WorldWideScience

Sample records for hand washing techniques

  1. Efficacy of the World Health Organization-recommended handwashing technique and a modified washing technique to remove Clostridium difficile from hands.

    Science.gov (United States)

    Deschênes, Philippe; Chano, Frédéric; Dionne, Léa-Laurence; Pittet, Didier; Longtin, Yves

    2017-08-01

    The efficacy of the World Health Organization (WHO)-recommended handwashing technique against Clostridium difficile is uncertain, and whether it could be improved remains unknown. Also, the benefit of using a structured technique instead of an unstructured technique remains unclear. This study was a prospective comparison of 3 techniques (unstructured, WHO, and a novel technique dubbed WHO shortened repeated [WHO-SR] technique) to remove C difficile. Ten participants were enrolled and performed each technique. Hands were contaminated with 3 × 10 6 colony forming units (CFU) of a nontoxigenic strain containing 90% spores. Efficacy was assessed using the whole-hand method. The relative efficacy of each technique and of a structured (either WHO or WHO-SR) vs an unstructured technique were assessed by Mann-Whitney U test and Wilcoxon signed-rank test. The median effectiveness of the unstructured, WHO, and WHO-SR techniques in log 10 CFU reduction was 1.30 (interquartile range [IQR], 1.27-1.43), 1.71 (IQR, 1.34-1.91), and 1.70 (IQR, 1.54-2.42), respectively. The WHO-SR technique was significantly more efficacious than the unstructured technique (P = .01). Washing hands with a structured technique was more effective than washing with an unstructured technique (median, 1.70 vs 1.30 log 10 CFU reduction, respectively; P = .007). A structured washing technique is more effective than an unstructured technique against C difficile. Copyright © 2017 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

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

    Science.gov (United States)

    ... hands frequently can help limit the transfer of bacteria, viruses and other microbes. Always wash your hands before: Preparing food or eating Treating wounds or caring for a sick person Inserting or removing contact lenses Always wash your hands after: Preparing food Using ...

  3. 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

    2015-01-01

    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

  4. 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

  5. Mothers’ Hand washing Practice and Diarrhea Cases in Children under Five in Baleendah, Bandung

    Directory of Open Access Journals (Sweden)

    M Syafril Firdaus

    2015-06-01

    Full Text Available ackground: Diarrhea is a disease, especially in children, with high mortality and morbidity rate in developing countries, including Indonesia. Diarrhea can be prevented if people can apply clean and healthy behaviors, especially hand washing. Hand washing is the cheapest, simplest, and the most effective methods for prevention of diarrhea. The objective of this study is to identify the knowledge, attitude, and practice of mothers’ hand washing and diarrhea cases in children under five in Baleendah District, Bandung. Methods: A descriptive study was conducted during September−November 2012 to 210 mothers who had children (ages 12−59 months in Baleendah using rapid survey technique. The time allocated for each village was adjusted to the population proportion for each region. The data were analyzed using computer and was represented using frequency distribution. Results: This study showed that the respondents had good level of knowledge and attitude of hand washing (83.8% and 61%, respectively, but only 21% of the respondents’ practices of hand washing was in good level. Most of the respondents did not wash their hands according to the 7 steps of correct hand washing. Moreover the percentage of children with diarrhea in Baleendah was 43.8% (92 cases during the study. Conclusions: There should be dissemination of information about the benefit of washing hands with 7 steps of correct hands washing so that families can practice it and can prevent diarrhea in children under five.

  6. 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.

  7. 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

  8. 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…

  9. Hand Washing Practices and Compliance among Health Care ...

    African Journals Online (AJOL)

    Hand washing is the simplest, most inexpensive and most effective method of reducing the incidence of hospital-acquired infections in the Intensive Care Unit. Several reports have shown a relationship between improved hand washing practices and reduced infection rates. We conducted a prospective, ...

  10. Hand washing frequencies and procedures used in retail food services.

    Science.gov (United States)

    Strohbehn, Catherine; Sneed, Jeannie; Paez, Paola; Meyer, Janell

    2008-08-01

    Transmission of viruses, bacteria, and parasites to food by way of improperly washed hands is a major contributing factor in the spread of foodborne illnesses. Field observers have assessed compliance with hand washing regulations, yet few studies have included consideration of frequency and methods used by sectors of the food service industry or have included benchmarks for hand washing. Five 3-h observation periods of employee (n = 80) hand washing behaviors during menu production, service, and cleaning were conducted in 16 food service operations for a total of 240 h of direct observation. Four operations from each of four sectors of the retail food service industry participated in the study: assisted living for the elderly, childcare, restaurants, and schools. A validated observation form, based on 2005 Food Code guidelines, was used by two trained researchers. Researchers noted when hands should have been washed, when hands were washed, and how hands were washed. Overall compliance with Food Code recommendations for frequency during production, service, and cleaning phases ranged from 5% in restaurants to 33% in assisted living facilities. Procedural compliance rates also were low. Proposed benchmarks for the number of times hand washing should occur by each employee for each sector of food service during each phase of operation are seven times per hour for assisted living, nine times per hour for childcare, 29 times per hour for restaurants, and 11 times per hour for schools. These benchmarks are high, especially for restaurant employees. Implementation would mean lost productivity and potential for dermatitis; thus, active managerial control over work assignments is needed. These benchmarks can be used for training and to guide employee hand washing behaviors.

  11. 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.

  12. Hand washing practices amongst medical students in Port Harcourt ...

    African Journals Online (AJOL)

    Nigerian Health Journal ... Rates of hand washing are low world wide even amongst health care workers who are should know about its importance. The aim of ... The greatest motivation for hand washing was fear of contracting disease, whilst ...

  13. 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.

  14. Hand Washing Practices Among Emergency Medical Services Providers

    Directory of Open Access Journals (Sweden)

    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.

  15. Hand Washing Practices Among Emergency Medical Services Providers.

    Science.gov (United States)

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

    2015-09-01

    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) workers, respectively. 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. 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. 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.

  16. 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…

  17. 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.

  18. Bacteriological aspects of hand washing: A key for health promotion and infections control

    Directory of Open Access Journals (Sweden)

    Ramezan Ali Ataee

    2017-01-01

    Full Text Available 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.

  19. Hand washing practices and the occurrence of enteropathogenic ...

    African Journals Online (AJOL)

    ... levels of compliance to hand washing and related this to the occurrence of infectious bacteria in the test population. A questionnaire which contained information on bio-demographic characteristics and hand hygiene practices was applied to 100 individuals in the study population. Microbiological samples were obtained, ...

  20. Use of a patient hand hygiene protocol to reduce hospital-acquired infections and improve nurses' hand washing.

    Science.gov (United States)

    Fox, Cherie; Wavra, Teresa; Drake, Diane Ash; Mulligan, Debbie; Bennett, Yvonne Pacheco; Nelson, Carla; Kirkwood, Peggy; Jones, Louise; Bader, Mary Kay

    2015-05-01

    Critically ill patients are at marked risk of hospital-acquired infections, which increase patients' morbidity and mortality. Registered nurses are the main health care providers of physical care, including hygiene to reduce and prevent hospital-acquired infections, for hospitalized critically ill patients. To investigate a new patient hand hygiene protocol designed to reduce hospital-acquired infection rates and improve nurses' hand-washing compliance in an intensive care unit. A preexperimental study design was used to compare 12-month rates of 2 common hospital-acquired infections, central catheter-associated bloodstream infection and catheter-associated urinary tract infection, and nurses' hand-washing compliance measured before and during use of the protocol. Reductions in 12-month infection rates were reported for both types of infections, but neither reduction was statistically significant. Mean 12-month nurse hand-washing compliance also improved, but not significantly. A hand hygiene protocol for patients in the intensive care unit was associated with reductions in hospital-acquired infections and improvements in nurses' hand-washing compliance. Prevention of such infections requires continuous quality improvement efforts to monitor lasting effectiveness as well as investigation of strategies to eliminate these infections. ©2015 American Association of Critical-Care Nurses.

  1. Effectiveness Of Different House-Hold Hand Washing Agents On ...

    African Journals Online (AJOL)

    Hand hygiene is a very important procedure in infection control. Washing agents commonly in use were investigated for their effectiveness in reducing hand floral and cotton towel was used as drying agent. Agents studied include; water alone, carex soap, dettol, and imperial leather. The hands were inoculated (deliberate ...

  2. Hand washing practices amongst medical students in Port Harcourt ...

    African Journals Online (AJOL)

    Alasia Datonye

    Background: Hand washing with soap and water is one of ... Method: This was a descriptive cross sectional survey ... simple questionnaire exploring perceptions, attitudes and ... Many studies have shown that doctors decontaminating their hands between seeing patients ..... countries: a systematic review and meta analysis.

  3. Why Is Hand Washing So Important? (For Parents)

    Science.gov (United States)

    ... hand washing a rule for everyone, especially: before eating and cooking after using the bathroom after cleaning around the house after touching animals, including family pets before and after visiting or ...

  4. COMPARISON THE NUMBER OF BACTERIA BETWEEN WASHING HANDS USING SOAP AND HAND SANITIZER AS A BACTERIOLOGY LEARNING RESOURCE FOR STUDENTS

    Directory of Open Access Journals (Sweden)

    Satya Darmayani

    2017-11-01

    Full Text Available Hands are the principal carriers of bacterial diseases, therefore very important to know that washing hands with soap or hand sanitizer is highly effective healthy behaviors to reduce bacteria in the palm. This study aimed to determine the total number of bacteria between washing hands with soap and hand sanitizer, also applying the results of these studies as a learning resource in bacteriology. The research design was the true experiment with pretest-posttest control group research design and laboratory examination. Analysis of data using paired t-test and independent sample t-test with α = 0.05. The result using paired t-test obtained t count= 2.48921> t 0.05 (14 = 2.14479 (with liquid soap, obtained t count= 2.32937> t 0.05 (14 = 2.14479 (with hand sanitizer. As for the comparison of the total number of bacteria include washing hands with soap and hand sanitizer using independent samples t-test obtained results there were differences in the total number of bacteria include washing hands with liquid soap and hand sanitizer with t count= 2.23755> t 0.05 ( 13 = 2.16037. That results showed hand sanitizer more effective to reduce the number of bacteria than the liquid soap, that was hand sanitizer 96% and liquid soap by 95%.

  5. COMPARISON THE NUMBER OF BACTERIA BETWEEN WASHING HANDS USING SOAP AND HAND SANITIZER AS A BACTERIOLOGY LEARNING RESOURCE FOR STUDENTS

    OpenAIRE

    Satya Darmayani; Askrening Askrening; Apita Ariyani

    2017-01-01

    Hands are the principal carriers of bacterial diseases, therefore very important to know that washing hands with soap or hand sanitizer is highly effective healthy behaviors to reduce bacteria in the palm. This study aimed to determine the total number of bacteria between washing hands with soap and hand sanitizer, also applying the results of these studies as a learning resource in bacteriology. The research design was the true experiment with pretest-posttest control group research design a...

  6. 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.

  7. 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.

  8. 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.

  9. 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. Copyright © 2012 Wiley Periodicals, Inc.

  10. Hygienic status assessment of dish washing waters, utensils, hands ...

    African Journals Online (AJOL)

    Hygienic status assessment of dish washing waters, utensils, hands and pieces of money from street food processing sites in Ouagadougou (Burkina Faso). N Barro, AR Bello, A Savadogo, CAT Ouattara, AJ Iiboudo, AS Traoré ...

  11. FOCUS ON HAND WASHING Yakubu Tahir Maigari Departm

    African Journals Online (AJOL)

    HP

    2014-10-24

    Oct 24, 2014 ... Management and Social Sciences, Federal University Kashere,. Gombe State ... Peace can also be maintained with fellow human beings through ... talent and skill to build a mighty ship with which he and his people took .... One important aspect of Islamic rituals where washing of hands is prominent is ...

  12. 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.

  13. 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.

  14. 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.

  15. Clean Hands Count

    Medline Plus

    Full Text Available ... today; no cure tomorrow - Duration: 3:10. World Health Organization 75,362 views 3:10 Wash 'Em - Hand Hygiene Music Video - Duration: 5:46. Jefferson Health 412,404 views 5:46 Hand Washing Technique - ...

  16. Clean Hands Count

    Medline Plus

    Full Text Available ... today; no cure tomorrow - Duration: 3:10. World Health Organization 74,478 views 3:10 Wash 'Em - Hand Hygiene Music Video - Duration: 5:46. Jefferson Health 411,292 views 5:46 Hand Washing Technique - ...

  17. Knowledge, Attitude and Practice of Hand washing among Street vendors in Campus of Universitas Padjadjaran, West Java from June-November 2012

    Directory of Open Access Journals (Sweden)

    Tajul Al Adib

    2015-09-01

    Full Text Available Background: Hand washing is a moderate step in preventing communicable diseases. Communicable diseases like diarrhea and respiratory tract infection can be reduced significantly just by practicing hand washing. Most of the people already knew how to wash their hand, but some of them still did not understand the objective and the correct ways of performing hand washing. The aim of the study was to evaluate knowledge, attitude and practice of hand washing among street vendors. Methods: A descriptive study was conducted to 30 street vendors at the gate of Universitas Padjadjaran Campus from June to November 2012. The inclusion criterias were street vendors involved in food preparation, cooking, mixing, and willing to participate in this study. A questionnaire was developed to identify the knowledge, attitude and practice of hand washing. The level of the variable measured was divided into 3 categories: good, moderate, and poor. The collected data were analyzed and presented in table. Results: There were 12/30 of street vendors classified as having moderate knowledge and 25/30 as having good attitude and good practice of hand washing. Conclusions: The street vendors at the gate of Universitas Padjadjaran Campus had moderate knowledge, good attitude and good practice of hand washing.

  18. 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 Newspaper readers(p schools.

  19. 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.

  20. Arbi Care application increases preschool children's hand-washing self-efficacy among preschool children.

    Science.gov (United States)

    Arbianingsih; Utario, Yossy; Rustina, Yeni; Krianto, Tri; Ayubi, Dian

    2018-02-01

    This research aimed to examine the effectiveness of an Android mobile game application called Arbi Care as a means to prevent diarrhea and build self-efficacy in hand washing among preschool children. This research used a pre- and post-test control group and time series design approach. Respondents were chosen randomly from a group of four to six years children. The intervention group (n = 60) received Arbi Care intervention for 25 minutes, twice a week, for five weeks while the control group (n = 60) received standard education. Self-efficacy was measured by using questionnaire and observation. Measurement was carried out three times in the sixth, eight, and tenth week post-intervention. The data was analyzed using the GLMRM test. There was a significant increase in the average score of self-efficacy in hand washing for the intervention group versus the control group. Moreover, there were significant differences in the results of average scores in which the intervention group showed much better self-efficacy improvement over the control group during the first, second, and final post-test after the intervention was given (p Android-based educational game can be an effective medium to improve hand washing self-efficacy among preschool children, thus helping to prevent diarrhea. Copyright © 2018 Elsevier España, S.L.U. All rights reserved.

  1. Social determinants of good hand-washing practice (GHP) among adolescents in a rural Indian community.

    Science.gov (United States)

    Dobe, Madhumita; Mandal, Ram Narayan; Jha, Ayan

    2013-01-01

    A cross-sectional study was conducted in 5 randomly selected villages to assess prevalence of good hand-washing practice (GHP) among adolescents, and describe the social determinants. The prevalence of adolescent GHP was 32.1% (95% CI = 27.1, 37.1). Logistic regression established 5 significant positive predictors-maternal GHP, presence of sanitary latrine, availability of soap at hand-washing locations, in-house water supply, and higher per capita income. Our research provides a scope for better understanding of the socioeconomic determinants of GHP in a rural Indian setting, and may find implications in the Total Sanitation Campaign launched by Government of India.

  2. Effect of health education on hand washing of mothers of under five ...

    African Journals Online (AJOL)

    Diarrhea is a leading cause of morbidity and mortality in children under five years of age in middle and low income countries. Nearly one in five child deaths is due to diarrhea and globally it accounts for 1.5million deaths annually. Although hand washing with soap is effective for the prevention of transmission of diarrhea ...

  3. Bacterial contamination of the hands of food handlers as indicator of hand washing efficacy in some convenient food industries in South Africa.

    Science.gov (United States)

    Aa, Lambrechts; Is, Human; Jh, Doughari; Jfr, Lues

    2014-07-01

    Hands of ready-to-eat food service employees have been shown to be vectors in the spread of foodborne disease, mainly because of poor personal hygiene and accounting for approximately 97% of food borne illnesses in food service establishments and homes. Our objective was to evaluate the efficacy of hand washing practices and sanitation before commencing work among food handlers in the convenient food industry in Gauteng, South Africa. A total of 230 samples were collected, involving 100% of the food handlers, in 8 selected convenient food outlets with their main focus on preparing ready-to-eat foods. The workers' cleaned and disinfected dominant hands were sampled for Total Plate Count (TPC), Staphylococcus aureus and Escherichia coli. Bacteria were isolated and counted using standard methods. The highest bacterial count from the hand samples was 7.4 x 10(3) cfu.cm(-2) and the lowest showed no detectable growth. Although hands with a count of 0 cfu.cm(-2) were found in all of the plants, the results indicated that all the plants exceeded the legal limit for food surfaces or hands of food handlers had no bacteria detectable on their hands. One sample tested positive for E. coli and S. aureus could not be detected on the hands of any of the food handlers. The study revealed that hand hygiene is unsatisfactory and may have serious implications for public health due to contamination of food from food handlers' hands. This therefore underlined the importance of further training to improve food handlers' knowledge of good hand washing practices.

  4. 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

    2017-10-01

    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 risks.

  5. 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.

  6. 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

  7. Wash Your Hands

    Science.gov (United States)

    ... hand sanitizers might not remove harmful chemicals like pesticides and heavy metals from hands. Be cautious when ... Health Promotion Materials Fact Sheets Podcasts Posters Stickers Videos Web Features Training & Education Our Partners Publications, Data & ...

  8. 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.

  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. Hand hygiene in peritoneal dialysis patients: a comparison of two techniques.

    Science.gov (United States)

    Figueiredo, Ana Elizabeth; de Siqueira, Soraia Lemos; Poli-de-Figueiredo, Carlos Eduardo; d'Avila, Domingos O

    2013-01-01

    Hand hygiene is essential for preventing peritoneal dialysis (PD)-related infections. The present study compared the effectiveness of two hygiene techniques in reducing the number of colony-forming units (CFUs) on the hands of patients undergoing PD. In this controlled clinical trial, 22 participants enrolled in the same PD program underwent a two-hand evaluation for microbiologic flora. Participants participated in two treatments: a) simple hand hygiene plus antiseptic hand hygiene, in which the patients washed their hands with water and glycerin soap for 1 minute and then rubbed and dried their hands with 70% ethyl alcohol gel; and b) antiseptic hand hygiene, in which the patients rubbed their hands with 70% ethyl alcohol gel until fully dry. To sample distal finger surfaces, we asked the participants to touch sheep blood agar plates directly. The CFU count for both hands was significantly higher in the regular hygiene group than in the gel-only group [69.0 (16.0 - 101.0) CFU vs 9.0 (2.2 - 55.5) CFU, p hand cultures from the regular hygiene group than in those from the gel-only group [69.5 (26.25 - 101.0) CFU vs 9.5 (1.0 - 41.7) CFU; p hands may be more effective than following the regular hygiene recommendations in reducing bacterial populations.

  11. 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...

  12. The suitability of EIT to estimate EELV in a clinical trial compared to oxygen wash-in/wash-out technique.

    Science.gov (United States)

    Karsten, Jan; Meier, Torsten; Iblher, Peter; Schindler, Angela; Paarmann, Hauke; Heinze, Hermann

    2014-02-01

    Open endotracheal suctioning procedure (OSP) and recruitment manoeuvre (RM) are known to induce severe alterations of end-expiratory lung volume (EELV). We hypothesised that EIT lung volumes lack clinical validity. We studied the suitability of EIT to estimate EELV compared to oxygen wash-in/wash-out technique. Fifty-four postoperative cardiac surgery patients were enrolled and received standardized ventilation and OSP. Patients were randomized into two groups receiving either RM after suctioning (group RM) or no RM (group NRM). Measurements were conducted at the following time points: Baseline (T1), after suctioning (T2), after RM or NRM (T3), and 15 and 30 min after T3 (T4 and T5). We measured EELV using the oxygen wash-in/wash-out technique (EELVO2) and computed EELV from EIT (EELVEIT) by the following formula: EELVEITTx,y…=EELVO2+ΔEELI×VT/ΔZ. EELVEIT values were compared with EELVO2 using Bland-Altman analysis and Pearson correlation. Limits of agreement ranged from -0.83 to 1.31 l. Pearson correlation revealed significant results. There was no significant impact of RM or NRM on EELVO2-EELVEIT relationship (p=0.21; p=0.23). During typical routine respiratory manoeuvres like endotracheal suctioning or alveolar recruitment, EELV cannot be estimated by EIT with reasonable accuracy.

  13. Two-step impression/ injection, an alternative putty/ wash impression technique: case report.

    Science.gov (United States)

    Caputi, S; Murmura, G; Sinjari, B; Varvara, G

    2012-01-01

    We here describe a new technique for making a definitive impression that we refer to as the two-step impression/injection technique. This technique initially follows the classical one-step putty/ light-body impression technique with the polymerization of the putty and the light-body compound. This is then followed by the second step: injection of extra-light-body compound into the preparation through a hole in the metal stock tray. The aim of this additional step is to control the wash bulk and minimize the changes that can produce unfavorable impression results. This new two-step impression/injection technique allows displacement of soft tissues, such as the tongue, during the first seating of the putty and wash materials, while in the second step, the extra-light-body compound records all of the finer details without being compressed.

  14. Domestic wash water reclamation for reuse as commode water supply using filtration: Reverse-osmosis separation technique

    Science.gov (United States)

    Hall, J. B., Jr.; Batten, C. E.; Wilkins, J. R.

    1974-01-01

    A combined filtration-reverse-osmosis water recovery system has been evaluated to determine its capability to reclaim domestic wash water for reuse as a commode water supply. The system produced water that met all chemical and physical requirements established by the U.S. Public Health Service for drinking water with the exception of carbon chloroform extractables, methylene blue active substances, and phenols. It is thought that this water is of sufficient quality to be reused as commode supply water. The feasibility of using a combined filtration and reverse-osmosis technique for reclaiming domestic wash water has been established. The use of such a technique for wash-water recovery will require a maintenance filter to remove solid materials including those less than 1 micron in size from the wash water. The reverse-osmosis module, if sufficiently protected from plugging, is an attractive low-energy technique for removing contaminants from domestic wash water.

