing with inhibited water. In order to significantly reduce the sodium oxalate concentration, the sludge must be highly washed, leaving the other soluble anions and cations (including sodium) very low in concentration. (4) The post-wash slurry had 1% of the soluble anions

  15. Hands and water as vectors of diarrheal pathogens in Bagamoyo, Tanzania.

    Science.gov (United States)

    Mattioli, Mia Catharine; Pickering, Amy J; Gilsdorf, Rebecca J; Davis, Jennifer; Boehm, Alexandria B

    2013-01-02

    Diarrheal disease is a leading cause of under-five childhood mortality worldwide, with at least half of these deaths occurring in sub-Saharan Africa. Transmission of diarrheal pathogens occurs through several exposure routes including drinking water and hands, but the relative importance of each route is not well understood. Using molecular methods, this study examines the relative importance of different exposure routes by measuring enteric bacteria (pathogenic Escherichia coli) and viruses (rotavirus, enterovirus, adenovirus) in hand rinses, stored water, and source waters in Bagamoyo, Tanzania. Viruses were most frequently found on hands, suggesting that hands are important vectors for viral illness. The occurrence of E. coli virulence genes (ECVG) was equivalent across all sample types, indicating that both water and hands are important for bacterial pathogen transmission. Fecal indicator bacteria and turbidity were good predictors of ECVG, whereas turbidity and human-specific Bacteroidales were good predictors of viruses. ECVG were more likely found in unimproved water sources, but both ECVG and viral genes were detected in improved water sources. ECVG were more likely found in stored water of households with unimproved sanitation facilities. The results provide insights into the distribution of pathogens in Tanzanian households and offer evidence that hand-washing and improved water management practices could alleviate viral and bacterial diarrhea.

  16. Environmental diagnosis of the washing machine motor

    DEFF Research Database (Denmark)

    Erichsen, Hanne K. Linnet

    1997-01-01

    An environmental diagnosis of the washing machine focusing on the motor is performed. The goal of the diagnosis is to designate environmental focus points in the product. The LCA of the washing machine showed impact potentials from the life cycle of the product (see: LCA of a washing machine......). The diagnosis points to which of the impact potentials are considered to be problematic, and locates where in the product the problems are situated.The diagnosis is also used for showing which effects ideas for changes in the motor have on the environment. The ideas which are looked upon are: motor efficiency...... up 2%, Manually disassembling and recycling of metals, Reuse of motor in a new washing machine, aluminium wire instead of copper wire in the motor....

  17. Environmental diagnosis of the washing machine motor

    DEFF Research Database (Denmark)

    Erichsen, Hanne K. Linnet

    1997-01-01

    An environmental diagnosis of the washing machine focusing on the motor is performed. The goal of the diagnosis is to designate environmental focus points in the product. The LCA of the washing machine showed impact potentials from the life cycle of the product (see: LCA of a washing machine......). The diagnosis points to which of the impact potentials are considered to be problematic, and locates where in the product the problems are situated.The diagnosis is also used for showing which effects ideas for changes in the motor have on the environment. The ideas which are looked upon are: motor efficiency...... up 2%, Manually disassembling and recycling of metals, Reuse of motor in a new washing machine, aluminium wire instead of copper wire in the motor....

  18. Wash water waste pretreatment system study

    Science.gov (United States)

    1976-01-01

    The use of real wash water had no adverse effect on soap removal when an Olive Leaf soap based system was used; 96 percent of the soap was removed using ferric chloride. Numerous chemical agents were evaluated as antifoams for synthetic wash water. Wash water surfactants used included Olive Leaf Soap, Ivory Soap, Neutrogena and Neutrogena Rain Bath Gel, Alipal CO-436, Aerosol 18, Miranol JEM, Palmeto, and Aerosol MA-80. For each type of soapy wash water evaluated, at least one antifoam capable of causing nonpersistent foam was identified. In general, the silicones and the heavy metal ions (i.e., ferric, aluminum, etc.) were the most effective antifoams. Required dosage was in the range of 50 to 200 ppm.

  19. Observation of public health risk behaviours, risk communication and hand hygiene at Kansas and Missouri petting zoos--2010-2011.

    Science.gov (United States)

    Erdozain, G; KuKanich, K; Chapman, B; Powell, D

    2013-06-01

    Outbreaks of human illness have been linked to visiting settings with animal contact throughout developed countries. This study details an observational study of hand hygiene tool availability and recommendations; frequency of risky behaviour; and handwashing attempts by visitors in Kansas (9) and Missouri (4), USA, petting zoos. Handwashing signs and hand hygiene stations were available at the exit of animal-contact areas in 10/13 and 8/13 petting zoos, respectively. Risky behaviours were observed being performed at all petting zoos by at least one visitor. Frequently observed behaviours were as follows: children (10/13 petting zoos) and adults (9/13 petting zoos) touching hands to face within animal-contact areas; animals licking children's and adults' hands (7/13 and 4/13 petting zoos, respectively); and children and adults drinking within animal-contact areas (5/13 petting zoos each). Of 574 visitors observed for hand hygiene when exiting animal-contact areas, 37% (n = 214) of individuals attempted some type of hand hygiene, with male adults, female adults and children attempting at similar rates (32%, 40% and 37%, respectively). Visitors were 4.8× more likely to wash their hands when a staff member was present within or at the exit to the animal-contact area (136/231, 59%) than when no staff member was present (78/343, 23%; P zoos with a fence as a partial barrier to human-animal contact were 2.3× more likely to wash their hands (188/460, 40.9%) than visitors allowed to enter the animals' yard for contact (26/114, 22.8%; P zoos outlining risks associated with animal contact, or providing recommendations for precautions to be taken to reduce these risks. © 2012 Blackwell Verlag GmbH.

  20. LGBT Caregiving: Frequently Asked Questions

    Science.gov (United States)

    ... FCA - A A + A You are here Home LGBT Caregiving: Frequently Asked Questions Order this publication Printer- ... service or organization is open to working with LGBT families? Kudos to you for managing to “go ...

  1. Frequent Questions About Universal Waste

    Science.gov (United States)

    Frequent questions such as Who is affected by the universal waste regulations? What is “mercury-containing equipment”? How are waste batteries managed under universal waste? How are waste pesticides managed under universal waste?

  2. Climate Leadership Awards Frequent Questions

    Science.gov (United States)

    Provides answers to frequently asked questions regarding the Climate Leadership Awards, sponsored by EPA's Center for Corporate Climate Leadership with co-sponsorship from the Center for Climate and Energy Solutions and The Climate Registry.

  3. Frequently Asked Questions about Pharmacogenomics

    Science.gov (United States)

    ... Care Specific Genetic Disorders Frequently Asked Questions About Pharmacogenomics Enlarge What is pharmacogenomics? What might pharmacogenomics mean ... page, you will need Adobe Reader. What is pharmacogenomics? Pharmacogenomics uses information about a person's genetic makeup, ...

  4. Hand eczema.

    Science.gov (United States)

    Agarwal, Uma Shankar; Besarwal, Raj Kumar; Gupta, Rahul; Agarwal, Puneet; Napalia, Sheetal

    2014-05-01

    Hand eczema is often a chronic, multifactorial disease. It is usually related to occupational or routine household activities. Exact etiology of the disease is difficult to determine. It may become severe enough and disabling to many of patients in course of time. An estimated 2-10% of population is likely to develop hand eczema at some point of time during life. It appears to be the most common occupational skin disease, comprising 9-35% of all occupational diseases and up to 80% or more of all occupational contact dermatitis. So, it becomes important to find the exact etiology and classification of the disease and to use the appropriate preventive and treatment measures. Despite its importance in the dermatological practice, very few Indian studies have been done till date to investigate the epidemiological trends, etiology, and treatment options for hand eczema. In this review, we tried to find the etiology, epidemiology, and available treatment modalities for chronic hand eczema patients.

  5. Effectiveness of a multifaceted intervention on improving thehand-washing skills and behaviors of migrant workers in Beijing.

    Science.gov (United States)

    Yang, Chong; Hu, Junfeng; Tao, Maoxuan; Li, Yubo; Chai, Yan; Ning, Yan; Li, Li; Xiao, Qin

    2016-05-09

    This study explores the effectiveness of a multifaceted intervention featuring a combination of tailored print and video (TPV) and peer education on improving the hand-washing skills and behaviors of migrant workers in the capital city of China. In the control group, supportive measures in both policy and environment were adopted. In addition, the intervention group received TPV and peer education. A total of 1496 participants were involved in the baseline and evaluation survey. The results showed that the participants experienced significant changes in developing health behaviors and skills as a whole after the intervention. The intervention effectiveness of hand-washing skills on vendors was relatively small compared with those on restaurant waiters and waitresses (44.3% and 87.2%, respectively). About 81.2 percent of the participants always forgot to carefully wash their thumbs and 81.8 percent failed to properly clean the back of their hands. The multifaceted intervention of this study has helped in improving the hand-washing skills and behaviors of migrant workers. Key steps should be strengthened to enhance the intervention effect. Moreover, the elderly should be given more attention with regards to hand-washing skills.

  6. Radionuclide content of Las Vegas wash sediments

    Energy Technology Data Exchange (ETDEWEB)

    Rudin, M.J.; Meyers, A.M.; Johnson, W.H. [Univ. of Nevada, Las Vegas, NV (United States)

    1996-06-01

    The Las Vegas Wash is an excavated waterway channel which drains all surface water and effluent discharge from sewage-treatment facilities from the greater Las Vegas Metropolitan Area to Lake Mead. Runoff and erosion processes are expected to transport man-made radioactivity that was deposited over the past several decades in the Las Vegas Valley. Additionally, radionuclides disposed of via the city`s sanitary system are expected to accumulate in the Wash sediments. Fine and coarse sediment samples were collected at 100 m intervals and analyzed to determine the distribution of alpha- and gamma-emitting radionuclides in the lower 5,500 in of the Las Vegas Wash. Results indicate little accumulation of long-lived fission products in upstream Wash sediments. However, trace amounts of fission products measured in downstream sediments suggest the resuspension and transport of radioactive particulate matter within the Wash. Levels of naturally-occurring radionuclides found in Wash sediments were found to be consistent with levels typically found in southeast Nevada soils.

  7. [Disinfection efficacy of hand hygiene based on chlorhexidine gluconate content and usage of alcohol-based hand-rubbing solution].

    Science.gov (United States)

    Tanaka, Ippei; Watanabe, Kiyoshi; Nakaminami, Hidemasa; Azuma, Chihiro; Noguchi, Norihisa

    2014-01-01

    Recently, the procedure for surgical hand hygiene has been switching to a two-stage method and hand-rubbing method from the traditional hand-scrubbing method. Both the two-stage and hand-rubbing methods use alcohol-based hand-rubbing after hand washing. The former requires 5 min of antiseptic hand washing, and the latter 1 min of nonantiseptic hand washing. For a prolonged bactericidal effect in terms of surgical hand hygiene, chlorhexidine gluconate (CHG) has been noted due to its residual activity. However, no detailed study comparing the disinfection efficacy and prolonged effects according to different contents of CHG and the usage of alcohol-based hand-rubbing has been conducted. The glove juice method is able to evaluate disinfection efficacy and prolonged effects of the disinfectants more accurately because it can collect not only transitory bacteria but also normal inhabitants on hands. In the present study, we examined the disinfection efficacy and prolonged effects on alcohol-based hand-rubbing containing CHG by six hand-rubbing methods and three two-stage methods using the glove juice method. In both methods, 3 mL (one pump dispenser push volume) alcohol-based hand-rubbing solution containing 1% (w/v) CHG showed the highest disinfection efficacy and prolonged effects, and no significant difference was found between the hand-rubbing and two-stage methods. In the two methods of hand hygiene, the hand-rubbing method was able to save time and cost. Therefore, the data strongly suggest that the hand-rubbing method using a one pump dispenser push volume of alcohol-based hand-rubbing solution containing 1% (w/v) CHG is suitable for surgical hand hygiene.

  8. Video observation of hand hygiene practices during routine companion animal appointments and the effect of a poster intervention on hand hygiene compliance

    Science.gov (United States)

    2014-01-01

    Background Hand hygiene is considered one of the most important infection control measures in human healthcare settings, but there is little information available regarding hand hygiene frequency and technique used in veterinary clinics. The objectives of this study were to describe hand hygiene practices associated with routine appointments in companion animal clinics in Ontario, and the effectiveness of a poster campaign to improve hand hygiene compliance. Results Observation of hand hygiene practices was performed in 51 clinics for approximately 3 weeks each using 2 small wireless surveillance cameras: one in an exam room, and one in the most likely location for hand hygiene to be performed outside the exam room following an appointment. Data from 38 clinics were included in the final analysis, including 449 individuals, 1139 appointments before and after the poster intervention, and 10894 hand hygiene opportunities. Overall hand hygiene compliance was 14% (1473/10894), while before and after patient contact compliance was 3% (123/4377) and 26% (1145/4377), respectively. Soap and water was used for 87% (1182/1353) of observed hand hygiene attempts with a mean contact time of 4 s (median 2 s, range 1-49 s), while alcohol-based hand rub (ABHR) was used for 7% (98/1353) of attempts with a mean contact time of 8 s (median 7 s, range 1-30 s). The presence of the posters had no significant effect on compliance, although some staff reported that they felt the posters did increase their personal awareness of the need to perform hand hygiene, and the posters had some effect on product contact times. Conclusions Overall hand hygiene compliance in veterinary clinics in this study was low, and contact time with hand hygiene products was frequently below current recommendations. Use of ABHR was low despite its advantages over hand washing and availability in the majority of clinics. The poster campaign had a limited effect on its own, but could still be used as a

  9. The survival of foodborne pathogens during domestic washing-up and subsequent transfer onto washing-up sponges, kitchen surfaces and food.

    Science.gov (United States)

    Mattick, Karen; Durham, Karen; Domingue, Gil; Jørgensen, Frieda; Sen, Mithu; Schaffner, Donald W; Humphrey, Tom

    2003-08-25

    In this study, the survival of Salmonella, Campylobacter and Escherichia coli O157: H7, when exposed to a range of constant temperatures (47-60 degrees C), in hard or soft water, in the presence/absence of detergent (0-0.3%) and organic matter, and during drying, was investigated. Further experiments used a washing-up process simulation, where soiled dishes contaminated with bacteria were washed in a bowl of warm water containing detergent. In addition, this study considered the risk of bacterial transfer onto (1) sterile dishes and sponges via contaminated water, (2) kitchen surfaces wiped with a contaminated sponge, (3) items placed in direct contact with a contaminated kitchen surface, (4) food placed on a contaminated dish or (5) dishes from contaminated food. A proportion of dishes remained contaminated with all pathogen types after a typical washing-up. Water hardness did not appear to affect survival. E. coli, and to a lesser extent Salmonella, survived towel- or air-drying on dishes and after towel-drying the cloth became contaminated on every occasion, regardless of the test organism. A proportion of sterile dishes washed after contaminated dishes became contaminated with pathogens but transfer from dishes onto food was rare. Washing-up sponges frequently became contaminated with pathogens. The results of this study highlight the potential for survival and cross contamination of food borne pathogens in the kitchen environment.

  10. Hand hygiene for the prevention of nosocomial infections.

    Science.gov (United States)

    Kampf, Günter; Löffler, Harald; Gastmeier, Petra

    2009-10-01

    The WHO regards hand hygiene as an essential tool for the prevention of nosocomial infection, but compliance in clinical practice is often low. The relevant scientific literature and national and international evidence-based recommendations (Robert Koch Institute [Germany], WHO) were evaluated. Hygienic hand disinfection has better antimicrobial efficacy than hand-washing and is the procedure of choice to be performed before and after manual contact with patients. The hands should be washed, rather than disinfected, only when they are visibly soiled. Skin irritation is quite common among healthcare workers and is mainly caused by water, soap, and prolonged wearing of gloves. Compliance can be improved by training, by placing hand-rub dispensers at the sites where they are needed, and by physicians setting a good example for others. Improved compliance in hand hygiene, with proper use of alcohol-based hand rubs, can reduce the nosocomial infection rate by as much as 40%.

  11. [Hand surgery training].

    Science.gov (United States)

    Moutet, F; Haloua, J P

    2003-10-01

    ). Unfortunately it is non-sufficient to train the necessary number of hand surgeons needed in France today. So we try to obtain from the authority the formal recognition of a training period in private practice. Eleven out of the 28 hand units listed as formative by the French College of Hand Surgeons are in private practice and may be recognized as formative in the hand surgeon training. That needs to create an official agreement between university and private Units. This part of the training is yet accepted by the Right to the Title commission for a 6-month training period. But this needs a legal modification or adaptation of the private units legal status so they will be able to offer a quite equivalent conditions of training. Now a days 233 surgeons in France passed the Right to the Title. Among them, the oldest do not have emergency practice any more. So unfortunately, out of 1,400,000 hand injuries a year in France, only few are actually cared by hand surgeons. The emergency training needs at least a three to four senior surgeons team, operating and caring emergencies, 24 h a day, 365 days a year. They need to be surrounded by high-level technical facilities for this type of surgery. Only this type of unit may have a frequent severe hand traumatology practice, especially regarding microsurgery. But on the other hand a less complex hand unit operating only planed surgery and less complicated emergencies, may also be definitively formative. This only depends on the hand surgeon's qualification. It is only with a very demanding and high-level training program that our credibility as hand surgeon may be definitively established. The mainstay of this training is the combined action of the FESUM, the French College of Hand Surgeons and the DIU diploma. The Right to the Title formally confirms that training. For university or private unit, to be a member of the FESUM, must continue to guarantee a high level training regarding emergencies as in number as in complexity. We proposed

  12. Efficient Frequent Pattern Tree Construction

    Directory of Open Access Journals (Sweden)

    D.Bujji Babu

    2014-03-01

    Full Text Available Association rule learning is a popular and well researched technique for discovering interesting relations between variables in large databases in the area of data mining. The association rules are a part of intelligent systems. Association rules are usually required to satisfy a user-specified minimum support and a user-specified minimum confidence at the same time. Apriori and FP-Growth algorithms are very familiar algorithms for association rule mining. In this paper we are more concentrated on the Construction of efficient frequent pattern trees. Here, we present the novel frequent pattern trees and the performance issues. The proposed trees are fast and efficient trees helps to extract the frequent patterns. This paper provides the major advantages in the FP-Growth algorithm for association rule mining with using the newly proposed approach.

  13. Surgical hand hygiene: scrub or rub?

    Science.gov (United States)

    Widmer, A F

    2013-02-01

    Surgical hand hygiene is standard care prior to any surgical procedure. Per-operative glove punctures are observed in almost 30% of all interventions, and a risk factor for postoperative infections. In the past, washing hands with antimicrobial soap and water (surgical scrub) was the norm, mainly with chlorhexidine or iodine. More recently, alcohol-based hand rub has been successfully introduced, showing greater effectiveness, less irritation to the hands, and requiring less time than washing hands. All products should have a remnant effect that delays microbial growth under the gloved hand. Some of the alcohol-based compounds are effective (as determined by the European Norm EN 12791) within 90 s whereas others require 3-5 min, similar to the scrub. The short procedure relies heavily on proper technique and timing, since lowering the exposure time to surgical hand hygiene should meet EN 12791 in Europe, or other standards, such as the US Food and Drug Administration tentative final monograph norm in the USA. It is best performed by using an alcohol-based hand rub, but a scrub with chlorhexidine-containing soap also meets these standards.

  14. 30 CFR 206.459 - Allocation of washed coal.

    Science.gov (United States)

    2010-07-01

    ... 30 Mineral Resources 2 2010-07-01 2010-07-01 false Allocation of washed coal. 206.459 Section 206... MANAGEMENT PRODUCT VALUATION Indian Coal § 206.459 Allocation of washed coal. (a) When coal is subjected to washing, the washed coal must be allocated to the leases from which it was extracted. (b) When the...

  15. 30 CFR 206.260 - Allocation of washed coal.

    Science.gov (United States)

    2010-07-01

    ... 30 Mineral Resources 2 2010-07-01 2010-07-01 false Allocation of washed coal. 206.260 Section 206... MANAGEMENT PRODUCT VALUATION Federal Coal § 206.260 Allocation of washed coal. (a) When coal is subjected to washing, the washed coal must be allocated to the leases from which it was extracted. (b) When the...

  16. 21 CFR 133.137 - Washed curd cheese for manufacturing.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 2 2010-04-01 2010-04-01 false Washed curd cheese for manufacturing. 133.137... Standardized Cheese and Related Products § 133.137 Washed curd cheese for manufacturing. Washed curd cheese for manufacturing conforms to the definition and standard of identity prescribed for washed curd cheese by § 133.136...

  17. The Most Frequent English Homonyms

    Science.gov (United States)

    Parent, Kevin

    2012-01-01

    This article distinguishes homonymy, homophony, homography and polysemy, and provides a list of the most frequent homonyms using corpus-derived data. For most of the homonyms, the most common meaning accounts for 90% or more of the total uses of the form. The pedagogical and research implications of these findings are discussed. (Contains 5…

  18. How to find frequent patterns?

    NARCIS (Netherlands)

    W.H.L.M. Pijls (Wim); W.A. Koster

    2005-01-01

    textabstractAn improved version of DF, the depth-first implementation of Apriori, is presented. Given a database of (e.g., supermarket) transactions, the DF algorithm builds a so-called trie that contains all frequent itemsets, i.e., all itemsets that are contained in at least `minsup' transacti

  19. Washing the citizen: Washing, cleanliness and citizenship in mental health care

    NARCIS (Netherlands)

    J. Pols

    2006-01-01

    Participation in the community and citizenship for patients are common ideals that inspire improvements in mental health care. But what is meant by citizenship? Here an analysis is made of washing practices in psychiatric nursing in long-term mental health institutions. Four repertoires of washing a

  20. Hand eczema

    Directory of Open Access Journals (Sweden)

    Uma Shankar Agarwal

    2014-01-01

    Full Text Available Hand eczema is often a chronic, multifactorial disease. It is usually related to occupational or routine household activities. Exact etiology of the disease is difficult to determine. It may become severe enough and disabling to many of patients in course of time. An estimated 2-10% of population is likely to develop hand eczema at some point of time during life. It appears to be the most common occupational skin disease, comprising 9-35% of all occupational diseases and up to 80% or more of all occupational contact dermatitis. So, it becomes important to find the exact etiology and classification of the disease and to use the appropriate preventive and treatment measures. Despite its importance in the dermatological practice, very few Indian studies have been done till date to investigate the epidemiological trends, etiology, and treatment options for hand eczema. In this review, we tried to find the etiology, epidemiology, and available treatment modalities for chronic hand eczema patients.

  1. Hand Osteoblastoma

    Directory of Open Access Journals (Sweden)

    M. Farzan

    2006-06-01

    Full Text Available Background and Aim: Osteoblastoma is one of the rarest primary bone tumors. Although, small bones of the hands and feet are the third most common location for this tumor, the hand involvement is very rare and few case observations were published in the English-language literature. Materials and Methods: In this study, we report five cases of benign osteoblastoma of the hand, 3 in metacarpals and two in phalanxes. The clinical feature is not specific. The severe nocturnal, salicylate-responsive pain is not present in patients with osteoblastoma. The pain is dull, persistent and less localized. The clinical course is usually long and there is often symptoms for months before medical attention are sought. Swelling is a more persistent finding in osteoblastoma of the hand that we found in all of our patients. The radiologic findings are indistinctive, so preoperative diagnosis based on X-ray appearance is difficult. In all of our 5 cases, we fail to consider osteoblastoma as primary diagnosis. Pathologically, osteoblastoma consisting of a well-vascularized connective tissue stroma in which there is active production of osteoid and primitive woven bone. Treatment depends on the stage and localization of the tumor. Curettage and bone grafting is sufficient in stage 1 or stage 2, but in stage 3 wide resection is necessary for prevention of recurrence. Osteosarcoma is the most important differential diagnosis that may lead to inappropriate operation.

  2. Hand eczema

    DEFF Research Database (Denmark)

    Ibler, K.S.; Jemec, G.B.E.; Flyvholm, M.-A.

    2012-01-01

    /materials/methods. A survey of 3181 healthcare workers was performed. Data were analysed with logistic regression. Data on sick leave and notification to the authorities were obtained. Results. The response rate was 71% (2274 of 3181). The 1-year prevalence of hand eczema was 21%, and was positively associated with atopic...