  15. Evaluation of the effects of repeated hand washing, sunlight, smoke and dirt on the persistence of deltamethrin on insecticide-treated nets.

    Science.gov (United States)

    Kayedi, M H; Lines, J D; Haghdoost, A A; Vatandoost, M H; Rassi, Y; Khamisabady, K

    2008-08-01

    Field studies were carried out in Iran to evaluate the effect of various factors (washing, sun, smoke, dust and dirt) on the residual insecticidal activity of PermaNet (a brand of long-lasting insecticidal net), and on nets conventionally treated with deltamethrin (K-O Tab), using bioassay tests. Thirty-two nets were washed five or 15 times, and eight nets were not washed at all. Nets were washed vigorously in cold tap water (17 degrees C, pH 8.9) with a detergent. Hand rubbing continued for 3min. After washing, some nets were exposed to dense smoke from a dung-hay fire for 3min and were also left exposed to the dusty wind between washes. One group of nets was exposed to the sunlight for the full 3-d interval between washes; another was exposed to sunlight for just 3h after each wash; two other groups were kept in the shade. There was a significantly greater loss of activity in nets exposed to the sun throughout the 3-d interval between washes: that is, for a total of 15 to 45 d. However, short sunlight exposure (maximum 3h between washes) during drying did not have any effect. We did not find any significant effect of exposure to dirt, dust and smoke after washing. It is concluded that the effect of sun is much smaller than that of washing, and that drying nets for a few hours in the sun is not harmful.

  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. Comparison of the laboratory standard washing using CIPAC washing agent and the domestic washing on three recommended types of long-lasting insecticidal mosquito nets.

    Science.gov (United States)

    Ouattara, Jean Pierre Nabléni; Louwagie, Johanna; Pigeon, Olivier; Spanoghe, Pieter

    2013-01-01

    One of the best ways to prevent malaria is the use of insecticide-treated bed nets. Manufacturers pursue easier, safer and more efficient nets. Hence, many studies on the efficacy and wash resistance using World Health Organization standards have been reported. The commonly used detergent is "Savon de Marseille", because it closely resembles actually used soaps. At the 54(th) Collaborative International Pesticides Analytical Council (CIPAC) Technical Meeting in 2010, it was suggested to replace it by a standardized "CIPAC washing agent". The aim of this study was to investigate the difference between a laboratory hand washing simulation using the CIPAC washing agent (method-1) and a domestic washing (method-2) on different bed nets, as well as the effect of the drying process on the release of active ingredient. Interceptor®, Permanet®2.0 and Netprotect® nets were used in three treatments, each repeated 20 times. The first treatment included method-1 washing and indoor drying. The second treatment included method-2 washing and indoor drying. The third treatment used method-2 washing and UV-drying. The residual insecticide contents were determined using gas chromatography. The washing procedure and the number of washes have a significant effect on the release of active ingredient. Statistically, the two washing methods have the same effect on removing the active ingredient from the Interceptor® and Permanet®2.0 net, but a significantly different influence on the Netprotect® nets. The drying process has no significant effect on the insecticide. Both washing procedures affected the amount of insecticide remaining on nets independently of the impregnation technology. The active ingredient decreases with the number of washing cycles following an exponential or logarithmic model for coated nets. The laboratory hand washing simulation had more impact on the decrease of active ingredient content of the Netprotect® nets. All net types seemed to be effectively

  18. Comparison of the laboratory standard washing using CIPAC washing agent and the domestic washing on three recommended types of long-lasting insecticidal mosquito nets.

    Directory of Open Access Journals (Sweden)

    Jean Pierre Nabléni Ouattara

    Full Text Available One of the best ways to prevent malaria is the use of insecticide-treated bed nets. Manufacturers pursue easier, safer and more efficient nets. Hence, many studies on the efficacy and wash resistance using World Health Organization standards have been reported. The commonly used detergent is "Savon de Marseille", because it closely resembles actually used soaps. At the 54(th Collaborative International Pesticides Analytical Council (CIPAC Technical Meeting in 2010, it was suggested to replace it by a standardized "CIPAC washing agent". The aim of this study was to investigate the difference between a laboratory hand washing simulation using the CIPAC washing agent (method-1 and a domestic washing (method-2 on different bed nets, as well as the effect of the drying process on the release of active ingredient.Interceptor®, Permanet®2.0 and Netprotect® nets were used in three treatments, each repeated 20 times. The first treatment included method-1 washing and indoor drying. The second treatment included method-2 washing and indoor drying. The third treatment used method-2 washing and UV-drying. The residual insecticide contents were determined using gas chromatography.The washing procedure and the number of washes have a significant effect on the release of active ingredient. Statistically, the two washing methods have the same effect on removing the active ingredient from the Interceptor® and Permanet®2.0 net, but a significantly different influence on the Netprotect® nets. The drying process has no significant effect on the insecticide.Both washing procedures affected the amount of insecticide remaining on nets independently of the impregnation technology. The active ingredient decreases with the number of washing cycles following an exponential or logarithmic model for coated nets. The laboratory hand washing simulation had more impact on the decrease of active ingredient content of the Netprotect® nets. All net types seemed to be

  19. Extending the Theory of Normative Social Behavior to Predict Hand-Washing among Koreans.

    Science.gov (United States)

    Chung, Minwoong; Lapinski, Maria Knight

    2018-04-10

    The current study tests the predictions of the theory of normative social behavior (TNSB) in a hand-washing context in a Korean sample and extends the theory to examine the role of perceived publicness, a variable believed to activate face concerns, as a moderator of the norm-behavior relationship. The findings show substantial main effects for all of the study variables on behavior. In addition, the descriptive norm-behavior relationship is moderated by perceived publicness and outcome expectations, but the nature of the interactions is not consistent with that evidenced in previous literature on US samples. Implications for normative theory and communication campaigns are discussed.

  20. 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.

  1. 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.

  2. Treatment techniques for the recycling of bottle washing water in the soft drinks industry.

    Science.gov (United States)

    Ramirez Camperos, E; Mijaylova Nacheva, P; Diaz Tapia, E

    2004-01-01

    The soft drink production is an important sector in the manufacturing industry of Mexico. Water is the main source in the production of soft drinks. Wastewater from bottle washing is almost 50% of the total wastewater generated by this industry. In order to reduce the consumption of water, the water of the last bottle rinse can be reused in to the bottle pre-rinse and pre-washing cycles. This work presents the characterization of the final bottle washing rinse discharge and the treatability study for the most appropriate treatment system for recycling. Average characteristics of the final bottle wash rinse were as follows: Turbidity 40.46 NTU, COD 47.7 mg/L, TSS 56 mg/L, TS 693.6 mg/L, electrical conductivity 1,194 microS/cm. The results of the treatability tests showed that the final rinse water can be used in the pre-rinse and pre-washing after removing the totality of the suspended solids, 80% of the COD and 75% of the dissolved solids. This can be done using the following treatment systems: filtration-adsorption-reverse osmosis, or filtration-adsorption-ion exchange. The installation of these treatment techniques in the soft drink industry would decrease bottle washing water consumption by 50%.

  3. 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.

  4. Assessment of hand hygiene techniques using the World Health Organization's six steps.

    Science.gov (United States)

    Arias, Ariadna V; Garcell, Humberto G; Ochoa, Yagdeline R; Arias, Katiana F; Miranda, Fernando R

    2016-01-01

    The quality of hand hygiene was evaluated via direct observation for compliance with the six recommended World Health Organization steps. A total of 2497 HH opportunities, of which 1573 (63.0%) were hand rubs, were monitored over a five month period. Compliance was higher in nurses compared with physicians and auxiliaries and in steps 1 and 2 for hand rubs as well as the first three steps of hand washing, with lower rates after these steps. Rubbing of the thumbs and fingertips achieved the lowest rates of compliance in both HH types. A combination of the five recommended moments and six steps and staff education is recommended to improve the quality of hand hygiene. Copyright © 2015 King Saud Bin Abdulaziz University for Health Sciences. Published by Elsevier Ltd. All rights reserved.

  5. 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

    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...

  6. Bench Scale Treatability Studies of Contaminated Soil Using Soil Washing Technique

    OpenAIRE

    Gupta, M. K.; Srivastava, R. K.; Singh, A. K.

    2010-01-01

    Soil contamination is one of the most widespread and serious environmental problems confronting both the industrialized as well as developing nations like India. Different contaminants have different physicochemical properties, which influence the geochemical reactions induced in the soils and may bring about changes in their engineering and environmental behaviour. Several technologies exist for the remediation of contaminated soil and water. In the present study soil washing technique using...

  7. An assessment of water, sanitation and hygiene (wash) practices ...

    African Journals Online (AJOL)

    An assessment of water, sanitation and hygiene (wash) practices and quality of routinely ... East African Medical Journal ... There was a high uptake of households with treated drinking water (92%), availability of hand washing facilities in ...

  8. Hand hygiene knowledge of college students.

    Science.gov (United States)

    Taylor, J Kyle; Basco, Roselyne; Zaied, Aya; Ward, Chelsea

    2010-01-01

    An observational study was conducted to evaluate hygiene habits of students with fields of study, gender, and understanding of hygiene at a university in Alabama. One hundred students were randomly observed in ten restrooms on campus to determine whether or not students washed their hands. The study was divided into an observational stage, a quiz to ascertain student's knowledge of hygiene and the spread of pathogens, and a survey of self-reported illness rates. Females had a tendency to wash their hands more often than males while visiting the bathroom (p = 0.02, chi2 = 11.6). Science majors were more likely to wash their hands than non-science majors (p < or = 0.001, chi2 = 5.2). Females (p < or = 0.0001, df = 98, F = 21.5) and science majors (p < or = 0.0001, df = 98, F = 81.4) scored significantly higher on the survey than males and nonscience majors, and that those observed not washing their hands reported being sick more often than those observed washing their hands (chi2 = 155.0, df= 3, p < 0.001, Fisher's exact p < 0.001).

  9. Hand hygiene with alcohol hand rub and gloves reduces the incidence of late onset sepsis in preterm neonates.

    Science.gov (United States)

    Janota, Jan; Šebková, Sylva; Višňovská, Magda; Kudláčková, Jana; Hamplová, Drahomíra; Zach, Jiří

    2014-10-01

    To assess the impact of a hand hygiene protocol, using hand washing, alcohol hand rub and gloves when caring for preterm infants born after 31 weeks of gestation, on the incidence of neonatal late onset sepsis (LOS). All babies delivered between 32 + 0 and 36 + 6 weeks gestation and admitted to the neonatal intensive care unit during a 14-month period were included. We followed a hand hygiene protocol with hand washing and alcohol hand rub (hand rub period) for the first 7 months and a protocol of hand washing, alcohol hand rub and gloves (gloves period) for the second 7 months. The hand rub and gloves groups consisted of 111 and 89 patients, respectively. Five patients were diagnosed with a total of six episodes of LOS in the hand rub group, and the incidence of LOS during the hand rub period was 2.99/1000 hospital days and 54.1/1000 admissions. There were no patients diagnosed with LOS during the gloves period (significant decrease, p = 0.028). Using a hand hygiene protocol with hand washing, hand rub and gloves significantly reduced the incidence of LOS in preterm newborns, and the results suggest that it may produce a sustained improvement in the infection rate. ©2014 Foundation Acta Paediatrica. Published by John Wiley & Sons Ltd.

  10. Clean Hands Count

    Medline Plus

    Full Text Available ... action today; no cure tomorrow - Duration: 3:10. World Health Organization 72,319 views 3:10 Wash 'Em - Hand ... handwash? With soap and water - Duration: 1:27. World Health Organization 205,878 views 1:27 Germ Smart - Wash ...

  11. Testing a new alcohol-free hand sanitizer to combat infection.

    Science.gov (United States)

    Dyer, D L; Gerenraich, K B; Wadhams, P S

    1998-08-01

    Universal precautions require that perioperative health care personnel wash their hand before and after all patient contact. Time constraints, however, can make adhering to universal precautions, including proper hand washing, difficult. Some perioperative health care workers, therefore, routinely use rise-free hand sanitizers to supplement normal hand washing. This study evaluated immediate and persistent antimicrobial effectiveness of two alcohol--containing hand sanitizers and a novel surfactant, allantoin, benzalkonium chloride (SAB) hand sanitizer using a federally approved effectiveness protocol. Results indicate that all three products were equally effective after a single application. After repeated use, the alcohol-containing sanitizers did not meet federal performance standards, and the alcohol-free sanitizer did. These properties and others illustrated in this article indicate that the nonflammable, alcohol-free SAB hand sanitizer is the most favorable of the rise-free hand sanitizer formulas for normal hand washing.

  12. Adherence to hand hygiene protocol by clinicians and medical students at Queen Elizabeth Central Hospital, Blantyre-Malawi.

    Science.gov (United States)

    Kalata, N L; Kamange, L; Muula, A S

    2013-06-01

    While communicable diseases are the leading causes of morbidity and mortality in Malawi, the contribution of nosocomial or hospital-acquired infections (HAIs) is unknown but could be substantial. The single most important method of preventing nosocomial infections is hand hygiene. We report a study which was conducted in 2011 to investigate adherence to hand hygiene protocols by clinicians and medical students working at Queen Elizabeth Central Hospital in Blantyre, Malawi. There were two parts to the study: a single blinded arm in which participants were observed without their knowledge by trained nurses; and a second arm which included self-completion of questionnaire after participant consent was obtained. The 2009 World Health Organization hand hygiene technique and recommendations which were adopted by Queen Elizabeth Central Hospital were used to define an opportunity for hand washing and effectiveness of hand washing. Hand hygiene effectiveness was defined as adherence to at least 6 out of 7 steps (80%) of the hand hygiene technique when using alcohol-based formulation or at least 8 out of 10 steps (80%) of the hand hygiene technique when using water and soap formulation before and after having direct contact with patients or their immediate surroundings. Clinicians were found to have disinfected their hands more than medical students (phand sanitizer and hand hygiene practice (p=0.3). Adherence to hand hygiene was found to be 23%. Most of the participants mentioned infection transmission prevention as a reason for disinfecting their hands. Other reasons mentioned included: a routine personal hand hygiene behaviour and discomfort if not washing hands. The top three reasons why they did not disinfect hands were forgetfulness, unavailability of sanitizers and negligence. Adherence to hand hygiene practice was found to be low, with forgetfulness and negligence being the major contributing factors. A hospital-wide multifaceted program aiming at clinicians and

  13. 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.

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

    Centers for Disease Control (CDC) Podcasts

    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.

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

    Centers for Disease Control (CDC) Podcasts

    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.

  16. 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.

  17. Hand Hygiene: When and How

    Science.gov (United States)

    Hand Hygiene When and How August 2009 How to handrub? How to handwash? RUB HANDS FOR HAND HYGIENE! WASH HANDS WHEN VISIBLY SOILED Duration of the ... its use. When? YOUR 5 MOMENTS FOR HAND HYGIENE 1 BEFORETOUCHINGA PATIENT 2 B P ECFLOER R ...

  18. 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.

  19. 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.

  20. Clean Hands Count

    Medline Plus

    Full Text Available ... 585 views 3:10 Wash 'Em - Hand Hygiene Music Video - Duration: 5:46. Jefferson Health 412,760 ... 536,963 views 1:46 Hand hygiene FULL music video - Duration: 2:33. AlfredHealthTV 25,574 views ...

  1. Clean Hands Count

    Medline Plus

    Full Text Available ... 585 views 3:10 Wash 'Em - Hand Hygiene Music Video - Duration: 5:46. Jefferson Health 413,097 ... 089,212 views 4:50 Hand hygiene FULL music video - Duration: 2:33. AlfredHealthTV 26,032 views ...

  2. Clean Hands Count

    Medline Plus

    Full Text Available ... 029 views 3:10 Wash 'Em - Hand Hygiene Music Video - Duration: 5:46. Jefferson Health 412,404 ... 081,511 views 4:50 Hand hygiene FULL music video - Duration: 2:33. AlfredHealthTV 25,194 views ...

  3. Clean Hands Count

    Medline Plus

    Full Text Available ... 585 views 3:10 Wash 'Em - Hand Hygiene Music Video - Duration: 5:46. Jefferson Health 413,097 ... 086,746 views 4:50 Hand hygiene FULL music video - Duration: 2:33. AlfredHealthTV 25,802 views ...

  4. Clean Hands Count

    Medline Plus

    Full Text Available ... 453 views 3:10 Wash 'Em - Hand Hygiene Music Video - Duration: 5:46. Jefferson Health 413,702 ... 28,656 views 3:40 Hand hygiene FULL music video - Duration: 2:33. AlfredHealthTV 26,480 views ...

  5. Clean Hands Count

    Medline Plus

    Full Text Available ... 024 views 2:58 Wash 'Em - Hand Hygiene Music Video - Duration: 5:46. Jefferson Health 412,404 ... 2,805 views 3:13 Hand hygiene FULL music video - Duration: 2:33. AlfredHealthTV 25,574 views ...

  6. Clean Hands Count

    Medline Plus

    Full Text Available ... 362 views 3:10 Wash 'Em - Hand Hygiene Music Video - Duration: 5:46. Jefferson Health 412,404 ... 219,427 views 1:27 Hand hygiene FULL music video - Duration: 2:33. AlfredHealthTV 25,194 views ...

  7. Clean Hands Count

    Medline Plus

    Full Text Available ... 585 views 3:10 Wash 'Em - Hand Hygiene Music Video - Duration: 5:46. Jefferson Health 413,097 ... 28,656 views 3:40 Hand hygiene FULL music video - Duration: 2:33. AlfredHealthTV 26,032 views ...

  8. Application of washed rumen technique for rapid determination of fasting heat production in steers

    Science.gov (United States)

    Two experiments were conducted to evaluate the use of a washed rumen technique as an alternative approach for determining fasting HP in cattle. In Exp. 1, 8 Holstein steers (322±30 kg) were adapted to a cubed alfalfa-based diet (1.5xNEm) for 10 d. After which steers were placed into individual hea...

  9. Testing biological effects of hand-washing grey water for reuse in irrigation on an urban farm: a case study.

    Science.gov (United States)

    Khan, Mohammad Zain; Sim, Yei Lin; Lin, Yang Jian; Lai, Ka Man

    2013-01-01

    The feasibility of reusing hand-washing grey water contaminated with antibacterial hand-washing liquid for irrigation purposes in an urban farm is explored in this case study. Experiments are carried out to investigate if the quality of this grey water allows for its reuse in agriculture as per the guidelines established by the World Health Organization (WHO). However, there is no guideline to test the biological effect of grey water prior to agricultural use. It is plausible that the antibacterial property of the grey water can harm the soil microbial system and plants when applied to land, even if all other water quality parameters satisfy the WHO limit. We use algae (Chlorella vulgaris) and indigenous soil bacteria as initial plant and soil bacteria indicators, respectively, to test the potential inhibition of the water on plants and soil bacteria. Results show that the chemical oxygen demand (COD) of the grey water is 10% higher than the WHO permissible level, while all other water quality parameters are within the limits after four days of our experimental period. An inhibitory effect is observed in all of the biological tests. However, the inhibitory effect on algae and soil bacteria is not observed after the four-day period. The case study demonstrates a new approach for testing the biological effect of grey water, which can be used in conjunction with the WHO guideline, and provides data for this urban farm to set up a future water treatment system for grey-water reuse in irrigation.

  10. 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.

  11. Washing away your (good or bad) luck: physical cleansing affects risk-taking behavior.

    Science.gov (United States)

    Xu, Alison Jing; Zwick, Rami; Schwarz, Norbert

    2012-02-01

    Many superstitious practices entail the belief that good or bad luck can be "washed away." Consistent with this belief, participants who recalled (Experiment 1) or experienced (Experiment 2) an episode of bad luck were more willing to take risk after having as opposed to not having washed their hands, whereas participants who recalled or experienced an episode of good luck were less willing to take risk after having as opposed to not having washed their hands. Thus, the psychological effects of physical cleansings extend beyond the domain of moral judgment and are independent of people's motivation: incidental washing not only removes undesirable traces of the past (such as bad luck) but also desirable ones (such as good luck), which people would rather preserve.

  12. Use of pulsed neutron logging to evaluate perforation washing

    International Nuclear Information System (INIS)

    Dimon, C.A.

    1986-01-01

    This invention relates to the use of pulsed neutron logging techniques before and after perforation washing operations are performed to evaluate the degree of success of the perforation washing operations. Well logging operations of a type designed to respond to the difference between a formation immediately behind the well sheath and voids in the formation are performed both before and after the perforation washing operation. differences between the two resulting logs are then indicative of voids created by perforation washing. In a preferred embodiment, pulsed neutron logging is used as the logging technique, while a weighted brine having a high absorption cross section to pulsed neutrons is used as the perforation washing fluid

  13. 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.

  14. 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.

  15. Clean Hands Count

    Medline Plus

    Full Text Available ... 03. R Mayer 371,490 views 4:03 The psychological trick behind getting people to say yes - Duration: 8:06. PBS NewsHour 606,671 views 8:06 Should You Really Wash Your Hands? - Duration: 4:51. Gross Science 57,828 views 4:51 Healthcare Worker Hand ...

  16. [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.

  17. 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.

  18. Assessment of hand blood flow: a modified technique

    International Nuclear Information System (INIS)

    Kirsh, J.C.; Tepperman, P.S.

    1985-01-01

    A blood flow artifact has been identified with the conventional bolus-injection technique in radionuclide studies of hand disorders. The artifact, consisting of increased blood flow on the injected side, was demonstrated in 22 of 25 subjects. Using a modified injection technique to allow time for local blood flow to return to the basal state, the artifact could be eliminated in 19 of 23 additional subjects. Use of this simple protocol should help avoid misinterpretation of blood flow asymmetry in the assessment of hand disorders

  19. Quantitative impact of direct, personal feedback on hand hygiene technique.

    Science.gov (United States)

    Lehotsky, Á; Szilágyi, L; Ferenci, T; Kovács, L; Pethes, R; Wéber, G; Haidegger, T

    2015-09-01

    This study investigated the effectiveness of targeting hand hygiene technique using a new training device that provides objective, personal and quantitative feedback. One hundred and thirty-six healthcare workers in three Hungarian hospitals participated in a repetitive hand hygiene technique assessment study. Ultraviolet (UV)-labelled hand rub was used at each event, and digital images of the hands were subsequently taken under UV light. Immediate objective visual feedback was given to participants, showing missed areas on their hands. The rate of inadequate hand rubbing reduced from 50% to 15% (P < 0.001). However, maintenance of this reduced rate is likely to require continuous use of the electronic equipment. Copyright © 2015 The Healthcare Infection Society. Published by Elsevier Ltd. All rights reserved.

  20. 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.

  1. 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.

  2. Knowledge, Attitudes, and Practices Study on Hand Hygiene Among Imam Hossein Hospital’s Residents in 2013

    Science.gov (United States)

    Nabavi, Mahmoud; Alavi-Moghaddam, Mostafa; Gachkar, Latif; Moeinian, Mohammad

    2015-01-01

    Background: Hand hygiene is considered one of the most important infection control measures for preventing health care-associated infections. Although the techniques involved in hand hygiene are simple, compliance with hand hygiene recommendations is poor worldwide. Objectives: We sought to perform a knowledge, attitudes, and practices (KAP) study on hand hygiene among medical residents at Imam Hossein hospital, Tehran, Iran. Patients and Methods: This cross-sectional KAP study was conducted among medical residents in Imam Hossein hospital, Iran, 2013. All medical residents from different wards were invited to participate in this study (270 in total). The world health organization questionnaires and an observational checklist were used to collect data. The χ2 test and the Fisher exact test were utilized to analyze the qualitative variables. Since the quantitative variables had no normal distribution, the Mann-Whitney test and the Kruskal-Wallis method were employed. A P value hand hygiene, and only 20.16% (n = 25) managed to identify the correct answer. Moreover, 3.1% (n = 8) of the residents adhered to the 8 standard steps, 12.1% (n = 31) washed their hands for 20 - 30 seconds, and only 2 residents observed the sequences of hand hygiene. Additionally, none of the residents performed hand washing with available means (water and hand-washing liquid) in the morning visit hours. Conclusions: Concerning hand hygiene, the residents had moderate knowledge but overall poor attitudes and practices. The present study underscores the need for further improvement in the existing training programs to address the gaps in KAP regarding hand hygiene. PMID:26568858

  3. Self-reported reasons for hand hygiene in 3 groups of health care workers.

    Science.gov (United States)

    McLaughlin, Anne Collins; Walsh, Fran

    2012-09-01

    The hands of health care workers continue to be the main vector for nosocomial infection in hospitals. The purpose of the current research was to capture the health beliefs and self-reported behaviors of US health care workers to better understand why workers avoid hand hygiene and what prompts them to wash. An online survey of health care workers assessed their reasons for washing their hands, reasons for not washing, and what cues prompted the decision to wash or not wash in a variety of locations. The findings were that hand hygiene could be cued by an external situation but tended to be motivated internally. Hand hygiene was avoided because of situational barriers. The reasons for performing hand hygiene can be situated in the internally motivated Theory of Planned Behavior; however, the reasons for not performing hand hygiene tend to be situational and affected by the environment. The results may be used to design programs, products, and systems that promote appropriate hand hygiene practices. Principles for design of these programs and products are provided. Copyright © 2012 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Mosby, Inc. All rights reserved.

  4. Microbiological evaluation of sludge during an improvement process applying the washing technique (selective pressure)

    International Nuclear Information System (INIS)

    Molina P, Francisco; Gonzalez, Maria Elena; Gonzalez, Luz Catalina

    2001-01-01

    In this investigation, the microbial consortiums were evaluated by using characterization by trophic groups and related groups by their sensibility to oxygen, as well as the specific methanogenic activity (SMA) of an acclimated sludge, starting from an aerobium sludge corning from a residual water treatment plant. Later, the technique of improvement by washing was applicated to this sludge, getting inoculum for the starting of an anaerobic reactor of the kind UASB (treatment reactor). At the same time, a control reactor was operated, inoculated with acclimated sludge. Both reactors were operated during 120 days, using brown sugar as substrate, the experimental phase included dates up to 70 operation days, characterizing the sludge at the end of this period. The SMA was analysed using acetic and formic acids as substrates. The results showed activities between 0,45 and 1,39 g DQO-CH 4 /SSV -d. for both substrates. At the end of the experimental phase of the UASB reactor, the sulphate reducer bacteria from the acetate and the lactate were observed as predominant group, followed by the methanogenic hydrogenophilic bacteria. It is important to notice that, with the application of the sludge washing technique, all the tropic groups were increased, with the exception of the lactate fermentative bacteria

  5. Hand Hygiene and Tuberculosis Risk in Korea: An Ecological Association.

    Science.gov (United States)

    Han, Mi Ah

    2018-01-01

    Hand hygiene is a basic but effective strategy against infectious disease. This study investigated an ecological association between hand hygiene and tuberculosis (TB) risk in Korea. Hand hygiene data were obtained from the 2015 Community Health Survey. Information on TB incidence and mortality in 2015 were obtained from the National Infectious Diseases Surveillance System and death monitoring database, respectively. In multiple linear regression analysis, frequent hand washing rates after using the restroom (B = -0.78, P = .037), after returning from the outdoors (B = -0.28, P = .049), and with soap or hand sanitizer (B = -0.54, P = .018) were negatively associated with TB incidence. TB mortality were associated with frequent hand washing rates after returning from the outdoors (B = -0.05, P = .035), and with soap or hand sanitizer (B = -0.10, P = .010), respectively. Hand washing was associated with lower TB incidence and mortality at the community level. These results could contribute to develop community-based health promotion strategies.

  6. Hand hygiene in the nursery during diaper changing.

    Science.gov (United States)

    Phang, Koh Ni; Maznin, Nur Liyanna; Yip, Wai Kin

    2012-12-01

    This project aimed to improve hand hygiene practice during diaper changing among nurses working in the nursery. This project was conducted in one of the nurseries in a 935-bed acute care hospital with a sample of 15 nurses. A pre- and post-intervention audit was conducted utilising the Joanna Briggs Institute Practical Application of Clinical Evidence System and Getting Research into Practice module. A revised written workflow, which specified the occasions and process for hand hygiene during diaper changing, was introduced. Modifications to the baby bassinets and nursery were made after barriers to good hand hygiene were identified. The project was carried out over 4 months, from March to June 2011. The post-intervention audit results show an improvement in performing hand washing after changing diapers (20%) and performing the correct steps of hand rubbing (25%). However, the compliance rates decreased for the other criteria that measured whether hand rubbing or hand washing was performed prior to contacting the infant and after wrapping the infant, and whether hand washing was performed correctly. The improvement in compliance with hand washing--the main focus of the new workflow--after changing diapers was especially significant. The results indicated that having a workflow on the occasions and process for hand hygiene during diaper changing was useful in standardising practice. Pre- and post-implementation audits were effective methods for evaluating the effect of translating evidence into practice. However, this project had limited success in improving compliance with hand hygiene. This suggested that more effort is needed to reinforce the importance of hand hygiene and compliance to the proposed workflow. In addition, this project showed that for change to take place successfully, environmental modifications, increased awareness and adequate communication to every staff member are essential. © 2012 The Authors. International Journal of Evidence

  7. Two- versus four-handed techniques for endonasal resection of orbital apex tumors.

    Science.gov (United States)

    Craig, John R; Lee, John Y K; Petrov, Dmitriy; Mehta, Sonul; Palmer, James N; Adappa, Nithin D

    2015-01-01

    Open versus endonasal resection of orbital apex (OA) tumors is generally based on tumor size, location, and pathology. For endonasal resection, two- and four-handed techniques have been reported, but whether one technique is more optimal based on these tumor features has not been evaluated. To determine whether two- versus four-handed techniques result in better outcomes after endoscopic resection of OA tumors, and whether either technique is better suited for intra- versus extraconal location and for benign versus malignant pathology. A retrospective review of all expanded endonasal approaches for OA tumors was performed at a single institution from 2009 to 2013. A PubMed database search was also performed to review series published on endonasal OA tumor resection. Across all the cases reviewed, the following data were recorded: two- versus four-handed techniques, intra- versus extraconal tumor location, and benign versus malignant pathology. The relationship between these variables and resection extent was analyzed by the Fisher exact test. Postoperative visual status and complications were also reviewed. Ten cases from the institution and 94 cases from 17 publications were reviewed. Both two- and four-handed techniques were used to resect extra- and intraconal OA tumors, for both benign and malignant pathology. Four-handed techniques included a purely endonasal approach and a combined endonasal-orbital approach. On univariate analysis, the strongest predictor of complete resection was benign pathology (p = 0.005). No significant difference was found between the extent of resection and a two- versus a four-handed technique. Visual status was improved or unchanged in 94% of cases, and other complications were rare. Benign tumors that involve the medial extraconal and posterior inferomedial intraconal OA can be treated by either two- or four-handed endonasal techniques. Selecting two- versus four-handed techniques and endonasal versus endonasal-orbital four-handed

  8. [Hand hygiene technique assessment using electronic equipment in 26 Hungarian healthcare institutions].

    Science.gov (United States)

    Lehotsky, Ákos; Morvai, Júlia; Szilágyi, László; Bánsághi, Száva; Benkó, Alíz; Haidegger, Tamás

    2017-07-01

    Hand hygiene is probably the most effective tool of nosocomial infection prevention, however, proper feedback and control is needed to develop the individual hand hygiene practice. Assessing the efficiency of modern education tools, and digital demonstration and verification equipment during their wide-range deployment. 1269 healthcare workers took part in a training organized by our team. The training included the assessment of the participants' hand hygiene technique to identify the most often missed areas. The hand hygiene technique was examined by a digital device. 33% of the participants disinfected their hands incorrectly. The most often missed sites are the fingertips (33% on the left hand, 37% on the right hand) and the thumbs (42% on the left hand, 32% on the right hand). The feedback has a fundamental role in the development of the hand hygiene technique. With the usage of electronic devices feedback can be provided efficiently and simply. Orv Hetil. 2017; 158(29): 1143-1148.

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

    DEFF Research Database (Denmark)

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

    In transmission of soil transmitted helminths, especially with Ascaris and Trichuris infections, the importance of hands is unclear and very limited literature exists. This is partly because of the absence of a reliable method to quantify the number of helminth eggs on hands. 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 contaminated with app. 1000 Ascaris eggs, air dried and washed in a plastic bag retaining the washing water, in order to determine recovery rates...... of eggs for two different detergents (cationic [benzethonium chloride 0.1%], anionic [7X 1% - quadrafos, glycol ether, and dioctyl sulfoccinate sodium salt]) and de-ionized water used as control. The highest recovery rate (95.6%) was achieved with a hand rinse performed with 7X 1%. Washing hands...

  10. An automated hand hygiene training system improves hand hygiene technique but not compliance.

    Science.gov (United States)

    Kwok, Yen Lee Angela; Callard, Michelle; McLaws, Mary-Louise

    2015-08-01

    The hand hygiene technique that the World Health Organization recommends for cleansing hands with soap and water or alcohol-based handrub consists of 7 poses. We used an automated training system to improve clinicians' hand hygiene technique and test whether this affected hospitalwide hand hygiene compliance. Seven hundred eighty-nine medical and nursing staff volunteered to participate in a self-directed training session using the automated training system. The proportion of successful first attempts was reported for each of the 7 poses. Hand hygiene compliance was collected according to the national requirement and rates for 2011-2014 were used to determine the effect of the training system on compliance. The highest pass rate was for pose 1 (palm to palm) at 77% (606 out of 789), whereas pose 6 (clean thumbs) had the lowest pass rate at 27% (216 out of 789). One hundred volunteers provided feedback to 8 items related to satisfaction with the automated training system and most (86%) expressed a high degree of satisfaction and all reported that this method was time-efficient. There was no significant change in compliance rates after the introduction of the automated training system. Observed compliance during the posttraining period declined but increased to 82% in response to other strategies. Technology for training clinicians in the 7 poses played an important education role but did not affect compliance rates. Crown Copyright © 2015. Published by Elsevier Inc. All rights reserved.

  11. 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...

  12. 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

  13. Poor hand hygiene by college students linked to more occurrences of infectious diseases, medical visits, and absence from classes.

    Science.gov (United States)

    Prater, Kayla J; Fortuna, Crystal A; McGill, Janis L; Brandeberry, Macey S; Stone, Abigail R; Lu, Xu

    2016-01-01

    Proper hand hygiene has been linked to lower susceptibility to infectious diseases in many types of communities, but it has not been well established on college campuses. This study investigated the hand hygiene statuses of college students and their occurrences in relation to infectious diseases, medical visits, and absence from classes or work. It also examined the effects of education on handwashing technique to improve hand hygiene. College students enrolled at a university in Northwestern Ohio were recruited as study subjects. Microbial samples were collected 3 times from each of the 220 valid volunteers before washing their hands, after washing with their own procedures, and after washing with a procedure recommended by the Centers for Disease Control and Prevention (CDC). Each volunteer also answered a survey including questions on their health conditions, medical visits, and absence from classes or work. Hands of 57.7% volunteers were colonized by an uncountable number of microbial colonies, which were significantly linked to more occurrences to infectious diseases (P hygiene. It is critical to promote education on proper handwashing in colleges, in grade schools, and at home to improve health and learning outcomes. Copyright © 2016 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

  14. 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...

  15. Clean Hands Count

    Medline Plus

    Full Text Available ... now. Please try again later. Published on May 5, 2017 This video for healthcare providers is intended ... 36 Wash 'Em - Hand Hygiene Music Video - Duration: 5:46. Jefferson Health 413,702 views 5:46 ...

  16. Clean Hands Count

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    Full Text Available ... today; no cure tomorrow - Duration: 3:10. World Health Organization 72,885 views 3:10 Wash 'Em - Hand Hygiene Music Video - Duration: 5:46. Jefferson Health 410,052 views 5:46 'It's in your ...

  17. Clean Hands Count

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    Full Text Available ... no cure tomorrow - Duration: 3:10. World Health Organization 75,585 views 3:10 Wash 'Em - Hand ... soap and water - Duration: 1:27. World Health Organization 224,180 views 1:27 The five moments ...

  18. Clean Hands Count

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    Full Text Available ... CDC) 97,825 views 5:12 CDC Flu Education Video - Duration: 10:26. Nicole Shelton 213 views ... Infection Control Video - Duration: 20:55. Paramedical Services Education Page 4,735 views 20:55 Hand Washing ...

  19. Clean Hands Count

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    Full Text Available ... action today; no cure tomorrow - Duration: 3:10. World Health Organization 78,256 views 3:10 Wash ... handwash? With soap and water - Duration: 1:27. World Health Organization 230,361 views 1:27 Hand ...

  20. Clean Hands Count

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    Full Text Available ... no cure tomorrow - Duration: 3:10. World Health Organization 78,256 views 3:10 Wash 'Em - Hand ... message from WHO - Duration: 10:07. World Health Organization 9,045 views 10:07 A very serious ...

  1. Clean Hands Count

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    Full Text Available ... today; no cure tomorrow - Duration: 3:10. World Health Organization 69,414 views 3:10 Hand Washing ... Video - Duration: 5:46. Thomas Jefferson University & Jefferson Health 408,436 views 5:46 83 videos Play ...

  2. Clean Hands Count

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    Full Text Available ... action today; no cure tomorrow - Duration: 3:10. World Health Organization 75,362 views 3:10 Wash ' ... handwash? With soap and water - Duration: 1:27. World Health Organization 219,427 views 1:27 Hand ...

  3. Clean Hands Count

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    Full Text Available ... has been rented. This feature is not available right now. Please try again later. Published on May ... Wash your Hands - it just makes sense. - Duration: 1:36. Seema Marwaha 404,414 views 1:36 ...

  4. Clean Hands Count

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    Full Text Available ... Washing Video from CDC called "Put Your Hands Together" - Duration: 3:40. Patrick Boshell 27,834 views ... Policy & Safety Send feedback Test new features Loading... Working... Sign in to add this to Watch Later ...

  5. Effect of intake on fasting heat production, respiratory quotient and plasma metabolites measured using the washed rumen technique

    Science.gov (United States)

    The objective was to investigate the effect of intake prior to fasting on concentrations of metabolites and hormones, respiratory quotient (RQ) and fasting heat production (HP) using the washed rumen technique and to compare these values with those from the fed state. Six Holstein steers (360 ± 22 k...

  6. Clean Hands Count

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    Full Text Available ... 14. Lake Health 14,415 views 3:14 Safety Demo: The Importance of Hand Washing - Duration: 2: ... Copyright Creators Advertise Developers +YouTube Terms Privacy Policy & Safety Send feedback Test new features Loading... Working... Sign ...

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

    Directory of Open Access Journals (Sweden)

    Daniela Pires

    2017-06-01

    Full Text Available Abstract Background 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. Methods 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. Results 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. Conclusions 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.

  8. 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.

  9. Comparison of four techniques on facility of two-hand Bag-valve-mask (BVM ventilation: E-C, Thenar Eminence, Thenar Eminence (Dominant hand-E-C (non-dominant hand and Thenar Eminence (non-dominant hand – E-C (dominant hand

    Directory of Open Access Journals (Sweden)

    Maryam Soleimanpour

    2016-12-01

    Conclusion: Novice participants did Thenar Eminence (non-dominant hand - E-C (dominant hand technique better than the others. Therefore, it is recommended that training of this technique was placed in educational program of medical students.

  10. Clean Hands Count

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    Full Text Available ... YouTube. Uninterrupted. Loading... Want music and videos with zero ads? Get YouTube Red. Working... Not now Try ... Wash your Hands - it just makes sense. - Duration: 1:36. Seema Marwaha 400,493 views 1:36 ...

  11. Clean Hands Count

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    Full Text Available ... Queue __count__/__total__ It’s YouTube. Uninterrupted. Loading... Want music and videos with zero ads? Get YouTube Red. ... 396 views 3:10 Wash 'Em - Hand Hygiene Music Video - Duration: 5:46. Thomas Jefferson University & Jefferson ...

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    Full Text Available ... Queue __count__/__total__ It’s YouTube. Uninterrupted. Loading... Want music and videos with zero ads? Get YouTube Red. ... 094 views 1:19 Wash 'Em - Hand Hygiene Music Video - Duration: 5:46. Jefferson Health 411,974 ...

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    Full Text Available ... Queue __count__/__total__ It’s YouTube. Uninterrupted. Loading... Want music and videos with zero ads? Get YouTube Red. ... 741 views 3:10 Wash 'Em - Hand Hygiene Music Video - Duration: 5:46. Jefferson Health 410,052 ...

  14. Clean Hands Count

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  3. Clean Hands Count

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    Full Text Available ... action today; no cure tomorrow - Duration: 3:10. World Health Organization 74,478 views 3:10 Wash your Hands - ... handwash? With soap and water - Duration: 1:27. World Health Organization 215,487 views 1:27 Infection Control Video - ...

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  7. 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. Copyright © 2013 AORN, Inc. Published by Elsevier Inc. All rights reserved.

  8. Pilot evaluation of a ward-based automated hand hygiene training system.

    Science.gov (United States)

    Ghosh, Anarta; Ameling, Stefan; Zhou, Jiang; Lacey, Gerard; Creamer, Eilish; Dolan, Anthony; Sherlock, Orla; Humphreys, Hilary

    2013-04-01

    A novel artificial intelligence (AI) system (SureWash; GLANTA, Dublin, Ireland) was placed on a ward with 45 staff members for two 6-day periods to automatically assess hand hygiene technique and the potential effectiveness of the automated training system. Two human reviewers assessed videos from 50 hand hygiene events with an interrater reliability (IIR) of 88% (44/50). The IIR was 88% (44/50) for the human reviewers and 80% (40/50) for the software. This study also investigated the poses missed and the impact of feedback on participation (+113%), duration (+11%), and technique (+2.23%). Our findings showed significant correlation between the human raters and the computer, demonstrating for the first time in a clinical setting the potential use of this type of AI technology in hand hygiene training. Copyright © 2013 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Mosby, Inc. All rights reserved.

  9. Hand hygiene practices in a neonatal intensive care unit: a multimodal intervention and impact on nosocomial infection.

    Science.gov (United States)

    Lam, Barbara C C; Lee, Josephine; Lau, Y L

    2004-11-01

    Health care-associated infections persist as a major problem in most neonatal intensive care units. Hand hygiene has been singled out as the most important measure in preventing hospital-acquired infection. However, hand hygiene compliance among health care workers (HCWs) remains low. The objective of this study was to assess the frequency and nature of patient contacts in neonatal intensive care units and observe the compliance and technique of hand hygiene among HCWs before and after the implementation of a multimodal intervention program. The nature and frequency of patient contacts, the hand hygiene compliance, and hand-washing techniques of HCWs were observed unobtrusively to reflect the baseline compliance and to investigate factors for noncompliance. The intervention consisted of problem-based and task-orientated hand hygiene education, enhancement of minimal handling protocol and clustering of nursing care, liberal provision of alcohol-based hand antiseptic, improvement in hand hygiene facilities, ongoing regular hand hygiene audit, and implementation of health care-associated infection surveillance. The observational study was repeated 6 months after the completion of the intervention program, which extended over 1-year period. Overall hand hygiene compliance increased from 40% to 53% before patient contact and 39% to 59% after patient contact. More marked improvement was observed for high-risk procedures (35%-60%). The average number of patient contacts also decreased from 2.8 to 1.8 per patient per hour. There was improvement in most aspects of hand-washing technique in the postintervention stage. The health care-associated infection rate decreased from 11.3 to 6.2 per 1000 patient-days. A problem-based and task-orientated education program can improve hand hygiene compliance. Enhancement of minimal handling and clustering of nursing procedures reduced the total patient contact episodes, which could help to overcome the major barrier of time constraints

  10. Revisiting the WHO "How to Handrub" Hand Hygiene Technique: Fingertips First?

    Science.gov (United States)

    Pires, Daniela; Bellissimo-Rodrigues, Fernando; Soule, Hervé; Gayet-Ageron, Angèle; Pittet, Didier

    2017-02-01

    Hands are implicated in the cross transmission of microbial pathogens and fingertips are the crux of the problem. A modified World Health Organization "How to Handrub" 6-step technique with "Fingertips First" showed greater efficacy than the standard technique in reducing fingertip contamination, potentially improving hand hygiene action quality. Infect Control Hosp Epidemiol 2017;38:230-233.