  3. Magic Hands

    Institute of Scientific and Technical Information of China (English)

    1998-01-01

    THE two most amazing things on the planet may well be the human brain and human hands. When they work together, the results can be enchanting. At an international folk art fair held recently in Beijing, artisans and masters from Japan, India, Switzerland, Peru, South

  4. A quantitative assessment method for Ascaris eggs on hands.

    Directory of Open Access Journals (Sweden)

    Aurelie Jeandron

    Full Text Available The importance of hands in the transmission of soil transmitted helminths, especially Ascaris and Trichuris infections, is under-researched. This is partly because of the absence of a reliable method to quantify the number of eggs on hands. Therefore, the aim of this study was to develop a method to assess the number of Ascaris eggs on hands and determine the egg recovery rate of the method. Under laboratory conditions, hands were seeded with a known number of Ascaris eggs, air dried and washed in a plastic bag retaining the washing water, in order to determine recovery rates of eggs for four different detergents (cationic [benzethonium chloride 0.1% and cetylpyridinium chloride CPC 0.1%], anionic [7X 1% - quadrafos, glycol ether, and dioctyl sulfoccinate sodium salt] and non-ionic [Tween80 0.1% -polyethylene glycol sorbitan monooleate] and two egg detection methods (McMaster technique and FLOTAC. A modified concentration McMaster technique showed the highest egg recovery rate from bags. Two of the four diluted detergents (benzethonium chloride 0.1% and 7X 1% also showed a higher egg recovery rate and were then compared with de-ionized water for recovery of helminth eggs from hands. The highest recovery rate (95.6% was achieved with a hand rinse performed with 7X 1%. Washing hands with de-ionized water resulted in an egg recovery rate of 82.7%. This washing method performed with a low concentration of detergent offers potential for quantitative investigation of contamination of hands with Ascaris eggs and of their role in human infection. Follow-up studies are needed that validate the hand washing method under field conditions, e.g. including people of different age, lower levels of contamination and various levels of hand cleanliness.

  5. PYROLYSIS KINETICS OF WASHED PRECIPITATED LIGNIN

    Directory of Open Access Journals (Sweden)

    Christina Gustafsson

    2009-02-01

    Full Text Available This article describes the pyrolysis behavior of precipitated washed lignin in a Laminar Entrained Flow Reactor between 700 and 1000°C and at different residence times. Lignin was precipitated by acidification of softwood black liquor using CO2. After acid washing, the solid material was dried and sieved (80-100 μm. This material was then fed into the reactor at a rate of about 0.1 g/min. The formed gases were analyzed with respect to CO, CO2, and CH4, and char was collected and weighed. A traditional first order Arrhenius kinetic expression, based on the temperature of the particles with respect to residence time, was adapted to the experimental results. The activation energy was found to be 32.1 kJ/mol. The low ash content in the washed lignin gave a very low solid material residue after the reactor.

  6. Hand hygiene compliance of nurses: a 5-unit observational study in North-Eastern Anatolia.

    Science.gov (United States)

    Polat, Sevinç; Parlak Gürol, Ayşe; Cevik, Umran

    2011-08-01

    In five neonatal intensive care units (NICUs) in two cities, the hand hygiene applications of 72 nurses included in this observational study have been investigated. The research was conducted between February and June 2007. It was found that before entering the NICUs, majority of nurses have washed their hands but used much less alcohol-based antiseptics; more than half of the nurses did not use gloves, and 50 of them did not wash their hands before care and one-third of the nurses did not wash their hands after care after neonatal treatments. The results obtained from our research showed that most of the nurses paid more attention to hand washing before applying medical treatment.

  7. Improving adherence to surgical hand preparation.

    Science.gov (United States)

    Kramer, A; Hübner, N; Below, H; Heidecke, C-D; Assadian, O

    2008-10-01

    At present, no universal agreement on detailed practice for surgical hand preparation exists. In order to fill this gap, in 2002 a Franco-German recommendation for surgical hand preparation was published as a first step towards a generally accepted European recommendation. Based on an assessment of the actual literature, a protocol for surgical hand preparation is discussed with the aim to recommend evidence-based standard procedures including prerequisites, washing and disinfection phase, and its practical implementation. In contrast to hygienic hand disinfection, for surgical hand preparation compliance is not an issue, since it mostly is regarded as a ceremony which is carried out without exception. Nevertheless, the following factors influence acceptance and efficacy: skin tolerance, ease of use, duration of procedure, and recommended time), potential for impaired efficacy due to incorrect performance of the procedure, possibility of systemic risks and irritating potential by applied preparations, religious restrictions, ecological aspects, costs and safety. Here, we report our experience with the introduction of a new hand preparation regime in all surgical disciplines in our university hospital based on the above factors. The following statements were evaluated: 1) The immediate efficacy of an alcohol-based hand disinfectant is impaired by a preceding hand wash for up to 10 minutes. Therefore hands should not be routinely washed before the disinfection period unless there is a good reason for it such as visible soiling. 2) A shortened application time (1.5 minutes) is equal to 3 min in terms of efficacy. 3) Hands should be air dried before gloves are put on, otherwise the perforation rate of gloves will increase. 4) The efficacy of alcohol-based disinfectants is significantly higher when hands are allowed to dry for 1 minute after the washing phase and before the disinfection phase. To clarify the above questions before the establishment of the modified

  8. Hand hygiene among health care workers

    Directory of Open Access Journals (Sweden)

    Mani Ameet

    2010-01-01

    Full Text Available Healthcare-associated infections are an important cause of morbidity and mortality among hospitalized patients worldwide. Transmission of health care associated pathogens generally occurs via the contaminated hands of health care workers. Hand hygiene has long been considered one of the most important infection control measures to prevent health care-associated infections. For generations, hand washing with soap and water has been considered a measure of personal hygiene. As early as 1822, a French pharmacist demonstrated that solutions containing chlorides of lime or soda could eradicate the foul odor associated with human corpses and that such solutions could be used as disinfectants and antiseptics. This paper provides a comprehensive review of data regarding hand washing and hand antisepsis in healthcare settings. In addition, it provides specific recommendations to uphold improved hand-hygiene practices and reduce transmission of pathogenic microorganisms to patients and personnel in healthcare settings. This article also makes recommendations and suggests the significance of hand health hygiene in infection control.

  9. Lymphatic Filariasis: Frequently Asked Questions (FAQs)

    Science.gov (United States)

    ... in the skin and lymph system. This causes hardening and thickening of the skin, which is called ... Carefully wash the swollen area with soap and water every day. Elevate and exercise the swollen arm ...

  10. Comparison of an alcohol-based hand rub and water-based chlorhexidine gluconate scrub technique for hand antisepsis prior to elective surgery in horses

    OpenAIRE

    da Silveira, Eduardo Almeida; Bubeck, Kirstin A.; Batista, Edisleidy Rodriguez; Piat, Perrine; Laverty, Sheila; Beauchamp, Guy; Archambault, Marie; Elce, Yvonne

    2016-01-01

    This prospective clinical study evaluates the effectiveness of an alcohol-based hand rub (Avagard™) for pre-surgical hand antisepsis in an equine hospital and compares it with traditional scrubbing technique using 4% chlorhexidine gluconate sponges and water. Prior to elective surgery, 3 board-certified surgeons were randomly assigned to hand antisepsis with either technique. Culture samples of each hand were taken at 4 times: before and after neutral soap hand wash, after scrub or rubbing te...

  11. STUDY OF BACTERIAL FLORA OF HANDS OF HEALTH CARE GIVERS IN A TERTIARY CARE HOSPITAL IN EASTERN INDIA

    Directory of Open Access Journals (Sweden)

    Asim

    2015-04-01

    Full Text Available Bacterial contamination of palm of hand of health care givers like doctors and nurses can be an important source of nosocomial infections. Proper hand hygiene is hence key to prevent spread of such cross - infection. We studied the bacterial flora of palm of hand of 101 clinical staff ( D octors of clinical specialties and nurses and compared it with bacterial flora of 99 non - clinical staff (Doctors of non - clinical specialties and lab technicians and attendants. Hand swab was collected by a sterile swab moistened with sterile normal saline. Out of 101 clinical staff , 63 (62. 37% showed hand swab positivity for bacteria. On the other hand , out of 99 non - clinical staff , 72 showed hand swab positivity for bacteria (72.72%. Among clinical staff , hands of 60. 3% doctors (38 out of 63 and 65. 7% nursing staff (25 out of 38 was contaminated with bacteria. The bacterium most commonly isolated from hands of clinical staff was Staphylococcus aureus , while the bacteria most frequently recovered from ha nds of non - clinical staff were Acinetobacter lwoffii . Only 1 isolate of Methicillin resistant Staphylococcus aureus (MRSA was recovered , from hand of a doctor in Pediatrics department. Antibiotic susceptibility test of the isolates was also performed agai nst 3 antibiotics: Cotrimoxazole , Amikacin and Levofloxacin; in addition , Cefoxitin (30 μg disk was used to check for MRSA (Methicillin Resistant Staphylococcus aureus . Most of the strains were sensitive to all the 3 antibiotics. This study highlights th e importance of proper hand washing and awareness of its importance and monitoring among hospital staff.

  12. Use of green washing fluids in a washing process for dioxin contaminated soils

    Directory of Open Access Journals (Sweden)

    Siwalee Yotapukdee

    2017-09-01

    Full Text Available High levels of dioxin contamination in soil have significant environmental challenges. Soil washing is a successful remediation process that is primarily used to treat coarse soils. Several literature studies have used various kinds of chemical washing liquids to remove dioxins from soils, though there are secondary environmental effects. This study intends to develop environmentally friendly soil washing methods that are effective in dioxin removal at an acceptable cost. Sugarcane wine, compost leachate, and ground fish broth were chosen as potential washing liquids. Each washing liquid was analyzed to determine its content of semivolatile organic compounds (SVOCs and volatile organic compounds (VOCs. These compounds are related to their bio-surfactant content. Several of the identified compounds had properties to help remove dioxins from contaminated soil. In the experiments, high removal efficiencies were observed, up to 70%~95% after five to six washes. Although effective removal was observed, a significant amount of wastewater was produced and the problems were not completely resolved. Thus, the optimal washing conditions are necessary to minimize the overall costs, while improving the process effectiveness. Moreover, an appropriate treatment method is required for wastewater containing dioxins.

  13. Pelaksanaan Five Moments Hand Hygiene di RSUD Deli Serdang

    OpenAIRE

    Nurjannah

    2015-01-01

    Five Moments Hand Hygiene is an action done by a nurse to wash her hands before touching patients, before cleaning procedure/aseptic, after making contact with patients’ body liquid, after touching patients, and after touching equipment around patients. It has to be done to reduce or to forestall nosocomial infection. The objective of the research was to identify the implementation of Five Moments Hand Hygiene at RSUD Deli Serdang. The population was 43 nurses in Rooms ICU, NICU, and IGD, and...

  14. Prevention of hand dermatoses in small catering enterprises

    Directory of Open Access Journals (Sweden)

    Joanna Kurpiewska

    2013-08-01

    Full Text Available Background: Work in catering and food processing is mostly performed by hands. Mechanical, thermal and chemical agents, as well as damp working conditions and frequent hand washing aggravate skin irritation. The aim of the study was to test the efficacy of hydrophobic skin protection measure at these workplaces. Materials and Methods: We recommended the prevention of contact skin disorders by using hydrophobic skin protection measure. The study was conducted in a group of 20 food service sector workers. They were interviewed about skin problems and skin protection measures. To assess the effect of the protective preparation on the skin dermatological test procedures, corneometry and sebumetry, were applied, as well as the level of transepidermal water loss (TEWL was measured. The same survey was performed in the control group composed of 10 workers who used and 10 who did not use barrier preparation. Results: The respondents declared dryness, roughness, peeling, burning, redness, erythema of the skin. All who had applied barrier cream observed a significant improvement of the skin - hydration increased by about 30%, and lubrication of the skin - by 11 times on average. Also the level of TEWL decreased by about 25%. Conclusions: The improvement of skin conditions and reduction of skin disorders were observed confirming the effectiveness of the protection of the skin from exposure to harmful factors. Knowledge about prevention of skin diseases should be promoted among employees of catering enterprises. Med Pr 2013;64(4:521–525

  15. An in-use microbiological comparison of two surgical hand disinfection techniques in cardiothoracic surgery: hand rubbing versus hand scrubbing.

    Science.gov (United States)

    Carro, C; Camilleri, L; Traore, O; Badrikian, L; Legault, B; Azarnoush, K; Dualé, C; De Riberolles, C

    2007-09-01

    Surgical site infection after heart surgery increases morbidity and mortality. The method of presurgical hand disinfection could influence the infection risk. From February to April 2003, we compared the microbiological efficacy of hand-rubbing (R) and hand-scrubbing (S) procedures. The surgical team alternately used hand-scrubbing or hand-rubbing techniques every two weeks. Fingertip impressions were taken before and immediately after hand disinfection, every 2h and at the end of the operation. Acceptability of hand rubbing was assessed by a questionnaire. Mean durations of surgical procedures were 259+/-68 and 244+/-69min for groups S and R respectively (P=0.43). Bacterial counts immediately after hand disinfection were comparable with the two techniques, but significantly lower in group R at the end of surgery. No differences were observed between the percentages of negative samples taken after 2h, 4h and at the end of surgery between the two groups. Bacterial skin flora reduction immediately after hand disinfection, after 2h and 4h of operating time and at the end of surgery was better in group R, but the difference was not statistically significant. Before surgery, the hand-rubbing method with alcohol solution preceded by hand washing with mild neutral soap is as effective as hand scrubbing to reduce bacterial counts on hands. It decreased the bacterial counts both immediately after hand disinfection and at the end of long cardiothoracic surgical procedures. The acceptability of hand rubbing was excellent and it can be considered to be a valid alternative to the conventional hand-scrubbing protocol.

  16. Hand decontamination: nurses' opinions and practices.

    Science.gov (United States)

    Gould, D

    Infection is spread in hospital mainly by hands, making hand decontamination the most important means of preventing dissemination. There is some evidence to suggest that when access to hand-decontaminating agents is poor or the agents available are disliked, hands are washed too seldom, increasing risks of cross-infection. However, little attention has been paid to the use of towels and factors which promote their use, although it is known that damp hands transfer bacteria more readily than dry ones and that hands which become sore through poor drying have higher bacterial counts, contributing to the risk of cross-infection. This paper reports the results of the Nursing Times Hand Drying survey designed to assess nurses' access to hand decontamination agents and towels. The results suggest that the 112 nurses who participated were aware of the need for attention to hand hygiene but that access to both hand-decontaminating agents and paper towels was variable. Forty-one per cent complained of a shortage of soap and although nearly all used paper towels, these were in many cases of poor quality. Such towels were perceived as damaging to hands, leaving them feeling damp and sore. Good-quality, soft, paper towels were much appreciated by respondents in this sample. It is concluded that the quality of paper towels contributes to good infection control practice.

  17. The significance of hand-drying in the prevention of infection.

    Science.gov (United States)

    Gould, D

    The original research linking poor hand hygiene to the development of infection was conducted by Semmelweis over 100 years ago. His experiments have never been replicated in the hospital setting, but over the years powerful circumstantial evidence has accumulated to suggest that hands are the main vectors of micro-organisms in both hospital and community and that hand-washing is the key to infection prevention. Nevertheless, many aspects of hand-washing remain under-researched. The area that has received least attention is hand-drying, despite early suggestions that when a quick, perfunctory hand-wash is performed by busy nurses in the clinical situation, the mechanical action of drying contributes to the efficient removal of pathogens. This paper explores evidence to show that the use of paper towels is safer than hot air hand-dryers in busy wards.

  18. Environmental control during steam boiler washing

    Energy Technology Data Exchange (ETDEWEB)

    Guimaraes, Marcio A.B.; Abreu Pereira, Vera L. de [Companhia Petroquimica do Nordeste (COPENE), Camacari, BA (Brazil). Div. de Engenharia Ambiental; Ringler, Ulrich E.S. [PROMON Engenharia Ltda., Salvador, BA (Brazil)

    1993-12-31

    The washing and chemical cleaning of boilers, activities of a high polluting potential, are responsible for the generation of wastewater of high contents of heavy metals, suspended solids and chemical oxygen demand (COD). This paper describes the actions carried out by COPENE - Petroquimica do Nordeste S/A - in order to reduce this problem. (author). 10 refs., 3 figs., 2 tabs.

  19. What Happens at a Car Wash?

    Science.gov (United States)

    Gallick, Barbara; Lee, Lisa

    2010-01-01

    A class of 3- to 5-year-old children in a child care center in the midwestern United States chose to study a car wash as a group project. This article discusses how the project evolved, describes the three phases of the project, and provides the teachers' reflections on the project. Photos taken during the project and children's sketches are…

  20. SOIL-WASHING TECHNOLOGY AND PRACTICE

    Science.gov (United States)

    Soil washing in the United States has been studied and evaluated with increasing thoroughness during the last 15 to 20 years. It is now entering a phase of actual use and acceptance as its applicability and economics become clearer. This paper reviews the principles behind soil...

  1. Washing of the AW-101 entrained solids

    Energy Technology Data Exchange (ETDEWEB)

    GJ Lumetta

    2000-03-31

    BNFL Inc. (BNFL) is under contract with the US Department of Energy, River Protection Project (DOE-RPP) to design, construct, and operate facilities for treating wastes stored in the single-shell and double-shell tanks at the Hanford Site, Richland, Washington. The DOE-BNFL RPP contract identifies two feeds to the waste treatment plant: (1) primarily liquid low-activity waste (LAW) consisting of less than 2 wt% entrained solids and (2) high-level waste (HLW) consisting of 10 to 200 g/L solids slurry. This report describes the results of a test conducted by Battelle to assess the effects of inhibited water washing on the composition of the entrained solids in the diluted AW-101 low-activity waste (LAW) sample. The objective of this work was to gather data on the solubility of the AW-101 entrained solids in 0.01 M NaOH, so that BNFL can evaluate whether these solids require caustic leaching. The work was conducted according to test plan BNFL-TP-29953-9, Rev. 0, LAW Entrained Solids Water Wash and Caustic Leach Testing. The test went according to plan, with no deviations from the test plan. Based on the results of the 0.01 M NaOH washing, a decision was made by BNFL to not proceed with the caustic leaching test. The composition of the washed solids was such that caustic leaching would not result in significant reduction in the immobilized HLW volume.

  2. SOIL-WASHING TECHNOLOGY AND PRACTICE

    Science.gov (United States)

    Soil washing in the United States has been studied and evaluated with increasing thoroughness during the last 15 to 20 years. It is now entering a phase of actual use and acceptance as its applicability and economics become clearer. This paper reviews the principles behind soil...

  3. Skin care: an essential component of hand hygiene and infection control.

    Science.gov (United States)

    Bissett, Linda

    Skin care is an important component of hand hygiene and also infection prevention education programmes relating to hand hygiene (Bissett, 2007a,b). Hand hygiene is the term commonly used to describe hand washing using plain soap or antiseptic soaps and hand rubbing using waterless antiseptic products or alcohol-based products. The importance of effective hand hygiene is well documented (Larson, 1997; Boyce et al, 2002; Horton and Parker, 2002) and can be achieved by following the six-step technique used for hand washing as illustrated by the Royal College of Nursing (2000). During hand washing, hand soaps not only remove soils, but also the natural oils that protect the skin. This can vary depending on the frequency of hand washing, the temperature of the water and the ability of the soap to be rinsed from the surface of the hands (Starobin, 2007). This article aims to examine the evidence available to enable healthcare staff to make an informed decision on the importance of following a skin care regime to reduce the risk of bacterial loading on the hands caused by damaged skin. This would consequently lead to an improvement in hand hygiene efficacy.

  4. When are the hands of healthcare workers positive for methicillin-resistant Staphylococcus aureus?

    LENUS (Irish Health Repository)

    Creamer, E

    2010-06-01

    Hand hygiene is a key component in reducing infection. There are few reports on the prevalence of methicillin-resistant Staphylococcus aureus (MRSA) on healthcare workers\\' (HCWs\\') hands. The aim of this study was to establish whether HCWs\\' fingertips were contaminated with MRSA in a clinical hospital setting. The study was conducted in an acute tertiary referral hospital on four MRSA wards that were part of a larger research study on MRSA epidemiology and four other wards not included in the study. The fingertips from all categories of 523 HCWs were sampled on 822 occasions by the imprinting of fingertips on MRSA chromogenic agar plates. The type of hand hygiene agent used, if any, and the immediate prior activity of the HCW were recorded. Overall, 38\\/822 (5%) fingertips from 523 HCWs were MRSA-positive; 12\\/194 (6%) after clinical contact, 10\\/138 (10%) after contact with the patient\\'s environment and 15\\/346 (4%) after no specific contact. MRSA was recovered on 2\\/61 (3%) occasions after use of alcohol hand rub, 2\\/35 (6%) after 4% chlorhexidine detergent, 7\\/210 (3%) hand washing with soap and water, and 27\\/493 (5%) when no hand hygiene had been performed. MRSA was recovered from HCWs on seven of the eight wards. MRSA was more frequently present on fingertips on the four non-study wards vs the four MRSA study wards [18\\/250 (7%), 3\\/201 (1%), respectively; Phand hygiene, indicates that more educational programmes are necessary to improve the quality of hand hygiene to prevent transmission of MRSA.

  5. Technical bases DWPF Late Washing Facility

    Energy Technology Data Exchange (ETDEWEB)

    Fish, D.L.; Landon, L.F.

    1992-08-10

    A task force recommended that the technical feasibility of a Late Wash' facility be assessed [1]. In this facility, each batch of tetraphenylborate slurry from Tank 49 would be given a final wash to reduce the concentrations of nitrite and radiolysis products to acceptable levels. Laboratory-scale studies have demonstrated that d the nitrite content of the slurry fed to DWPF is reduced to 0.01 M or less (and at least a 4X reduction in concentration of the soluble species is attained), (1) the need for HAN during hydrolysis is eliminated (eliminating the production of ammonium ion during hydrolysis), (2) hydrolysis may be done with a catalyst concentration that will not exceed the copper solubility in glass and (3) the non-polar organic production during hydrolysis is significantly reduced. The first phase of an aggressive research and development program has been completed and all test results obtained to date support the technical feasibility of Late Washing. Paralleling this research and development effort is an aggressive design study directed by DWPF to scope and cost retrofitting the Auxiliary Pump Pit (APP) to enable performing a final wash of each batch of precipitate slurry before R is transferred into the DWPF Soft Processing Cell (SPC). An initial technical bases for the Late Wash Facility was transmitted to DWPF on June 15, 1992. Research and development activities are continuing directed principally at optimization of the cross-f low fitter decontamination methodology and pilot-scale validation of the recommended benzene stripping metodology.

  6. A Novel Glycinate-based Body Wash

    Science.gov (United States)

    Regan, Jamie; Ananthapadmanabhan, K.P.