  11. Influence of rub-in technique on required application time and hand coverage in hygienic hand disinfection

    Directory of Open Access Journals (Sweden)

    Feil Yvonne

    2008-10-01

    Full Text Available Abstract Background Recent data indicate that full efficacy of a hand rub preparation for hygienic hand disinfection can be achieved within 15 seconds (s. However, the efficacy test used for the European Norm (EN 1500 samples only the fingertips. Therefore, we investigated hand coverage using sixteen different application variations. The hand rub was supplemented with a fluorescent dye, and hands were assessed under UV light by a blind test, before and after application. Fifteen non-healthcare workers were used as subjects for each application variation apart from one test which was done with a group of twenty healthcare workers. All tests apart from the reference procedure were performed using 3 mL of hand rub. The EN 1500 reference procedure, which consists of 6 specific rub-in steps performed twice with an aliquot of 3 ml each time, served as a control. In one part of this study, each of the six steps was performed from one to five times before proceeding to the next step. In another part of the study, the entire sequence of six steps was performed from one to five times. Finally, all subjects were instructed to cover both hands completely, irrespective of any specific steps ("responsible application". Each rub-in technique was evaluated for untreated skin areas. Results The reference procedure lasted on average 75 s and resulted in 53% of subjects with at least one untreated area on the hands. Five repetitions of the rub-in steps lasted on average 37 s with 67% of subjects having incompletely treated hands. One repetition lasted on average 17 s, and all subjects had at least one untreated area. Repeating the sequence of steps lasted longer, but did not yield a better result. "Responsible application" was quite fast, lasting 25 s among non-healthcare worker subjects and 28 s among healthcare workers. It was also effective, with 53% and 55% of hands being incompletely treated. New techniques were as fast and effective as "responsible

  12. 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

  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

    2011-05-01

    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.

  14. 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%.

  15. Quantifying the Effects of Water Temperature, Soap Volume, Lather Time, and Antimicrobial Soap as Variables in the Removal of Escherichia coli ATCC 11229 from Hands.

    Science.gov (United States)

    Jensen, Dane A; Macinga, David R; Shumaker, David J; Bellino, Roberto; Arbogast, James W; Schaffner, Donald W

    2017-06-01

    The literature on hand washing, while extensive, often contains conflicting data, and key variables are only superficially studied or not studied at all. Some hand washing recommendations are made without scientific support, and agreement between recommendations is limited. The influence of key variables such as soap volume, lather time, water temperature, and product formulation on hand washing efficacy was investigated in the present study. Baseline conditions were 1 mL of a bland (nonantimicrobial) soap, a 5-s lather time, and 38°C (100°F) water temperature. A nonpathogenic strain of Escherichia coli (ATCC 11229) was the challenge microorganism. Twenty volunteers (10 men and 10 women) participated in the study, and each test condition had 20 replicates. An antimicrobial soap formulation (1% chloroxylenol) was not significantly more effective than the bland soap for removing E. coli under a variety of test conditions. Overall, the mean reduction was 1.94 log CFU (range, 1.83 to 2.10 log CFU) with the antimicrobial soap and 2.22 log CFU (range, 1.91 to 2.54 log CFU) with the bland soap. Overall, lather time significantly influenced efficacy in one scenario, in which a 0.5-log greater reduction was observed after 20 s with bland soap compared with the baseline wash (P = 0.020). Water temperature as high as 38°C (100°F) and as low as 15°C (60°F) did not have a significant effect on the reduction of bacteria during hand washing; however, the energy usage differed between these temperatures. No significant differences were observed in mean log reductions experienced by men and women (both 2.08 log CFU; P = 0.988). A large part of the variability in the data was associated with the behaviors of the volunteers. Understanding what behaviors and human factors most influence hand washing may help researchers find techniques to optimize the effectiveness of hand washing.

  16. Mitigation of heavy metals in different vegetables through biological washing techniques

    Directory of Open Access Journals (Sweden)

    Muhammad Umair Sattar

    2015-12-01

    Full Text Available Availability of nutritious and healthy food is the foremost challenging issue in all over the word. Vegetables are essential part in human diet and considered as natural reserves of nutrients gifted by Almighty Allah to human beings. Heavy metals are among the most toxic food pollutants and their intake through diet leads to several disorders. The sources of heavy metal contamination include waste water irrigation, industrial emissions, transportation and application of metal-based pesticides. In Pakistan this situation is more alarming as vegetables grown in peri-urban areas have shown high incidence of heavy metals accumulation. In this study effort was made to mitigate different heavy metals (Ar, Cd, Cr and Pb in cauliflower, spinach, okra and brinjal collected from peri-urban areas through washing with different biological solutions. Heavy metals contents were determined by using Atomic Absorption Spectrophotometry (AAS. Vegetable showed high load of heavy metals in unwashed form that reduced significantly by washing with different biological solutions. Among the different biological solutions, washing of vegetables with 8% ginger solution was found to be more effective.

  17. Assessing the Health Impact of the following Measures in Schools in Maradi (Niger: Construction of Latrines, Clean Water Supply, Establishment of Hand Washing Stations, and Health Education

    Directory of Open Access Journals (Sweden)

    Halima Boubacar Maïnassara

    2014-01-01

    Full Text Available Objective. To assess the effect on health of the following measures in schools in Maradi (Niger: clean water supply, construction of latrines, establishment of hand washing stations, and health education. Methodology. It was a “before and after” intervention study on a sample of school children aged 7 to 12 years in the Maradi region. The interventions included building of latrines, supplying clean water, setting up hand washing stations, and teaching health education lessons. An individual questionnaire, analysis of stool samples, and a group questionnaire were administered to children and teachers, respectively. The threshold for significance was set at P<0.05. Results. A statistically significant reduction in cases of diarrhoea and abdominal pains was noted after the project. Overall, carriage of at least one parasite increased from 7.5% before the project to 10.2% after it (P=0.04. In the programme group schools, there was a statistically significant increase in the prevalence of Hymenolepis nana, from 0 to 1.9 (P=0.02. Pinworm prevalence remained stable in this group but increased significantly in the control group. Conclusions. Putting health infrastructure in place in schools obviously had an impact on hygiene-related habits in the beneficiary schools and communities.

  18. A multifaceted hospital-wide intervention increases hand hygiene ...

    African Journals Online (AJOL)

    Hospital-acquired infections remain a global concern, with prevalence .... precautionary measures such as hand washing. A baseline audit in. 2014 on hand hygiene at GSH reflected an average performance of. 34% for the hospital. ..... hand hygiene intervention based on WHO and continuous improvement methodology.

  19. Distillery spent wash: Treatment technologies and potential applications

    International Nuclear Information System (INIS)

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

    2009-01-01

    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

  20. Hand-assisted laparoscopic liver resection using Habib's technique: early experience.

    Science.gov (United States)

    Vávra, Petr; Ihnat, Peter; Vavrova, Michaela; Martinek, Lubomir; Dostalik, Jan; Habib, Nagy

    2012-03-01

    Hand-assisted laparoscopic liver surgery, a newly developed technique based on an innovative concept, has proved useful and safe for a variety of less invasive hepatectomies. Radiofrequency-assisted hepatic resection has been reported to be safe, associated with minimal morbidity and mortality and decreased intraoperative blood loss and transfusion requirements. We describe how we perform hand-assisted laparoscopic radiofrequency-assisted hepatic resection using a bipolar radiofrequency device. The use of the hand port has allowed the surgeon to use his hand in direct liver manipulation, mobilization, and retraction. It was also useful for tactile tumour localization. Radiofrequency-assisted hepatic parenchymal transection was performed on 15 patients using a bipolar device (Habib 4X) with minimal blood loss (74 ml), and very decent operative and resection times (92 min, 33 min respectively). This combined procedure offers a safe, effective and rapid liver resection technique. This might encourage surgeons to perform a minimally invasive approach for liver resection more frequently.

  1. Innovative Technology for Preparing Washing Liquid During Well Drilling

    Directory of Open Access Journals (Sweden)

    Davydenko A.N.

    2015-09-01

    Full Text Available Technology of washings liquid preparation is worked out. Prospects of the hydrodynamic supercavitation use for preparation of washing liquids during well drilling are substantiated. Theoretical research make it possible to set parameters and work out the construction of cavitational dispergator. The results of theoretical research found their confirmation during practical examinations and became the basis for creation of the technique of washing liquid preparation and construction of cavitational dispergator tested in production conditions.

  2. 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

  3. 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 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. PMID:21421792

  4. 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.

  5. 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-Fe 2 O 3 ) or maghemite (γ-Fe 2 O 3 ) 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.

  6. 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.

  7. Hand hygiene practices among community Health Officers in Rivers ...

    African Journals Online (AJOL)

    EB

    Hand washing with soap and water or alcohol-based hand rub has long been considered one of the most important infection control measures to prevent healthcare-associated infections. However, compliance by healthcare workers with recommended hand hygiene procedures is unacceptably low, with compliance rates ...

  8. A practical guide to alcohol-based hand hygiene infrastructure in a resource-poor pediatric hospital.

    Science.gov (United States)

    Caniza, Miguela A; Dueñas, Lourdes; Lopez, Blanca; Rodriguez, Alicia; Maron, Gabriela; Hayden, Randall; Srivastava, Deo Kumar; McCullers, Jonathan A

    2009-12-01

    Resource-poor hospitals have many barriers to proper hand hygiene (HH). Alcohol-based HH can compensate for inadequate infrastructure and supplies. We describe the implementation of alcohol-based HH in five high-risk wards of a pediatric hospital in El Salvador. In 5 high-risk wards for nosocomial infections, we evaluated the accessibility, supplies, and cleanliness of the hand-washing sinks at 132 time points. We then installed gel dispensers, identified a local gel supplier, and trained nursing staff to maintain the dispensers. We evaluated user acceptance, costs, and the practice and technique of HH before and after installation. Access and cleanliness were adequate at 18.9% and 11.3% of observation points, and towels and soap were available at 61.3% and 93.18% of points. Placement of 35 gel dispensers increased the ratio of HH stations to beds from 1:6.2 to 1:1.8. Alcohol gel was better tolerated than hand washing among 60 surveyed staff. Installation cost $2558 (US) and the monthly gel supply, $731 (US). HH practice increased from 33.8% to 40.5%; use of correct technique increased from 73.8% to 95.2%. Alcohol gel can address some of the barriers to effective HH at resource-poor institutions, and its cost may be offset by reduction of nosocomial infection.

  9. Soil washing for brine removal

    International Nuclear Information System (INIS)

    Ayyachamy, J.S.; Atalay, A.; Zaman, M.

    1992-01-01

    During the exploration for oil and thereafter, brine transfer lines get ruptured releasing the brine which contaminates the surrounding soil. The salinity level in brine is very high, sometimes approaching or exceeding that of sea water. Soils contaminated with brine are unproductive and unsuitable for plant growth. Several investigators have documented the pollution of surface water and groundwater due to brine disposal from oil and needed to clean up such sites. The objective of this study is to develop a soil washing technique that can be used to remove brine sites were collected and used in the study. This paper reports on results which indicate that soil washing using various surface active agents is effective in removing the brine

  10. Pseudohyperglycemia: Effects of Unwashed Hand after Fruit Peeling or Handling on Fingertips Blood Glucose Monitoring Results.

    Science.gov (United States)

    Olamoyegun, M A; Oloyede, T; Adewoye, O G; Abdulkarim, S O; Adeleke, A A

    2016-01-01

    Self-monitoring of blood glucose (SMBG) is an important component of management for diabetes mellitus (DM), especially in T1DM and T2DM patients who are on insulin therapy. Adequate blood glucose monitoring and prompt intervention are necessary to prevent blood glucose (BG) fluctuation and delay long-term diabetes complications. People with DM are advised to clean their hands before SMBG to remove any dirt or food residue that might affect the reading. The study tested the hypothesis that falsely elevated BG levels from fingertip occur after peeling or handling fruits in an unwashed hand. Fifty apparently healthy nondiabetes volunteers were enrolled. Capillary BG samples were collected from the fingertips after peeling or handling apple, orange, banana, watermelon, and pawpaw, followed by no hand washing for 1 h, cleaning the fingertip with alcohol swab once, five times, and washing hand thoroughly with tap water and drying. These samples were then analyzed with two different glucose meters. The mean BG values, measured from fingertip blood samples after peeling, and handling any of the fruits followed by no hand washing were significantly high, even after cleaning fingertip with a swab of alcohol once. However, there were no significant difference in BG levels measured after peeling and handling fruits followed by hand washing and the level of BG before peeling and handling fruits. Handling of peeled fruits with no hand washing with tap water is associated with overestimation of capillary BG (Pseudohyperglycemia) monitored with glucose meters.

  11. An evaluation of different soil washing solutions for remediating arsenic-contaminated soils.

    Science.gov (United States)

    Wang, Yiwen; Ma, Fujun; Zhang, Qian; Peng, Changsheng; Wu, Bin; Li, Fasheng; Gu, Qingbao

    2017-04-01

    Soil washing is a promising way to remediate arsenic-contaminated soils. Most research has mostly focused on seeking efficient extractants for removing arsenic, but not concerned with any changes in soil properties when using this technique. In this study, the removal of arsenic from a heavily contaminated soil employing different washing solutions including H 3 PO 4 , NaOH and dithionite in EDTA was conducted. Subsequently, the changes in soil physicochemical properties and phytotoxicity of each washing technique were evaluated. After washing with 2 M H 3 PO 4 , 2 M NaOH or 0.1 M dithionite in 0.1 M EDTA, the soil samples' arsenic content met the clean-up levels stipulated in China's environmental regulations. H 3 PO 4 washing decreased soil pH, Ca, Mg, Al, Fe, and Mn concentrations but increased TN and TP contents. NaOH washing increased soil pH but decreased soil TOC, TN and TP contents. Dithionite in EDTA washing reduced soil TOC, Ca, Mg, Al, Fe, Mn and TP contents. A drastic color change was observed when the soil sample was washed with H 3 PO 4 or 0.1 M dithionite in 0.1 M EDTA. After adjusting the soil pH to neutral, wheat planted in the soil sample washed by NaOH evidenced the best growth of all three treated soil samples. These results will help with selecting the best washing solution when remediating arsenic-contaminated soils in future engineering applications. Copyright © 2017 Elsevier Ltd. All rights reserved.

  12. Late Washing efficiency

    International Nuclear Information System (INIS)

    Morrissey, M.F.

    1992-01-01

    Interim Waste Technology has demonstrated the Late Washing concept on the Experimental Laboratory Filter (ELF) at TNX. In two tests, washing reduced the [NO 2 - ] from 0.08 M to approximately 0.01 M on slurries with 2 year equivalent radiation exposures and 9.5 wt. % solids. For both washes, the [NO 2 - ] decreased at rates near theoretical for a constant volume stirred vessel, indicating approximately l00% washing efficiency. Permeate flux was greater than 0.05 gpm/ft 2 for both washes at a transmembrane pressure of 50 psi and flow velocity of 9 ft/sec

  13. Laparoscopic cholecystectomy poses physical injury risk to surgeons: analysis of hand technique and standing position.

    Science.gov (United States)

    Youssef, Yassar; Lee, Gyusung; Godinez, Carlos; Sutton, Erica; Klein, Rosemary V; George, Ivan M; Seagull, F Jacob; Park, Adrian

    2011-07-01

    This study compares surgical techniques and surgeon's standing position during laparoscopic cholecystectomy (LC), investigating each with respect to surgeons' learning, performance, and ergonomics. Little homogeneity exists in LC performance and training. Variations in standing position (side-standing technique vs. between-standing technique) and hand technique (one-handed vs. two-handed) exist. Thirty-two LC procedures performed on a virtual reality simulator were video-recorded and analyzed. Each subject performed four different procedures: one-handed/side-standing, one-handed/between-standing, two-handed/side-standing, and two-handed/between-standing. Physical ergonomics were evaluated using Rapid Upper Limb Assessment (RULA). Mental workload assessment was acquired with the National Aeronautics and Space Administration-Task Load Index (NASA-TLX). Virtual reality (VR) simulator-generated performance evaluation and a subjective survey were analyzed. RULA scores were consistently lower (indicating better ergonomics) for the between-standing technique and higher (indicating worse ergonomics) for the side-standing technique, regardless of whether one- or two-handed. Anatomical scores overall showed side-standing to have a detrimental effect on the upper arms and trunk. The NASA-TLX showed significant association between the side-standing position and high physical demand, effort, and frustration (p<0.05). The two-handed technique in the side-standing position required more effort than the one-handed (p<0.05). No difference in operative time or complication rate was demonstrated among the four procedures. The two-handed/between-standing method was chosen as the best procedure to teach and standardize. Laparoscopic cholecystectomy poses a risk of physical injury to the surgeon. As LC is currently commonly performed in the United States, the left side-standing position may lead to increased physical demand and effort, resulting in ergonomically unsound conditions for

  14. Nasal Wash Treatment

    Science.gov (United States)

    ... Medications Alternative Therapies Nasal Wash Treatment Nasal Wash Treatment Make an Appointment Ask a Question Refer Patient The Centers for Disease Control (CDC) guidelines for preparing water used in a nasal wash are listed below. Many ...

  15. Pediatric mandibular fractures: a free hand technique.

    Science.gov (United States)

    Davison, S P; Clifton, M S; Davison, M N; Hedrick, M; Sotereanos, G

    2001-01-01

    The treatment of pediatric mandibular fractures is rare, controversial, and complicated by mixed dentition. To determine if open mandibular fracture repair with intraoral and extraoral rigid plate placement, after free hand occlusal and bone reduction, without intermaxillary fixation (IMF), is appropriate and to discuss postoperative advantages, namely, maximal early return of function and minimal oral hygiene issues. A group of 29 pediatric patients with a mandibular fracture were examined. Twenty pediatric patients (13 males and 7 females) with a mean age of 9 years (age range, 1-17 years) were treated using IMF. All patients were treated by the same surgeon (G.S.). Surgical time for plating was reduced by 1 hour, the average time to place patients in IMF. The patients who underwent open reduction internal fixation without IMF ate a soft mechanical diet by postoperative day 3 compared with postoperative day 16 for those who underwent IMF. Complication rates related to fixation technique were comparable at 20% for those who did not undergo IMF and 33% for those who did. We believe that free hand reduction is a valuable technique to reduce operative time for pediatric mandibular fractures. It maximizes return to function while minimizing the oral hygiene issues and hardware removal of intermaxillary function.

  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. A Soft Casting Technique for Managing Pediatric Hand and Foot Burns.

    Science.gov (United States)

    Choi, Young Mee; Nederveld, Cindy; Campbell, Kristen; Moulton, Steven

    2018-04-04

    Hand and foot burns in children are difficult to dress. The authors have developed a soft casting technique to manage burns to these areas. The aim of this study is to report the outcomes using weekly dressing changes with a soft casting technique to manage pediatric hand and foot burns in the outpatient setting. A retrospective chart review was performed on children with burns to the hands or feet, who underwent dressing changes with a soft casting technique at the Children's Hospital Colorado Burn Center. Soft casting was performed by placing antibiotic ointment-impregnated nonadherent gauze over the burn wound(s), wrapping the extremity using rolled gauze, applying soft cast pad, plaster, soft cast tape, and an elastic bandage. This was changed weekly. Two hundred ninety-eight children with hand burns had a mean age of 16.8 ± 2 months. Two hundred forty-eight children had partial thickness burn injuries (83%), 50 had full thickness burn injuries (17%), and the mean total body surface area (TBSA) was 1 ± 2.4%. The mean time to heal was 10.1 ± 1.7 days for all subjects. Sixty-six children with foot burns were identified with a mean age of 24 ± 2.6 months. Forty-six children had partial thickness injuries (70%), 20 had full thickness burn injuries (30%), and the mean TBSA was 2.3 ± 2.9%. The mean time to heal was 14.1 ± 2.2 days for all subjects. Weekly dressing changes using a soft casting technique are effective for the outpatient management of pediatric hand and foot burns. This method avoids costly inpatient hospital care, reduces the number of painful dressing changes, and allows children to heal in their own environment.

  18. Residues of maneb in potatoes and lettuce and their persistence during cooking, washing and uv exposition

    International Nuclear Information System (INIS)

    Bennaceur, M.; Sennaoui, Z.; Zennouche, B.; Hylin, J.W.

    1992-01-01

    Lettuce plants were treated each with 0,186 mg of 14C maneb and 1,86 mg unlabelled maneb. The plants were analyzed 30 days later and subjected to washing. Washing eliminates 17,46% of total 14C maneb applied. No Etu was observed in water.Washing and baking cause a significant decrease of EBDC in potatoes samples and the UV exposition involves a decrease of the fungicide and a formation of Etu. On the other hand 54 % and 38% of lettuce and potatoe samples analyzed by CS2 method exceed the authorized norms

  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. Hand hygiene practices post ebola virus disease outbreak in a ...

    African Journals Online (AJOL)

    Introduction: Ebola virus disease (EVD) is a highly contagious viral infection that requires a high risk perception and practice of good hand hygiene by regular hand washing or use of hand sanitizers for infection control at all time. The declaration of Nigeria as an Ebola-free country by the World Health Organization on the ...

  1. Soil washing and post-wash biological treatment of petroleum hydrocarbon contaminated soils

    OpenAIRE

    Bhandari, Alok

    1992-01-01

    A laboratory scale study was conducted to investigate the treatability of petroleum contaminated soils by soil washing and subsequent biological treatment of the different soil fractions. In addition to soils obtained from contaminated sites, studies were also performed on soils contaminated in the laboratory. Soil washing was performed using a bench-scale soil washing system. Washing was carried out with simultaneous fractionation of the bulk soil into sand, silt and clay fractions. Cl...

  2. Three-Hand Endoscopic Endonasal Transsphenoidal Surgery: Experience With an Anatomy-Preserving Mononostril Approach Technique.

    Science.gov (United States)

    Eseonu, Chikezie I; ReFaey, Karim; Pamias-Portalatin, Eva; Asensio, Javier; Garcia, Oscar; Boahene, Kofi D; Quiñones-Hinojosa, Alfredo

    2018-02-01

    Variations on the endoscopic transsphenoidal approach present unique surgical techniques that have unique effects on surgical outcomes, extent of resection (EOR), and anatomical complications. To analyze the learning curve and perioperative outcomes of the 3-hand endoscopic endonasal mononostril transsphenoidal technique. Prospective case series and retrospective data analysis of patients who were treated with the 3-hand transsphenoidal technique between January 2007 and May 2015 by a single neurosurgeon. Patient characteristics, preoperative presentation, tumor characteristics, operative times, learning curve, and postoperative outcomes were analyzed. Volumetric EOR was evaluated, and a logistic regression analysis was used to assess predictors of EOR. Two hundred seventy-five patients underwent an endoscopic transsphenoidal surgery using the 3-hand technique. One hundred eighteen patients in the early group had surgery between 2007 and 2010, while 157 patients in the late group had surgery between 2011 and 2015. Operative time was significantly shorter in the late group (161.6 min) compared to the early group (211.3 min, P = .001). Both cohorts had similar EOR (early group 84.6% vs late group 85.5%, P = .846) and postoperative outcomes. The learning curve showed that it took 54 cases to achieve operative proficiency with the 3-handed technique. Multivariate modeling suggested that prior resections and preoperative tumor size are important predictors for EOR. We describe a 3-hand, mononostril endoscopic transsphenoidal technique performed by a single neurosurgeon that has minimal anatomic distortion and postoperative complications. During the learning curve of this technique, operative time can significantly decrease, while EOR, postoperative outcomes, and complications are not jeopardized. Copyright © 2017 by the Congress of Neurological Surgeons

  3. Direct magnification technique of radiographs of the hand in children with chronic renal insufficiency

    Energy Technology Data Exchange (ETDEWEB)

    Ponhold, W.; Balzar, E.