    2013-01-01

    Objective: To assess the properties of a novel body wash containing the mild surfactant glycinate. Design: Biochemical and clinical assays. Setting: Research laboratories and clinical sites in the United States and Canada. Participants: Women 18 to 65 years of age (cleansing efficacy); male and female subjects 26 to 63 years of age with mild or moderate dryness and erythema (leg-controlled application test); subjects 5 to 65 years of age with mild-to-moderate eczema (eczema compatibility); and women 18 to 64 years of age (home use). Measurements: Assessments across studies included colorimetric dye exclusion to assess skin damage potential (corneosurfametry), efficacy of cosmetic product removal from skin, change from baseline in visual dryness, change from baseline in Eczema Area and Severity Index, and self-perceived eczema attributes and self-reported product preference. Results: The glycinate-based cleanser demonstrated mildness to skin components when evaluated in a corneosurfametry assay. Short-term use under exaggerated wash conditions in subjects with dryness scores <3 and erythema scores <2 (both on a 0-6 scale) indicated an initial reduction in visual dryness. In subjects with eczema, normal use resulted in significant improvements (p<0.05) at Week 4 compared with baseline in skin dryness (change from baseline = −0.73), rash (−0.56), itch (−0.927), tightness (−0.585), and all eczema (−0.756). The glycinate-based body wash removed 56 percent of a long-lasting cosmetic foundation from skin compared with less than 30 percent removed by two competitive products tested. The glycinate-based body wash was preferred over a competitive mild cleansing product overall. Conclusion: The patented glycinate-containing body wash demonstrated better product mildness and patient-preferred attributes and clinical benefits. PMID:23882306

  7. Knowledge and Applications About Hand Hygiene of the Mothers

    Directory of Open Access Journals (Sweden)

    Duygu Arikan

    2011-10-01

    Full Text Available Aim; This research was carried out with the aim of evaluating knowledge and applications about hand hygiene of the children and the mothers themselves. Material Method;This research, retrospective and dectriptive, was carried out between the dates March 2009 and June 2009. The town of Palandoken was chosen randomly from three towns of Erzurum City Centre. Of the eight family health centre depending on this town, a family health centre was chose randomly by means of sampling. 4000 women in the 15 and 49 years of age group formed the study context. In the circumstance in which the context is known, the sampling was determined as 350 by means of sampling method. The women, married and with children, accepting to participate in the research or coming to family health centre for any reasons were included in the research. The data of the research were collected by a questionnaire form prepared by the researchers. The data of the research were evaluated by making percentage distributions in computer. Results; It was found out that 44.9 % of the women was in 26-35 age group, and that 52.6 % of the women was primary school graduate, and that 32.3 % of the women had to children. It was also found out that 83.7 % of the mothers washed their hands ten or more times, and that 38.6 % of the mothers washed their hands before coming into toilets, and that 100 % of the mothers washed their hands after going out the toilets, and that 75.7 % of the mothers dried their hands by using clot towels. When, during the child care, knowledge and applications about hand hygiene of the mothers were examined, it was observed that 59.1 % of the mothers washed their hands before giving breast feding, and that 39.4 % of the mothers know that they should wash their hands before changing their babies under. After changing baby diaper, the rate of mothers expressing that they should wash their hands was 93.3 %. 74.9 % of the mothers stated that the hands should be washed when the

  8. Outbreaks where food workers have been implicated in the spread of foodborne disease. Part 11. Use of antiseptics and sanitizers in community settings and issues of hand hygiene compliance in health care and food industries.

    Science.gov (United States)

    Todd, Ewen C D; Greig, Judy D; Michaels, Barry S; Bartleson, Charles A; Smith, Debra; Holah, John

    2010-12-01

    Hand washing with soap is a practice that has long been recognized as a major barrier to the spread of disease in food production, preparation, and service and in health care settings, including hospitals, child care centers, and elder care facilities. Many of these settings present multiple opportunities for spread of pathogens within at-risk populations, and extra vigilance must be applied. Unfortunately, hand hygiene is not always carried out effectively, and both enteric and respiratory diseases are easily spread in these environments. Where water is limited or frequent hand hygiene is required on a daily basis, such as for many patients in hospitals and astronauts in space travel, instant sanitizers or sanitary wipes are thought to be an effective way of preventing contamination and spread of organisms among coworkers and others. Most concerns regarding compliance are associated with the health care field, but the food industry also must be considered. Specific reasons for not washing hands at appropriate times are laziness, time pressure, inadequate facilities and supplies, lack of accountability, and lack of involvement by companies, managers, and workers in supporting proper hand washing. To facilitate improvements in hand hygiene, measurement of compliant and noncompliant actions is necessary before implementing any procedural changes. Training alone is not sufficient for long-lasting improvement. Multiactivity strategies also must include modification of the organization culture to encourage safe hygienic practices, motivation of employees willing to use peer pressure on noncompliant coworkers, a reward and/or penalty system, and an operational design that facilitates regular hand hygiene.

  9. The Hand Eczema Trial (HET: design of a randomised clinical trial of the effect of classification and individual counselling versus no intervention among health-care workers with hand eczema

    Directory of Open Access Journals (Sweden)

    Ibler Kristina

    2010-08-01

    Full Text Available Abstract Background Hand eczema is the most frequently recognized occupational disease in Denmark with an incidence of approximately 0.32 per 1000 person-years. Consequences of hand eczema include chronic severe eczema, prolonged sick leave, unemployment, and impaired quality of life. New preventive strategies are needed to reduce occupational hand eczema. Methods/Design We describe the design of a randomised clinical trial to investigate the effects of classification of hand eczema plus individual counselling versus no intervention. The trial includes health-care workers with hand eczema identified from a self-administered questionnaire delivered to 3181 health-care workers in three Danish hospitals. The questionnaire identifies the prevalence of hand eczema, knowledge of skin-protection, and exposures that can lead to hand eczema. At entry, all participants are assessed regarding: disease severity (Hand Eczema Severity Index; self-evaluated disease severity; number of eruptions; quality of life; skin protective behaviour, and knowledge of skin protection. The patients are centrally randomised to intervention versus no intervention 1:1 stratified for hospital, profession, and severity score. The experimental group undergoes patch and prick testing; classification of the hand eczema; demonstration of hand washing and appliance of emollients; individual counselling, and a skin-care programme. The control group receives no intervention. All participants are reassessed after six months. The primary outcome is observer-blinded assessment of disease severity and the secondary outcomes are unblinded assessments of disease severity; number of eruptions; knowledge of skin protection; skin-protective behaviour, and quality of life. Trial registration The trial is registered in ClinicalTrials.Gov, NCT01012453.

  10. Hand hygiene regimens for the reduction of risk in food service environments.

    Science.gov (United States)

    Edmonds, Sarah L; McCormack, Robert R; Zhou, Sifang Steve; Macinga, David R; Fricker, Christopher M

    2012-07-01

    Pathogenic strains of Escherichia coli and human norovirus are the main etiologic agents of foodborne illness resulting from inadequate hand hygiene practices by food service workers. This study was conducted to evaluate the antibacterial and antiviral efficacy of various hand hygiene product regimens under different soil conditions representative of those in food service settings and assess the impact of product formulation on this efficacy. On hands contaminated with chicken broth containing E. coli, representing a moderate soil load, a regimen combining an antimicrobial hand washing product with a 70% ethanol advanced formula (EtOH AF) gel achieved a 5.22-log reduction, whereas a nonantimicrobial hand washing product alone achieved a 3.10log reduction. When hands were heavily soiled from handling ground beef containing E. coli, a wash-sanitize regimen with a 0.5% chloroxylenol antimicrobial hand washing product and the 70% EtOH AF gel achieved a 4.60-log reduction, whereas a wash-sanitize regimen with a 62% EtOH foam achieved a 4.11-log reduction. Sanitizing with the 70% EtOH AF gel alone was more effective than hand washing with a nonantimicrobial product for reducing murine norovirus (MNV), a surrogate for human norovirus, with 2.60- and 1.79-log reductions, respectively. When combined with hand washing, the 70% EtOH AF gel produced a 3.19-log reduction against MNV. A regimen using the SaniTwice protocol with the 70% EtOH AF gel produced a 4.04-log reduction against MNV. These data suggest that although the process of hand washing helped to remove pathogens from the hands, use of a wash-sanitize regimen was even more effective for reducing organisms. Use of a high-efficacy sanitizer as part of a wash-sanitize regimen further increased the efficacy of the regimen. The use of a well-formulated alcohol-based hand rub as part of a wash-sanitize regimen should be considered as a means to reduce risk of infection transmission in food service facilities.

  11. Wet work exposure and hand eczema among healthcare workers - a cross-sectional study.

    Science.gov (United States)

    Hamnerius, N; Svedman, C; Bergendorff, O; Björk, J; Bruze, M; Pontén, A

    2017-07-19

    Hand eczema is more common in healthcare workers compared to the general population. The hands are subject to changing occupational exposures due to mandatory hygiene regulations for health care workers. To describe the exposure due to hygiene procedures and investigate the associations between occupational hand washing, use of non-sterile gloves, and hand disinfectant and self-reported hand eczema. Cross-sectional study with an electronic questionnaire distributed to 28 762 hospital employees in southern Sweden. Respondents working as nurses, assistant nurses or physicians constituted the group of healthcare workers analysed. Adjustments were made for gender, age, wet work at home, life-style factors and atopic dermatitis. 12 288 (43%) responded including 9051 healthcare workers. In this group the 1-year prevalence of self-reported hand eczema was 21%. On a daily basis, 30% reported hand washing with soap >20 times at work, 45% used hand disinfectants >50 times, and 54% used non-sterile gloves > 2 hours. After adjustment for confounding factors, a dose-dependent association with self-reported hand eczema was found for the daily number of hand washes with soap at work and time working with disposable gloves, but not for alcoholic disinfectant use. Hand washing outside work was not associated with self-reported hand eczema in the adjusted multivariate analysis. In this study, we found a higher 1-year prevalence of self-reported hand eczema among Swedish healthcare workers than reported in the general population. Hand washing with soap and use of disposable gloves were associated with the occurrence of self-reported hand eczema in a dose-dependent way. Use of hand disinfectant was not associated with self-reported hand eczema. This article is protected by copyright. All rights reserved. This article is protected by copyright. All rights reserved.

  12. Disinfection potential of ozone, ultraviolet-C and their combination in wash water for the fresh-cut vegetable industry.

    Science.gov (United States)

    Selma, María V; Allende, Ana; López-Gálvez, Francisco; Conesa, María A; Gil, María I

    2008-09-01

    The purpose of this research was to investigate the disinfection efficacy of ozone (O(3)) and UV-C illumination (UV), and their combination (O(3)-UV) for reducing microbial flora of fresh-cut onion, escarole, carrot, and spinach wash waters collected from the industry. Furthermore, the influence of water physicochemical parameters on the decontamination efficacy and the effect of these technologies on physicochemical quality of wash water were analyzed. O(3), UV, and O(3)-UV were effective disinfection treatments on vegetable wash water, with a maximum microbial reduction of 6.6 log CFU mL(-1) after 60 min treatment with O(3)-UV. However, maximum total microbial reductions achieved by UV and O(3) treatments after 60 min were 4.0 and 5.9 log CFU mL(-1), lower than by O(3)-UV treatment. Furthermore, turbidity of wash water was reduced significantly by O(3) and O(3)-UV treatments, while UV treatment did not affect the physicochemical quality of the water. Conclusions derived from this study illustrate that O(3) and O(3)-UV are alternatives to other sanitizers used in the fresh-cut washing processes. The use of these technologies would allow less frequent changing of spent water and the use of much lower sanitizer doses. Nevertheless, in specific applications such as carrot wash water, where levels of undesirable microbial and chemical constituents are lower than other vegetable wash water, UV treatment could be an appropriate treatment considering cost-effectiveness criteria.

  13. Hand chemical burns.

    Science.gov (United States)

    Robinson, Elliot P; Chhabra, A Bobby

    2015-03-01

    There is a vast and ever-expanding variety of potentially harmful chemicals in the military, industrial, and domestic landscape. Chemical burns make up a small proportion of all skin burns, yet they can cause substantial morbidity and mortality. Additionally, the hand and upper extremity are the most frequently involved parts of the body in chemical burns, and therefore these injuries may lead to severe temporary or permanent loss of function. Despite this fact, discussion of the care of these injuries is sparse in the hand surgery literature. Although most chemical burns require only first response and wound care, some require the attention of a specialist for surgical debridement and, occasionally, skin coverage and reconstruction. Exposure to certain chemicals carries the risk of substantial systemic toxicity and even mortality. Understanding the difference between thermal and chemical burns, as well as special considerations for specific compounds, will improve patient treatment outcomes.

  14. Experimental study on disinfection effect of different dose of rapid hand disinfectant

    Directory of Open Access Journals (Sweden)

    Xiuhua Li

    2014-06-01

    Conclusion: In an effort to reduce the incidence of nosocomial infection, the medical personnel should sufficiently dry hands following handrubbing with disinfectant in a strict accordance with the six part washing technique for antiseptic handrubbing.

  15. Hand eczema - prognosis and consequences

    DEFF Research Database (Denmark)

    Petersen, A. H.; Johansen, J D; Hald, M

    2014-01-01

    BACKGROUND: Hand eczema is recognized as a long-lasting disease with personal and societal repercussions. Long-term studies are required to generate information on factors contributing to a poor outcome. OBJECTIVES: The aims of this 7-year follow-up study were to evaluate the clinical course...... of patients with hand eczema, the occupational consequences and to identify risk factors associated with a poor prognosis. MATERIALS AND METHODS: In all, 536 patients with hand eczema participated and were examined by a dermatologist. The clinical severity was assessed at baseline and 7 years later using...... a self-administrated photographic guide. Additional information was obtained from a questionnaire. RESULTS: Based on the photographic guide, 73% experienced a clinical improvement. Notably, 20% had moderate to very severe hand eczema at follow-up. Severe hand eczema or frequent eruptions at baseline...

  16. Frequently Asked Questions: The Higgs!

    CERN Multimedia

    CERN Bulletin

    2012-01-01

    Why have we tried so hard to find the Higgs particle? How does the Higgs mechanism work? What is the difference in physics between strong evidence and a discovery? Why do physicists speak in terms of "sigmas"? Find out here!   Why have we tried so hard to find the Higgs particle? Because it could be the answer to the question: how does Nature decide whether or not to assign mass to particles? All the fundamental particles making up matter – the electron, the quarks, etc. – have masses. Moreover, quantum physics requires that forces are also carried by particles. The W and Z particles that carry the weak force responsible for radioactivity must also have masses, whereas the photon, the carrier of the electromagnetic force, has no mass at all. This is the root of the “Higgs problem”: how to give masses to the fundamental particles and break the symmetry between the massive W and Z and the massless photon? Just assigning masses by hand...

  17. Fault Tolerant Frequent Pattern Mining

    Energy Technology Data Exchange (ETDEWEB)

    Shohdy, Sameh; Vishnu, Abhinav; Agrawal, Gagan

    2016-12-19

    FP-Growth algorithm is a Frequent Pattern Mining (FPM) algorithm that has been extensively used to study correlations and patterns in large scale datasets. While several researchers have designed distributed memory FP-Growth algorithms, it is pivotal to consider fault tolerant FP-Growth, which can address the increasing fault rates in large scale systems. In this work, we propose a novel parallel, algorithm-level fault-tolerant FP-Growth algorithm. We leverage algorithmic properties and MPI advanced features to guarantee an O(1) space complexity, achieved by using the dataset memory space itself for checkpointing. We also propose a recovery algorithm that can use in-memory and disk-based checkpointing, though in many cases the recovery can be completed without any disk access, and incurring no memory overhead for checkpointing. We evaluate our FT algorithm on a large scale InfiniBand cluster with several large datasets using up to 2K cores. Our evaluation demonstrates excellent efficiency for checkpointing and recovery in comparison to the disk-based approach. We have also observed 20x average speed-up in comparison to Spark, establishing that a well designed algorithm can easily outperform a solution based on a general fault-tolerant programming model.

  18. [Osmolality of frequently consumed beverages].

    Science.gov (United States)

    Dini, Elizabeth; De Abreu, Jorge; López, Emeris

    2004-12-01

    The objective of this work was to determine the osmolality of beverages frequently consumed by children and adolescents due to the scarce information available in our country. The samples were grouped as follows: milks; refreshments; beverages based on fruits, vegetables, cereals, and tubers; sport drinks; energizing drinks; oral rehydrating solutions; reconstituted drinks and infusions. A vapor pressure digital osmometer was used, five samples of each beverage from different lots were analyzed. Four osmolality determinations were made on each sample and the average of such values was calculated. When the variation coefficient of the osmolality measurements of the five samples was higher than 10%, five additional samples were analyzed. As many samples as possible were used with breast milk in the time period of the study. Osmolality averages, standard deviation, and the osmolality confidence intervals (95% reliability) were calculated. The osmolality (mmol/kg) of breast milk and that of cow milk were between 273 and 389; refreshments, white, black and flavored colas, and malts ranged between 479-811; and soda and light drinks: 44-62; fresh fruit and commercial drinks (coconut, peach, apple, orange, pear, pineapple, grape, plum, tamarind): 257-1152 and light juices: 274; sports beverages: 367; energizing drinks: 740; drinks based on vegetables and cereals: 213-516; oral rehydrating solutions: 236-397; reconstituted drinks: 145; infusions: 25. Beverages with adequate osmolality levels for children were: milks, light refreshments, soda, fresh and light juices, oral rehydrating, soy, and reconstituted drinks and infusions.

  19. Comparison and Analysis of Two Washing Methods for Knitted Casual Wear%两种针织休闲服水洗方法的比较分析

    Institute of Scientific and Technical Information of China (English)

    黄淑华; 黄淼玲; 张晓星; 林宏

    2015-01-01

    The dimension variance rate of the same knitted casual wear is different when washed by two differ-ent washing methods (5A, imitation hand washing) under the standard FZ/T 73020—2012, thereby influences the judgment on fabric’ washing dimensional stability. This paper studies this issue. It selected twenty models knitted casual wear with common organizational structure, tested the washing dimensional stability using 5A or imitation hand washing respectively, and analyzed the effects of the two washing methods. It selected five different models of knitted casual wear to wash by imitation hand, tested the washing dimensional change and analyzed the impact of washing times. The results show that three cycles of imitation hand washing to knitted casual wear can be treated as the maximum washing dimensional change which is closer to the actual requirements of consumers , and we need to indicate its washing method to decide the dimension variance rate of knitted casual wear when referring to FZ/T 73020—2012.%同一针织休闲服分别参照FZ/T 73020—2012中的两种洗涤方法(5A、仿手洗)进行洗涤时测得的水洗尺寸变化率有差异,从而影响织物水洗尺寸稳定性的判定,文中针对这一问题进行研究。选取20款常见组织结构的针织休闲服,分别在5A、仿手洗的方法下测试其水洗尺寸变化率,用以分析水洗方法的影响;选取5款组织结构不同的针织休闲服,在仿手洗的方法下测试其水洗尺寸变化率,用以分析洗涤次数的影响。结果表明:采用三次循环仿手洗方法洗涤针织休闲服后所得结果作为织物的最大水洗尺寸变化率,更接近消费者实际使用的要求;在判定适用于FZ/T 73020—2012的服装水洗尺寸变化率时需要标明其洗涤方法。

  20. Continuous concentration and constant volume washing of tetraphenylborate slurries

    Energy Technology Data Exchange (ETDEWEB)

    Siler, J.L.

    1999-12-08

    SRTC has completed filtration testing of tetraphenylborate (TPB) slurries with and without sludge. These tests were slightly different from previous SRS tests in that they used continuous mode concentration and constant volume washing evolutions. The extent of TPB recovery during washing was measured. The resulting washed precipitate slurry, with sludge, was stored at ambient temperature and under a nitrogen-inerted atmosphere to study TPB stability. Samples of both unwashed and washed slurries were submitted for rheology measurements.

  1. Self-Contained Automated Vehicle Washing System

    Science.gov (United States)

    2014-09-26

    military personnel from harmful contaminants are the impetus for designing a closed loop vehicle washing system. Systems Specification Development This...I I I " I I EACH CONTAINMENT PAD HAS SELf -CONTAINED STORAGE TO MINIMIZ[ THE FOOTPRINT DURI NG TRANSPORT . I ~ ,’"j PIVOTING ELBOWS LOCK ...shipped to Dugway, UT in August 2013 and travel plans were confirmed only to encounter the government shutdown which would delay travel until 2014

  2. Washing of the AN-107 entrained solids

    Energy Technology Data Exchange (ETDEWEB)

    GJ Lumetta; FV Hoopes

    2000-03-31

    This report describes the results of a test conducted by Battelle to assess the effects of inhibited water washing on the composition of the entrained solids in the diluted AN-107 low-activity waste (LAW) sample. The objective of this work was to gather data on the solubility of the AN-107 entrained solids in 0.01 M NaOH, so that BNFL can evaluate whether these solids require caustic leaching.

  3. Alcohol-free instant hand sanitizer reduces elementary school illness absenteeism.

    Science.gov (United States)

    Dyer, D L; Shinder, A; Shinder, F

    2000-10-01

    BACKGROUND AND HYPOTHESES: A substantial percentage of school absenteeism among children is related to transmissible infection. Rates of transmission can be reduced by hand washing with soap and water, but such washing occurs infrequently. This study tested whether an alcohol-free instant hand sanitizer (CleanHands) could reduce illness absenteeism in school-age children. A 10-week, open-label, crossover study was performed on 420 elementary school-age children (ages 5-12). Students were given a brief orientation immediately prior to the start of the study on the relationship of germs, illness, and hand washing. Each student in the treatment group then received the test product in individual bottles, with instructions to apply one to two sprays to the hands after coming into the classroom, before eating, and after using the restroom, in addition to their normal hand washing with soap and water. The control group was instructed to continue hand washing as normal with non-medicated soap. After 4 weeks of treatment and a 2-week wash-out period, the control and experimental groups were reversed. Data gathered on absenteeism were classified as gastrointestinal or respiratory related and normalized for nonillness-related absenteeism and school holidays. Compared to the hand washing-only control group, students using CleanHands were found to have 41.9% fewer illness-related absence days, representing a 28.9% and a 49.7% drop in gastrointestinal- and respiratory-related illnesses, respectively. Likewise, absence incidence decreased by 31.7%, consisting of a 44.2% and 50.2% decrease in incidence of gastrointestinal- and respiratory-related illnesses, respectively. No adverse events were reported during the study. Daily use of the instant hand sanitizer was associated with significantly lower rates of illness-related absenteeism.

  4. Hand hygiene after touching a patient's surroundings: the opportunities most commonly missed.

    Science.gov (United States)

    FitzGerald, G; Moore, G; Wilson, A P R

    2013-05-01

    Healthcare workers generally underestimate the role of environmental surfaces in the transmission of infection, and compliance with hand hygiene following contact with the environment is generally lower than following direct patient contact. To reduce the risk of onward transmission, healthcare workers must identify the need to wash hands with specific tasks or events. To observe the movement of staff in critical care and general wards and determine the routes most commonly travelled and the surfaces most frequently touched with and without appropriate hand hygiene. Fifty-eight 90 min sessions of unobtrusive observation were made in open bays and isolation rooms. Link analysis was used to record staff movement from one location to another as well as the frequency of motion. Hand-hygiene audits were conducted using the World Health Organization 'five moments for hand hygiene' observational tool. In critical care, the majority of movement occurred within the bed space. The bedside computer and equipment trolley were the surfaces most commonly touched, often immediately after patient contact. In the general ward, movement between bed spaces was more common and observed hand hygiene ranged from 25% to 33%. Regardless of ward type, observed hand-hygiene compliance when touching the patient immediately on entering an isolation room was less than 30%. Healthcare workers must be made aware that bacterial spread can occur even during activities of perceived low risk. Education and intervention programmes should focus on the potential contamination of ward computers, case notes and door handles. Copyright © 2013 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.

  5. Bacterial Exchange in Household Washing Machines

    Science.gov (United States)

    Callewaert, Chris; Van Nevel, Sam; Kerckhof, Frederiek-Maarten; Granitsiotis, Michael S.; Boon, Nico

    2015-01-01

    Household washing machines (WMs) launder soiled clothes and textiles, but do not sterilize them. We investigated the microbial exchange occurring in five household WMs. Samples from a new cotton T-shirt were laundered together with a normal laundry load. Analyses were performed on the influent water and the ingoing cotton samples, as well as the greywater and the washed cotton samples. The number of living bacteria was generally not lower in the WM effluent water as compared to the influent water. The laundering process caused a microbial exchange of influent water bacteria, skin-, and clothes-related bacteria and biofilm-related bacteria in the WM. A variety of biofilm-producing bacteria were enriched in the effluent after laundering, although their presence in the cotton sample was low. Nearly all bacterial genera detected on the initial cotton sample were still present in the washed cotton samples. A selection for typical skin- and clothes-related microbial species occurred in the cotton samples after laundering. Accordingly, malodour-causing microbial species might be further distributed to other clothes. The bacteria on the ingoing textiles contributed for a large part to the microbiome found in the textiles after laundering. PMID:26696989

  6. Removal of Pb and MDF from contaminated soils by EDTA- and SDS-enhanced washing.

    Science.gov (United States)

    Zhang, Weihua; Tsang, Daniel C W; Lo, Irene M C

    2007-02-01

    Heavy metal- and organic-contaminated sites are ubiquitous, but few studies have been conducted to address such an issue. EDTA- and SDS-enhanced washing was studied for remediation of Pb- and/or marine diesel fuel (MDF)-contaminated soils. The feasibility of recovery and reuse of EDTA and SDS, as well as the physicochemical interactions among the chemical agents, contaminants and soils were extensively investigated using batch experiments. The optimal washing sequence was then determined. The experimental results showed that EDTA could be recovered and reused for four cycles without significant loss of its chelating capacity, while the extraction capability of SDS was noticeably reduced after each reuse cycle. The free phase of marine diesel fuel (MDF) in soils physically isolated the sorbed Pb on soils and thus reducing its extraction by EDTA. The presence of SDS alone or together with low concentration of EDTA was found to enhance Pb removal probably via electrostatic interaction and dissolution of soil organic matter. However, it hindered Pb extraction by high concentration of EDTA, because of the potential formation of complexes between some strongly-bound Pb and SDS, that are more resistant to desorption. Therefore, EDTA washing followed by SDS achieved the highest Pb removal efficiency. On the other hand, MDF removal by SDS was significantly hindered by coexisting Pb in soils, probably because the formation of Pb-dodecyl sulfate (DS) complex would decrease the effective amount of SDS available for forming micelles in solution and enhance MDF sorption. EDTA alone or together with SDS could enhance MDF removal, but the residual MDF after EDTA-washing became more resistant to SDS removal. Consequently, SDS washing followed by EDTA is considered as the optimal washing sequence for MDF removal.