    1984-04-01

    The characteristic changes of renal osteopathy in the hand are shown by the X-rays of seven children with end stage renal disease using the direct magnification technique. All children had pathologic conditions in the hands. Most frequently tunnelation, spiculae in the phalanges and metaphyseal translucent bands in the forearm were seen. Less constantly acroosteolyses and generalized osteoporosis could be observed. The X-rays of the hands using the direct magnification technique with rare earth film-screen system and a microfocus X-ray tube are sufficient to determine renal osteopathy. If clinical symptoms are present, X-rays of other parts of the skeleton are necessary. By using the above mentioned radiologic technique the radiographic diagnostic effort could be minimized.

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

    African Journals Online (AJOL)

    Introduction. Nosocomial infection is a global public health problem with an estimated 1.5 million suffering consequences at any given time [1, 2] noted that at least 25% of all hospital infections in the developing world are nosocomially acquired. The hands of health care providers are major agents of infection transmission ...

  5. Maintenance measures for preservation and recovery of permeable pavement surface infiltration rate--The effects of street sweeping, vacuum cleaning, high pressure washing, and milling.

    Science.gov (United States)

    Winston, Ryan J; Al-Rubaei, Ahmed M; Blecken, Godecke T; Viklander, Maria; Hunt, William F

    2016-03-15

    The surface infiltration rates (SIR) of permeable pavements decline with time as sediment and debris clog pore spaces. Effective maintenance techniques are needed to ensure the hydraulic functionality and water quality benefits of this stormwater control. Eight different small-scale and full-scale maintenance techniques aimed at recovering pavement permeability were evaluated at ten different permeable pavement sites in the USA and Sweden. Maintenance techniques included manual removal of the upper 2 cm of fill material, mechanical street sweeping, regenerative-air street sweeping, vacuum street sweeping, hand-held vacuuming, high pressure washing, and milling of porous asphalt. The removal of the upper 2 cm of clogging material did not significantly improve the SIR of concrete grid paves (CGP) and permeable interlocking concrete pavers (PICP) due to the inclusion of fines in the joint and bedding stone during construction, suggesting routine maintenance cannot overcome improper construction. For porous asphalt maintenance, industrial hand-held vacuum cleaning, pressure washing, and milling were increasingly successful at recovering the SIR. Milling to a depth of 2.5 cm nearly restored the SIR for a 21-year old porous asphalt pavement to like-new conditions. For PICP, street sweepers employing suction were shown to be preferable to mechanical sweepers; additionally, maintenance efforts may become more intensive over time to maintain a threshold SIR, as maintenance was not 100% effective at removing clogging material. Copyright © 2015 Elsevier Ltd. All rights reserved.

  6. Can a school-based hand hygiene program reduce asthma exacerbations among elementary school children?

    Science.gov (United States)

    Gerald, Joe K.; Zhang, Bin; McClure, Leslie A.; Bailey, William C.; Harrington, Kathy F.

    2012-01-01

    Background Viral upper respiratory infections have been implicated as a major cause of asthma exacerbations among school age children. Regular hand washing is the most effective method to prevent the spread of viral respiratory infections but, effective hand washing practices are difficult to establish in schools. Objectives This randomized controlled trial evaluated whether a standardized regimen of hand washing plus alcohol-based hand sanitizer could reduce asthma exacerbations more than schools’ usual hand hygiene practices. Methods This was a two year, community-based, randomized controlled crossover trial. Schools were randomized to usual care then intervention (Sequence 1) or intervention then usual care (Sequence 2). Intervention schools were provided with alcohol-based hand sanitizer, hand soap, and hand hygiene education. The primary outcome was the proportion of students experiencing an asthma exacerbation each month. Generalized estimating equations were used to model the difference in the marginal rate of exacerbations between sequences while controlling for individual demographic factors and the correlation within each student and between students within each school. Results 527 students with asthma were enrolled among 31 schools. The hand hygiene intervention did not reduce the number of asthma exacerbations as compared to the schools’ usual hand hygiene practices (p=0.132). There was a strong temporal trend as both sequences experienced fewer exacerbations during Year 2 as compared to Year 1 (phand hygiene behaviors and resources in usual care schools. Therefore, these results should be viewed cautiously. PMID:23069487

  7. Direct magnification technique of radiographs of the hand in children with chronic renal insufficiency

    International Nuclear Information System (INIS)

    Ponhold, W.; Balzar, E.

    1984-01-01

    The characteristic changes of renal osteopathy in the hand are shown by the X-rays of seven children with end stage renal disease using the direct magnification technique. All children had pathologic conditions in the hands. Most frequently tunnelation, spiculae in the phalanges and metaphyseal translucent bands in the forearm were seen. Less constantly acroosteolyses and generalized osteoporosis could be observed. The X-rays of the hands using the direct magnification technique with rare earth film-screen system and a microfocus X-ray tube are sufficient to determine renal osteopathy. If clinical symptoms are present, X-rays of other parts of the skeleton are necessary. By using the above mentioned radiologic technique the radiographic diagnostic effort could be minimized. (orig.) [de

  8. Semmelweis revisited: hand hygiene and nosocomial disease transmission in the anesthesia workstation.

    Science.gov (United States)

    Biddle, Chuck

    2009-06-01

    Hospital-acquired infections occur at an alarmingly high frequency, possibly affecting as many as 1 in 10 patients, resulting in a staggering morbidity and an annual mortality of many tens of thousands of patients. Appropriate hand hygiene is highly effective and represents the simplest approach that we have to preventing nosocomial infections. The Agency for Healthcare Research and Quality has targeted hand-washing compliance as a top research agenda item for patient safety. Recent research has identified inadequate hand washing and contaminated anesthesia workstation issues as likely contributors to nosocomial infections, finding aseptic practices highly variable among providers. It is vital that all healthcare providers, including anesthesia providers, appreciate the role of inadequate hand hygiene in nosocomial infection and meticulously follow the mandates of the American Association of Nurse Anesthetists and other professional healthcare organizations.

  9. Gravity and magnetic study of Yucca Wash, southwest Nevada

    International Nuclear Information System (INIS)

    Langenheim, V.E.; Ponce, D.A.; Oliver, H.W.; Sikora, R.F.

    1993-01-01

    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 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 3

  10. Survey of /sup 99m/Tc contamination of laboratory personnel: hand decontamination

    International Nuclear Information System (INIS)

    Nishiyama, H.; Van Tuinen, R.J.; Lukes, S.J.; Feller, P.A.

    1980-01-01

    Decontamination after exposure to various /sup 99m/Tc radiopharmaceuticals was tested with serial hand washings both with and without soap. All radiopharmaceuticals were removed more effectively with soap and the degree of decontamination related closely to the number of washings. The affinity of the radiopharmaceuticals for the skin varied, depending upon the labeled material, and only macroaggregated albumin was effectively removed to less than 1% of its original activity with soap. Activity transfer to the opposite hand could be substantial with macroaggregated albumin and sulfur colloid if soap is not used

  11. Efektivitas Mencuci Tangan Menggunakan Cairan Pembersih Tangan Antiseptik (Hand Sanitizer) Terhadap Jumlah Angka Kuman

    OpenAIRE

    Desiyanto, Fajar Ardi; Djannah, Sitti Nur

    2013-01-01

    Background: Hand washing is one of the sanitation actions by washing fingers with water or other liquid for the purpose of getting clean, religious ceremony or others. Antiseptic was chemical substance to prevent multiplication of microorganism on the surface of body, by killing the microorganism or blocking the growth and activity of its metabolic. The commonly used antiseptic of hand sanitizer was alcohol; alcohol has been widely used as skin antiseptic because it had an effect of blocking ...

  12. The World Health Organization's Clean Hands Save Lives

    DEFF Research Database (Denmark)

    Verwilghen, D.

    2018-01-01

    health and integrity as the first principle of good hand hygiene, using decontamination methods and products that are the least harmful to the skin is mandatory. This is why the currently accepted presurgical hand preparation methods do not involve aggressive brushing and disinfecting soaps anymore....... Rather, hands should be washed with a neutral pH friendly soap first before a hydroalcoholic solution is applied. Although the principles and benefits of proper hand hygiene have been recognised in the healthcare world, one of the major drawbacks remains the lack of compliance with established protocols...

  13. Comparison of the antiseptic effects of Betadine and Sterillium on microbial load of surgical hands

    Directory of Open Access Journals (Sweden)

    Ahmad Entezari

    2016-03-01

    Full Text Available Background and Objective: Hand washing is an essential measure in controlling the infection in the operating room, the correct implementation of which requires time. Therefore, the use of fast-acting and safe disinfectant is of great importance in this regard. Regarding this, the present study aimed to compare the antiseptic effects of Betadine and Sterillium on the microbial load of the surgical hands. Materials and Method: This quasi-experimental study was conducted on 93 operating room staff working at teaching hospitals of Yazd, Iran, in 2013, using random sampling method. Hand washing was first performed uniformly using 5 ml of non-antibacterial soap for 1 min. Subsequently, the hand washing was performed on two separate occasions with an interval of one week with 12 ml of Betadine and Sterillum for 3 min following the instructions of each solution. The sampling was carried out immediately after hand washing. In order to evaluate the lasting effects of the disinfectants, another sampling was also performed after the surgery. The data were analysed using Chi-square tests, independent t-test, and repeated measures ANOVA through the SPSS version 17. Results: At post-intervention stage, the mean difference of microbial load of the hands washed with Betadine was 15.97±3.08 CFU/ml which decreased to -0.64±0.28 CFU/ml (P=0.012. Regarding the Sterillum, the mean microbial loads of the hands were 16.73±3.0 and -0.032±0.64 CFU/ml at the pre- and post-intervention stages, respectively (P=0.037. This difference between the two solutions was significant (P=0.04. Conclusion: The findings of the present study revealed that the Sterillum was more fast-acting, than the Betadine. However, Betadine showed more lasting effect as compared to the Sterillum. Therefore, it is suggested to choose the disinfectant with regard to the onset and duration of the surgery.

  14. Hand hygiene technique quality evaluation in nursing and medicine students of two academic courses

    Directory of Open Access Journals (Sweden)

    Manuela Škodová

    2015-08-01

    Full Text Available AbstractObjective: because they are health professionals, nursing and medical students' hands during internships can function as a transmission vehicle for hospital-acquired infections.Method: a descriptive study with nursing and medical degree students on the quality of the hand hygiene technique, which was assessed via a visual test using a hydroalcoholic solution marked with fluorescence and an ultraviolet lamp.Results: 546 students were assessed, 73.8% from medicine and 26.2% from nursing. The area of the hand with a proper antiseptic distribution was the palm (92.9%; areas not properly scrubbed were the thumbs (55.1%. 24.7% was very good in both hands, 29.8% was good, 25.1% was fair, and 20.3% was poor. The worst assessed were the male, nursing and first year students. There were no significant differences in the age groups.Conclusions: hand hygiene technique is not applied efficiently. Education plays a key role in setting a good practice base in hand hygiene, theoretical knowledge, and in skill development, as well as good practice reinforcement.

  15. 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.

  16. 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.

  17. Adherence to the five moments for hand hygiene among intensive care professionals

    Directory of Open Access Journals (Sweden)

    Luccas Melo de Souza

    Full Text Available Objective: to identify the adherence of health professionals of an intensive care unit to the five moments for hand hygiene. Method: cross-sectional analytical study with a quantitative approach, based on secondary data from a database of a hospital infection control service at an institution in southern Brazil. A total of 793 observations were analyzed from July to December 2012. Results: hand washing was not performed in 446 (56.2% of the observations, and the adherence rate was 43.7%. The greatest adherence to hand hygiene was among the physiotherapists (53.5% and the lowest adherence was among the nursing staff (29.2%. The indications with the lowest adherence rates to hand hygiene were "before touching the patient" (18.4% and "before aseptic procedure" (20.9%. Conclusion: we conclude that adherence to hand washing does not comply with the national and international guidelines, especially when we consider the current scenario of growing infections caused by multidrug-resistant microorganisms.

  18. Iterative co-creation for improved hand hygiene and aseptic techniques in the operating room: experiences from the safe hands study.

    Science.gov (United States)

    Erichsen Andersson, Annette; Frödin, Maria; Dellenborg, Lisen; Wallin, Lars; Hök, Jesper; Gillespie, Brigid M; Wikström, Ewa

    2018-01-04

    Hand hygiene and aseptic techniques are essential preventives in combating hospital-acquired infections. However, implementation of these strategies in the operating room remains suboptimal. There is a paucity of intervention studies providing detailed information on effective methods for change. This study aimed to evaluate the process of implementing a theory-driven knowledge translation program for improved use of hand hygiene and aseptic techniques in the operating room. The study was set in an operating department of a university hospital. The intervention was underpinned by theories on organizational learning, culture and person centeredness. Qualitative process data were collected via participant observations and analyzed using a thematic approach. Doubts that hand-hygiene practices are effective in preventing hospital acquired infections, strong boundaries and distrust between professional groups and a lack of psychological safety were identified as barriers towards change. Facilitated interprofessional dialogue and learning in "safe spaces" worked as mechanisms for motivation and engagement. Allowing for the free expression of different opinions, doubts and viewing resistance as a natural part of any change was effective in engaging all professional categories in co-creation of clinical relevant solutions to improve hand hygiene. Enabling nurses and physicians to think and talk differently about hospital acquired infections and hand hygiene requires a shift from the concept of one-way directed compliance towards change and learning as the result of a participatory and meaning-making process. The present study is a part of the Safe Hands project, and is registered with ClinicalTrials.gov (ID: NCT02983136 ). Date of registration 2016/11/28, retrospectively registered.

  19. Immersion technique in soft tissue radiography of the hands

    International Nuclear Information System (INIS)

    Maekelae, P.; Haaslahti, J.O.

    1978-01-01

    Soft tissue radiography of hands using the technique of mammary radiography and immersion in a 2.5 cm layer of 1 : 1 water-ethanol solution is evaluated. Using immersion the average background density decreases with a factor of about 2.5 : 1, with little deterioration in resolution (MTF). The immersion procedure makes the demonstration and evaluation of soft tisse swelling and periarticular oedema easier. (Auth.)

  20. Overview of JGC soil washing and site stabilization (SWSS) concept

    International Nuclear Information System (INIS)

    Goetsch, S.; Fujimura, Y.; Sauda, K.; Yagi, T.; Suzuki, K.

    1991-01-01

    The JGC Soil Washing and Site Stabilization (SWSS) concept is to wash heavy metal and uranium-contaminated soils using well demonstrated techniques, and to follow that process with its innovative stabilization process, to fix the remaining contaminates within a stable matrix. In addition, the solution used to wash the soil is stripped of contaminates, so that it can be reused. This process reduces the total amount of wastes generated from washing the soil, since not only can the solution be reused, but often the extracted contaminates can be recovered for industrial use. The stabilization portion of the concept is based on a family of proprietary fixing agents which can render the remaining contaminates insoluble. These agents are significantly different from other (generally silicate) agents used for stabilizing contaminated soils in that they appear to bond more strongly to heavy metal contaminants than the silicate-based reagents, resulting in improved leach-rate performance when combined with bentonite or portland cement stabilization

  1. Video didactic at the point of care impacts hand hygiene compliance in the neonatal intensive care unit (NICU).

    Science.gov (United States)

    Hoang, Danthanh; Khawar, Nayaab; George, Maria; Gad, Ashraf; Sy, Farrah; Narula, Pramod

    2018-04-01

    To increase the hand-washing (HW) duration of staff and visitors in the NICU to a minimum of 20 seconds as recommended by the CDC. Intervention included video didactic triggered by motion sensor to play above wash basin. Video enacted Centers for Disease Control and Prevention (CDC) HW technique in real time and displayed timer of 20 seconds. HW was reviewed from surveillance video. Swabs of hands plated and observed for qualitative growth (QG) of bacterial colonies. In visitors, the mean HW duration at baseline was 16.3 seconds and increased to 23.4 seconds at the 2-week interval (p = .003) and 22.9 seconds at the 9-month interval (p < .0005). In staff, the mean HW duration at baseline was 18.4 seconds and increased to 29.0 seconds at 2-week interval (p = .001) and 25.7 seconds at the 9-month interval (p < .0005). In visitors, HW compliance at baseline was 33% and increased to 52% at the 2-week interval (p = .076) and 69% at the 9-month interval (p = .001). In staff, HW compliance at baseline was 42% and increased to 64% at the 2-week interval (p = .025) and 72% at the 9-month interval (p = .001). Increasing HW was significantly associated with linear decrease in bacterial QG. The intervention significantly increased mean HW time, compliance with a 20-econd wash time and decreased bacterial QG of hands and these results were sustained over a 9-month period. © 2018 American Society for Healthcare Risk Management of the American Hospital Association.

  2. Hand hygiene knowledge and practice among university students: evidence from Private Universities of Bangladesh

    Directory of Open Access Journals (Sweden)

    Sultana M

    2016-02-01

    Full Text Available Marufa Sultana,1 Rashidul Alam Mahumud,1 Abdur Razzaque Sarker,1 Sarder Mahmud Hossain,21Health Economics and Financing Research Group, Centre for Equity and Health System (CEHS, International Centre for Diarrhoeal Disease Research, Bangladesh, 2Department of Public Health, Northern University Bangladesh, Dhaka, BangladeshAbstract: Hand hygiene has achieved the reputation of being a convenient means of preventing communicable diseases. Although causal links between hand hygiene and rates of infectious disease have also been established earlier, studies focusing on hand hygiene among university-going students are not adequate in number. This study evaluated handwashing knowledge, practice, and other related factors among the selected university students in the city of Dhaka, Bangladesh. A cross-sectional study was conducted among 200 undergraduate students from four selected universities. A pretested, semistructured questionnaire, that included a checklist associated with handwashing practice, was applied to capture all relevant data. The mean (± SD age of the participants was 20.4 (±1.8 years. The majority of the students washed their hands with water, but only 22.5% washed their hands effectively by maintaining the correct steps and frequency of handwashing with water, and soap or hand sanitizer. The mean (± SD score of the participants’ hand hygiene practice was 50.81 (±4.79, while the total score with all perfect answers was considered as 66. Regression coefficient demonstrated that age has a negative influence on hand hygiene practice, as older students have lower scores compared to the younger ones (P<0.01. However, the unmarried students were a significant predictor for influencing the incensement of handwashing practice compared to the married ones (P<0.01. Findings of this study designate widespread insufficient hand hygiene practice in the university-going students and indicate a need for an extensive public health education

  3. Assessment of washing procedure for determination some of ...

    African Journals Online (AJOL)

    This study was proposed to assess the suitability of washing technique to distinguish between airborne and soil borne several metal contaminants. For this reason, six plant species which grew under Mobarakeh Steel Company emissions were selected. Aluminum, iron, nickel, manganese, zinc, copper and lead ...

  4. Check experiment of the high pressure water washing technology used to the decommissioning of reactor

    International Nuclear Information System (INIS)

    Han Jianping; Hou Yongming; Fu Yunshan

    2004-01-01

    High pressure water washing technology has been widely applied in the field of the decommissioning of nuclear facilities, and it is used to wash the sump for craft conveyance, the craft workshop, the hermetic sump, and some other nuclear equipment as well. The authors have got a set of technical data correlated with high pressure water washing technology by comparing the situations between the test before and after the washing work. At the same time, authors also improve the technique on some special cases, which made the high pressure water washing technology more perfect in the field of the decommissioning of nuclear facilities. (authors)

  5. Oral and Hand Hygiene Behaviour and Risk Factors among In-School Adolescents in Four Southeast Asian Countries

    Directory of Open Access Journals (Sweden)

    Karl Peltzer

    2014-03-01

    Full Text Available The aim of this study was to investigate oral and hand hygiene behaviour and risk factors among 13 to 15 year-old in-school adolescents in four Southeast Asian countries. Data were collected by self-reported questionnaire from nationally representative samples (total 13,824 of school children aged 13 to 15 years in India, Indonesia, Myanmar and Thailand. Results indicate that overall, 22.4% of school children reported sub-optimal oral hygiene (wash their hands before meals, 26.5% after toileting and 59.8% washing their hands with soap (59.8%. In multivariate analysis, male gender, health risk behaviours and lack of protective factors were associated with sub-optimal tooth brushing, and lower socioeconomic status, health risk behaviours, psychological distress and lack of protective factors were found to be associated with sub-optimal hand washing hygiene behaviour. As a conclusion, the cross-national data on oral and hand hygiene behaviour from four Southeast Asian countries found sub-optimal hygiene behaviour. Several determinants of sub-optimal hygiene behaviour were identified that can inform programmes in order to improve oral and hand hygiene behaviour of this adolescent population.

  6. Enhanced post wash retention of combed DNA molecules by varying multiple combing parameters.

    Science.gov (United States)

    Yadav, Hemendra; Sharma, Pulkit

    2017-11-01

    Recent advances in genomics have created a need for efficient techniques for deciphering information hidden in various genomes. Single molecule analysis is one such technique to understand molecular processes at single molecule level. Fiber- FISH performed with the help of DNA combing can help us in understanding genetic rearrangements and changes in genome at single DNA molecule level. For performing Fiber-FISH we need high retention of combed DNA molecules post wash as Fiber-FISH requires profuse washing. We optimized combing process involving combing solution, method of DNA mounting on glass slides and coating of glass slides to enhance post-wash retention of DNA molecules. It was found that average number of DNA molecules observed post-wash per field of view was maximum with our optimized combing solution. APTES coated glass slides showed lesser retention than PEI surface but fluorescent intensity was higher in case of APTES coated surface. Capillary method used to mount DNA on glass slides also showed lesser retention but straight DNA molecules were observed as compared to force flow method. Copyright © 2017 Elsevier Inc. All rights reserved.