  7. Irreversible Wash Aid Additive for Cesium Mitigation: WARRP Demonstration

    Energy Technology Data Exchange (ETDEWEB)

    Kaminski, Michael [Argonne National Lab. (ANL), Argonne, IL (United States)

    2015-01-01

    This activity demonstrated, on a practical scale, the primary unit operations for building a containment structure for radioactive wash waters, washing down a hypothetically radioactively contaminated vehicle, collecting the hypothetically radioactive slurry waste water, filtering the hypothetically radioactive wash waters, disassembling the containment, and transporting the materials for final disposition.

  8. SaniTwice: a novel approach to hand hygiene for reducing bacterial contamination on hands when soap and water are unavailable.

    Science.gov (United States)

    Edmonds, Sarah L; Mann, James; McCormack, Robert R; Macinga, David R; Fricker, Christopher M; Arbogast, James W; Dolan, Michael J

    2010-12-01

    The risk of inadequate hand hygiene in food handling settings is exacerbated when water is limited or unavailable, thereby making washing with soap and water difficult. The SaniTwice method involves application of excess alcohol-based hand sanitizer (ABHS), hand "washing" for 15 s, and thorough cleaning with paper towels while hands are still wet, followed by a standard application of ABHS. This study investigated the effectiveness of the SaniTwice methodology as an alternative to hand washing for cleaning and removal of microorganisms. On hands moderately soiled with beef broth containing Escherichia coli (ATCC 11229), washing with a nonantimicrobial hand washing product achieved a 2.86 (±0.64)-log reduction in microbial contamination compared with the baseline, whereas the SaniTwice method with 62 % ethanol (EtOH) gel, 62 % EtOH foam, and 70 % EtOH advanced formula gel achieved reductions of 2.64 ± 0.89, 3.64 ± 0.57, and 4.61 ± 0.33 log units, respectively. When hands were heavily soiled from handling raw hamburger containing E. coli, washing with nonantimicrobial hand washing product and antimicrobial hand washing product achieved reductions of 2.65 ± 0.33 and 2.69 ± 0.32 log units, respectively, whereas SaniTwice with 62 % EtOH foam, 70 % EtOH gel, and 70 % EtOH advanced formula gel achieved reductions of 2.87 ± 0.42, 2.99 ± 0.51, and 3.92 ± 0.65 log units, respectively. These results clearly demonstrate that the in vivo antibacterial efficacy of the SaniTwice regimen with various ABHS is equivalent to or exceeds that of the standard hand washing approach as specified in the U.S. Food and Drug Administration Food Code. Implementation of the SaniTwice regimen in food handling settings with limited water availability should significantly reduce the risk of foodborne infections resulting from inadequate hand hygiene.

  9. The frequent occurrence of MIC

    Energy Technology Data Exchange (ETDEWEB)

    Graff, Matthias [Gesellschaft fuer Technische Mikrobiologie und Hygieneueberwachung - Dr. Graff und Partner, Stadtweg 9, D-38176 Wendeburg (Germany); Neubert, Volkmar [Institut fuer Materialpruefung und Werkstofftechnik Dr. Doelling und Dr. Neubert GmbH, Freiberger Strasse 1, D-38678 Clausthal-Zellerfeld (Germany)

    2004-07-01

    Microbial induced corrosion (MIC) is not as rare as many materials scientist and corrosion practitioners do believe. It is not an exotic and scarce event, but can be found frequently in many fields of corrosion research, provided that it is looked for. The reason for the relatively few descriptions of MIC cases seems to be the fact, that the microbiological approach is not widely known and applied in the world of materials science. MIC is not so much a corrosion mechanism on its own, but it enhances the corrosion rates of the 'normal' mechanisms to such an extent, that in some cases 'incredible' fast corrosion progress can be observed. The reason is the microorganisms' function as bio-catalysts: Chemical reactions, which are very slow under normal chemical conditions can be highly accelerated by living organisms. Besides that, several microorganisms do produce very corrosive substances which in natural environments do not occur without the activity of microorganisms, e. g. sulfuric or nitric acid. We want to point out, that it can be very worthy to take microbial induced corrosion into account. MIC is not the general answer for all unsolved corrosion problems, but to think about it helps in many corrosion cases as the authors had to experience. The initial indication for the presence of MIC are markedly increased corrosion rates. In the following, some of our 'lessons' are presented as short case studies: Two of them deal with steel corrosion characterized by increased corrosion rates. The third example presents corrosion damage of aluminium structures, where from a technical point of view corrosion was not expected, least of all microbial induced corrosion. (authors)

  10. An Alternative Paper Based Tissue Washing Method for Mass Spectrometry Imaging: Localized Washing and Fragile Tissue Analysis

    National Research Council Canada - National Science Library

    Amstalden van Hove, Erika R; Smith, Donald F; Fornai, Lara; Glunde, Kristine; Heeren, Ron M. A

    2011-01-01

    .... Here, we present a new surface washing procedure for mass spectrometry imaging. This procedure uses solvent wetted fiber-free paper to enable local washing of tissue sections for mass spectrometry imaging and tissue profiling experiments...

  11. Management of chronic hand eczema

    NARCIS (Netherlands)

    Diepgen, Thomas L.; Agner, Tove; Aberer, Werner; Berth-Jones, John; Cambazard, Frederic; Elsner, Peter; McFadden, John; Coenraads, Pieter Jan

    2007-01-01

    Hand eczema (HE) is one of the most frequent skin diseases and has often a chronically relapsing course with a poor prognosis resulting in a high social and economic impact for the individual and the society. In this article, we highlight the results of an expert workshop on the 'management of sever

  12. [Evaluation of efficacy of selected antiseptics for hands disinfection before surgical procedures].

    Science.gov (United States)

    Leksowski, K; Jasiński, A; Marszałek, A

    2001-08-01

    The most important in surgical hands washing and disinfections is long-term and effective reduction of bacteria number. The aim of this study was to compare the efficiency of some antiseptic fluids used for surgical hands disinfection's (AHD 2000, Biotensid, Manopronto and Medi-Scrub PVP Iodine). 62 doctors and surgical nurses were examined. The material for the bacteriological examination was collected before and after hands disinfection's. The bacterial flora reduction have been presented as a percent and a logarithmic reduction ratio. All estimated antiseptic fluids were very potent and provided prolonged efficiency when the operation team complied with orders of hands washing.

  13. Bacterial Hand Contamination and Transfer after Use of Contaminated Bulk-Soap-Refillable Dispensers▿†

    Science.gov (United States)

    Zapka, Carrie A.; Campbell, Esther J.; Maxwell, Sheri L.; Gerba, Charles P.; Dolan, Michael J.; Arbogast, James W.; Macinga, David R.

    2011-01-01

    Bulk-soap-refillable dispensers are prone to extrinsic bacterial contamination, and recent studies demonstrated that approximately one in four dispensers in public restrooms are contaminated. The purpose of this study was to quantify bacterial hand contamination and transfer after use of contaminated soap under controlled laboratory and in-use conditions in a community setting. Under laboratory conditions using liquid soap experimentally contaminated with 7.51 log10 CFU/ml of Serratia marcescens, an average of 5.28 log10 CFU remained on each hand after washing, and 2.23 log10 CFU was transferred to an agar surface. In an elementary-school-based field study, Gram-negative bacteria on the hands of students and staff increased by 1.42 log10 CFU per hand (26-fold) after washing with soap from contaminated bulk-soap-refillable dispensers. In contrast, washing with soap from dispensers with sealed refills significantly reduced bacteria on hands by 0.30 log10 CFU per hand (2-fold). Additionally, the mean number of Gram-negative bacteria transferred to surfaces after washing with soap from dispensers with sealed-soap refills (0.06 log10 CFU) was significantly lower than the mean number after washing with contaminated bulk-soap-refillable dispensers (0.74 log10 CFU; P hand) than were recovered from staff (2.22 log10 CFU per hand) after washing with contaminated bulk soap (P washing with contaminated soap from bulk-soap-refillable dispensers can increase the number of opportunistic pathogens on the hands and may play a role in the transmission of bacteria in public settings. PMID:21421792

  14. A method of assessing the efficacy of hand sanitizers: use of real soil encountered in the food service industry.

    Science.gov (United States)

    Charbonneau, D L; Ponte, J M; Kochanowski, B A

    2000-04-01

    In many outbreaks of foodborne illness, the food worker has been implicated as the source of the infection. To decrease the likelihood of cross-contamination, food workers must clean and disinfect their hands frequently. To ensure their effectiveness, hand disinfectants should be tested using rigorous conditions that mimic normal use. Currently, several different methods are used to assess the efficacy of hand disinfectants. However, most of these methods were designed with the health care worker in mind and do not model the specific contamination situations encountered by the food worker. To fill this void, we developed a model that uses soil from fresh meat and a means of quantifying bacteria that is encountered and transferred during food preparation activities. Results of studies using various doses of para-chloro-meta-xylenol and triclosan confirm that the method is reproducible and predictable in measuring the efficacy of sanitizers. Consistent, dose-dependent results were obtained with relatively few subjects. Other studies showed that washing hands with a mild soap and water for 20 s was more effective than applying a 70% alcohol hand sanitizer.

  15. A rapid method for the presurgical cleansing of hands.

    Science.gov (United States)

    Decker, L A; Gross, A; Miller, F C; Read, J A; Cutright, D E; Devine, J

    1978-01-01

    A new rapid method of presurgical cleansing of the hands has been evaluated in a clinical setting. The effectiveness of a 90 second jet wash has been compared with a standard 10-minute presurgical scrub. Bacteriologic cultures were obtained from the fingertips of interns, residents, and staff of the Department of Obstetrics and Gynecology of the Walter Reed Army Medical Center before and after 90-second jet washings and 10-minute conventional scrubs. The results showed that the 90-second jet wash was more effective in degerming the hands than the 10-minute standard brush scrub. Other advantages of the new method, such as the amount of time saved, the standardization of cleansing, and reduced skin irritation are discussed.

  16. Observed hand cleanliness and other measures of handwashing behavior in rural Bangladesh

    Directory of Open Access Journals (Sweden)

    Halder Amal K

    2010-09-01

    Full Text Available Abstract Background We analyzed data from the baseline assessment of a large intervention project to describe typical handwashing practices in rural Bangladesh, and compare measures of hand cleanliness with household characteristics. Methods We randomly selected 100 villages from 36 districts in rural Bangladesh. Field workers identified 17 eligible households per village using systematic sampling. Field workers conducted 5-hour structured observations in 1000 households, and a cross-sectional assessment in 1692 households that included spot checks, an evaluation of hand cleanliness and a request that residents demonstrate their usual handwashing practices after defecation. Results Although 47% of caregivers reported and 51% demonstrated washing both hands with soap after defecation, in structured observation, only 33% of caregivers and 14% of all persons observed washed both hands with soap after defecation. Less than 1% used soap and water for handwashing before eating and/or feeding a child. More commonly people washed their hands only with water, 23% after defecation and 5% before eating. Spot checks during the cross sectional survey classified 930 caregivers (55% and 453 children (28% as having clean appearing hands. In multivariate analysis economic status and water available at handwashing locations were significantly associated with hand cleanliness among both caregivers and children. Conclusions A minority of rural Bangladeshi residents washed both hands with soap at key handwashing times, though rinsing hands with only water was more common. To realize the health benefits of handwashing, efforts to improve handwashing in these communities should target adding soap to current hand rinsing practices.

  17. A study of yeast carriage on hands of hospital personnel.

    Science.gov (United States)

    Kumar, S; Batra, R

    2000-01-01

    The present study was conducted by culture with a modified broth wash technique to examine the frequency of yeast carriage on the hands of 60 nurses and 35 nonnursing hospital employees. Seventy two percent of the nurses and 80% of the nonnurses were harbouring yeast on their hands. Candida spp. were isolated in 57% on of nurses and 34% of nonnurses. Ninety percent of nurses working in nursing home care unit (NHCU), 50% working in intensive care unit (ICU) and 75% working in outpatient department (OPD) carried yeasts on their hands. Only 80% of nonnurses staff harboured yeasts on their hands.

  18. Bacterial hand contamination and transfer after use of contaminated bulk-soap-refillable dispensers.

    Science.gov (United States)

    Zapka, Carrie A; Campbell, Esther J; Maxwell, Sheri L; Gerba, Charles P; Dolan, Michael J; Arbogast, James W; Macinga, David R

    2011-05-01

    Bulk-soap-refillable dispensers are prone to extrinsic bacterial contamination, and recent studies demonstrated that approximately one in four dispensers in public restrooms are contaminated. The purpose of this study was to quantify bacterial hand contamination and transfer after use of contaminated soap under controlled laboratory and in-use conditions in a community setting. Under laboratory conditions using liquid soap experimentally contaminated with 7.51 log(10) CFU/ml of Serratia marcescens, an average of 5.28 log(10) CFU remained on each hand after washing, and 2.23 log(10) CFU was transferred to an agar surface. In an elementary-school-based field study, Gram-negative bacteria on the hands of students and staff increased by 1.42 log(10) CFU per hand (26-fold) after washing with soap from contaminated bulk-soap-refillable dispensers. In contrast, washing with soap from dispensers with sealed refills significantly reduced bacteria on hands by 0.30 log(10) CFU per hand (2-fold). Additionally, the mean number of Gram-negative bacteria transferred to surfaces after washing with soap from dispensers with sealed-soap refills (0.06 log(10) CFU) was significantly lower than the mean number after washing with contaminated bulk-soap-refillable dispensers (0.74 log(10) CFU; P soap (P soap from bulk-soap-refillable dispensers can increase the number of opportunistic pathogens on the hands and may play a role in the transmission of bacteria in public settings.

  19. Influence of Successive Washing on Porous Structure of Pseudoboehmite

    Institute of Scientific and Technical Information of China (English)

    Yuefeng Yan; Jianping Zhi; Gaoyong Zhang

    2005-01-01

    The effect of successive washing instead of traditional intermittent washing on the porous structure of pseudoboehmite was investigated by mercury porosimetry,N2 adsorption and thermal analysis,while the stabilities of different types of crystals were investigated by X-ray diffractometer. Experimental results show that successive washing is a continuation of the aging process of intermittent washing. After a successive washing,the pore types showed no difference with the intermittent washing. During successive washing,the characteristics of the pores in the range of 2-15 nm changed only very little. However,the distributions of the pore radius for pores of 20-50 and 300-1000 nm were obviously influenced. It was shown that the volume of larger pores decreased only to a smaller extent after the successive washing,as compared with that of the intermittent washing,and the pore size was affected by the condition of the successive washing. The roles of physisorbed water,intermicellar liquid,weakly bonded water,as well as the role of stirring,have been discussed.

  20. Aqueous treatment of water-sensitive paper objects: capillary unit, blotter wash or paraprint wash?

    NARCIS (Netherlands)

    H. Schalkx; P. Iedema; B. Reissland; B. van Velzen

    2011-01-01

    Blotter washing andwashing with the capillary unit are both methods used for aqueoustreatment of water-sensitive paper objects. The challenge of thistreatment is to remove water-soluble products while keeping thewater-sensitive medium in its place. In this article the two methodsare compared, along

  1. 配备双向洗车机的咽喉区通过式洗车线设计研究%Study on Design of Pass-type Washing Line at Throat Area Equipped with Bidirectional Train-Washing Machine

    Institute of Scientific and Technical Information of China (English)

    蔡援朝

    2012-01-01

    Equipped with washing line and train-washing machine in metro depot, the train-washing operation is one of the most frequent technical operations in metro depot. However, different kinds of washing line type and train-washing operation mode may influence directly the efficiency of train-washing operation. Firstly this paper introduces the typical arrangement types of washing line and the train-washing operation modes, and then this paper put forward a kind of pass-type washing line at throat area equipped with bidirectional train-washing machine, with which not only the length of throat area can be reduced, the efficiency of train-washing operation can be increased, but also the flexibility of train-washing operation can be improved.%地铁车辆基地内配置有洗车线和洗车机设备,洗车作业是地铁车辆基地内最为频繁的工艺工作之一.不同的洗车线布置形式和洗车作业模式,对洗车作业的效率有着直接的影响.首先介绍典型的洗车线布置形式和洗车作业模式,然后提出一种配备双向洗车机的咽喉区通过式洗车线,其缩短了咽喉区长度,提高了洗车作业的效率,也增强了洗车作业的灵活性.

  2. Classification of hand eczema

    DEFF Research Database (Denmark)

    Agner, T; Aalto-Korte, K; Andersen, K E;

    2015-01-01

    BACKGROUND: Classification of hand eczema (HE) is mandatory in epidemiological and clinical studies, and also important in clinical work. OBJECTIVES: The aim was to test a recently proposed classification system of HE in clinical practice in a prospective multicentre study. METHODS: Patients were...... HE, protein contact dermatitis/contact urticaria, hyperkeratotic endogenous eczema and vesicular endogenous eczema, respectively. An additional diagnosis was given if symptoms indicated that factors additional to the main diagnosis were of importance for the disease. RESULTS: Four hundred and twenty......%) could not be classified. 38% had one additional diagnosis and 26% had two or more additional diagnoses. Eczema on feet was found in 30% of the patients, statistically significantly more frequently associated with hyperkeratotic and vesicular endogenous eczema. CONCLUSION: We find that the classification...

  3. Hand Hygiene Saves Lives

    Medline Plus

    Full Text Available ... Prevention: Summary for General Public in Puerto Rico (2:22) Zika Virus Prevention for Puerto Rico (:30) ... 4:30) Salt Matters: Preserving Choice, Protecting Health (2:00) Tricky Treats Hygiene Fight Germs. Wash Your ...

  4. [Costs of hand emergencies].

    Science.gov (United States)

    Raimbeau, G

    2003-10-01

    In France at the present time, there is no comprehensive registry of hand injuries. Three types of occurrences; motor vehicle accidents, work accidents, and accidents incident to activities of daily living, are covered by different types of insurance. It is the individual insurance companies, payers of the indemnification, who maintain registries of these accidents. Statistics on work accidents are very detailed and consistent, but they are oriented toward risk management. The aggregate cost of traumatic injuries to the hand is not known. Only large financial institutions are equipped to determine appropriate preventive measures and to establish premium rates based on loss experience. In 2001, hand injuries accounted for 27% of work accidents causing loss of work of at least 1 day. About 29.8% of these work accidents caused permanent partial impairment. About 17.7% of total days lost and 18.2% of the total costs of permanent impairment were due to hand injuries. In the system of compensation for work accidents, there is a major difference in the cost according to the severity of the impairment. If the permanent impairment is equal to or less than 9%, a lump sum payment is made, but if the permanent impairment is over 9%, the worker receives regular payments for the rest of his life. In 2000, the average cost of a work injury with partial permanent impairment of over 9% was [symbol: see text] 85,405, while the average cost of a lump sum settlement was only [symbol: see text] 1479, a ratio of 57 to 1. The compensation costs represent 80% of the cost of work accidents, while the cost of treatment, including all providers and institutions, makes up only 20% of the cost. Compensation for sequelae of accidents in the course of daily life is new for the insurance companies, although these accidents are frequent and often cause significant repercussions in the professional lives of victims because of the loss of hand function. Provision of optimal treatment for these

  5. Standard of Electrical Washing Machine for Household and Similar Purposes

    Institute of Scientific and Technical Information of China (English)

    Lu Jianguo

    2011-01-01

    Background With further improvement of people's living,the household washing machine industry has entered a new stage of development.However,some indicators of GB/T 4288-2003 have become no longer suitable for the development of household washing machine products at present.Particularly,with an increasing number of basic functions and auxiliary functions,many aspects are not covered by the existing standard.In order to further improve the overall quality of China's household washing machines and enhance their competitiveness in the international market,guide manufacturers to produce household washing machines in line with the demands of consumers and instruct consumers to properly purchase and use household washing machines,it is imperative to revise the GB/T 4288-2003 Household Electric Washing Machine.

  6. Coal washing scenario in India and future prospects

    Institute of Scientific and Technical Information of China (English)

    R.Venugopal; J.P.Patel; C.Bhar

    2016-01-01

    Coal Washing Exploration in India dates back to 1900s;though,first coking coal washeries in India were installed after independence.At present,most of the coking coal washeries are owned by Public Sector Companies;whereas,most of the non-coking coal washeries are owned by Private Sector.Even after six decades of coal washing practices,there has not been significant development in the coal washing intelligentsia.Indian Coal Washing industry is still dependent on imported equipment,which has been designed to treat coal that is significantly different from Indian coal of drift origin.In this paper,authors have ventured into evolution of Indian Coal Washing Industry (with a focus on coking coal washing sector),its present condition and future prospect for growth.The paper emphasizes need for developing indigenous solutions to industrial challenges and highlights importance of increased coordination among academia-research institutions and coal industry.

  7. Frequently Asked Questions about Bunion Surgery

    Science.gov (United States)

    ... A | Print | Share Frequently Asked Questions About Bunion Surgery Here are some frequently asked questions (FAQs) and ... best for you. 5. How can I avoid surgery? Sometimes observation of the bunion is all that ...

  8. 中药熏洗治疗肘部骨折术后关节僵直%The Smoke-washing therapy with traditional Chinese medicine to postoperative ankylosis of fracture of elbow

    Institute of Scientific and Technical Information of China (English)

    李福春; 刘景娟; 张元智; 郭连奎

    2002-01-01

    @@ Background: Postoperative ankylosis of fracture of elbow, frequent in clinical, can seriously influence patient daily activities. The effect of Smoke-washing therapy using the traditional Chinese medicine to postoperative ankylosis of fracture of elbow is satisfied.

  9. Comparative antibacterial effectiveness of alcohol and herbal based commercially available hand antiseptics

    Directory of Open Access Journals (Sweden)

    K Vipin Jain

    2013-01-01

    Full Text Available Background: Human skin is a reservoir of numerous microorganisms. Even though hand washing with soap and water alone reduces the microbial load, the complementary uses of hand antiseptics enhance the antimicrobial effect. Aim: To compare the antimicrobial effectiveness of two commercially available hand antiseptics, routinely used in dental practice, after hand washing with antiseptic soap. Method: A clinical trial with cross over design was carried out on 12 health care workers (HCWs. The antibacterial effectiveness of two hand antiseptics (Alcohol based -Sterillium and Herbal Based-Himalaya′s ′Pure Hands′ compared using fingerprint contact sampling on blood agar. Bacterial samples were obtained before and after hand washing (with antiseptic soap and after hand disinfection. The data was tabulated and analyzed using one way ANOVA and Tukey′s post hoc test for pair-wise comparison. Result: There was a slight decrease in the Colony forming units (CFUs count following use of antiseptic soap when compared to the baseline values. A statistically significant reduction (p<0.000 in the CFUs count was seen following use of both hand antiseptics but the mean number of CFUs reduction was more in case of alcohol based hand antiseptic(sterillium than herbal based hand antiseptic(Himalaya′s ′PureHands". Conclusion: Using alcohol based antiseptic soap before hygienic hand disinfection will provide maximum benefit in reducing the microbial count.

  10. Efficacy of skin wash on dermal absorption: an in vitro study on four model compounds of varying solubility

    DEFF Research Database (Denmark)

    Nielsen, Jesper Bo

    2010-01-01

    that percutaneous penetration continues after end of exposure due to the reservoir present in the skin. However, penetration rate will decrease significantly, and it is evident that simple hand-wash after end of exposure not only reduces the amount of residue present in the upper skin compartment but also......PURPOSE: Following dermal exposure to chemicals causing systemic toxicity, the general advice to avoid further systemic exposure is to wash the skin. The present study uses four model compounds (benzoic acid, glyphosat, caffeine, malathion) with varying size and solubility to substantiate...... this advice and quantify the effect of skin wash following 6 h dermal exposure on subsequent extent of skin penetration and deposition within the skin compartment. METHOD: Percutaneous penetration through human skin is studied in an in vitro model with static diffusion cells. RESULTS: The study demonstrates...