  7. Gravity and magnetic data of Fortymile Wash, Nevada Test Site, Nevada

    International Nuclear Information System (INIS)

    Ponce, D.A.; Kohrn, S.B.; Waddell, S.

    1992-01-01

    Gravity and ground magnetic data collected along six traverses across Fortymile Wash, in the southwest quadrant of the Nevada Test Site suggest that there are no significant vertical offsets below Fortymile Wash. The largest gravity and magnetic anomaly, in the vicinity of Fortymile Wash, is produced by the Paintbrush fault, on the west flank of Fran Ridge. Inferred vertical offset is about 250 ± 60 m (800 ± 200 ft). Geophysical data indicate that the fault is about 300 m (1,000 ft) east of its mapped, but concealed location. North of Busted Butte, near Fran Ridge, geophysical data do not preclude the existence of small vertical offsets bounding Fortymile Wash. However, gravity and magnetic profiles south of Busted Butte show little correlation to those to the north and suggest that vertical offsets, comparable in size to the Paintbrush fault, are not present. 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 Fortymile Wash is 1.80 to 2.00 g/cm 3

  8. Washing away your sins will set your mind free: physical cleansing modulates the effect of threatened morality on executive control.

    Science.gov (United States)

    Kalanthroff, Eyal; Aslan, Chen; Dar, Reuven

    2017-01-01

    The effect of threatened morality on negative emotions and on altruistic behaviour has been shown to diminish following physical cleansing (hand-washing). We hypothesised that threatened morality will broadly impair the executive control system, and that physical cleansing will moderate this detrimental effect. Thirty-seven participants were asked to write about an immoral deed they had committed, whereupon half of them were allowed to wipe their hands. Three executive control tasks-Stroop, stop-signal, and object interference-were then administered to all participants. Participants who had not wiped their hands, but not those who did, demonstrated impaired performance, compared to hand-washing controls, in all three tasks. We conclude that threatened morality has a detrimental effect on executive control, specifically on conflict monitoring and response inhibition, and that physical cleansing "frees" this system, counteracting the detrimental effects of morality threats. We discuss possible implications for obsessive-compulsive disorder, which is characterised by deficient executive control and in which both threatened morality and physical cleansing are central concerns.

  9. [Infection control and hand hygiene in nursing homes in Oslo].

    Science.gov (United States)

    Sie, Ingrid; Thorstad, Margrete; Andersen, Bjørg Marit

    2008-06-26

    Nosocomial infections and transmission can be substantially reduced by good infection control. The laws and regulations for infection control in heath care institutions emphasize establishment of infection control programs and improved hand hygiene. Our study reviews some factors that are important for practicing adequate hand hygiene (knowledge about infection control and hand-washing facilities). Health care workers (HCW) in nursing homes in Oslo participated in this study in 2006-2007. A questionnaire was made and SPSS was used to analyse the data . 70.7% of 324 HCW (in 42 nursing homes) answered the questionnaires. Nearly all of the respondents (95.6%) knew about the written procedures for hygiene and infection control; 88.5% knew that an infection control program was in place and about 50% had received information through internal education. Three of four had read the National guidelines for hand hygiene, 77.5% thought that hand disinfection was more effective than hand washing, and 97% reported hand hygiene after contact with a patient having an infection. Dispensers for hand disinfection were situated at central work places. At the same time, 17.9% informed that they worked in more than one place at the same time. This study confirms that most nursing homes in Oslo have an infection control program and training that improves the knowledge and awareness of hand hygiene among HCWs. However, the fact that nursing homes in Oslo have the resources, knowledge and education, is not the same as compliance.

  10. Optimum cycle frequencies in hand-rim wheelchair propulsion. Wheelchair propulsion technique

    NARCIS (Netherlands)

    van der Woude, L H; Veeger, DirkJan (H. E. J.); Rozendal, R H; Sargeant, A J

    1989-01-01

    To study the effect of different cycle frequencies on cardio-respiratory responses and propulsion technique in hand-rim wheelchair propulsion, experienced wheelchair sportsmen (WS group; n = 6) and non-wheelchair users (NW group; n = 6) performed wheelchair exercise tests on a motor-driven

  11. Hand Hygiene Intervention Strategies to Reduce Diarrhoea and Respiratory Infections among Schoolchildren in Developing Countries: A Systematic Review

    Directory of Open Access Journals (Sweden)

    Balwani Chingatichifwe Mbakaya

    2017-04-01

    Full Text Available Effective and appropriate hand-washing practice for schoolchildren is important in preventing infectious diseases such as diarrhoea, which is the second most common cause of death among school-age children in sub-Saharan Africa. The objective of the review was to identify hand hygiene intervention strategies to reduce infectious diseases such as diarrhoea and respiratory tract infections among schoolchildren aged 6–12 years in developing countries. Published research articles were searched from databases covering a period from as far back as the creation of the databases to November 2015. Eight randomized controlled trials (RCT/CRCT from developing countries met the inclusion criteria. The Jadad Scale for appraising RCT/CRCT studies revealed methodological challenges in most studies, such that 75% (6/8 were rated as low-quality articles. The review found that hand hygiene can reduce the incidence of diarrhoea and respiratory conditions. Three hand hygiene intervention strategies utilized were training, funding and policy, with training and funding implemented more commonly than policy. These strategies were not only used in isolation but also in combination, and they qualified as multi-level interventions. Factors that influenced hand washing were contextual, psychosocial and technological. Findings can inform school health workers in categorizing and prioritizing activities into viable strategies when implementing multi-level hand-washing interventions. This review also adds to the existing evidence that multi-level hand-washing interventions can reduce the incidence of diarrhoea, respiratory infections, and school absenteeism. Further evidence-based studies are needed with improved methodological rigour in developing countries, to inform policy in this area.

  12. 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.

  13. Cytomegalovirus Survival and Transferability and the Effectiveness of Common Hand-Washing Agents against Cytomegalovirus on Live Human Hands

    OpenAIRE

    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 × 105 infectious particles/ml. Samples fr...

  14. Test installation for studying erosion-corrosion of metals for coal washing plants

    Energy Technology Data Exchange (ETDEWEB)

    Hoey, G. R.; Dingley, W.; Wiles, C. T.

    1979-02-15

    A test installation was constructed for investigating erosion-corrosion of metals by coal-water slurries. Erosion-corrosion tests of mild steel panels were conducted using slurries of alundum, quartz, washed coal and coal refuse. Wear rates were found to depend on type of abrasive, particle size and water conductivity and were reduced by cathodic protection and inhibitors. Cathodic protection of mild steel in coal slurries containing sulphate ion reduced wear by 90% and 86% for stationary and rotating panels, respectively. This study has demonstrated that the successful application of corrosion control techniques would reduce metal wastage in coal washing plants. The test installation is considered suitable for developing the techniques.

  15. Performance Accuracy of Hand-on-needle versus Hand-onsyringe Technique for Ultrasound-guided Regional Anesthesia Simulation for Emergency Medicine Residents

    Directory of Open Access Journals (Sweden)

    Brian Johnson

    2014-09-01

    Full Text Available Introduction: Ultrasound-guided nerve blocks (UGNB are increasingly used in emergency care. The hand-on-syringe (HS needle technique is ideally suited to the emergency department setting because it allows a single operator to perform the block without assistance. The HS technique is assumed to provide less exact needle control than the alternative two-operator hand-on-needle (HN technique; however this assumption has never been directly tested. The primary objective of this study was to compare accuracy of needle targeting under ultrasound guidance by emergency medicine (EM residents using HN and HS techniques on a standardized gelatinous simulation model. Methods: This prospective, randomized study evaluated task performance. We compared needle targeting accuracy using the HN and HS techniques. Each participant performed a set of structured needling maneuvers (both simple and difficult on a standardized partial-task simulator. We evaluated time to task completion, needle visualization during advancement, and accuracy of needle tip at targeting. Resident technique preference was assessed using a post-task survey. Results: We evaluated 60 tasks performed by 10 EM residents. There was no significant difference in time to complete the simple model (HN vs. HS, 18 seconds vs. 18 seconds, p=0.93, time to complete the difficult model (HN vs. HS, 56 seconds vs. 50 seconds, p=0.63, needle visualization, or needle tip targeting accuracy. Most residents (60% preferred the HS technique. Conclusion: For EM residents learning UGNBs, the HN technique was not associated with superior needle control. Our results suggest that the single-operator HS technique provides equivalent needle control when compared to the two-operator HN technique. [West J Emerg Med. 2014;15(6:641–646

  16. 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...

  17. Detection of pathogenic micro-organisms on children's hands and toys during play.

    Science.gov (United States)

    Martínez-Bastidas, T; Castro-del Campo, N; Mena, K D; Castro-del Campo, N; León-Félix, J; Gerba, C P; Chaidez, C

    2014-06-01

    This study aimed to determine if the children's leisure activities impact the presence of pathogens on their hands and toys. To assess the microbiological hazard in playground areas, a pilot study that included 12 children was conducted. We then conducted an intervention study; children's hands and toys were washed before playing. Faecal coliforms, pathogenic bacteria and Giardia lamblia were quantified by membrane filtration, selective media and flotation techniques, respectively; rotavirus, hepatitis A and rhinovirus by RT-PCR. Pilot study results revealed faecal contamination on children's hands and toys after playing on sidewalks and in public parks. Pathogenic bacteria, hepatitis A and G. lamblia on children's hands were also found. In the intervention study, Staphylococcus aureus and Klebsiella pneumoniae were found on children's hands at concentrations up to 2·5 × 10(4) and 1 × 10(4) CFU hands(-1), respectively. E. coli and Kl. pneumoniae were detected on toys (2·4 × 10(3) and 2·7 × 10(4) CFU toy(-1), respectively). Salmonella spp, Serratia spp and G. lamblia cysts were also present on toys. Children's play activities influence microbial presence on hands and toys; the transfer seems to occur in both ways. Control strategy needs to be implemented to protect children from infectious diseases. © 2014 The Society for Applied Microbiology.

  18. Hand dermatitis and symptoms from the fingers among Swedish dental personnel.

    Science.gov (United States)

    Lönnroth, E C; Shahnavaz, H

    1998-01-01

    Hand dermatitis among dental personnel has been an issue in recent years. Dental personnel manually handle polymer materials which are known to irritate skin, and also cause allergy. In addition, dental personnel wash their hands frequently, and use latex gloves, and are therefore at risk to develop hand dermatitis. To survey the occurrence of hand dermatitis among dental personnel, questionnaires were sent to all dental teams (dentist + chair assistant) working in the two northern Swedish counties. Referents were; researchers, teachers, and secretaries from a university and high schools, from the same geographical area. The response rate was 76% for dental teams, and 66% for referents. The results show that male dentists reported a significantly higher prevalence of hand dermatitis than male reference. In contrast to chair assistants and referents, dentists (both male and female) reported a higher extent of hand dermatitis on the left than on the right hand. There was an association between hand dermatitis among dental personnel and; age, eczema in childhood, and hay fever but, not with; sex, asthma, frequent washing of the hands, and glove use. Whitening of the fingers increased with increasing age among dental personnel. Pricking was also associated with frequent glove use. Pricking of the fingers was associated with sex, and 3.5 times more common among female dental personnel than male dentists. Numbness of the fingers, and finger pain was reported by more dentists than chair assistants and referents.

  19. Piezoelectric osteotomy in hand surgery: first experiences with a new technique

    Science.gov (United States)

    Hoigne, Dominik J; Stübinger, Stefan; Kaenel, Oliver Von; Shamdasani, Sonia; Hasenboehler, Paula

    2006-01-01

    Background In hand and spinal surgery nerve lesions are feared complications with the use of standard oscillating saws. Oral surgeons have started using a newly developed ultrasound bone scalpel when performing precise osteotomies. By using a frequency of 25–29 kHz only mineralized tissue is cut, sparing the soft tissue. This reduces the risk of nerve lesions. As there is a lack of experience with this technique in the field of orthopaedic bone surgery, we performed the first ultrasound osteotomy in hand surgery. Method While performing a correctional osteotomy of the 5th metacarpal bone we used the Piezosurgery® Device from Mectron [Italy] instead of the usual oscillating saw. We will report on our experience with one case, with a follow up time of one year. Results The cut was highly precise and there were no vibrations of the bone. The time needed for the operation was slightly longer than the time needed while using the usual saw. Bone healing was good and at no point were there any neurovascular disturbances. Conclusion The Piezosurgery® Device is useful for small long bone osteotomies. Using the fine tip enables curved cutting and provides an opportunity for new osteotomy techniques. As the device selectively cuts bone we feel that this device has great potential in the field of hand- and spinal surgery. PMID:16611362

  20. Piezoelectric osteotomy in hand surgery: first experiences with a new technique

    Directory of Open Access Journals (Sweden)

    Kaenel Oliver Von

    2006-04-01

    Full Text Available Abstract Background In hand and spinal surgery nerve lesions are feared complications with the use of standard oscillating saws. Oral surgeons have started using a newly developed ultrasound bone scalpel when performing precise osteotomies. By using a frequency of 25–29 kHz only mineralized tissue is cut, sparing the soft tissue. This reduces the risk of nerve lesions. As there is a lack of experience with this technique in the field of orthopaedic bone surgery, we performed the first ultrasound osteotomy in hand surgery. Method While performing a correctional osteotomy of the 5th metacarpal bone we used the Piezosurgery® Device from Mectron [Italy] instead of the usual oscillating saw. We will report on our experience with one case, with a follow up time of one year. Results The cut was highly precise and there were no vibrations of the bone. The time needed for the operation was slightly longer than the time needed while using the usual saw. Bone healing was good and at no point were there any neurovascular disturbances. Conclusion The Piezosurgery® Device is useful for small long bone osteotomies. Using the fine tip enables curved cutting and provides an opportunity for new osteotomy techniques. As the device selectively cuts bone we feel that this device has great potential in the field of hand- and spinal surgery.

  1. Hands on versus remote techniques in waste management and decommissioning

    International Nuclear Information System (INIS)

    Asquith, J.D.

    1994-01-01

    The nuclear industry has many requirements for planned and uplanned physical interactions with radioactive materials or their environment. In each case a choice must be made as to whether the interaction should be made directly by the operator using a 'hands on' technique, wearing any necessary protective clothing, or by entirely remote techniques. In facilities where remote handling equipment has already been provided and planned for, remote techniques are usually the obvious choice. However in radioactive waste management and decommissioning there are many cases where unexpected requirements emerge, often for relatively short term activities, where the choice is more complex. This paper takes a look at the various factors which should be considered in order to make these decisions, an overview of the types of remote equipment available in the UK and some examples of the benefits which have resulted when remote techniques have been adopted in Britain

  2. Do hospital visitors wash their hands? Assessing the use of alcohol-based hand sanitizer in a hospital lobby.

    Science.gov (United States)

    Birnbach, David J; Nevo, Igal; Barnes, Susan; Fitzpatrick, Maureen; Rosen, Lisa F; Everett-Thomas, Ruth; Sanko, Jill S; Arheart, Kristopher L

    2012-05-01

    Reports regarding hand hygiene compliance (HHC) among hospital visitors are limited. Although there is an implicit assumption that the availability of alcohol-based hand sanitizer (AHS) promotes visitor HHC, the degree of AHS use by visitors remains unclear. To assess AHS use, we observed visitor HHC and how it is affected by visual cues in a private university hospital. Using an observational controlled study, we tested 3 interventions: a desk sign mandating all visitors to use AHS, a free-standing AHS dispenser directly in front of a security desk, and a combination of a freestanding AHS dispenser and a sign. HHC was 0.52% at baseline and did not improve significantly when the desk sign was provided as a cue 0.67% (P = .753). However, HHC did improve significantly with use of the freestanding AHS dispenser (9.33%) and the sign and dispenser combination (11.67%) (P hand hygiene behavior. Copyright © 2012 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Mosby, Inc. All rights reserved.

  3. 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...... 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...

  4. Effect of different soil washing solutions on bioavailability of residual arsenic in soils and soil properties.

    Science.gov (United States)

    Im, Jinwoo; Yang, Kyung; Jho, Eun Hea; Nam, Kyoungphile

    2015-11-01

    The effect of soil washing used for arsenic (As)-contaminated soil remediation on soil properties and bioavailability of residual As in soil is receiving increasing attention due to increasing interest in conserving soil qualities after remediation. This study investigates the effect of different washing solutions on bioavailability of residual As in soils and soil properties after soil washing. Regardless of washing solutions, the sequential extraction revealed that the residual As concentrations and the amount of readily labile As in soils were reduced after soil washing. However, the bioassay tests showed that the washed soils exhibited ecotoxicological effects - lower seed germination, shoot growth, and enzyme activities - and this could largely be attributed to the acidic pH and/or excessive nutrient contents of the washed soils depending on washing solutions. Overall, this study showed that treated soils having lower levels of contaminants could still exhibit toxic effects due to changes in soil properties, which highly depended on washing solutions. This study also emphasizes that data on the As concentrations, the soil properties, and the ecotoxicological effects are necessary to properly manage the washed soils for reuses. The results of this study can, thus, be utilized to select proper post-treatment techniques for the washed soils. Copyright © 2015 Elsevier Ltd. All rights reserved.

  5. Factors Affecting Hand Hygiene Adherence at a Private Hospital in Turkey.

    Science.gov (United States)

    Teker, Bahri; Ogutlu, Aziz; Gozdas, Hasan Tahsin; Ruayercan, Saliha; Hacialioglu, Gulizar; Karabay, Oguz

    2015-10-01

    Nosocomial infections are the main problems rising morbidity and mortality in health care settings. Hand hygiene is the most effective method for preventing these infections. In this study, we aimed to investigate the factors related with hand hygiene adherence at a private hospital in Turkey. This study was conducted between March and June 2010 at a private hospital in Turkey. During the observation period, employees were informed about training, then posters and images were hanged in specific places of the hospital. After the initial observation, training on nosocomial infections and hand hygiene was provided to the hospital staff in March 2010. Contacts were classified according to occupational groups and whether invasive or not. These observations were evaluated in terms of compatibility with hand hygiene guidelines. Hand hygiene adherence rate of trained doctors was higher than untrained ones before patient contact and after environment contact [48% (35/73) versus 82% (92/113) pHand hygiene adherence rate of trained nurses was higher than untrained ones before patient contact [63% (50/79) versus 76% (37/49) pHand hygiene adherence rate of trained assistant health personnel was higher than untrained ones before asepsis [20% (2/10) versus 73% (16/22) phand antiseptics were used when hand washing was not possible. The increase at the rate of hand washing after training reveals the importance of feedback of the observations, as well as the training. One of the most important ways of preventing nosocomial infections is hand hygiene training that should be continued with feedbacks.

  6. Washing scaling of GeneChip microarray expression

    Directory of Open Access Journals (Sweden)

    Krohn Knut

    2010-05-01

    Full Text Available Abstract Background Post-hybridization washing is an essential part of microarray experiments. Both the quality of the experimental washing protocol and adequate consideration of washing in intensity calibration ultimately affect the quality of the expression estimates extracted from the microarray intensities. Results We conducted experiments on GeneChip microarrays with altered protocols for washing, scanning and staining to study the probe-level intensity changes as a function of the number of washing cycles. For calibration and analysis of the intensity data we make use of the 'hook' method which allows intensity contributions due to non-specific and specific hybridization of perfect match (PM and mismatch (MM probes to be disentangled in a sequence specific manner. On average, washing according to the standard protocol removes about 90% of the non-specific background and about 30-50% and less than 10% of the specific targets from the MM and PM, respectively. Analysis of the washing kinetics shows that the signal-to-noise ratio doubles roughly every ten stringent washing cycles. Washing can be characterized by time-dependent rate constants which reflect the heterogeneous character of target binding to microarray probes. We propose an empirical washing function which estimates the survival of probe bound targets. It depends on the intensity contribution due to specific and non-specific hybridization per probe which can be estimated for each probe using existing methods. The washing function allows probe intensities to be calibrated for the effect of washing. On a relative scale, proper calibration for washing markedly increases expression measures, especially in the limit of small and large values. Conclusions Washing is among the factors which potentially distort expression measures. The proposed first-order correction method allows direct implementation in existing calibration algorithms for microarray data. We provide an experimental

  7. 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 hands (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.

  8. Remediation of cadmium-contaminated paddy soils by washing with calcium chloride: Verification of on-site washing

    International Nuclear Information System (INIS)

    Makino, Tomoyuki; Kamiya, Takashi; Takano, Hiroyuki; Itou, Tadashi; Sekiya, Naoki; Sasaki, Kouta; Maejima, Yuji; Sugahara, Kazuo

    2007-01-01

    We developed a new, three-step soil-wash method to remediate Cd-contaminated paddy fields. The method comprises (1) chemically washing the field soil with a CaCl 2 solution; (2) washing the treated soil with water to eliminate residual Cd and CaCl 2 ; and (3) on-site treatment of wastewater using a portable wastewater treatment system. Cd concentrations in the treated water were below Japan's environmental quality standard (0.01 mg Cd L -1 ), and the removal of Cd from the exchangeable fraction was 55% and from the acid-soluble fraction 15%. While soil fertility properties were affected by the soil washing, adverse effects were not crucial and could be corrected. The washing had no affect on rice growth, and reduced the average Cd concentration in rice grains by about two-thirds compared to a control plot. These results confirmed the effectiveness of the soil-wash method in remediating Cd-contaminated paddy fields. - In situ soil washing in a paddy field using an on-site wastewater treatment system resulted in an effective decrease of Cd in soil and rice grains without affecting rice yield

  9. Washing method of filter

    International Nuclear Information System (INIS)

    Izumidani, Masakiyo; Tanno, Kazuo.

    1978-01-01

    Purpose: To enable automatic filter operation and facilitate back-washing operation by back-washing filters used in a bwr nuclear power plant utilizing an exhaust gas from a ventilator or air conditioner. Method: Exhaust gas from an exhaust pipe of an ventilator or air conditioner is pressurized in a compressor and then introduced in a back-washing gas tank. Then, the exhaust gas pressurized to a predetermined pressure is blown from the inside to the outside of a filter to thereby separate impurities collected on the filter elements and introduce them to a waste tank. (Furukawa, Y.)