  11. Fabric focus: advice on refreshing garments without washing them

    OpenAIRE

    Whitson-Smith, Jade; Love Your Clothes

    2016-01-01

    Washing your clothes is important – we all recognise that.\\ud \\ud But sometimes it's not always necessary, costing you money and over washing can damage your clothes.\\ud \\ud We've come up with some brilliant tips to keep your clothes fresh and out of the laundry, from freezing (yes, freezing!) items to kill off bacteria to making your own fabric deodoriser using vodka.\\ud \\ud Tap into our wash-free hacks by watching the video.

  12. Durable titania films for solar treatment of biomethanated spent wash

    Science.gov (United States)

    Akbarzadeh, Rokhsareh; S. Ghole, Vikram; Javadpour, Sirus

    2016-10-01

    The use of TiO2 films for treatment of biomethanated spent wash is reported. The films of TiO2 were formed and photocatalytic performance of the prepared films in degradation of methylene blue and biomethanated spent wash were studied. Photocatalytic use of these films was found to be effective for degradation of biomethanated spent wash. The photocatalyst was used up for 20 cycles without significant reduction in activities showing long life of the catalyst.

  13. Management of Hand Burns

    Directory of Open Access Journals (Sweden)

    Fatih Irmak

    2017-09-01

    Full Text Available Objective: The hand is one of the most frequently affected body parts by burn injuries with a rate of 80% among all burn wounds. Early and effective treatment ensures the best chance of survival as well as a good functional prognosis. The aim of this study was to determine the epidemiology, variation, relationship between etiology and hospital stay, clinical features, and management of hand burns. Material and Methods: This retrospective study was conducted the University of Health Sciences; Şişli Hamidiye Etfal Application and Research Center, Departmant of Plastic, Reconstructive and Aesthetic Surgery and the Intensive Burn Care Unit between April 2009 and April 2014. Burns were assessed based on etiology, anatomical location, percentage of total body surface area affected, and depth of injury. Treatment was categorized as conservative, elective operative, or urgent operative. Results: In the study period, 788 patients were admitted to our Burn Unit. Of these, 240 were females (30.5% and 548 were males (69.5%. The most common type of burn injury in this study was thermal injury (695 cases; 88.2%, followed by electrical injury (67 cases; 8.5%, and chemical, frictional or unknown injuries (26 cases; 3.3%. Majority (more than 85% of the patients had second-degree burns, and some had third-degree burns. Conclusions: Burns commonly affect the hands, and many functional problems may develop if appropriate basic treatments are neglected. The best treatment for burns is prevention. Appropriate indoor arrangement and simple but effective measures that can be taken at home can significantly reduce burn trauma exposure.

  14. EFRT M-12 Issue Resolution: Solids Washing

    Energy Technology Data Exchange (ETDEWEB)

    Baldwin, David L.; Schonewill, Philip P.; Toth, James J.; Huckaby, James L.; Eslinger, Paul W.; Hanson, Brady D.; Kurath, Dean E.; Minette, Michael J.

    2010-01-01

    Pacific Northwest National Laboratory (PNNL) was tasked by Bechtel National Inc. (BNI) on the River Protection Project-Hanford Tank Waste Treatment and Immobilization Plant (RPP-WTP) project to perform research and development activities to resolve technical issues identified for the Pretreatment Facility (PTF). The Pretreatment Engineering Platform (PEP) was designed, constructed, and operated as part of a plan to respond to issue M12, “Undemonstrated Leaching Processes” of the External Flowsheet Review Team (EFRT) issue response plan.( ) The PEP is a 1/4.5-scale test platform designed to simulate the WTP pretreatment caustic leaching, oxidative leaching, ultrafiltration solids concentration, and slurry washing processes. The PEP replicates the WTP leaching processes using prototypic equipment and control strategies. The PEP also includes non-prototypic ancillary equipment to support the core processing.

  15. Effectiveness of alcohol-based hand rubs for removal of Clostridium difficile spores from hands.

    Science.gov (United States)

    Jabbar, Umair; Leischner, Julie; Kasper, Douglas; Gerber, Robert; Sambol, Susan P; Parada, Jorge P; Johnson, Stuart; Gerding, Dale N

    2010-06-01

    Alcohol-based hand rubs (ABHRs) are an effective means of decreasing the transmission of bacterial pathogens. Alcohol is not effective against Clostridium difficile spores. We examined the retention of C. difficile spores on the hands of volunteers after ABHR use and the subsequent transfer of these spores through physical contact. Nontoxigenic C. difficile spores were spread on the bare palms of 10 volunteers. Use of 3 ABHRs and chlorhexidine soap-and-water washing were compared with plain water rubbing alone for removal of C. difficile spores. Palmar cultures were performed before and after hand decontamination by means of a plate stamping method. Transferability of C. difficile after application of ABHR was tested by having each volunteer shake hands with an uninoculated volunteer. Plain water rubbing reduced palmar culture counts by a mean (+/- standard deviation [SD]) of 1.57 +/- 0.11 log10 colony-forming units (CFU) per cm2, and this value was set as the zero point for the other products. Compared with water washing, chlorhexidine soap washing reduced spore counts by a mean (+/- SD) of 0.89 +/- 0.34 log10 CFU per cm2; among the ABHRs, Isagel accounted for a reduction of 0.11 +/- 0.20 log10 CFU per cm2 (P = .005), Endure for a reduction of 0.37 +/- 0.42 log10 CFU per cm2 (P = .010), and Purell for a reduction of 0.14 +/- 0.33 log10 CFU per cm2 (P = .005). There were no statistically significant differences between the reductions achieved by the ABHRs; only Endure had a reduction statistically different from that for water control rubbing (P = .040). After ABHR use, handshaking transferred a mean of 30% of the residual C. difficile spores to the hands of recipients. Hand washing with soap and water is significantly more effective at removing C. difficile spores from the hands of volunteers than are ABHRs. Residual spores are readily transferred by a handshake after use of ABHR.

  16. The Rubber Hand Illusion: feeling of ownership and proprioceptive drift do not go hand in hand.

    Science.gov (United States)

    Rohde, Marieke; Di Luca, Massimiliano; Ernst, Marc O

    2011-01-01

    In the Rubber Hand Illusion, the feeling of ownership of a rubber hand displaced from a participant's real occluded hand is evoked by synchronously stroking both hands with paintbrushes. A change of perceived finger location towards the rubber hand (proprioceptive drift) has been reported to correlate with this illusion. To measure the time course of proprioceptive drift during the Rubber Hand Illusion, we regularly interrupted stroking (performed by robot arms) to measure perceived finger location. Measurements were made by projecting a probe dot into the field of view (using a semi-transparent mirror) and asking participants if the dot is to the left or to the right of their invisible hand (Experiment 1) or to adjust the position of the dot to that of their invisible hand (Experiment 2). We varied both the measurement frequency (every 10 s, 40 s, 120 s) and the mode of stroking (synchronous, asynchronous, just vision). Surprisingly, with frequent measurements, proprioceptive drift occurs not only in the synchronous stroking condition but also in the two control conditions (asynchronous stroking, just vision). Proprioceptive drift in the synchronous stroking condition is never higher than in the just vision condition. Only continuous exposure to asynchronous stroking prevents proprioceptive drift and thus replicates the differences in drift reported in the literature. By contrast, complementary subjective ratings (questionnaire) show that the feeling of ownership requires synchronous stroking and is not present in the asynchronous stroking condition. Thus, subjective ratings and drift are dissociated. We conclude that different mechanisms of multisensory integration are responsible for proprioceptive drift and the feeling of ownership. Proprioceptive drift relies on visuoproprioceptive integration alone, a process that is inhibited by asynchronous stroking, the most common control condition in Rubber Hand Illusion experiments. This dissociation implies that

  17. The Rubber Hand Illusion: feeling of ownership and proprioceptive drift do not go hand in hand.

    Directory of Open Access Journals (Sweden)

    Marieke Rohde

    Full Text Available In the Rubber Hand Illusion, the feeling of ownership of a rubber hand displaced from a participant's real occluded hand is evoked by synchronously stroking both hands with paintbrushes. A change of perceived finger location towards the rubber hand (proprioceptive drift has been reported to correlate with this illusion. To measure the time course of proprioceptive drift during the Rubber Hand Illusion, we regularly interrupted stroking (performed by robot arms to measure perceived finger location. Measurements were made by projecting a probe dot into the field of view (using a semi-transparent mirror and asking participants if the dot is to the left or to the right of their invisible hand (Experiment 1 or to adjust the position of the dot to that of their invisible hand (Experiment 2. We varied both the measurement frequency (every 10 s, 40 s, 120 s and the mode of stroking (synchronous, asynchronous, just vision. Surprisingly, with frequent measurements, proprioceptive drift occurs not only in the synchronous stroking condition but also in the two control conditions (asynchronous stroking, just vision. Proprioceptive drift in the synchronous stroking condition is never higher than in the just vision condition. Only continuous exposure to asynchronous stroking prevents proprioceptive drift and thus replicates the differences in drift reported in the literature. By contrast, complementary subjective ratings (questionnaire show that the feeling of ownership requires synchronous stroking and is not present in the asynchronous stroking condition. Thus, subjective ratings and drift are dissociated. We conclude that different mechanisms of multisensory integration are responsible for proprioceptive drift and the feeling of ownership. Proprioceptive drift relies on visuoproprioceptive integration alone, a process that is inhibited by asynchronous stroking, the most common control condition in Rubber Hand Illusion experiments. This dissociation implies

  18. Outbreaks where food workers have been implicated in the spread of foodborne disease. Part 10. Alcohol-based antiseptics for hand disinfection and a comparison of their effectiveness with soaps

    National Research Council Canada - National Science Library

    Todd, Ewen C D; Michaels, Barry S; Holah, John; Smith, Debra; Greig, Judy D; Bartleson, Charles A

    2010-01-01

    Alcohol compounds are increasingly used as a substitute for hand washing in health care environments and some public places because these compounds are easy to use and do not require water or hand drying materials...

  19. 一种自制速干手消毒剂的临床研究%A clinical study of a self-made quick-drying hand disinfectant

    Institute of Scientific and Technical Information of China (English)

    吴淑梅; 陈小勇; 王晓波; 陈庭明; 钱敏; 吴清

    2011-01-01

    Objective To explore the clinical trial effect of glycerin ethanol hand washing-free disinfectant and provide a basis for product promotion. Methods Ordinary soap and three kinds of quick-dry hand disinfectant(glycerin ethanol hand washing-free disinfectant,3MTM Avagard hand washing-free disinfectant and Xidebao hand disinfection gel) were adopted by clinical medical staff to conduct hand disinfection. Effects of the 4 kinds of methods were compared. Results Compared with the bacteria colonies amount before and after hand washing among ordinary soap and 3 kinds of quick-dry hand disinfectant,difference were statistically signifi-cant(P0.05).结论 甘油乙醇免洗手消毒剂杀菌效果好,价格低廉,有润肤作用,是一种值得推广的速干手消毒剂.

  20. Chemical changes in silver carp (Hypophthalmichthys molitrix) minced muscle during frozen storage: Effect of a previous washing process

    Energy Technology Data Exchange (ETDEWEB)

    Asgharzadeh, A.; Shabanpour, B.; Aubourg, S. P.; Hosseini, H.

    2010-07-01

    previous washing process Silver carp (Hypophthalmichthys molitrix) has acquired great attention because of its increasing farming production and application in the surimi-product commercialization. This work focuses on the effect of a washing process followed by frozen storage (6 months; -18 degree centigrade) on the quality of minced silver carp muscle. A previous washing step has led to a positive effect on fish quality according to marked content decreases in expressible moisture, volatile amines, free fatty acids and thiobarbituric acid reactive substances; such quality performances were maintained throughout the frozen storage. On the other hand, most indexes tested showed quality losses throughout the frozen storage in both washed and unwashed fish material; however, water holding capacity (WHC) remained unchanged in washed fish throughout the frozen storage. Among quality indexes, a special attention should be given to the expressible moisture value and accordingly the WHC, as being closely related to the gel forming ability in order to obtain surimi-type commercial products. (Author) 46 refs.

  1. Continued transmission of Pseudomonas aeruginosa from a wash hand basin tap in a critical care unit.

    Science.gov (United States)

    Garvey, M I; Bradley, C W; Tracey, J; Oppenheim, B

    2016-09-01

    Pseudomonas aeruginosa is an important nosocomial pathogen, colonizing hospital water supplies including taps and sinks. We report a cluster of P. aeruginosa acquisitions during a period of five months from tap water to patients occupying the same burns single room in a critical care unit. Pseudomonas aeruginosa cultured from clinical isolates from four different patients was indistinguishable from water strains by pulsed-field gel electrophoresis. Water outlets in critical care may be a source of P. aeruginosa despite following the national guidance, and updated guidance and improved control measures are needed to reduce the risks of transmission to patients.

  2. Hand Washing Program: Challenges and Perspectives Programa de lavado de manos: retos y perspectivas

    Directory of Open Access Journals (Sweden)

    Annia Cecilia Bernal Consuegra

    2011-03-01

    Full Text Available

    El paradigma de la calidad de la atención, surge con mayor fuerza y urgencia que nunca antes. La seguridad del paciente implica la evaluación permanente y proactiva de los riesgos asociados a la atención en salud para diseñar e implantar de manera constante las barreras de seguridad necesarias.

    La implementación de los programas de seguridad del paciente en el Centro Especializado Ambulatorio "Héroes de Playa Girón" de Cienfuegos es una iniciativa institucional que busca responder a los nuevos retos de la atención de la salud, para el Mejoramiento Continuo de la Calidad.

  3. Hand washing soap as a source of neonatal Serratia marcescens outbreak.

    Science.gov (United States)

    Rabier, V; Bataillon, S; Jolivet-Gougeon, A; Chapplain, J-M; Beuchée, A; Bétrémieux, P

    2008-10-01

    To describe an outbreak of Serratia marcescens infections in a neonatal intensive care unit (NICU) and to report investigations and interventions having led to the cessation of the outbreak. Observational study of microbiological and epidemiological investigations realised during a S. marcescens outbreak between March and October 2006. Nine cases were observed in a 5 months period. A Serratia outbreak was therefore identified, and all the strains were compared by pulsed-field gel electrophoresis (PFGE). Data from medical notes were gathered retrospectively. Environmental samples were gathered prospectively. Four infants were colonized and five infants were infected by S. marcescens. PFGE revealed that three different strains were present. Seven of the nine babies were infected by only one of these strains. This same strain was found in a nonantimicrobial soap bottle (NAS) that could be the source of contamination. It is the first time that S. marcescens is found in a NAS during a neonatal nosocomial outbreak. Molecular analysis is a method of choice to compare different strains. Identification and elimination of the nosocomial source and adherence to the infection control policies are essential to succeed in the containment of a nosocomial epidemic.

  4. Wash Your Hands If You Pet That Bunny (A Minute of Health with CDC)

    Centers for Disease Control (CDC) Podcasts

    2007-07-06

    Certain venues, such as state fairs, petting zoos, and pet stores, allow public contact with animals, resulting in potential exposure to infectious diseases, rabies, and injuries. This report presents recommendations to public health officials, animal handlers, and visitors to such venues on minimizing these risks.  Created: 7/6/2007 by MMWR.   Date Released: 7/6/2007.

  5. Wash Your Hands If You Pet That Bunny (A Cup of Health with CDC)

    Centers for Disease Control (CDC) Podcasts

    2007-07-06

    Certain venues, such as state fairs, petting zoos, and pet stores, allow public contact with animals, resulting in potential exposure to infectious diseases, rabies, and injuries. This report presents recommendations to public health officials, animal handlers, and visitors to such venues on minimizing these risks.  Created: 7/6/2007 by MMWR.   Date Released: 7/6/2007.

  6. Efficiency of the surgical washing of hands with brush and without brush

    OpenAIRE

    Fresia Canales Carmona; María de los Ángeles Salazar Campos

    2013-01-01

    El objetivo de este artículo es evidenciar la respuesta a una pregunta clínica establecida respecto de la efectividad del lavado de manos prequirúrgico con cepillo y sin cepillo. Esta técnica, disposición obligada y habitual previa a cualquier procedimiento de cirugía, se ha llevado a cabo para disminuir las bacterias transitorias en la piel e inhibir el crecimiento de los microorganismos. Pese a esta medida y de otras como el tratamiento profiláctico con antibióticos, la complicación princip...

  7. Hand-washing reduces diarrhoea episodes: a study in Lombok, Indonesia.

    Science.gov (United States)

    Wilson, J M; Chandler, G N; Muslihatun; Jamiluddin

    1991-01-01

    Sixty-five mothers from Balai Lua, Central Lombok, Indonesia were given soap and an explanation of the faecal-oral route of diarrhoea transmission. This very simple health message was repeated and reinforced fortnightly when mothers were also asked whether any members of their family had suffered from diarrhoea over the previous 2 weeks. Children of these mothers experienced an 89% reduction in diarrhoea episodes compared to a control period before the intervention.

  8. Maximal Frequent Itemset Generation Using Segmentation Apporach

    Directory of Open Access Journals (Sweden)

    M.Rajalakshmi

    2011-09-01

    Full Text Available Finding frequent itemsets in a data source is a fundamental operation behind Association Rule Mining.Generally, many algorithms use either the bottom-up or top-down approaches for finding these frequentitemsets. When the length of frequent itemsets to be found is large, the traditional algorithms find all thefrequent itemsets from 1-length to n-length, which is a difficult process. This problem can be solved bymining only the Maximal Frequent Itemsets (MFS. Maximal Frequent Itemsets are frequent itemsets whichhave no proper frequent superset. Thus, the generation of only maximal frequent itemsets reduces thenumber of itemsets and also time needed for the generation of all frequent itemsets as each maximal itemsetof length m implies the presence of 2m-2 frequent itemsets. Furthermore, mining only maximal frequentitemset is sufficient in many data mining applications like minimal key discovery and theory extraction. Inthis paper, we suggest a novel method for finding the maximal frequent itemset from huge data sourcesusing the concept of segmentation of data source and prioritization of segments. Empirical evaluationshows that this method outperforms various other known methods.

  9. A randomized trial of washed red blood cell and platelet transfusions in adult acute leukemia [ISRCTN76536440

    Directory of Open Access Journals (Sweden)

    Rowe Jacob M

    2004-12-01

    Full Text Available Abstract Background Platelet transfusion is universally employed in acute leukemia. Platelet concentrate supernatants contain high concentrations of biologic mediators that might impair immunity. We investigated whether washed platelet and red cell transfusions could improve clinical outcomes in adult patients with acute leukemia. Methods A pilot randomized trial of washed, leukoreduced ABO identical transfusions versus leukoreduced ABO identical transfusions was conducted in 43 adult patients with acute myeloid or lymphoid leukemia during 1991–94. Primary endpoints to be evaluated were platelet transfusion refractoriness, infectious and bleeding complications and overall survival. Results There were no significant differences in infectious or major bleeding complications and only one patient required HLA matched platelet transfusions. Minor bleeding was more frequent in the washed, leukoreduced arm of the study. Confirmed transfusion reactions were more frequent in the leukoreduced arm of the study. Overall survival was superior in the washed arm of the study (40% versus 22% at 5 years, but this difference was not statistically significant (p = 0.36. A planned subset analysis of those ≤50 years of age found that those in the washed, leukoreduced arm (n = 12 had a 75% survival at five years compared with 30% in the leukoreduced arm (n = 10 (p = 0.037 Conclusion This study provides the first evidence concerning the safety and efficacy of washed platelets, and also raises the possibility of improved survival. We speculate that transfusion of stored red cell and platelet supernatant may compromise treatment, particularly in younger patients with curable disease. Larger trials will be needed to assess this hypothesis.

  10. Hand Hygiene Saves Lives

    Medline Plus

    Full Text Available ... children, parents, and public health professionals. More > Hand Hygiene Saves Lives (5:10) Recommend on Facebook Tweet Share Compartir Hand Hygiene Saves Lives Hand Hygiene Saves Lives Transcript [28 KB, 2 pages] High ...

  11. Hand Hygiene Saves Lives

    Medline Plus

    Full Text Available ... including, children, parents, and public health professionals. More > Hand Hygiene Saves Lives (5:10) Recommend on Facebook Tweet Share Compartir Hand Hygiene Saves Lives Hand Hygiene Saves Lives Transcript [28 KB, 2 pages] High ...

  12. Hand Hygiene Saves Lives

    Science.gov (United States)

    ... including, children, parents, and public health professionals. More > Hand Hygiene Saves Lives (5:10) Recommend on Facebook Tweet Share Compartir Hand Hygiene Saves Lives Hand Hygiene Saves Lives Transcript [28 KB, 2 pages] High ...

  13. Guideline Implementation: Hand Hygiene.

    Science.gov (United States)

    Goldberg, Judith L

    2017-02-01

    Performing proper hand hygiene and surgical hand antisepsis is essential to reducing the rates of health care-associated infections, including surgical site infections. The updated AORN "Guideline for hand hygiene" provides guidance on hand hygiene and surgical hand antisepsis, the wearing of fingernail polish and artificial nails, proper skin care to prevent dermatitis, the wearing of jewelry, hand hygiene product selection, and quality assurance and performance improvement considerations. This article focuses on key points of the guideline to help perioperative personnel make informed decisions about hand hygiene and surgical hand antisepsis. The key points address the necessity of keeping fingernails and skin healthy, not wearing jewelry on the hands or wrists in the perioperative area, properly performing hand hygiene and surgical hand antisepsis, and involving patients and visitors in hand hygiene initiatives. Perioperative RNs should review the complete guideline for additional information and for guidance when writing and updating policies and procedures.

  14. Effectiveness of liquid soap vs. chlorhexidine gluconate for the removal of Clostridium difficile from bare hands and gloved hands.

    Science.gov (United States)

    Bettin, K; Clabots, C; Mathie, P; Willard, K; Gerding, D N

    1994-11-01

    To compare liquid soap versus 4% chlorhexidine gluconate in 4% alcohol for the decontamination of bare or gloved hands inoculated with an epidemic strain of Clostridium difficile. C difficile (6.7 log10 colony-forming units [CFU], 47% spores), was seeded onto bare or latex gloved hands of ten volunteers and allowed to dry. Half the volunteers initially washed with soap and half with chlorhexidine, followed by the other agent 1 week later. Cultures were done with Rodac plates at three sites on the hand: finger/thumbtips, the palmar surfaces of the fingers, and the palm. Statistical comparison was by paired Student's t test. On bare hands, soap and chlorhexidine did not differ in residual bacterial counts on the finger/thumbtips (log10 CFU, 2.0 and 2.1, P = NS) and fingers (log10 CFU, 2.4 and 2.5, P = NS). Counts were too high on bare palms to quantitate. On gloved hands, soap was more effective than chlorhexidine on fingers (log10 CFU 1.3 and 1.7, P soap wash than following chlorhexidine wash. These observations support the use of either soap or chlorhexidine as a handwash for removal of C difficile, but efficacy in the prevention of C difficile transmission must be determined by prospective clinical trials.

  15. Case series on tropical diabetic hand syndrome.

    Science.gov (United States)

    Ezeani, I U; Edo, A E

    2014-01-01

    Tropical diabetic hand syndrome is a term used to describe diabetes complication of the hand affecting people in the tropics. It consists of localized cellulitis with variable swelling and ulceration of the hands, progressive, fulminant hand sepsis and gangrene in extreme cases. This syndrome is not well-recognized and is therefore less frequently reported. The authors describe three different female patients who were known diabetics of varying duration presenting with this syndrome at our tertiary health center and who were successfully managed by both the surgical and medical units. The need for early diagnosis and aggressive management is emphasized.

  16. Road dust emission sources and assessment of street washing effect

    NARCIS (Netherlands)

    Karanasiou, A.; Amato, F.; Moreno, T.; Lumbreras, J.; Borge, R.; Linares, C.; Boldo, E.; Alastuey, A.; Querol, X.

    2014-01-01

    Although previous studies report on the effect of street washing on ambient particulate matter levels, there is a lack of studies investigating the results of street washing on the emission strength of road dust. A sampling campaign was conducted in Madrid urban area during July 2009 where road dust

  17. 7 CFR 2902.51 - Parts wash solutions.

    Science.gov (United States)

    2010-01-01

    ... 7 Agriculture 15 2010-01-01 2010-01-01 false Parts wash solutions. 2902.51 Section 2902.51... Items § 2902.51 Parts wash solutions. (a) Definition. Products that are designed to clean parts in manual or automatic cleaning systems. Such systems include, but are not limited to, soak vats and tanks...

  18. Ability of Hand Hygiene Interventions Using Alcohol-Based Hand Sanitizers and Soap To Reduce Microbial Load on Farmworker Hands Soiled during Harvest.

    Science.gov (United States)

    de Aceituno, Anna Fabiszewski; Bartz, Faith E; Hodge, Domonique Watson; Shumaker, David J; Grubb, James E; Arbogast, James W; Dávila-Aviña, Jorgé; Venegas, Fabiola; Heredia, Norma; García, Santos; Leon, Juan S

    2015-11-01

    Effective hand hygiene is essential to prevent the spread of pathogens on produce farms and reduce foodborne illness. The U.S. Food and Drug Administration Food Safety Modernization Act Proposed Rule for Produce Safety recommends the use of soap and running water for hand hygiene of produce handlers. The use of alcohol-based hand sanitizer (ABHS) may be an effective alternative hygiene intervention where access to water is limited. There are no published data on the efficacy of either soap or ABHS-based interventions to reduce microbial contamination in agricultural settings. The goal of this study was to assess the ability of two soap-based (traditional or pumice) and two ABHS-based (label-use or two-step) hygiene interventions to reduce microbes (coliforms, Escherichia coli, and Enterococcus spp.) and soil (absorbance of hand rinsate at 600 nm [A600]) on farmworker hands after harvesting produce, compared with the results for a no-hand-hygiene control. With no hand hygiene, farmworker hands were soiled (median A600, 0.48) and had high concentrations of coliforms (geometric mean, 3.4 log CFU per hand) and Enterococcus spp. (geometric mean, 5.3 log CFU per hand) after 1 to 2 h of harvesting tomatoes. Differences in microbial loads in comparison to the loads in the control group varied by indicator organism and hygiene intervention (0 to 2.3 log CFU per hand). All interventions yielded lower concentrations of Enterococcus spp. and E. coli (P soap and label-use ABHS interventions (P hands (P soap-based interventions more so than ABHS-based interventions (P hand washing with soap at reducing indicator organisms on farmworker hands. Based on these results, ABHS is an efficacious hand hygiene solution for produce handlers, even on soiled hands.

  19. Assessing the impact of the regular use (4 weeks of an alcohol-based hand sanitizer on TEWL and epidermal hydration

    Directory of Open Access Journals (Sweden)

    Henrique Silva

    2015-12-01

    Full Text Available The Stratum corneum is a principal protector against physical, chemical, biological aggression and water loss in human skin. The repeated use of alcohol-based hand sanitizers might result in dryness and aggression. This study aims to evaluate the impact of a four week-long regular use of an alcohol-based gel hand sanitizer on skin hydration on the epidermal ‘barrier’ function using a kinetic model to quantify TEWL desorption curves following a POST test. A group of 13 female (19.7 ± 1.0 years old washed one of their hands for 29 consecutive days with a commercially available ethanol-based gel sanitizer. TEWL, superficial hydration (SH and deep hydration (DH were measured on days 1, 8, 15, 22 and 29, while a continuous TEWL recording following a 24 hour POST was made on days 1, 15 and 29 on a second skin area. No differences were found for the control hand throughout the study. For the test hand an increase of TEWL was found between days 1 and 8, as well as an increase of SH and DH between days 1 and 22. No significant differences were found for the kinetic parameters. These results suggest that the frequent use of the sanitizer gel might alter the skin barrier function.

  20. Gas turbine cleaning upgrade (compressor wash)

    Energy Technology Data Exchange (ETDEWEB)

    Asplund, P. [Gas Turbine Efficiency, Jarfalla (Sweden)

    1998-12-31

    The influence of gas turbine degradation on operating costs is high. Gas turbine cleaning is one of many actions taken for power recovery and is to consider as preventive maintenance. It is generally performed within the industrial field and occasionally within the aero sector. In order to meet the gas turbine development win high blade loads and ever-increasing temperatures, together with emission Aces and environmental regulations, more efficient and careful cleaning methods are needed. Following a survey about potentials for cost reduction in gas turbine operation a new man-hour and water saving cleaning method has been evaluated for a standard process. Compared with traditional cleaning methods, the new method is water,- cost,- weight and space saving due to a new washing technique. Traditional methods are based on using different nozzles for ON and OFF-line cleaning, which rise the demand for complicated systems. In the new method the same nozzle installation, same liquid flow and pressure is used for both ON and OFF-line cleaning. This gives a cost reduction of appr. 20.000 - 30.000 USD per gas turbine depending on installation and size. Evaluation of the new method shows significantly improved ON -line cleaning performance and thus OFF -line cleaning is required only during scheduled stops. (orig.) 10 refs.

  1. A community-randomised controlled trial promoting waterless hand sanitizer and handwashing with soap, Dhaka, Bangladesh.

    Science.gov (United States)

    Luby, Stephen P; Kadir, Mohammad Abdul; Yushuf Sharker, M A; Yeasmin, Farzana; Unicomb, Leanne; Sirajul Islam, M

    2010-12-01

    To pilot two intensive hand hygiene promotion interventions, one using soap and one using a waterless hand sanitizer, in low-income housing compounds in Dhaka, Bangladesh and assess subsequent changes in handwashing behaviour and hand microbiology. Fieldworkers randomized 30 housing compounds: 10 received handwashing promotion with free soap, 10 received handwashing promotion with free waterless hand sanitizer and 10 were non-intervention controls. Fieldworkers assessed handwashing behaviour by structured observation and collected hand rinse specimens. At baseline, compound residents washed their hands with soap 26% of the time after defecation and 30% after cleaning a child's anus but soap intervention compounds were much more likely to wash their hands with soap after faecal contact (85-91%), before preparing food (26%) and before eating (26%). Compounds that received waterless hand sanitizer cleansed their hands more commonly than control compounds that used soap (10.4%vs. 2.3%), but less commonly than soap intervention compounds used soap (25%). Post-intervention hand rinse samples from soap and sanitizer compounds had lower concentrations of faecal indicator bacteria compared with baseline and control compounds. Waterless hand sanitizer was readily adopted by this low-income community and reduced hand contamination but did not improve the frequency of handwashing compared with soap. Future deployments of waterless hand sanitizers may improve hand hygiene more effectively by targeting settings where soap and water is unavailable. © 2010 Blackwell Publishing Ltd.

  2. Gram-negative bacilli as nontransient flora on the hands of hospital personnel.

    Science.gov (United States)

    Guenthner, S H; Hendley, J O; Wenzel, R P

    1987-03-01

    The possibility that gram-negative bacilli (GNB) are part of the nontransient flora on hands was examined by using a broth rinse technique to detect low titers of GNB after a hygienic hand wash with soap and water. A total of 100 nurses who had direct patient contact and 40 controls without patient contact had a similar rate of recovery of GNB (46 and 55%, respectively). GNB persisted on the hands of 10 nurses throughout five successive hand washes with soap and water. Hand cultures were obtained daily from 12 nurses before and after a work shift in a surgical intensive care unit. GNB were recovered from 57% of individuals before patient contact and from only 24% after the work shift. Nontransient GNB on the hands of hospital personnel are a potential reservoir for hospital strains, and patient contact is not an obvious source for the acquisition of nontransient GNB.

  3. Soil washing as a potential remediation technology for contaminated DOE sites

    Energy Technology Data Exchange (ETDEWEB)

    Devgun, J.S.; Beskid, N.J. [Argonne National Lab., IL (United States); Natsis, M.E. [Princeton Univ., NJ (United States); Walker, J.S. [USDOE, Washington, DC (United States)

    1993-03-01

    Frequently detected contaminants at US Department of Energy (DOE) sites include radionuclides, heavy metals, and chlorinated hydrocarbons. Remediation of these sites requires application of several technologies used in concert with each other, because no single technology is universally applicable. Special situations, such as mixed waste, generally require innovative technology development. This paper, however, focuses on contaminated soils, for which soil washing and vitrification technologies appear to have wide ranging application potential. Because the volumes of contaminated soils around the DOE complex are so large, soil washing can offer a potentially inexpensive way to effect remediation or to attain waste volume reduction. As costs for disposal of low-level and mixed wastes continue to rise, it is likely that volume-reduction techniques and in-situ containment techniques will become increasingly important. This paper reviews the status of the soil washing technology, examines the systems that are currently available, and discusses the potential application of this technology to some DOE sites, with a focus on radionuclide contamination and, primarily, uranium-contaminated soils

  4. Soil washing as a potential remediation technology for contaminated DOE sites

    Energy Technology Data Exchange (ETDEWEB)

    Devgun, J.S.; Beskid, N.J. (Argonne National Lab., IL (United States)); Natsis, M.E. (Princeton Univ., NJ (United States)); Walker, J.S. (USDOE, Washington, DC (United States))

    1993-01-01

    Frequently detected contaminants at US Department of Energy (DOE) sites include radionuclides, heavy metals, and chlorinated hydrocarbons. Remediation of these sites requires application of several technologies used in concert with each other, because no single technology is universally applicable. Special situations, such as mixed waste, generally require innovative technology development. This paper, however, focuses on contaminated soils, for which soil washing and vitrification technologies appear to have wide ranging application potential. Because the volumes of contaminated soils around the DOE complex are so large, soil washing can offer a potentially inexpensive way to effect remediation or to attain waste volume reduction. As costs for disposal of low-level and mixed wastes continue to rise, it is likely that volume-reduction techniques and in-situ containment techniques will become increasingly important. This paper reviews the status of the soil washing technology, examines the systems that are currently available, and discusses the potential application of this technology to some DOE sites, with a focus on radionuclide contamination and, primarily, uranium-contaminated soils

  5. Mining Frequent Itemsets in Correlated Uncertain Databases

    Institute of Scientific and Technical Information of China (English)

    童咏昕; 陈雷; 佘洁莹

    2015-01-01

    Recently, with the growing popularity of Internet of Things (IoT) and pervasive computing, a large amount of uncertain data, e.g., RFID data, sensor data, real-time video data, has been collected. As one of the most fundamental issues of uncertain data mining, uncertain frequent pattern mining has attracted much attention in database and data mining communities. Although there have been some solutions for uncertain frequent pattern mining, most of them assume that the data is independent, which is not true in most real-world scenarios. Therefore, current methods that are based on the independent assumption may generate inaccurate results for correlated uncertain data. In this paper, we focus on the problem of mining frequent itemsets over correlated uncertain data, where correlation can exist in any pair of uncertain data objects (transactions). We propose a novel probabilistic model, called Correlated Frequent Probability model (CFP model) to represent the probability distribution of support in a given correlated uncertain dataset. Based on the distribution of support derived from the CFP model, we observe that some probabilistic frequent itemsets are only frequent in several transactions with high positive correlation. In particular, the itemsets, which are global probabilistic frequent, have more significance in eliminating the influence of the existing noise and correlation in data. In order to reduce redundant frequent itemsets, we further propose a new type of patterns, called global probabilistic frequent itemsets, to identify itemsets that are always frequent in each group of transactions if the whole correlated uncertain database is divided into disjoint groups based on their correlation. To speed up the mining process, we also design a dynamic programming solution, as well as two pruning and bounding techniques. Extensive experiments on both real and synthetic datasets verify the effectiveness and efficiency of the proposed model and algorithms.

  6. Progressive Supranuclear Palsy (PSP): Frequently Asked Questions

    Science.gov (United States)

    ... cells. One very large family with PSP in multiple members has a variant in a gene other ... difficulty planning or executing unrehearsed movements, dementia) sensory loss “alien hand/limb” phenomenon (difficulty controlling the movements of a limb, ...

  7. Work-related hand dermatitis : epidemiological studies in occupational dermatology

    NARCIS (Netherlands)

    Smit, Henriette Anita

    1993-01-01

    Hand eczema or hand dermatitis is a well-known problem in occupations with regular exposure to water and irritating agents ("wet work"). It is experienced frequently by nurses, hairdressers, housewives, food handlers and metal workers. Although hand dermatitis is a relatively infrequent cause of

  8. Work-related hand dermatitis epiemiological studies in occupational dermatology

    NARCIS (Netherlands)

    Smit, H.A.

    1993-01-01

    Hand eczema or hand dermatitis is a well-known problem in occupations with regular exposure to water and irritating agents ("wet work"). It is experienced frequently by nurses, hairdressers, housewives, food handlers and metal workers. Although hand dermatitis is a relatively infrequent cause of

  9. 3种不同手卫生方法效果观察%A comparative study of three kinds of hands hygiene methods

    Institute of Scientific and Technical Information of China (English)

    张志萍; 陈蓉美

    2012-01-01

    目的 观察3种不同手卫生处置方法的效果,为医务人员提供便利、可靠的手卫生方法.方法 选择临床医护人员90名,随机分为3组,设肥皂洗手组30人,卫生手消毒组30人,先洗手后卫生手消毒组30人;洗手组使用肥皂,卫生手消毒组使用速干手消毒剂,先洗手后卫生手消毒组是先用肥皂再用速干手消毒剂洗手,干后立即用含相应中和剂的无菌洗脱液的无菌棉拭子采样双手标本送检,37℃培养48 h,观察3组人员手部细菌菌落数.结果 肥皂洗手、卫生手消毒、先洗手后卫生手消毒合格率分别为76.7%、93.3%、100.0%,均未检出致病菌;肥皂洗手与卫生手消毒比较、卫生手消毒与先洗手后卫生手消毒比较差异无统计学意义,肥皂洗手与先洗手后卫生手消毒比较差异有统计学意义(P<0.05).结论 3种手卫生方法均可用于临床医务人员的手部清洗除菌,先洗手后卫生手消毒效果最佳,卫生手消毒效果优于肥皂洗手.%OBJECTIVE To observe the effects of three kinds of ways to wash hands, including washing hands with soap, hands disinfection, washing hands plus hands disinfection so as to develop convenient and reliable way for medical staff to wash hands. METHODS A total of 90 clinical medical staff were selected and randomly divided into three groups with 30 persons in each: the group of washing hands with soap, group of hands disinfection using quick-drying hand disinfectants, and group of washing hands plus hands disinfection using soap plus quick-drying hand disinfectants. After all the hands were dried, the specimens sampled by sterile cotton swabs soaked in sterile eluent containing neutralizer were submitted for the culture under 37 centigrade for 48h. The bacterial colonies on the medical staff's hands of the 3 groups were observed. RESULTS The qualification rates of group of washing hands with soap, group of hands disinfection, and group of washing hands

  10. Design and optimisation of purification procedure for biodiesel washing

    Directory of Open Access Journals (Sweden)

    S.B. Glišić

    2009-09-01

    Full Text Available Almost complete methanolysis of triglycerides is usually not enough to fulfil the strict standards of biodiesel quality. A key step in this process is neutralization of alkali (catalyst followed by the washing procedure necessary for removing different impurities such as traces of catalyst and methanol and removal of soaps and glycerol from esters phase. The washing with hot water is still widely used in many industrial units for the biodiesel production. In this study, different procedures of biodiesel washing using hot water were investigated. The orto-phosphoric acid was suggested as the best compound for alkali catalyst (sodium hydroxide neutralization. The main goal of the performed analysis was to minimize the water usage in the washing-neutralization step during the biodiesel production. Such solution would make the process of biodiesel synthesis more economical taking into account the decrease of energy consumed for evaporation of water during the final product purification, as well as more acceptable procedure related to the impact on environment (minimal waste water release. Results of the performed simulation of the washing process supported by original experimental data suggested that neutralization after the optimized washing process of the methyl ester layer could be the best solution. The proposed washing procedure significantly decreases the amount of waste water giving at the same time the desired purity of final products (biodiesel and glycerol. The simulation of the process was performed using ASPEN plus software supported by ELCANTREL and UNIQUAC procedure of required properties calculation

  11. Investigation of the washing conditions of domestic types of wool

    Directory of Open Access Journals (Sweden)

    Ristić Mihailo B.

    2003-01-01

    Full Text Available The wool fibers that are obtained in the Republic of Serbs have not been systematically analyzed. Also, they are only used in domestic crafts production, not for industrial means. This study is the beginning of a project with the aim of determining how to replace a quantity of imported wool by domestic wool in the process of industrial manufacturing.The washing of two types of domestic wool was investigated, namely pramen-ka and polumerino. The parameters used to wash this wool were varied, such as materials for washing (from clean water to surfactants and additives, as well as the temperature and length of the washing process.The effects of washing the wool were tested with respect to the content of clean wool, the content of organic materials soluble in ethanol, the content of herbal components insoluble in sodium-hydroxide solutions and mineral substances represented as ash quantities. The optimal conditions for washing wool were defined, as well as recommendations for the more economic usage of materials used in washing.

  12. A Comparison of Betadine, Sterillium and Silver Nanocolloid Immediate Effect on Surgical Hand Antiseptic

    OpenAIRE

    Seyyed Mostafa Shiryazdi; Mohaddeseh Aboueian-Jahromi; Hajieih-Fatemeh Mollahoseini; Khadijeh Amrollahi; Hamid Reza paydar; Hasan Barzegar Bafrouei

    2014-01-01

    Background and Aim: To reduce surgical site infections and its complications, hand antiseptic is performed on the basis of product type either by rubbing or washing method. Silver Nanocolloid is a wide range disinfectant entered in world and also Iran markets as a surgical hand antiseptic, but any study about this subject hasn’t yet conducted. The aim of this study is comparing of Betadine, Sterillium and Silver Nanocolloid immediate effect on surgical hand antiseptic. Materials and Method...

  13. Effects of soap-water wash on human epidermal penetration.

    Science.gov (United States)

    Zhu, Hanjiang; Jung, Eui-Chang; Phuong, Christina; Hui, Xiaoying; Maibach, Howard

    2016-08-01

    Skin decontamination is a primary interventional method used to decrease dermal absorption of hazardous contaminants, including chemical warfare agents, pesticides and industrial pollutants. Soap and water wash, the most common and readily available decontamination system, may enhance percutaneous absorption through the "wash-in effect." To understand better the effect of soap-water wash on percutaneous penetration, and provide insight to improving skin decontamination methods, in vitro human epidermal penetration rates of four C(14) -labeled model chemicals (hydroquinone, clonidine, benzoic acid and paraoxon) were assayed using flow-through diffusion cells. Stratum corneum (SC) absorption rates of these chemicals at various hydration levels (0-295% of the dry SC weights) were determined and compared with the results of the epidermal penetration study to clarify the effect of SC hydration on skin permeability. Results showed accelerated penetration curves of benzoic acid and paraoxon after surface wash at 30 min postdosing. Thirty minutes after washing (60 min postdosing), penetration rates of hydroquinone and benzoic acid decreased due to reduced amounts of chemical on the skin surface and in the SC. At the end of the experiment (90 min postdosing), a soap-water wash resulted in lower hydroquinone penetration, greater paraoxon penetration and similar levels of benzoic acid and clonidine penetration compared to penetration levels in the non-wash groups. The observed wash-in effect agrees with the enhancement effect of SC hydration on the SC chemical absorption rate. These results suggest SC hydration derived from surface wash to be one cause of the wash-in effect. Further, the occurrence of a wash-in effect is dependent on chemical identity and elapsed time between exposure and onset of decontamination. By reducing chemical residue quantity on skin surface and in the SC reservoir, the soap-water wash may decrease the total quantity of chemical absorbed in the

  14. Cytology of benign multicystic peritoneal mesothelioma in peritoneal washings.

    Science.gov (United States)

    Assaly, M; Bongiovanni, M; Kumar, N; Egger, J-F; Pelte, M-F; Genevay, M; Finci, V; Tschanz, E; Pache, J-C

    2008-08-01

    To describe the cytological aspect of peritoneal washings in benign multicystic peritoneal mesothelioma (BMPM). Three peritoneal washing specimens stained by standard cytological and histological procedures and analysed by light microscopy. The specimens showed an abundance of monomorphous mesothelial cells devoid of atypia or mitoses. The mesothelial cells were calretinin positive. They also showed numerous squamous metaplastic cells arranged in flat sheets or isolated cells. The background contained some inflammatory cells. The combination of cytology of the peritoneal washing, histology (cell block and surgical specimen) and clinical history allow differentiation of BMPM from other cystic lesions (cystic lymphangioma and malignant mesothelioma).

  15. Occupational Hydrofluoric Acid Injury from Car and Truck Washing--Washington State, 2001-2013

    National Research Council Canada - National Science Library

    Reeb-Whitaker, Carolyn K; Eckert, Carly M; Anderson, Naomi J; Bonauto, David K

    2015-01-01

    .... The death of a truck wash worker from ingestion of an HF-based wash product and 48 occupational HF burn cases associated with car and truck washing in Washington State during 2001-2013 are summarized in this report...

  16. Hand hygiene prior to contact lens handling is problematical.

    Science.gov (United States)

    McMonnies, Charles W

    2012-04-01

    To establish guidelines for contact lens wearers' hand hygiene practices which achieve a balance between minimising risk of infection and reasonable expectations on the ability of patients to follow them. Evidence has been obtained from publications via PubMed, Advanced Medline Search, Cochrane Reviews, Google Scholar and using the key words hand hygiene, washing and contact lens. Guidelines for effective hand washing and the bother involved vary according to the level of hygiene required. High levels of non-compliance with hand hygiene practices, even among healthcare workers, gives an indication of how important the level of bother involved when following guidelines can be in contributing to non-compliance. Better patient education to improve hand washing techniques as well as patient attitudes toward hand hygiene are needed to reduce high non-compliance levels. Better hand hygiene techniques and higher frequency of their application give the prospect of reduced risk of infection and of any discomfort that arises from increased lens and ocular bioburden. In order that adoption rates might be maximised, the guidelines which have been distilled from this review attempt to strike a balance between technique redundancy and the associated higher levels of hygiene achieved and the possibility that the perception of too much bother involved could reduce participation rates. The guidelines have been expanded by the inclusion of suggested explanatory information in the expectation that helping patients to understand why the recommendations are made will have the effect of increasing their adoption. Copyright © 2011 British Contact Lens Association. Published by Elsevier Ltd. All rights reserved.

  17. Percutaneous penetration and pharmacodynamics: Wash-in and wash-off of sunscreen and insect repellent.

    Science.gov (United States)

    Rodriguez, Jocelyn; Maibach, Howard I

    2016-01-01

    Increased awareness of skin cancer and mosquito-transmitted diseases has increased use of insect repellents and sunscreens. The challenge in setting recommendations for use and reapplication, especially when used concomitantly, lies in finding the balance between applying a durable product effective in withstanding natural and physical factors such as water, sweat, temperature and abrasion, while limiting percutaneous absorption and decreasing risk of potential dermal and systemic toxicity. Inorganic sunscreens show no or little percutaneous absorption or toxic effects in comparison to organic sunscreens, which show varying levels of dermal penetration and cutaneous adverse effects. An alternative to N,N-diethyl-m-toluamide (DEET), the traditional gold standard compound in insect repellents, picaridin appears as efficacious, has lower risk of toxicity, and when used simultaneously with sunscreen may decrease percutaneous absorption of both compounds. Conversely, combined use of DEET and sunscreen results in significantly higher absorption of both compounds. It is important to increase consumer awareness of "washing in" of various compounds leading to increased risk of toxicity, as well as differences in reapplication need due to "washing off" caused by water, sweat and abrasion. Although much remains to be studied, to maximize efficacy and decrease toxicity, contemporary research tools, including dermatopharmokinetics, should aid these prospective advances.

  18. Evaluation of two different hand hygiene procedures during routine patient care.

    Science.gov (United States)

    Eksi, F; Mehli, M; Akgun, S; Bayram, A; Balci, I; Aydin, N

    2010-01-01

    In this study, the antimicrobial efficacy of hand washing (HW) and hand washing plus rubbing with an alcohol-based solution (HWR) on numbers of total and transient flora colonies on the hands of healthcare workers (HCWs) during routine patient care was assessed. Samples were collected, using a standard bag broth technique, from the hands of 154 HCWs, before and immediately after carrying out a hand hygiene procedure. The numbers of total and transient flora colonies per plate were counted and transient pathogens were identified. A significant statistical difference between ward speciality was detected with respect to the isolation rate of transient flora. Transient hand flora were recovered from 25.3% of HCWs before carrying out the hand hygiene procedure. With respect to the disappearance and prevention of regrowth of transient flora after hand hygiene, the HWR technique was significantly more effective than HW. In conclusion, a disinfectant should be added to the hand washing process to achieve optimum protection against nosocomial infections in routine hospital practice.