  10. Bench Scale Treatability Studies of Contaminated Soil Using Soil Washing Technique

    Directory of Open Access Journals (Sweden)

    M. K. Gupta

    2010-01-01

    Full Text Available Soil contamination is one of the most widespread and serious environmental problems confronting both the industrialized as well as developing nations like India. Different contaminants have different physicochemical properties, which influence the geochemical reactions induced in the soils and may bring about changes in their engineering and environmental behaviour. Several technologies exist for the remediation of contaminated soil and water. In the present study soil washing technique using plain water with surfactants as an enhancer was used to study the remediation of soil contaminated with (i an organic contaminant (engine lubricant oil and (ii an inorganic contaminant (heavy metal. The lubricant engine oil was used at different percentages (by dry weight of the soil to artificially contaminate the soil. It was found that geotechnical properties of the soil underwent large modifications on account of mixing with the lubricant oil. The sorption experiments were conducted with cadmium metal in aqueous medium at different initial concentration of the metal and at varying pH values of the sorbing medium. For the remediation of contaminated soil matrices, a nonionic surfactant was used for the restoration of geotechnical properties of lubricant oil contaminated soil samples, whereas an anionic surfactant was employed to desorb cadmium from the contaminated soil matrix. The surfactant in case of soil contaminated with the lubricant oil was able to restore properties to an extent of 98% vis-à-vis the virgin soil, while up to 54% cadmium was desorbed from the contaminated soil matrix in surfactant aided desorption experiments.

  11. Copper Recovery from Polluted Soils Using Acidic Washing and Bioelectrochemical Systems

    Directory of Open Access Journals (Sweden)

    Karin Karlfeldt Fedje

    2015-07-01

    Full Text Available Excavation followed by landfilling is the most common method for treating soils contaminated by metals. However, as this solution is not sustainable, alternative techniques are required. Chemical soil washing is one such alternative. The aim of this experimental lab-scale study is to develop a remediation and metal recovery method for Cu contaminated sites. The method is based on the washing of soil or ash (combusted soil/bark with acidic waste liquids followed by electrolytic Cu recovery by means of bioelectrochemical systems (BES. The results demonstrate that a one- or two-step acidic leaching process followed by water washing removes >80 wt. % of the Cu. Copper with 99.7–99.9 wt. % purity was recovered from the acidic leachates using BES. In all experiments, electrical power was generated during the reduction of Cu. This clearly indicates that Cu can also be recovered from dilute solutions. Additionally, the method has the potential to wash co-pollutants such as polycyclic aromatic hydrocarbons (PAHs and oxy-PAHs.

  12. Impact of Training on Improving Proper Handwashing Practices among Elementary School Students

    Directory of Open Access Journals (Sweden)

    Theruna Huthamaputiran

    2017-06-01

    Full Text Available Background: Hand washing is among the most effective ways to prevent diseases. In Indonesia, only a quarter of the entire population practice proper handwashing techniques. Of these, children are the most vulnerable group for contracting diseases. Nevertheless, they also are crucial agent for behavior transformation as they are keen and open to new ideas. Therefore, this study was conducted to determine if training would have an improvement on a proper hand washing practices among elementary school students. Methods:An observational descriptive study design using random sampling was conducted from September to November 2013 in Jatinangor Subdistrict, West Java, Indonesia using primary data of one hundred elementary school students from four elementary schools. Questionnaires were given after informed consent. A demonstration on hand washing techniques and education on proper hand washing practices was then given. Two weeks later, the same questionnaire was given to measure the influence of the training. The collected data were presented using frequency tabulation. Results: Before the training on proper hand washing practices was conducted, only 86.9% students were practicing it properly. After the training was given, 90.7% of the students were doing it properly. For the hand washing technique, only 66.8% of students knew the correct steps before the intervention was given and 78.7% students did them correctly after the intervention. Conclusions:The training shows an overall improvement on the students’ hand washing practices.   DOI: 10.15850/amj.v4n2.1073

  13. Ink and Wash Painting for Children with Visual Impairment

    Science.gov (United States)

    Shih, Chih-Ming; Chao, Hsin-Yi

    2010-01-01

    Five children with visual impairments received instruction in drawing, using ink and wash painting and calligraphy techniques. A special system developed by a blind Taiwanese Chinese calligrapher, Tsann-Cherng Liaw, was used to help the children orient and refine their work. Children's performance on simple drawing tasks was compared before and…

  14. Residual diesel measurement in sand columns after surfactant/alcohol washing

    International Nuclear Information System (INIS)

    Martel, R.; Gelinas, P.J.

    1996-01-01

    A new simple gravimetric technique has been designed to determine residual oil saturation of complex hydrocarbon mixtures (e.g., diesel) in sand column experiments because reliable methods are lacking. The He/N 2 technique is based on drying of sand columns by circulating helium gas to drag oil droplets in a cold trap (liquid nitrogen). With this technique, residual diesel measurement can be performed easily immediately after alcohol/surfactant washing and in the same lab. For high residual diesel content in Ottawa sand (25 to 30 g/kg), the technique is much more accurate (± 2% or 600 mg/kg) than the standard analytical methods for the determination of mineral oil and grease. The average relative error on partial diesel dissolution in sand column estimated after alcohol/surfactant flooding (residual saturation of 10 to 15 g/kg) is as low as 5%. The precision of the He/N 2 technique is adequate to compare relative efficiency of washing solutions when partial extraction of residual oil in Ottawa sand columns is performed. However, this technique is not adapted for determination of traces of oil in sediment or for environmental control of contaminated soils. Each diesel determination by the He/N 2 technique costs less than $8 in chemical products (helium and liquid nitrogen). A simple laboratory drying setup can be built for less than $400 which makes this technique valuable for diesel analyses when a large number of tests are required

  15. Effects of process parameters on ozone washing for denim using 3/sup 3/ factorial design

    International Nuclear Information System (INIS)

    Asim, F.; Mahmood, M.

    2017-01-01

    Denim garment is getting popular day by day. It is highly demandable because of its versatility, comfort and durability. Different techniques of denim washing increase this demand drastically. Denim washing is the process to enhance the appearance of a garment. This enhanced appearance may be the aged look, faded look, greyer cast, or any other shade setting or resin application. The two most advanced washing techniques are; ozone wash and laser wash. The effects of ozone on environment as well as on the garment are significant and cannot be neglected because number of benefits achieved such as time saving, less energy consumption, chemical, labour cost reduction, less discharge of water and chemicals. Therefore, effects of process parameters on ozone washing for denim fabric have been investigated in this research work using three level factorial design. 33 factorial design has been designed and conducted to investigate the effect of gas concentration, time and speed on the response variables namely; Shrinkage, Tensile and Tear strength of ozone washing. The influence of individual factors and their interactions has been critically examined using software Design Expert 8.0. Prior to the analysis of variance model accuracy has been examined through various residuals plots. The study of residuals plots shown that the residuals are normally distributed and significant evidence of possible outliers was not found. So the model can be used to predicted results with 95% confidence interval. The results from the experiment suggest that two out of three factors were significant, which are speed and time that influences mainly on the tear strength of the denim garment. (author)

  16. Remediation of cadmium contamination in paddy soils by washing with chemicals: Selection of washing chemicals

    International Nuclear Information System (INIS)

    Makino, Tomoyuki; Sugahara, Kazuo; Sakurai, Yasuhiro; Takano, Hiroyuki; Kamiya, Takashi; Sasaki, Kouta; Itou, Tadashi; Sekiya, Naoki

    2006-01-01

    The efficiencies of neutral salts, strong acids, and chelates were tested for extracting cadmium (Cd) from three paddy soils. The higher the selectivity of the cations of the added neutral salts toward soil adsorption sites, the lower the pH in the extracts and the more soil Cd could be extracted. In addition, soil carbon and nitrogen contents and mineral composition were closely associated with the amount of Cd extracted. Calcium chloride and iron(III) chloride were selected as wash chemicals to restore Cd-contaminated paddy soils in situ. Washing with calcium chloride led to the formation of Cd chloride complexes, enhancing Cd extraction from the soils. The washing also substantially decreased soil levels of exchangeable and acid-soluble Cd, which are the major forms of bioavailable Cd for rice (Oryza sativa L.). The optimum conditions for in situ soil washing were also determined for calcium chloride. - Calcium chloride and iron(III) chloride were useful for the in situ washing of Cd-contaminated paddy soils

  17. Effectiveness of hand hygiene depends on the patient's health condition and care environment.

    Science.gov (United States)

    Okada, Junko; Yamamizu, Yukiko; Fukai, Kiyoko

    2016-10-01

    The present authors examined how patient hand contamination was associated with underlying disease and treatment environment in order to determine effective hand hygiene methods. Samples were collected from inpatients (45 with hematological malignancies, 48 postoperative), outpatients (48 undergoing hemodialysis, 55 on chemotherapy), and 44 individuals living in nursing homes. All participants provided informed consent for study participation. All subjects performed hand hygiene. Before and after hand hygiene, samples of bacteria were collected from the palm of the hand onto agar media. Bacteria were counted and bacterial strains were identified. The authors then collected smear samples from the contralateral palm and measured adenosine triphosphate (ATP) levels. Patient hand contamination was the highest in hemodialysis patients, followed by residents of nursing homes, postoperative patients, patients with cancer receiving chemotherapy, and patients of hematological malignancies. Regardless of the underlying disease and treatment environment, patients were able to reduce the number of bacterial colonies and ATP by proper hand hygiene. Compared with wet wipes, hand washing seemed to remove bacteria more effectively. Methicillin-resistant Staphylococcus aureus (MRSA) was detected in 30 subjects, none of whom were patients of hematological malignancies. Of these, 19 tested negative for MRSA after performing proper hand hygiene. Patient hand contamination is affected by underlying disease and care environment, but can be reduced by encouraging proper hand washing. Proper patient hand hygiene can reduce MRSA on patients' hands, and thus may serve as an effective tool for prevention of healthcare-associated infections. © 2016 Japan Academy of Nursing Science.

  18. Radiotracer study of wash load movement in a drum-type fabric washing machine using a gamma camera

    Energy Technology Data Exchange (ETDEWEB)

    Balt, A.P.; Brekel, L.D.M. van den; Vandecasteele, C.; Kolar, Z.

    1987-01-01

    A study was made of the movement of the wash loads in a drum-type washing machine. For this purpose a sup(99m)Tc source was attached to one or two separate textile pieces and the subsequent source positions were determined by means of a gamma-camera. The wash load movement pattern appears to depend on the type of textile material and its amount, as well as on the volume of water present in the washing machine.

  19. Radiotracer study of wash load movement in a drum-type fabric washing machine using a gamma camera

    International Nuclear Information System (INIS)

    Balt, A.P.; Brekel, L.D.M. van den; Vandecasteele, C.; Kolar, Z.

    1987-01-01

    A study was made of the movement of the wash loads in a drum-type washing machine. For this purpose a sup(99m)Tc source was attached to one or two separate textile pieces and the subsequent source positions were determined by means of a gamma-camera. The wash load movement pattern appears to depend on the type of textile material and its amount, as well as on the volume of water present in the washing machine. (author)

  20. 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 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.

  1. Soil washing treatability study

    International Nuclear Information System (INIS)

    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

  2. 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

  3. Purification of crude biodiesel using dry washing and membrane technologies

    Directory of Open Access Journals (Sweden)

    I.M. Atadashi

    2015-12-01

    Full Text Available Purification of crude biodiesel is mandatory for the fuel to meet the strict international standard specifications for biodiesel. Therefore, this paper carefully analyzed recently published literatures which deal with the purification of biodiesel. As such, dry washing technologies and the most recent membrane biodiesel purification process have been thoroughly examined. Although purification of biodiesel using dry washing process involving magnesol and ion exchange resins provides high-quality biodiesel fuel, considerable amount of spent absorbents is recorded, besides the skeletal knowledge on its operating process. Further, recent findings have shown that biodiesel purification using membrane technique could offer high-quality biodiesel fuel with less wastewater discharges. Thus, both researchers and industries are expected to benefit from the development of membrane technique in purifying crude biodiesel. As well biodiesel purification via membranes has been shown to be environmentally friendly. For these reasons, it is important to explore and exploit membrane technology to purify crude biodiesel.

  4. Probabilistics since WASH-1400

    International Nuclear Information System (INIS)

    Whitehead, N.E.

    1980-01-01

    Literature since the issuing of WASH-1400 reactor safety study shows that although the methodology has been attacked, it stands criticism well. Contrary to the aim of the study, which was to give a realistic, rather than a conservative risk estimate, there are many conservatisms in it. The strongly attacked treatment of common mode failure involving the square bounding model is shown here to be very likely to give correct results - and the applications of it in WASH-1400 do not often give results different from using the mean instead of the median. The Three-Mile Island accident is not such as to change the conclusions of WASH-1400 regarding core melt probabilities

  5. Treatment of real wastewater produced from Mobil car wash station using electrocoagulation technique.

    Science.gov (United States)

    El-Ashtoukhy, E-S Z; Amin, N K; Fouad, Y O

    2015-10-01

    This paper deals with the electrocoagulation of real wastewater produced from a car wash station using a new cell design featuring a horizontal spiral anode placed above a horizontal disc cathode. The study dealt with the chemical oxygen demand (COD) reduction and turbidity removal using electrodes in a batch mode. Various operating parameters such as current density, initial pH, NaCl concentration, temperature, and electrode material were examined to optimize the performance of the process. Also, characterization of sludge formed during electrocoagulation was carried out. The results indicated that the COD reduction and turbidity removal increase with increasing the current density and NaCl concentration; pH from 7 to 8 was found to be optimum for treating the wastewater. Temperature was found to have an insignificant effect on the process. Aluminum was superior to iron as a sacrificial electrode material in treating car wash wastewater. Energy consumption based on COD reduction ranged from 2.32 to 15.1 kWh/kg COD removed depending on the operating conditions. Finally, the sludge produced during electrocoagulation using aluminum electrodes was characterized by scanning electron microscopy (SEM) and energy dispersive spectrometry (EDS) analysis.

  6. 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

  7. 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 system...

  8. Counter current decantation washing of HLW sludge

    International Nuclear Information System (INIS)

    Brooke, J.N.; Peterson, R.A.

    1997-01-01

    The Savannah River Site (SRS) has 51 High Level Waste (HLW) tanks with typical dimensions 25.9 meters (85 feet) diameter and 10 meters (33 feet) high. Nearly 114 million liters (30 M gallons) of HLW waste is stored in these tanks in the form of insoluble solids called sludge, crystallized salt called salt cake, and salt solutions. This waste is being converted to waste forms stable for long term storage. In one of the processes, soluble salts are washed from HLW sludge in preparation for vitrification. At present, sludge is batch washed in a waste tank with one or no reuse of the wash water. Sodium hydroxide and sodium nitrite are added to the wash water for tank corrosion protection; the large volumes of spent wash water are recycled to the evaporator system; additional salt cake is produced; and sodium carbonate is formed in the washed sludge during storage by reaction with CO 2 from the air. High costs and operational concerns with the current washing process prompts DOE and WSRC to seek an improved washing method. A new method should take full advantage of the physical/chemical properties of sludge, experience from other technical disciplines, processing rate requirements, inherent process safety, and use of proven processes and equipment. Counter current solids washing is a common process in the minerals processing and chemical industries. Washing circuits can be designed using thickeners, filters or centrifuges. Realizing the special needs of nuclear work and the low processing rates required, a Counter Current Decantation (CCD) circuit is proposed using small thickeners and fluidic pumps

  9. Anterior cruciate ligament graft tensioning. Is the maximal sustained one-handed pull technique reproducible?

    Directory of Open Access Journals (Sweden)

    Hirpara Kieran M

    2011-07-01

    Full Text Available Abstract Background Tensioning of anterior cruciate ligament (ACL reconstruction grafts affects the clinical outcome of the procedure. As yet, no consensus has been reached regarding the optimum initial tension in an ACL graft. Most surgeons rely on the maximal sustained one-handed pull technique for graft tension. We aim to determine if this technique is reproducible from patient to patient. Findings We created a device to simulate ACL reconstruction surgery using Ilizarov components and porcine flexor tendons. Six experienced ACL reconstruction surgeons volunteered to tension porcine grafts using the device to see if they could produce a consistent tension. None of the surgeons involved were able to accurately reproduce graft tension over a series of repeat trials. Conclusions We conclude that the maximal sustained one-handed pull technique of ACL graft tensioning is not reproducible from trial to trial. We also conclude that the initial tension placed on an ACL graft varies from surgeon to surgeon.

  10. Anterior cruciate ligament graft tensioning. Is the maximal sustained one-handed pull technique reproducible?

    LENUS (Irish Health Repository)

    O'Neill, Barry J

    2011-07-20

    Abstract Background Tensioning of anterior cruciate ligament (ACL) reconstruction grafts affects the clinical outcome of the procedure. As yet, no consensus has been reached regarding the optimum initial tension in an ACL graft. Most surgeons rely on the maximal sustained one-handed pull technique for graft tension. We aim to determine if this technique is reproducible from patient to patient. Findings We created a device to simulate ACL reconstruction surgery using Ilizarov components and porcine flexor tendons. Six experienced ACL reconstruction surgeons volunteered to tension porcine grafts using the device to see if they could produce a consistent tension. None of the surgeons involved were able to accurately reproduce graft tension over a series of repeat trials. Conclusions We conclude that the maximal sustained one-handed pull technique of ACL graft tensioning is not reproducible from trial to trial. We also conclude that the initial tension placed on an ACL graft varies from surgeon to surgeon.

  11. Transfer and Decontamination of S. aureus in Transmission Routes Regarding Hands and Contact Surfaces.

    Directory of Open Access Journals (Sweden)

    Pernilla Arinder

    Full Text Available Hand hygiene, cleaning and disinfection are pre-requirements for hygiene management in hospital settings and the food industry. In order to facilitate risk management, different contamination scenarios and interventions need to be evaluated. In the present study data on transfer rates and reductions of Staphylococcus aureus were provided in an experimental set-up using artificial skin. Using this methodology, test persons were not exposed with pathogenic bacteria. An exposure assessment model was developed and applied to evaluate different contamination routes and hygiene interventions. The transfer rates of S. aureus from inoculated VITRO-SKIN® to fomites were calculated from blotting series. The VITRO-SKIN® was more prone to spread bacteria than fomites. When different surfaces were cleaned, the reduction of S. aureus varied between <1 and 7 log CFU. It could not be concluded that a certain coupon material, cleaning agent, cleaning wipe, soiling or humidity consistently resulted in a high or low reduction of S. aureus. The reduction of S. aureus and E. coli during hand washing was evaluated on artificial skin, VITRO-SKIN®. The reduction of E. coli on VITRO-SKIN® was similar to the log reduction obtained when washing human hands. The S. aureus count on a human hand was both calculated in different scenarios describing different contamination routes starting from a contaminated hand using the exposure assessment model, and measured on an experimental setup using VITRO-SKIN® for validation. A linear relationship was obtained between the analysed level of S. aureus and the calculated level. However, the calculated levels of S. aureus on the VITRO-SKIN® in the scenarios were 1-1.5 log lower than the analysed level. One of the scenarios was used to study the effect of interventions like hand washing and cleaning of surfaces.

  12. Hand hygiene amongst dental professionals in a tertiary dental clinic ...

    African Journals Online (AJOL)

    Objective: To evaluate hand washing attitude and practices among Dentists and Dental Students treating patients in a Nigerian Tertiary Dental Clinic. Materials and Methods: A cross-sectional survey of Dentists and Dental Students treating patients in University of Benin Teaching Hospital was conducted between February ...

  13. 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). Th...... 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....

  14. A Comparison of Techniques for Camera Selection and Hand-Off in a Video Network

    Science.gov (United States)

    Li, Yiming; Bhanu, Bir

    Video networks are becoming increasingly important for solving many real-world problems. Multiple video sensors require collaboration when performing various tasks. One of the most basic tasks is the tracking of objects, which requires mechanisms to select a camera for a certain object and hand-off this object from one camera to another so as to accomplish seamless tracking. In this chapter, we provide a comprehensive comparison of current and emerging camera selection and hand-off techniques. We consider geometry-, statistics-, and game theory-based approaches and provide both theoretical and experimental comparison using centralized and distributed computational models. We provide simulation and experimental results using real data for various scenarios of a large number of cameras and objects for in-depth understanding of strengths and weaknesses of these techniques.

  15. The defence technique in Tai Chi Push Hands: a case study.

    Science.gov (United States)

    Chen, Hui-Chuan; Cheng, Kuang-You B; Liu, Yu-Jen; Chiu, Hung-Ta; Cheng, Kuang-Yu

    2010-12-01

    Developed from traditional Chinese martial arts, Tai Chi exercise includes different forms and interactive Push Hands but biomechanical analyses have focused on the former only. To analyse the techniques of Push Hands, an experienced master was asked to defend pushing by four opponents. Movements were videotaped and digitized using a motion analysis system. Surface electrodes were used to record the electromyographic activity of ten muscle groups. Two force plates were used to measure the ground reaction force on each foot. Inexperienced individuals performed the same procedure to serve as the control group. The results indicate that the master adopted a postural adjustment to maintain balance. A clear shift of body weight from the front to the rear foot and mediolateral displacement of the centre of gravity was observed. Low electromyographic activity was observed in the upper body muscle groups, while high electromyographic activity was observed in the right rectus femoris and very high activity in the left rectus femoris during the defence. All inexperienced participants lost their balance in resisting pushing. It is concluded that the Tai Chi defensive technique includes a subtle postural adjustment that slightly changes the pushing force direction, and allows the rear leg to resist the incoming force.

  16. Association of hand and arm disinfection with asthma control in US nurses.

    Science.gov (United States)

    Dumas, Orianne; Varraso, Raphäelle; Boggs, Krislyn M; Descatha, Alexis; Henneberger, Paul K; Quinot, Catherine; Speizer, Frank E; Zock, Jan-Paul; Le Moual, Nicole; Camargo, Carlos A

    2018-05-01

    To investigate the association between occupational exposure to disinfectants/antiseptics used for hand hygiene and asthma control in nurses. In 2014, we invited female nurses with asthma drawn from the Nurses' Health Study II to complete two supplemental questionnaires on their occupation and asthma (cross-sectional study, response rate: 80%). Among 4055 nurses (mean age: 59 years) with physician-diagnosed asthma and asthma medication use in the past year, we examined asthma control, as defined by the Asthma Control Test (ACT). Nurses were asked about the daily frequency of hand hygiene tasks: 'wash/scrub hands with disinfectants/hand sanitizers' (hand hygiene) and 'wash/scrub arms with disinfecting products' (surrogate of surgical hand/arm antisepsis). Analyses were adjusted for age, race, ethnicity, smoking status and body mass index. Nurses with partly controlled asthma (ACT: 20-24, 50%) and poorly controlled asthma (ACT ≤19, 18%) were compared with nurses with controlled asthma (ACT=25, 32%). In separate models, both hand and arm hygiene were associated with poorly controlled asthma. After mutual adjustment, only arm hygiene was associated with poorly controlled asthma: OR (95% CI) for arm hygiene tasks (never to >10 times/day) and poor asthma control. Associations persisted after further adjustment for surfaces/instruments disinfection tasks. Frequency of hand/arm hygiene tasks in nurses was associated with poor asthma control. The results suggest an adverse effect of products used for surgical hand/arm antisepsis. This potential new occupational risk factor for asthma warrants further study. © Article author(s) (or their employer(s) unless otherwise stated in the text of the article) 2018. All rights reserved. No commercial use is permitted unless otherwise expressly granted.