  19. Frequently Asked Questions on Potassium Iodide (KI)

    Science.gov (United States)

    ... Bioterrorism and Drug Preparedness Frequently Asked Questions on Potassium Iodide (KI) Share Tweet Linkedin Pin it More sharing ... Drug Administration (FDA) issued a final Guidance on Potassium Iodide as a Thyroid Blocking Agent in Radiation Emergencies) ( ...

  20. Frequent Pattern Mining Algorithms for Data Clustering

    DEFF Research Database (Denmark)

    Zimek, Arthur; Assent, Ira; Vreeken, Jilles

    2014-01-01

    that frequent pattern mining was at the cradle of subspace clustering—yet, it quickly developed into an independent research field. In this chapter, we discuss how frequent pattern mining algorithms have been extended and generalized towards the discovery of local clusters in high-dimensional data......Discovering clusters in subspaces, or subspace clustering and related clustering paradigms, is a research field where we find many frequent pattern mining related influences. In fact, as the first algorithms for subspace clustering were based on frequent pattern mining algorithms, it is fair to say....... In particular, we discuss several example algorithms for subspace clustering or projected clustering as well as point out recent research questions and open topics in this area relevant to researchers in either clustering or pattern mining...

  1. Frequently Asked Questions about Digital Mammography

    Science.gov (United States)

    ... Consumer Information (MQSA) Frequently Asked Questions About Digital Mammography Share Tweet Linkedin Pin it More sharing options ... mammography exams, such as DBT? What is digital mammography? Full field digital mammography (FFDM, also known simply ...

  2. Frequently Asked Questions about Genetic Testing

    Science.gov (United States)

    ... Care Specific Genetic Disorders Frequently Asked Questions About Genetic Testing What is genetic testing? What can I learn ... find more information about genetic testing? What is genetic testing? Genetic testing uses laboratory methods to look at ...

  3. Frequently Asked Questions about Genetic Counseling

    Science.gov (United States)

    ... on this page Frequently Asked Questions About Genetic Counseling What are genetic professionals and what do they ... genetics nurses. Top of page What is genetic counseling and evaluation? Genetic professionals work as members of ...

  4. Fecal contamination of food, water, hands, and kitchen utensils at the household level in rural areas of Peru.

    Science.gov (United States)

    Gil, Ana I; Lanata, Claudio F; Hartinger, Stella M; Mäusezahl, Daniel; Padilla, Beatriz; Ochoa, Theresa J; Lozada, Michelle; Pineda, Ines; Verastegui, Hector

    2014-01-01

    The study described in this article evaluated sources of contamination of children's food and drinking water in rural households in the highlands of Peru. Samples from children's meals, drinking water, kitchen utensils, and caregivers' and children's hands were analyzed for total coliforms and E. coli counts using Petrifilm EC. Thermotolerant coliforms in water were measured using DelAgua test kits while diarrheagenic E. coli was identified using polymerase chain reaction methods (PCR). Thermotolerant coliforms were found in 48% of all water samples. E. coli was found on 23% of hands, 16% of utensils, and 4% of meals. Kitchen cloths were the item most frequently contaminated with total coliforms (89%) and E. coli (42%). Diarrheagenic E. coli was found in 33% of drinking water, 27% of meals, and on 23% of kitchen utensils. These findings indicate a need to develop hygiene interventions that focus on specific kitchen utensils and hand washing practices, to reduce the contamination of food, water, and the kitchen environment in these rural settings.

  5. Reduction of illness absenteeism in elementary schools using an alcohol-free instant hand sanitizer.

    Science.gov (United States)

    White, C G; Shinder, F S; Shinder, A L; Dyer, D L

    2001-10-01

    Hand washing is the most effective way to prevent the spread of communicable disease. The purpose of this double-blind, placebo-controlled study was to assess whether an alcohol-free, instant hand sanitizer containing surfactants, allantoin, and benzalkonium chloride could reduce illness absenteeism in a population of 769 elementary school children and serve as an effective alternative when regular soap and water hand washing was not readily available. Prior to the study, students were educated about proper hand washing technique, the importance of hand washing to prevent transmission of germs, and the relationship between germs and illnesses. Children in kindergarten through the 6th grade (ages 5-12) were assigned to the active or placebo hand-sanitizer product and instructed to use the product at scheduled times during the day and as needed after coughing or sneezing. Data on illness absenteeism were tracked. After 5 weeks, students using the active product were 33% less likely to have been absent because of illness when compared with the placebo group.

  6. Documentation of a decision framework to support enhanced sludge washing

    Energy Technology Data Exchange (ETDEWEB)

    Brothers, A.J.

    1995-12-31

    This document describes a proposed decision model that, if developed to its fullest, can provide a wide range of analysis options and insights to pretreatment/sludge washing alternatives. A recent decision has been made to terminate this work

  7. Washing off intensification of cotton and wool fabrics by ultrasounds.

    Science.gov (United States)

    Peila, R; Actis Grande, G; Giansetti, M; Rehman, S; Sicardi, S; Rovero, G

    2015-03-01

    Wet textile washing processes were set up for wool and cotton fabrics to evaluate the potential of ultrasound transducers (US) in improving dirt removal. The samples were contaminated with an emulsion of carbon soot in vegetable oil and aged for three hours in fan oven. Before washing, the fabrics were soaked for 3 min in a standard detergent solution and subsequently washed in a water bath. The dirt removal was evaluated through colorimetric measurements. The total color differences ΔE of the samples were measured with respect to an uncontaminated fabric, before and after each washing cycle. The percentage of ΔE variation obtained was calculated and correlated to the dirt removal. The results showed that the US transducers enhanced the dirt removal and temperature was the parameter most influencing the US efficiency on the cleaning process. Better results were obtained at a lower process temperature.

  8. Being washed by someone is therapeutic... and a treat.

    Science.gov (United States)

    Winterflood, Florence

    2014-08-26

    When in Istanbul, I visited a hamam, a traditional Turkish bath. I'm familiar with other bathing rituals--steam room, sauna, Jacuzzi--but suspected being washed by someone in front of others was not very British.

  9. Direct Evidence of Washing out of Nuclear Shell Effects

    CERN Document Server

    Chaudhuri, A; Banerjee, K; Bhattacharya, S; Sadhukhan, Jhilam; Bhattacharya, C; Kundu, S; Meena, J K; Mukherjee, G; Pandey, R; Rana, T K; Roy, P; Roy, T; Srivastava, V; Bhattacharya, P

    2015-01-01

    Constraining excitation energy at which nuclear shell effect washes out has important implications on the production of super heavy elements and many other fields of nuclear physics research. We report the fission fragment mass distribution in alpha induced reaction on an actinide target for wide excitation range in close energy interval and show direct evidence that nuclear shell effect washes out at excitation energy ~40 MeV. Calculation shows that second peak of the ?fission barrier also vanishes around similar excitation energy.

  10. Semiactive Vibration Control for Horizontal Axis Washing Machine

    Directory of Open Access Journals (Sweden)

    Barış Can Yalçın

    2015-01-01

    Full Text Available A semiactive vibration control method is developed to cope with the dynamic stability problem of a horizontal axis washing machine. This method is based on adjusting the maximum force values produced by the semiactive suspension elements considering a washing machine’s vibration data (three axis angular position and three axis angular acceleration values in time. Before actuation signals are received by the step motors of the friction dampers, vibration data are evaluated, and then, the step motors start to narrow or expand the radius of bracelets located on the dampers. This changes the damping properties of the damper in the suspension system, and thus, the semiactive suspension system absorbs unwanted vibrations and contributes to the dynamic stability of the washing machine. To evaluate the vibration data, the angular position and angular acceleration values in three axes are defined in a function, and the maximum forces produced by semiactive suspension elements are calculated according to the gradient of this function. The relation between the dynamic stability and the walking stability is also investigated. A motion (gyroscope and accelerometer sensor is installed on the top-front panel of the washing machine because a mathematical model of a horizontal axis washing machine suggests that the walking behavior starts around this location under some assumptions, and therefore, calculating the vibrations occurring there is crucial. Semiactive damping elements are located under the left and right sides of the tub. The proposed method is tested during the spinning cycle of washing machine operation, increasing gradually from 200 rpm to 900 rpm, which produces the most challenging vibration patterns for dynamic stability. Moreover, the sound power levels produced by the washing machine are measured to evaluate the noise performance of the washing machine while the semiactive suspension system is controlled. The effectiveness of the

  11. Immunotoxicity of washing soda in a freshwater sponge of India.

    Science.gov (United States)

    Mukherjee, Soumalya; Ray, Mitali; Ray, Sajal

    2015-03-01

    The natural habitat of sponge, Eunapius carteri faces an ecotoxicological threat of contamination by washing soda, a common household cleaning agent of India. Washing soda is chemically known as sodium carbonate and is reported to be toxic to aquatic organisms. Domestic effluent, drain water and various human activities in ponds and lakes have been identified as the major routes of washing soda contamination of water. Phagocytosis and generation of cytotoxic molecules are important immunological responses offered by the cells of sponges against environmental toxins and pathogens. Present study involves estimation of phagocytic response and generation of cytotoxic molecules like superoxide anion, nitric oxide and phenoloxidase in E. carteri under the environmentally realistic concentrations of washing soda. Sodium carbonate exposure resulted in a significant decrease in the phagocytic response of sponge cells under 4, 8, 16 mg/l of the toxin for 96h and all experimental concentrations of the toxin for 192h. Washing soda exposure yielded an initial increase in the generation of the superoxide anion and nitric oxide followed by a significant decrease in generation of these cytotoxic agents. Sponge cell generated a high degree of phenoloxidase activity under the experimental exposure of 2, 4, 8, 16 mg/l of sodium carbonate for 96 and 192 h. Washing soda induced alteration of phagocytic and cytotoxic responses of E. carteri was indicative to an undesirable shift in their immune status leading to the possible crises of survival and propagation of sponges in their natural habitat.

  12. Perspective of health professionals on hand hygiene.

    Science.gov (United States)

    Silva, Daniel; Andrade, Otília; Silva, Ernestina

    2014-11-01

    To identify the practices reported by health professionals on hand hygiene; To determine how the practices of hand hygiene are related to socio-demographic and professional variables and variables in the context of practice. A descriptive-correlational and cross-sectional study conducted in a hospital in central Portugal, in May and June, 2012. 71 health professionals participated, with 23.9% physicians, 64.8% nurses and 11.3% operating assistants, in paediatrics, neonatology and paediatric emergencies. The majority was female (91.5%) and 32.4% are between the ages of 31 and 40 years. A questionnaire developed from DGS (General Health Directorate) recommendations was applied with questions on socio-demographic and professional characteristics as well as on the context of practice. The professionals are motivated to perform hand hygiene (98.6%). In self-assessment, they practice hand hygiene appropriately, however the results revealed that 43.7% of subjects reported little knowledge concerning the interference of ornaments on the practice of hand hygiene, 38% of the sample reported the steps of the hand washing technique improperly, and approximately 43% of the sample does not practice hygiene at the correct times. The majority of the participants who use a proper technique are nurses, with significant differences with regards to doctors and operating assistants (P=.001). Most have knowledge about the practice of hand hygiene; however, some professional groups need to improve their practice of proper technique and the correct time to do so. Approximately a third did not attend specific training, leading us to reflect on the need to invest in training. Copyright © 2014 Elsevier España, S.L.U. All rights reserved.

  13. Effect of washing mineral oil on development of mouse embryos in vitro and in vivo after embryo transfer

    Institute of Scientific and Technical Information of China (English)

    Li Hui; Zhang Li-xuan; Zhong Yu; Zhu Kai; Zhang Tian; Wang Min-kang

    2008-01-01

    Objective:To establish a simple and effective washing procedure for both used and purchased mineral oil,that can be used for embryo culture.Methods:A complete test system has been used for this purpose.There are 3 steps in our new washing proto-col.First,the oil was mixed with 95% ethanol at 1:1,the bottle being shaken by hand for 10 minutes,then sepa-rated.Second,the oil was heated to boiling point with 0.31 mol/L NaCl for 30 minutes.Third,anhydrous Na:SO4 was put into the oil for further treatment.1-cell stage embryos of a KM strain mouse have been collected surgically and cultured.Cleavage and blastocyst stage development were recorded and some embryos were transferred into re-cipients.Results:The results show that recycled oil can promote the development from 2-cell to blastocyst stage(23.3%)when compared with that of control(16.9%).Offspring have been obtained at 44 %(7/16),16 %(3/19)from washed recycled oil and control oil respectively.Conclusion:This washing procedure is safe and effective for the used treatment and for other sources of mineral oil used for embryo culture.

  14. Hand Hygiene Saves Lives

    Medline Plus

    Full Text Available ... public health professionals. More > Hand Hygiene Saves Lives (5:10) Recommend on Facebook Tweet Share Compartir Hand ... High resolution [22.9 MB] Open Captioned [14.5 MB] Request a higher resolution file Copy the ...

  15. Hand Hygiene Saves Lives

    Medline Plus

    Full Text Available ... future Salt Matters: Preserving Choice, Protecting Health More Information Hand Hygiene Clean Hands Basics Send Us Feedback ... 2013 Page last updated: November 22, 2013 Content source: Centers for Disease Control and Prevention Page maintained ...

  16. Hand Hygiene Saves Lives

    Medline Plus

    Full Text Available ... 22.9 MB] Open Captioned [14.5 MB] Request a higher resolution file Copy the code below ... future Salt Matters: Preserving Choice, Protecting Health More Information Hand Hygiene Clean Hands Basics Send Us Feedback ...

  17. Arthritis of the Hand

    Science.gov (United States)

    .org Arthritis of the Hand Page ( 1 ) The hand and wrist have multiple small joints that work together to ... a shoelace. When the joints are affected by arthritis, activities of daily living can be difficult. Arthritis ...

  18. Management of post burn hand deformities

    Directory of Open Access Journals (Sweden)

    Sabapathy S

    2010-10-01

    Full Text Available The hand is ranked among the three most frequent sites of burns scar contracture deformity. One of the major determinants of the quality of life in burns survivors is the functionality of the hands. Burns deformities, although largely preventable, nevertheless do occur when appropriate treatment is not provided in the acute situation or when they are part of a major burns. Reconstructive procedures can greatly improve the function of the hands. Appropriate choice of procedures and timing of surgery followed by supervised physiotherapy can be a boon for a burns survivor.

  19. Performance Evaluation of Frequent Subgraph Discovery Techniques

    Directory of Open Access Journals (Sweden)

    Saif Ur Rehman

    2014-01-01

    Full Text Available Due to rapid development of the Internet technology and new scientific advances, the number of applications that model the data as graphs increases, because graphs have highly expressive power to model a complicated structure. Graph mining is a well-explored area of research which is gaining popularity in the data mining community. A graph is a general model to represent data and has been used in many domains such as cheminformatics, web information management system, computer network, and bioinformatics, to name a few. In graph mining the frequent subgraph discovery is a challenging task. Frequent subgraph mining is concerned with discovery of those subgraphs from graph dataset which have frequent or multiple instances within the given graph dataset. In the literature a large number of frequent subgraph mining algorithms have been proposed; these included FSG, AGM, gSpan, CloseGraph, SPIN, Gaston, and Mofa. The objective of this research work is to perform quantitative comparison of the above listed techniques. The performances of these techniques have been evaluated through a number of experiments based on three different state-of-the-art graph datasets. This novel work will provide base for anyone who is working to design a new frequent subgraph discovery technique.

  20. Parallel Frequent Pattern Discovery: Challenges and Methodology

    Institute of Scientific and Technical Information of China (English)

    2007-01-01

    Parallel frequent pattern discovery algorithms exploit parallel and distributed computing resources to relieve the sequential bottlenecks of current frequent pattern mining (FPM) algorithms. Thus, parallel FPM algorithms achieve better scalability and performance, so they are attracting much attention in the data mining research community. This paper presents a comprehensive survey of the state-of-the-art parallel and distributed frequent pattern mining algorithms with more emphasis on pattern discovery from complex data (e.g., sequences and graphs) on various platforms. A review of typical parallel FPM algorithms uncovers the major challenges, methodologies, and research problems in the field of parallel frequent pattern discovery,such as work-load balancing, finding good data layouts, and data decomposition. This survey also indicates a dramatic shift of the research interest in the field from the simple parallel frequent itemset mining on traditional parallel and distributed platforms to parallel pattern mining of more complex data on emerging architectures, such as multi-core systems and the increasingly mature grid infrastructure.

  1. Slurry filtration and cake washing after the HCl-leach of magnesite and serpentine—continuous washing model

    Science.gov (United States)

    Blackburn, Denis; Nagamori, Meguru

    1994-06-01

    Four different ores of magnesite and serpentine were leached with hydrochloric acid to produce concentrated magnesium chloride liquors. The neutralized slurries were filtered at a constant pressure, and the cakes were washed with water. As for filtration, the mass balance was calculated based on magnesium analyses, while the Darcy-Ruth equation was used to investigate the kinetics and assess the specific resistance of cakes. As for washing, the mass balance and kinetics were accounted for in terms of a continuous mathematical model, which is compatible with the Moncrieff equation. This new model explains well the washing test results. Washing operations can be optimized only in economical terms, and a complete set of mathematical formulae was presented for the optimization procedure.

  2. A quantitative assessment method for Ascaris eggs on hands

    DEFF Research Database (Denmark)

    Jeandron, Aurelie; Ensink, Jeroen H. J.; Thamsborg, Stig Milan

    2014-01-01

    to assess the number of Ascaris eggs on hands and determine the egg recovery rate of the method. Under laboratory conditions, hands were seeded with a known number of Ascaris eggs, air dried and washed in a plastic bag retaining the washing water, in order to determine recovery rates of eggs for four...... different detergents (cationic [benzethonium chloride 0.1% and cetylpyridinium chloride CPC 0.1%], anionic [7X 1% - quadrafos, glycol ether, and dioctyl sulfoccinate sodium salt] and non-ionic [Tween80 0.1% -polyethylene glycol sorbitan monooleate]) and two egg detection methods (McMaster technique...

  3. Hands in Systemic Disease

    Science.gov (United States)

    ... Z Videos Infographics Symptom Picker Anatomy Bones Joints Muscles Nerves Vessels Tendons About Hand Surgery What is a Hand Surgeon? What is ... nerves, skin and skin-related tissues, bones, and ... a systemic diseases. The hands may show changes noticed by the patient or ...

  4. Robotic hand and fingers

    Energy Technology Data Exchange (ETDEWEB)

    Salisbury, Curt Michael; Dullea, Kevin J.

    2017-06-06

    Technologies pertaining to a robotic hand are described herein. The robotic hand includes one or more fingers releasably attached to a robotic hand frame. The fingers can abduct and adduct as well as flex and tense. The fingers are releasably attached to the frame by magnets that allow for the fingers to detach from the frame when excess force is applied to the fingers.

  5. Text Classification Using Sentential Frequent Itemsets

    Institute of Scientific and Technical Information of China (English)

    Shi-Zhu Liu; He-Ping Hu

    2007-01-01

    Text classification techniques mostly rely on single term analysis of the document data set, while more concepts,especially the specific ones, are usually conveyed by set of terms. To achieve more accurate text classifier, more informative feature including frequent co-occurring words in the same sentence and their weights are particularly important in such scenarios. In this paper, we propose a novel approach using sentential frequent itemset, a concept comes from association rule mining, for text classification, which views a sentence rather than a document as a transaction, and uses a variable precision rough set based method to evaluate each sentential frequent itemset's contribution to the classification. Experiments over the Reuters and newsgroup corpus are carried out, which validate the practicability of the proposed system.

  6. Efficacy of two distinct ethanol-based hand rubs for surgical hand disinfection – a controlled trial according to prEN 12791

    OpenAIRE

    Kampf Günter; Ostermeyer Christiane

    2005-01-01

    Abstract Background Aim of the study was to determine the efficacy of two distinct ethanol-based hand rubs for surgical hand disinfection in a controlled cross-over trial according to prEN 12791. Methods 20 subjects were included. Hands were washed for 1 min with soap. The bacterial prevalue was obtained by rubbing finger tips in TSB for 1 min. Then, each subject treated the hands with the reference procedure (n-propanol, 60% v/v) or the product (Sterillium® Rub, based on 80% ethanol; Avagard...

  7. Frequently cited journals in forensic psychology.

    Science.gov (United States)

    Black, Steve

    2012-02-01

    Works cited in six forensic psychology journals published 2008-2010 were counted to identify the most frequently cited journals. The sample of works cited (N = 21,776) was not a definitive ranked list of important journals in forensic psychology, but was large enough to indicate high-impact journals. The list of frequently cited publications included more general psychiatry and psychology journals than titles specific to forensic psychology. The implications of the proportion of general versus specific titles for collections supporting research in forensic psychology were discussed.

  8. Frequent price changes under menu costs

    DEFF Research Database (Denmark)

    Hansen, Per Svejstrup

    1999-01-01

    This paper investigates the effect of uncertainty on a single firm's pricing behaviour in a dynamic menu cost model that results in (S,s)-rules where the price is fixed inside a band. It will be demonstrated that even though the band of inaction widens in response to increased uncertainty......, the price may be changed more frequent in the short run, and in the long run it definitely will. Hence, observing frequent price changes is not necessarily inconsistent with a firm operating under menu costs. This paper relies on an article by Dixit (1991), (Review of Economic studies, 58, 141...

  9. Telomerase activity in solid transitional cell carcinoma, bladder washings, and voided urine.

    Science.gov (United States)

    Lance, R S; Aldous, W K; Blaser, J; Thrasher, J B

    1998-03-04

    Telomerase activity has been detected in a wide variety of human malignancies. It appears to be one of the fundamental ingredients necessary for cellular immortality. We sought to determine the incidence of telomerase activity in solid transitional cell carcinoma (TCC) specimens, benign urothelium, bladder washings, and voided urine from patients with TCC identified cystoscopically compared with controls. Telomerase activity was measured in 26 solid bladder cancers and 13 benign urothelial specimens using the telomere repeat amplification protocol (TRAP), a polymerase chain reaction (PCR) based assay. Telomerase activity was further measured in the centrifuged cellular material obtained from the bladder washings of 26 patients with TCC and 40 with benign urologic disease found to have a normal cystoscopy. All patients with hematuria were additionally evaluated with an upper tract radiographic examination and found to be free of malignancy. Voided urine was likewise evaluated in 11 patients with TCC, 12 with benign urologic diseases, and 56 asymptomatic control subjects. Telomerase activity was detected in 25 of 26 (96%) solid specimens, 21 of 26 (81%) bladder washings, and 6 of 11 (54%) voided urine specimens from patients with histologically confirmed TCC. In the control group, 2 of 13 (15%) benign urothelial specimens and 2 of 56 (4%) voided urine specimens from the asymptomatic volunteer group demonstrated telomerase activity. Of those with benign urologic disease, 16 of 40 (40%) bladder barbotage specimens and 6 of 12 (50%) voided urine specimens demonstrated telomerase activity. Sensitivity and specificity of telomerase as a marker for TCC were 81% and 60%, respectively, in the bladder washings group and 54% and 50%, respectively, in voided urine. These data indicate that activation of telomerase is frequent in solid TCC and appears to be a sensitive marker in bladder washings of patients with TCC. We noted an unexpectedly high false positive detection rate in

  10. IMS Learning Design Frequently Asked Questions

    NARCIS (Netherlands)

    Tattersall, Colin; Manderveld, Jocelyn; Hummel, Hans; Sloep, Peter; Koper, Rob; De Vries, Fred

    2004-01-01

    This list of frequently asked questions was composed on the basis of questions asked of the Educational Technology Expertise Centrum. The questions addessed are: Where can I find the IMS Learning Design Specification? What is meant by the phrase “Learning Design”? What is the IMS LD Specification ab

  11. On finding frequent patterns in event sequences

    DEFF Research Database (Denmark)

    Campagna, Andrea; Pagh, Rasmus

    2010-01-01

    on the size of the graph, and on the frequency $\\varepsilon$ of the most frequent traces. In addition, we apply techniques from streaming algorithms to achieve space usage that depends only on $\\varepsilon$, and not on the number of distinct traces. The abstract problem considered models a variety of tasks...

  12. Auditory Training with Frequent Communication Partners

    Science.gov (United States)

    Tye-Murray, Nancy; Spehar, Brent; Sommers, Mitchell; Barcroft, Joe

    2016-01-01

    Purpose: Individuals with hearing loss engage in auditory training to improve their speech recognition. They typically practice listening to utterances spoken by unfamiliar talkers but never to utterances spoken by their most frequent communication partner (FCP)--speech they most likely desire to recognize--under the assumption that familiarity…

  13. Treatment of Anthrax Disease Frequently Asked Questions

    Energy Technology Data Exchange (ETDEWEB)

    Judd, Kathleen S.; Young, Joan E.; Lesperance, Ann M.; Malone, John D.

    2010-05-14

    This document provides a summary of Frequently Asked Questions (FAQs) on the treatment of anthrax disease caused by a wide-area release of Bacillus anthracis spores as an act bioterrorism. These FAQs are intended to provide the public health and medical community, as well as others, with guidance and communications to support the response and long-term recovery from an anthrax event.

  14. Research Discovers Frequent Mutations of Chromatin

    Institute of Scientific and Technical Information of China (English)

    2011-01-01

    With the support of National Natural Science Foundation of China, BGI, the largest genomics organization in the world, and Peking University Shenzhen Hospital, published online in Nature Geneticsics that the study on frequent mutations of chromatin remodeling genes in transitional cell carcinoma (TCC) of thebladder on August 8th, 2011. Their study provides a valuable genetic basis for future studies on TCC,

  15. Chronic frequent headache in the general population

    NARCIS (Netherlands)

    Wiendels, Natalie Janette

    2008-01-01

    This thesis describes the results of a large questionnaire-based study on the epidemiology of chronic frequent headache (CFH) in the Dutch adult population. It also includes information on triptan (over)use from the Drug Information Project (GIP database) and the results of a withdrawal trial in

  16. Chronic frequent headache in the general population

    NARCIS (Netherlands)

    Wiendels, Natalie Janette

    2008-01-01

    This thesis describes the results of a large questionnaire-based study on the epidemiology of chronic frequent headache (CFH) in the Dutch adult population. It also includes information on triptan (over)use from the Drug Information Project (GIP database) and the results of a withdrawal trial in Gen

  17. Design Improvements for Frequently Misrecognized Letters

    DEFF Research Database (Denmark)

    Beier, Sofie; Larson, Kevin

    2010-01-01

    To enhance typeface legibility we studied how to improve the design of individual letters. Three diff erent fonts were created, each containing several variations of the most frequently misrecognized letters. These variations were tested both with distance and short exposure methodologies. Creati...

  18. Effectiveness of a multimodal hand hygiene campaign and obstacles to success in Addis Ababa, Ethiopia

    Science.gov (United States)

    2014-01-01

    Background Hand hygiene is the cornerstone of infection control and reduces rates of healthcare associated infection. There are limited data evaluating hand hygiene adherence and hand hygiene campaign effect in resource-limited settings, especially in Sub-Saharan Africa. This study assessed the impact of implementing a World Health Organization (WHO)-recommended multimodal hand hygiene campaign at a hospital in Ethiopia. Methods This study included a before-and-after assessment of health care worker (HCW) adherence with WHO hand hygiene guidelines. It was implemented in three phases: 1) baseline evaluation of hand hygiene adherence and hospital infrastructure; 2) intervention (distribution of commercial hand sanitizer and implementation of an abbreviated WHO-recommended multimodal hand hygiene campaign); and 3) post-intervention evaluation of HCW hand hygiene adherence. HCWs’ perceptions of the campaign and hand sanitizer tolerability were assessed through a survey performed in the post-intervention period. Results At baseline, hand washing materials were infrequently available, with only 20% of sinks having hand-washing materials. There was a significant increase in hand hygiene adherence among HCWs following implementation of a WHO multimodal hand hygiene program. Adherence increased from 2.1% at baseline (21 hand hygiene actions/1000 opportunities for hand hygiene) to 12.7% (127 hand hygiene actions /1000 opportunities for hand hygiene) after the implementation of the hand hygiene campaign (OR = 6.8, 95% CI 4.2-10.9). Hand hygiene rates significantly increased among all HCW types except attending physicians. Independent predictors of HCW hand hygiene compliance included performing hand hygiene in the post-intervention period (aOR = 5.7, 95% CI 3.5-9.3), in the emergency department (aOR = 4.9, 95% CI 2.8-8.6), during patient care that did not involve Attending Physician Rounds (aOR = 2.4, 95% CI 1.2-4.5), and after patient contact (aOR = 2

  19. Simulated Microbe Removal around Finger Rings Using Different Hand Sanitation Methods

    Science.gov (United States)

    Alur, Archana A; Rane, Madhavi J; Scheetz, James P; Lorenz, Douglas J; Gettleman, Lawrence

    2009-01-01

    Aim It is our opinion that the CDC and the WHO have underestimated cross-contamination under examination gloves in dental clinics while wearing jewelry, such as finger rings. These agencies only “recommend” removing jewelry, and only washing hands for 15 seconds with soap and warm water before donning gloves. This study examined several washing procedures and finger rings using simulated microbes. Methodology A gloved rubber hand manikin was made and fitted with a fresh disposable vinyl glove. Four fingers were fitted with rings or no ring, dusted with simulated microbes, and washed with a scrub brush for 5, 15, and 25 seconds under 20°C and 40°C water alone, or with liquid hand soap. Light levels (in lux) of fluorescent powder before and after washing were measured and delta scores calculated for changes in light levels, equivalent to effectiveness of hand washing procedures. A full-factorial, 3-factor analysis of variance (ANOVA) was used to test for differences among levels of the three study factors—time, temperature, and soap use. Tukey's post hoc honestly significant difference (HSD) test was applied to significant factors to examine pair-wise differences between factor levels. Results It was found that the longer the hands with rings were washed with a scrub brush under flowing water, the more simulated microbes were removed. By 25 seconds, all methods were essentially the same. Simulated microbes were more difficult to remove from the palm compared to the back of the hand. The liquid hand soap used in this study was more effective with warm water than cold. When given a choice of washing with cold water up to 15 seconds, it would be preferable not to use soap to remove simulated microbes. Qualitatively, the outer surface of finger rings were more effectively cleaned than the crevice below the ring, and the ring with a stone setting appeared to accumulate and retain simulated microbes more than other rings. Conclusion The most effective treatment was

  20. Simulated microbe removal around finger rings using different hand sanitation methods.

    Science.gov (United States)

    Alur, Archana A; Rane, Madhavi J; Scheetz, James P; Lorenz, Douglas J; Gettleman, Lawrence

    2009-09-01

    It is our opinion that the CDC and the WHO have underestimated cross-contamination under examination gloves in dental clinics while wearing jewelry, such as finger rings. These agencies only "recommend" removing jewelry, and only washing hands for 15 seconds with soap and warm water before donning gloves. This study examined several washing procedures and finger rings using simulated microbes. A gloved rubber hand manikin was made and fitted with a fresh disposable vinyl glove. Four fingers were fitted with rings or no ring, dusted with simulated microbes, and washed with a scrub brush for 5, 15, and 25 seconds under 20 degrees C and 40 degrees C water alone, or with liquid hand soap. Light levels (in lux) of fluorescent powder before and after washing were measured and delta scores calculated for changes in light levels, equivalent to effectiveness of hand washing procedures. A full-factorial, 3-factor analysis of variance (ANOVA) was used to test for differences among levels of the three study factors-time, temperature, and soap use. Tukey's post hoc honestly significant difference (HSD) test was applied to significant factors to examine pair-wise differences between factor levels. It was found that the longer the hands with rings were washed with a scrub brush under flowing water, the more simulated microbes were removed. By 25 seconds, all methods were essentially the same. Simulated microbes were more difficult to remove from the palm compared to the back of the hand. The liquid hand soap used in this study was more effective with warm water than cold. When given a choice of washing with cold water up to 15 seconds, it would be preferable not to use soap to remove simulated microbes. Qualitatively, the outer surface of finger rings were more effectively cleaned than the crevice below the ring, and the ring with a stone setting appeared to accumulate and retain simulated microbes more than other rings. The most effective treatment was washing with warm water

  1. Status of hand hygiene among accompanying persons in pediatric ward of grass roots hospital: investigation and analysis%基层医院儿科病房陪护人员的手卫生现状调查

    Institute of Scientific and Technical Information of China (English)

    缪玉秀; 廖友芝; 胡慧欣

    2011-01-01

    OBJECTIVE To figure out the extent of knowledge of personal hygiene and implementation among pediatric accompanying persons, to discuss the necessary for improving education among then about hand hygiene.METHODS The pediatric health-related knowledge of hand hygiene and the implementation were investigated by anonymous questionnaire.RESULTS A total of 342 questionnaires were sent out and 342 copies were submitted actually.The accompanying persons were thought to spread beyond the addition of hepatitis B and other bloodborne diseases during the period in hospital accounted for 1.2 %, frequently to wash hands which could reduce the chance for children to infection during in the hospital accounted for 7.9%.The awareness of infection accounted for 1.3%, washing hands before each feeding accounted for 67.3%, washing hands before direct contact with children accounted for 2.3%, but accompanying persons almost did not wash their hands, after contacting with body fluids from children, accounted for 78.9%, and almost no hand-washing after the direct contact with the surface accounted for 64.0%.CONCLUSION The knowledge of hand hygiene should be strengthened to improve the hand hygiene compliance and reduce the incidence of infection in pediatric hospitals by enhancing the propaganda and education.%目的 了解儿科陪护人员手卫生知识知晓程度及执行现状,探讨加强对儿科陪护人员手卫生宣教的必要性.方法通过不计名当场回收问卷形式评估儿科陪护人员手卫生相关知识及执行情况.结果 此次调查共发放问卷342份,实际回收342份,回收率100.0%;认为陪护人员在院期间能传播除乙型肝炎等血液传播之外疾病的占1.2%,陪护人员勤洗手能减少患儿在院期间的感染机会占7.9%,医院感染的知晓率为1.3%;每次喂养前洗手占67.3%,直接接触患儿之前洗手占2.3%,接触患儿体液之后几乎不洗手占78.9%,直接接触医院内物体

  2. Technical bases DWPF Late Washing Facility. Revision 1

    Energy Technology Data Exchange (ETDEWEB)

    Fish, D.L.; Landon, L.F.

    1992-08-10

    A task force recommended that the technical feasibility of a ``Late Wash` facility be assessed [1]. In this facility, each batch of tetraphenylborate slurry from Tank 49 would be given a final wash to reduce the concentrations of nitrite and radiolysis products to acceptable levels. Laboratory-scale studies have demonstrated that d the nitrite content of the slurry fed to DWPF is reduced to 0.01 M or less (and at least a 4X reduction in concentration of the soluble species is attained), (1) the need for HAN during hydrolysis is eliminated (eliminating the production of ammonium ion during hydrolysis), (2) hydrolysis may be done with a catalyst concentration that will not exceed the copper solubility in glass and (3) the non-polar organic production during hydrolysis is significantly reduced. The first phase of an aggressive research and development program has been completed and all test results obtained to date support the technical feasibility of Late Washing. Paralleling this research and development effort is an aggressive design study directed by DWPF to scope and cost retrofitting the Auxiliary Pump Pit (APP) to enable performing a final wash of each batch of precipitate slurry before R is transferred into the DWPF Soft Processing Cell (SPC). An initial technical bases for the Late Wash Facility was transmitted to DWPF on June 15, 1992. Research and development activities are continuing directed principally at optimization of the cross-f low fitter decontamination methodology and pilot-scale validation of the recommended benzene stripping metodology.

  3. Discovering More Accurate Frequent Web Usage Patterns

    CERN Document Server

    Bayir, Murat Ali; Cosar, Ahmet; Fidan, Guven

    2008-01-01

    Web usage mining is a type of web mining, which exploits data mining techniques to discover valuable information from navigation behavior of World Wide Web users. As in classical data mining, data preparation and pattern discovery are the main issues in web usage mining. The first phase of web usage mining is the data processing phase, which includes the session reconstruction operation from server logs. Session reconstruction success directly affects the quality of the frequent patterns discovered in the next phase. In reactive web usage mining techniques, the source data is web server logs and the topology of the web pages served by the web server domain. Other kinds of information collected during the interactive browsing of web site by user, such as cookies or web logs containing similar information, are not used. The next phase of web usage mining is discovering frequent user navigation patterns. In this phase, pattern discovery methods are applied on the reconstructed sessions obtained in the first phas...

  4. Comparison of an alcohol-based hand rub and water-based chlorhexidine gluconate scrub technique for hand antisepsis prior to elective surgery in horses

    Science.gov (United States)

    da Silveira, Eduardo Almeida; Bubeck, Kirstin A.; Batista, Edisleidy Rodriguez; Piat, Perrine; Laverty, Sheila; Beauchamp, Guy; Archambault, Marie; Elce, Yvonne

    2016-01-01

    This prospective clinical study evaluates the effectiveness of an alcohol-based hand rub (Avagard™) for pre-surgical hand antisepsis in an equine hospital and compares it with traditional scrubbing technique using 4% chlorhexidine gluconate sponges and water. Prior to elective surgery, 3 board-certified surgeons were randomly assigned to hand antisepsis with either technique. Culture samples of each hand were taken at 4 times: before and after neutral soap hand wash, after scrub or rubbing technique, and after surgery. There was no significant difference in mean bacterial colony forming units between scrub and rub techniques over the 3 time periods (P = 0.6), controlling for initial counts. One horse from the scrub group had a skin incision infection following stifle arthroscopy; this was resolved with medical treatment. The alcohol-based hand rub is equivalent in efficacy for pre-surgical hand antisepsis to traditional water-based scrubs in an equine hospital setting. PMID:26834268

  5. Comparison of an alcohol-based hand rub and water-based chlorhexidine gluconate scrub technique for hand antisepsis prior to elective surgery in horses.

    Science.gov (United States)

    da Silveira, Eduardo Almeida; Bubeck, Kirstin A; Batista, Edisleidy Rodriguez; Piat, Perrine; Laverty, Sheila; Beauchamp, Guy; Archambault, Marie; Elce, Yvonne

    2016-02-01

    This prospective clinical study evaluates the effectiveness of an alcohol-based hand rub (Avagard™) for pre-surgical hand antisepsis in an equine hospital and compares it with traditional scrubbing technique using 4% chlorhexidine gluconate sponges and water. Prior to elective surgery, 3 board-certified surgeons were randomly assigned to hand antisepsis with either technique. Culture samples of each hand were taken at 4 times: before and after neutral soap hand wash, after scrub or rubbing technique, and after surgery. There was no significant difference in mean bacterial colony forming units between scrub and rub techniques over the 3 time periods (P = 0.6), controlling for initial counts. One horse from the scrub group had a skin incision infection following stifle arthroscopy; this was resolved with medical treatment. The alcohol-based hand rub is equivalent in efficacy for pre-surgical hand antisepsis to traditional water-based scrubs in an equine hospital setting.

  6. Frequent users of the pediatric emergency department.

    Science.gov (United States)

    Seguin, Jade; Osmanlliu, Esli; Zhang, Xun; Clavel, Virginie; Eisman, Harley; Rodrigues, Robert; Oskoui, Maryam

    2017-04-06

    Emergency department (ED) crowding is associated with increased morbidity and mortality. Its etiology is multifactorial, and frequent ED use (defined as more or equal to five visits per year) is a major contributor to high patient volumes. Our primary objective is to characterize the frequent user population. Our secondary objective is to examine risk factors for frequent emergency use. We conducted a retrospective cohort study of pediatric emergency department (PED) visits at the Montreal Children's Hospital using the Système Informatique Urgence (SIURGE), electronic medical record database. We analysed the relation between patient's characteristics and the number of PED visits over a 1-year period following the index visit. Patients totalling 52,088 accounted for 94,155 visits. Of those, 2,474 (4.7%) patients had five and more recurrent visits and accounted for 16.6% (15,612 visits) of the total PED visits. Lower level of acuity at index visit (odds ratio [OR] 0.85) was associated with a lower number of recurrent visits. Lower socioeconomic status (social deprivation index OR 1.09, material deprivation index OR 1.08) was associated with a higher number of recurrent visits. Asthma (OR 1.57); infectious ear, nose, and sinus disorders (OR 1.33); and other respiratory disorders (OR 1.56) were independently associated with a higher incidence of a recurrent visit within the year following the first visit. Our study is the first Canadian study to assess risk factors of frequent pediatric emergency use. The identified risk factors and diagnoses highlight the need for future evidence-based, targeted innovative research evaluating strategies to minimize ED crowding, to improve health outcomes and to improve patient satisfaction.

  7. Botulism: A Frequently Forgotten Old Malady

    Directory of Open Access Journals (Sweden)

    Teguh Thajeb

    2007-09-01

    Full Text Available A frequently forgotten old malady called botulism has been recognized for more than a century. This ailment occurs worldwide, afflicts human of all age groups from infants to elderly and affects Oriental people more often in several regions of China. Occurrence in Taiwan is uncommon, and therefore, it is often overlooked. The outbreaks of human botulism in various regions of the world, the clinical types, the molecular mechanisms, and the electrophysiologic findings will be highlighted.

  8. Hand eczema classification

    DEFF Research Database (Denmark)

    Diepgen, T L; Andersen, Klaus Ejner; Brandao, F M;

    2008-01-01

    Summary Background Hand eczema is a long-lasting disease with a high prevalence in the background population. The disease has severe, negative effects on quality of life and sometimes on social status. Epidemiological studies have identified risk factors for onset and prognosis, but treatment...... of the disease is rarely evidence based, and a classification system for different subdiagnoses of hand eczema is not agreed upon. Randomized controlled trials investigating the treatment of hand eczema are called for. For this, as well as for clinical purposes, a generally accepted classification system...... for hand eczema is needed. Objectives The present study attempts to characterize subdiagnoses of hand eczema with respect to basic demographics, medical history and morphology. Methods Clinical data from 416 patients with hand eczema from 10 European patch test clinics were assessed. Results...

  9. A New Algorithm for Mining Frequent Pattern

    Institute of Scientific and Technical Information of China (English)

    李力; 靳蕃

    2002-01-01

    Mining frequent pattern in transaction database, time-series databases, and many other kinds of databases have been studied popularly in data mining research. Most of the previous studies adopt Apriori-like candidate set generation-and-test approach. However, candidate set generation is very costly. Han J. proposed a novel algorithm FP-growth that could generate frequent pattern without candidate set. Based on the analysis of the algorithm FP-growth, this paper proposes a concept of equivalent FP-tree and proposes an improved algorithm, denoted as FP-growth*, which is much faster in speed, and easy to realize. FP-growth* adopts a modified structure of FP-tree and header table, and only generates a header table in each recursive operation and projects the tree to the original FP-tree. The two algorithms get the same frequent pattern set in the same transaction database, but the performance study on computer shows that the speed of the improved algorithm, FP-growth*, is at least two times as fast as that of FP-growth.

  10. Hand deburring guide

    Energy Technology Data Exchange (ETDEWEB)

    Gillespie, L.K.

    1979-07-01

    Appropriate hand deburring techniques have always been difficult to define because of the infinite variety of part shapes, sizes, materials, and burr conditions. This guide, however, has been prepared to assist those responsible for hand deburring. The purpose of the guide is to define Bendix Kansas City burr specifications and inspection practices; to define the results of practical tests on hand deburring; to define some typical in-house practices; and to define the in-house tools available for this work.

  11. The alien hand syndrome

    Science.gov (United States)

    Panikkath, Deepa; Mojumder, Deb; Nugent, Kenneth

    2014-01-01

    A 77-year-old woman presented with the complaint of observing her left hand moving without her knowledge while watching television. Her left hand stroked her face and hair as if somebody was controlling it. These movements lasted only half an hour but on recovery, she had left hemiparesis. Alien hand syndrome as the presentation of cardioembolic stroke is extremely rare but can be terrifying to patients. PMID:24982566

  12. Gravity and magnetic study of Yucca Wash, southwest Nevada

    Energy Technology Data Exchange (ETDEWEB)

    Langenheim, V.E.; Ponce, D.A.; Oliver, H.W.; Sikora, R.F. [Geological Survey, Menlo Park, CA (United States)

    1993-12-31

    Gravity and ground magnetic data were collected along five traverses across and one traverse along Yucca Wash in the southwest quadrant of the Nevada Test Site. Two additional ground magnetic profiles were collected approximately 100 m to either side of the longitudinal profile. These data do not indicate major vertical offsets greater than 100 m using a density contrast of 0.2 to 0.3 g/cm{sup 3} along the proposed Yucca Wash fault. A broad magnetic high coincides with the location of the hydrologic gradient. Density profiling, a technique used to determine the average density of small topographic features, suggests that the density of near-surface material in the vicinity of Yucca Wash is about 2.0 g/cm{sup 3}.

  13. Design, development and demonstration of an improved bird washing machine.

    Science.gov (United States)

    Rajabi, H; Monsef, H; Moghadami, M; Zare, M; Armandei, A

    2014-07-01

    Since oil was first extracted, pollution of the seas and oceans or adjacent coasts has been an obstacle for the oil industry and environmental activists. The major concern is oil discharge into the water which may lead to birds' affliction or death, besides putting marine life in jeopardy. This paper presents the first description of the design and implementation of a new bird washing machine that can be utilized for cleaning of oil-coated birds with the minimum of stress. The machine is equipped with a pneumatic system comprised of 19 moving nozzles which evenly cover the bird's body and is designed to be used in contaminated environments where a vast number of birds are affected. Experimental trials show an improvement in operation efficiency compared to other methods in a reduction in washing time, energy consumption and a decrease in fatality rate of washed birds.

  14. Hand Hygiene: An Update.

    Science.gov (United States)

    Bolon, Maureen K

    2016-09-01

    The medical field has long recognized the importance of hand hygiene in preventing health care-associated infections, yet studies indicate that this important task is performed only 40% of the time. Health care workers cite several barriers to optimal performance of hand hygiene, but the time required to perform this task is foremost among them. Introduction of alcohol-based hand rubs, bundled interventions, and incorporation of technologies designed to monitor and promote hand hygiene all represent promising advances in this field. Copyright © 2016 Elsevier Inc. All rights reserved.

  15. Utilizing improvement science methods to improve physician compliance with proper hand hygiene.

    Science.gov (United States)

    White, Christine M; Statile, Angela M; Conway, Patrick H; Schoettker, Pamela J; Solan, Lauren G; Unaka, Ndidi I; Vidwan, Navjyot; Warrick, Stephen D; Yau, Connie; Connelly, Beverly L

    2012-04-01

    In 2009, The Joint Commission challenged hospitals to reduce the risk of health care-associated infections through hand hygiene compliance. At our hospital, physicians had lower compliance rates than other health care workers, just 68% on general pediatric units. We used improvement methods and reliability science to increase compliance with proper hand hygiene to >95% by inpatient general pediatric teams. Strategies to improve hand hygiene were tested through multiple plan-do-study-act cycles, first by 1 general inpatient medical team and then spread to 4 additional teams. At the start of each rotation, residents completed an educational module and posttest about proper hand hygiene. Team compliance data were displayed daily in the resident conference room. Real-time identification and mitigation of failures by a hand-washing champion encouraged shared accountability. Organizational support ensured access to adequate hand hygiene supplies. The main outcome measure was percent compliance with acceptable hand hygiene, defined as use of an alcohol-based product or hand-washing with soap and turning off the faucet without using fingers or palm. Compliance was defined as acceptable hand hygiene before and after contact with the patient or care environment. Covert bedside observers recorded at least 8 observations of physicians' compliance per day. Physician compliance with proper hand hygiene improved to >95% within 6 months and was sustained for 11 months. Instituting a hand-washing champion for immediate identification and mitigation of failures was key in sustaining results. Improving physician compliance with proper hand hygiene is achievable and a first step in decreasing health care-associated infections.

  16. Effectiveness of hand hygiene education among a random sample of women from the community.

    Science.gov (United States)

    Ubheeram, J; Biranjia-Hurdoyal, S D

    2017-03-01

    The effectiveness of hand hygiene education was investigated by studying the hand hygiene awareness and bacterial hand contamination among a random sample of 170 women in the community. Questionnaire was used to assess the hand hygiene awareness score, followed by swabbing of the dominant hand. Bacterial identification was done by conventional biochemical tests. Better hand hygiene awareness score was significantly associated with age, scarce bacterial growth and absence of potential pathogen (p soap as compared to antiseptic soaps (69.7% vs 30.3%, p = 0.000; OR = 4.11; 95% CI: 1.67-10.12). Level of hand hygiene awareness among the participants was satisfactory but not the complian