  17. Radionuclide content of Las Vegas wash sediments

    International Nuclear Information System (INIS)

    Rudin, M.J.; Meyers, A.M.; Johnson, W.H.

    1996-01-01

    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

  18. Systemic mistakes in hand hygiene practice in Ukraine: detection, consequences and ways of elimination

    Science.gov (United States)

    Klymenko, Iryna; Kampf, Günter

    2015-01-01

    Aim: Every year, millions of people around the world suffer from different infectious diseases, considerable part of which are hospital-acquired infections. WHO considers hand hygiene as a priority measure aimed to reduce the level of infection. We evaluated various aspects related to the situational behavior and prioritization regarding hand hygiene measures among the healthcare workers of Ukraine. Method: Identification of system mistakes in hand hygiene was carried out first of all by direct and indirect observation of the activities of medical and pharmaceutical personnel in their everyday practice as well as during their participation in trainings on routine hand hygiene. Questionnaires also were used to estimate the level of hand hygiene compliance of participants of the study. During this period 112 training courses, 315 master-classes and presentations on proper hand hygiene were realized. The target audience included health care workers of medical centers, clinics, maternity hospitals, health care organizations and staff of pharmacies and pharmaceutical manufacturing enterprises in all regions of Ukraine. 638 respondents took part in anonymous survey on hand hygiene practice. Results: The most common mistakes were to regard hand washing and hand disinfection equally, to wash hands before doing a hand disinfection, to neglect the five moments for hand hygiene and to ignore hand hygiene before and after wearing protective gloves. Practitioners, medical attendants, pharmacy and pharmaceutical industry workers highlighted the need for practical and understandable instructions of various hand hygiene procedures, including the clarification of the possible technical mistakes. This became a ground for us to create individual master classes on hand hygiene for each cluster of healthcare workers. Conclusions: Changing hand hygiene behavior and attitude is possible by beginning to observe clinical practice and by involving healthcare workers in teaching and training

  19. Innovative approaches for the remediation of arsenic and mercury pollution via soil washing

    International Nuclear Information System (INIS)

    Sierra, C.; Gonzalez-Coto, F.; Villa, R.; Menendez-Aguado, J. M.; Gallego, J. R.

    2009-01-01

    Soil washing techniques are ex situ remediation procedures to remove contaminants concentrating them into a minor volume through particle size separation, gravity separation, and attrition scrubbing; with or without the utilization of chemical additives. Systems incorporating these removal techniques offer possibilities for application to soils contaminated with a wide variety of heavy metal, radionuclides, and organic contaminants. (Author)

  20. 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.

  1. 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.

  2. Enhanced sludge washing evaluation plan

    International Nuclear Information System (INIS)

    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

  3. 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 net...

  4. 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 net...

  5. Soil washing: From characterization to implementation

    International Nuclear Information System (INIS)

    Corden, F.L.; Groenendijk, E.

    1995-01-01

    Only recently has soil washing begun to be applied to remediation of contaminated soils in the US. The experience gained during full-scale and large pilot-scale projects points to the importance of soil and site characterization in correctly evaluating the applicability of soil washing to a site and determining accurate cost estimates for its implementation. This paper will discuss actual case studies of various treatability and pilot study approaches that led to successful evaluation and implementation of soil washing remedies. Soil washing is applicable to a broad variety of chemical contaminants. Target contaminants include metals, radionuclides, pesticides, polychlorinated biphenyls, polynuclear aromatic hydrocarbons and petroleum hydrocarbons, as well as combinations of these contaminants. Because the contaminants noted above are deposited in the soils in a variety of forms, the unit operations necessary to treat the soil vary. It is the diversity of the available treatment alternatives, and the ability to use the units in a variety of process flow configurations that result in a very broad definition of soil washing

  6. Effect of freezing, hot tumble drying and washing with eucalyptus oil on house dust mites in soft toys.

    Science.gov (United States)

    Chang, Chin-Fu; Wu, Francis Fu-Sheng; Chen, Chi-Ying; Crane, Julian; Siebers, Rob

    2011-09-01

    Soft toys are a major source of house dust mites (HDM) and HDM allergens, and sleeping with soft toys is a significant risk factor for HDM sensitization. We studied three techniques to eliminate HDM from soft toys, namely freezing, hot tumble drying and washing with eucalyptus oil. Thirty-six toys (12 in each treatment group) were enumerated for live HDM by the heat escape method before and after freezing overnight, hot tumble drying for 1 h and washing in 0.2% to 0.4% eucalyptus oil. Freezing, hot tumble drying and washing with eucalyptus oil resulted in significant reductions in live HDM, an average reduction of 95.1%, 89.1% and 95.1%, respectively. Additionally, washing with eucalyptus oil resulted in a significant reduction in HDM allergens as well from a geometric mean of 9.12 μg/g to 0.37 μg/g (p = 0.033). These three HDM elimination techniques give parents of infants effective and acceptable methods of limiting HDM exposure. © 2011 John Wiley & Sons A/S.

  7. A novel study on UV protection and antibacterial properties of washed denim garment

    Directory of Open Access Journals (Sweden)

    Pervez Md. Nahid

    2017-01-01

    Full Text Available On this planet, many investigations are applied to switch conventional chemical cloth techniques via eco-pleasant and economically attractive bioprocesses using enzymes. The present study offers an enzymatic washing system using enzyme (Cellzyme SPL H/C for boosting the ultraviolet and antimicrobial undertaking of denim garments. Experimental results showed that the 4.0% o.w.f enzyme awareness furnished a greater UPF than the other concentrations and before washed. Results divulge that enzyme (Cellzyme SPL H/C not handiest preserve the fabric surface from UV degradation but also performed extended degree of antibacterial endeavour in opposition to some species of bacteria that leading to act as a nice antibacterial agent on the denim materials. The enzyme washing healing diminished the skin hairiness and accelerated the skin evenness of the denim fibres as shown by means of SEM measurements.

  8. Eye wash water flow direction study: an evaluation of the effectiveness of eye wash devices with opposite directional water flow.

    Science.gov (United States)

    Fogt, Jennifer S; Jones-Jordan, Lisa A; Barr, Joseph T

    2018-01-01

    New designs of eye wash stations have been developed in which the direction of water flow from the fountain has been reversed, with two water streams originating nasally in both eyes and flowing toward the temporal side of each eye. No study has been done to determine the ideal direction of water flow coming from the eye wash in relation to the eye. Ophthalmic eye examinations were conducted before and after the use of two eye wash stations with opposite water flow directionality. Fluorescein was instilled in both eyes before using an eye wash to measure the effectiveness of the water flow. Subjects were surveyed upon their experiences using the eye washes. Ophthalmic examination found no significant difference in the efficacy of the eye washes with nasal-to-temporal water flow when compared to temporal-to-nasal water flow direction.

  9. Rapid washing of filter paper discs in a solid-phase radioimmunoassay with a constant flow washing device

    International Nuclear Information System (INIS)

    Kemeny, D.M.; West, F.B.

    1982-01-01

    A machine has been developed for the rapid washing of the cellulose filter paper discs that are used in a number of radioimmunoassays. The machine is simple in design, easy to use, and is capable of washing 96 filter paper discs simultaneously. The efficiency of the machine is demonstrated by a RAST assay for measuring IgE antibodies to the venom. Time taken to wash the discs was reduced 3-fold without loss of sensitivity or reproducibility. (Auth.)

  10. Developing professional habits of hand hygiene in intensive care settings: An action-research intervention.

    Science.gov (United States)

    Battistella, Giuseppe; Berto, Giuliana; Bazzo, Stefania

    2017-02-01

    To explore perceptions and unconscious psychological processes underlying handwashing behaviours of intensive care nurses, to implement organisational innovations for improving hand hygiene in clinical practice. An action-research intervention was performed in 2012 and 2013 in the intensive care unit of a public hospital in Italy, consisting of: structured interviews, semantic analysis, development and validation of a questionnaire, team discussion, project design and implementation. Five general workers, 16 staff nurses and 53 nurse students participated in the various stages. Social handwashing emerged as a structured and efficient habit, which follows automatically the pattern "cue/behaviour/gratification" when hands are perceived as "dirty". The perception of "dirt" starts unconsciously the process of social washing also in professional settings. Professional handwashing is perceived as goal-directed. The main concern identified is the fact that washing hands requires too much time to be performed in a setting of urgency. These findings addressed participants to develop a professional "habit-directed" hand hygiene procedure, to be implemented at beginning of workshifts. Handwashing is a ritualistic behaviour driven by deep and unconscious patterns, and social habits affect professional practice. Creating professional habits of hand hygiene could be a key solution to improve compliance in intensive care settings. Copyright © 2016. Published by Elsevier Ltd.

  11. Abdominopelvic washings: A comprehensive review

    Directory of Open Access Journals (Sweden)

    Erika F Rodriguez

    2013-01-01

    Full Text Available Intraperitoneal spread may occur with gynecological epithelial neoplasms, as well as with non-gynecological malignancies, which may result in serosal involvement with or without concomitant effusion. Therefore, washings in patients with abdominopelvic tumors represent important specimens for cytologic examination. They are primarily utilized for staging ovarian cancers, although their role has decreased in staging of endometrial and cervical carcinoma. Abdominopelvic washings can be positive in a variety of pathologic conditions, including benign conditions, borderline neoplastic tumors, locally invasive tumors, or distant metastases. In a subset of cases, washings can be diagnostically challenging due to the presence of co-existing benign cells (e.g., mesothelial hyperplasia, endosalpingiosis, or endometriosis, lesions in which there is only minimal atypia (e.g., serous borderline tumors or scant atypical cells, and the rarity of specific tumor types (e.g., mesothelioma. Ancillary studies including immunocytochemistry and fluorescence in situ hybridization may be required in difficult cases to resolve the diagnosis. This article provides a comprehensive and contemporary review of abdominopelvic washings in the evaluation of gynecologic and non-gynecologic tumors, including primary peritoneal and mesothelial entities.

  12. Soil washing

    International Nuclear Information System (INIS)

    Neuman, R.S.; Diel, B.N.; Halpern, Y.

    1992-01-01

    Disposal of soils or sludges contaminated with organic and inorganic compounds is a major problem for environmental remedial activities, hazardous waste generators, and the disposal industry. This paper reports that many of these wastes can be effectively treated utilizing soil washing technology. CWM has been developing soil washing technology over the past few years, with extensive work being conducted on the bench scale. These studies have demonstrated consistently high removal efficiencies (95-99%) for a wide variety of PCB and petroleum hydrocarbon contaminated waste. Recently, a comprehensive study examining the removal of both organic and inorganic contraminants from two different types of surrogate soil matrices was completed. In addition to establishing the range of contaminants that can be removed from soil, a method for surfactant/water separation was evaluated. For example, using a thermal phase separation method, approximately 90% of the surfactant could be recovered from the water

  13. Cross contamination of Escherichia coli O157:H7 between lettuce and wash water during home-scale washing.

    Science.gov (United States)

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

    2015-04-01

    Lettuce and leafy greens have been implicated in multiple foodborne disease outbreaks. This study quantifies cross contamination between lettuce pieces in a small-scale home environment. A five-strain cocktail of relevant Escherichia coli O157:H7 strains was used. Bacterial transfer between single inoculated lettuce leaf pieces to 10 non-inoculated lettuce leaf pieces that were washed in a stainless steel bowl of water for 30 s, 1 min, 2 min, and 5 min was quantified. Regardless of washing time, the wash water became contaminated with 90-99% of bacteria originally present on the inoculated lettuce leaf piece. The E. coli O157:H7 concentration on initially inoculated leaf pieces was reduced ∼ 2 log CFU. Each initially uncontaminated lettuce leaf piece had ∼ 1% of the E. coli O157:H7 from the inoculated lettuce piece transferred to it after washing, with more transfer occurring during the shortest (30 s) and longest (5 min) wash times. In all cases the log percent transfer rates were essentially normally distributed. In all scenarios, most of the E. coli O157:H7 (90-99%) transferred from the inoculated lettuce pieces to the wash water. Washing with plain tap water reduces levels of E. coli O157:H7 on the inoculated lettuce leaf pieces, but also spreads contamination to previously uncontaminated leaf pieces. Copyright © 2014 Elsevier Ltd. All rights reserved.

  14. Job Burnout Reduces Hand Hygiene Compliance Among Nursing Staff.

    Science.gov (United States)

    Manomenidis, Georgios; Panagopoulou, Efharis; Montgomery, Anthony

    2017-10-13

    Health professional burnout has been associated with suboptimal care and reduced patient safety. However, the extent to which burnout influences hand hygiene compliance among health professionals has yet to be explored. The aim of the study was to examine whether job burnout reduces hand washing compliance among nursing staff. A diary study was conducted. Forty registered nurses working in a general city hospital in Thessaloniki, Greece, completed a questionnaire, while they were monitored for hand hygiene compliance following the World Health Organization protocol for hand hygiene assessment. Burnout was measured using validated items from the Maslach Burnout Inventory. Data were collected from September to October 2015. Multiple regression analysis showed that controlling for years in practice, burnout was negatively associated with hand hygiene compliance (R = 0.322, F(3,36) = 5.704, P compliance to hand hygiene among nurses. Given the crucial role of hand hygiene compliance for the prevention of in-hospital infections, this study highlights the need for interventions targeting the prevention of burnout among nursing staff.

  15. A new method of maintaining airway during nasotracheal intubation--the hand mask technique.

    Science.gov (United States)

    Wu, R S; Wong, D S; Chung, P C; Tan, P P

    1993-09-01

    The efficacy of a new method (The hand mask technique) for airway maintenance during nasotracheal intubation was evaluated in our randomized crossover study. Sixty, age less than 50, ASA physical status class I-II patients undergoing surgery for the extremities with informed consent were randomly chosen for the study. Pulse oximeter, capnometer, EKG, blood pressure monitor and a peripheral nerve stimulator were attached to the patients before induction for continuous monitoring. An arterial cannula was inserted for intermittent blood gas sampling. After baseline room air blood gas data had been obtained from the spontaneously breathing patients, a flow rate of 6L/min pure oxygen was applied through a loosely fitted face mask and a semi-closed anesthesia breathing circuit for a period of 5 minutes. An arterial blood sample was drawn and the patients were put under general anesthesia with full muscle relaxation thereafter. Patients were then randomly assigned into two groups according to the ventilation technique used. Group A patients (n = 30) were manually ventilated first through a face mask for ten minutes and then the hand mask technique for another ten minutes. Blood gas data was sampled and heart rate, blood pressure, peak inspiratory airway pressure and end tidal CO2 were recorded immediately after each ventilation technique. For patients in Group B (n = 30), the sequence of the two ventilation technique were reversed. The results showed significant increases in PaO2 after artificial ventilation in both groups (No significant difference in results between the two groups) and less incidence of nasal bleeding in Group A.(ABSTRACT TRUNCATED AT 250 WORDS)

  16. Effect of Disinfectants on Preventing the Cross-Contamination of Pathogens in Fresh Produce Washing Water

    Directory of Open Access Journals (Sweden)

    Jennifer L. Banach

    2015-07-01

    Full Text Available The potential cross-contamination of pathogens between clean and contaminated produce in the washing tank is highly dependent on the water quality. Process wash water disinfectants are applied to maintain the water quality during processing. The review examines the efficacy of process wash water disinfectants during produce processing with the aim to prevent cross-contamination of pathogens. Process wash water disinfection requires short contact times so microorganisms are rapidly inactivated. Free chlorine, chlorine dioxide, ozone, and peracetic acid were considered suitable disinfectants. A disinfectant’s reactivity with the organic matter will determine the disinfectant residual, which is of paramount importance for microbial inactivation and should be monitored in situ. Furthermore, the chemical and worker safety, and the legislative framework will determine the suitability of a disinfection technique. Current research often focuses on produce decontamination and to a lesser extent on preventing cross-contamination. Further research on a sanitizer’s efficacy in the washing water is recommended at the laboratory scale, in particular with experimental designs reflecting industrial conditions. Validation on the industrial scale is warranted to better understand the overall effects of a sanitizer.

  17. Effect of Disinfectants on Preventing the Cross-Contamination of Pathogens in Fresh Produce Washing Water

    Science.gov (United States)

    Banach, Jennifer L.; Sampers, Imca; Van Haute, Sam; van der Fels-Klerx, H.J. (Ine)

    2015-01-01

    The potential cross-contamination of pathogens between clean and contaminated produce in the washing tank is highly dependent on the water quality. Process wash water disinfectants are applied to maintain the water quality during processing. The review examines the efficacy of process wash water disinfectants during produce processing with the aim to prevent cross-contamination of pathogens. Process wash water disinfection requires short contact times so microorganisms are rapidly inactivated. Free chlorine, chlorine dioxide, ozone, and peracetic acid were considered suitable disinfectants. A disinfectant’s reactivity with the organic matter will determine the disinfectant residual, which is of paramount importance for microbial inactivation and should be monitored in situ. Furthermore, the chemical and worker safety, and the legislative framework will determine the suitability of a disinfection technique. Current research often focuses on produce decontamination and to a lesser extent on preventing cross-contamination. Further research on a sanitizer’s efficacy in the washing water is recommended at the laboratory scale, in particular with experimental designs reflecting industrial conditions. Validation on the industrial scale is warranted to better understand the overall effects of a sanitizer. PMID:26213953

  18. Preoperative Hand Decontamination in Ophthalmic Surgery: A Comparison of the Removal of Bacteria from Surgeons' Hands by Routine Antimicrobial Scrub versus an Alcoholic Hand Rub.

    Science.gov (United States)

    Forer, Yaara; Block, Colin; Frenkel, Shahar

    2017-09-01

    The goal of this experiment was to evaluate and compare the antimicrobial efficacy of routine preoperative hand washing using commercial medicated sponge brushes versus an alcoholic hand rub, by comparing bacterial growth on ophthalmic surgeons' hands after application of each of these methods. Twenty ophthalmic surgeons were recruited at the Hadassah-Hebrew University Medical Center in Jerusalem, Israel. Samples were collected twice from the hands of each surgeon after hand decontamination using two different protocols during routine surgical practice. The routine preparation consisted of a 3-minute surgical scrub using commercial brush-sponges incorporating either 4% chlorhexidine gluconate (CHG) or 1% povidone-iodine (PVP-I) formulations with detergent, followed by drying the hands with a sterile towel, while the 70% ethanol solution was applied for 60-seconds and allowed to air dry. Half of the group was randomly assigned to provide samples first after the routine method and the alcoholic solution a week later, and the other half of the group was sampled in the reverse order. Viable counts of bacteria were evaluated using a modified glove juice method. Bacterial colonies were enumerated after incubation for 24 hours and expressed as colony forming units (CFU)/mL for each pair of hands. Geometric mean counts were 1310 and 39 CFU/mL, in the routine and alcohol rub groups, respectively, representing a mean log 10 reduction in 1.53. The difference between the paired bacterial counts for the routine versus the alcohol rub was statistically significant (p surgical hand preparation with PVP-I and CHG in a population of practicing ophthalmic surgeons in the operative clinical setting. Thus, it provides a safe alternative as a preoperative hand disinfection method.

  19. A novel hand-type detection technique with fingerprint sensor

    Science.gov (United States)

    Abe, Narishige; Shinzaki, Takashi

    2013-05-01

    In large-scale biometric authentication systems such as the US-Visit (USA), a 10-fingerprints scanner which simultaneously captures four fingerprints is used. In traditional systems, specific hand-types (left or right) are indicated, but it is difficult to detect hand-type due to the hand rotation and the opening and closing of fingers. In this paper, we evaluated features that were extracted from hand images (which were captured by a general optical scanner) that are considered to be effective for detecting hand-type. Furthermore, we extended the knowledge to real fingerprint images, and evaluated the accuracy with which it detects hand-type. We obtained an accuracy of about 80% with only three fingers (index, middle, ring finger).

  20. Detecting wash trade in the financial market

    OpenAIRE

    Cao, Yi; Li, Yuhua; Coleman, Sonya; Belatreche, Ammar; McGinnity, T. M.

    2014-01-01

    Wash trade refers to the activities of traders who utilise deliberately designed collusive transactions to increase the trading volumes for creating active market impression. Wash trade can be damaging to the proper functioning and integrity of capital markets. Existing work focuses on collusive clique detections based on certain assumptions of trading behaviours. Effective approaches for analysing and detecting wash trade in a real-life market have yet to be developed. T...

  1. Washing of waste prior to landfilling.

    Science.gov (United States)

    Cossu, Raffaello; Lai, Tiziana

    2012-05-01

    The main impact produced by landfills is represented by the release of leachate emissions. Waste washing treatment has been investigated to evaluate its efficiency in reducing the waste leaching fraction prior to landfilling. The results of laboratory-scale washing tests applied to several significant residues from integrated management of solid waste are presented in this study, specifically: non-recyclable plastics from source separation, mechanical-biological treated municipal solid waste and a special waste, automotive shredded residues. Results obtained demonstrate that washing treatment contributes towards combating the environmental impacts of raw wastes. Accordingly, a leachate production model was applied, leading to the consideration that the concentrations of chemical oxygen demand (COD) and total Kjeldahl nitrogen (TKN), parameters of fundamental importance in the characterization of landfill leachate, from a landfill containing washed wastes, are comparable to those that would only be reached between 90 and 220years later in the presence of raw wastes. The findings obtained demonstrated that washing of waste may represent an effective means of reducing the leachable fraction resulting in a consequent decrease in landfill emissions. Further studies on pilot scale are needed to assess the potential for full-scale application of this treatment. Copyright © 2012 Elsevier Ltd. All rights reserved.

  2. Comparative study of presurgical hand hygiene with hydroalcoholic solution versus traditional presurgical hand hygiene.

    Science.gov (United States)

    López Martín, M Beatriz; Erice Calvo-Sotelo, Alejo

    To compare presurgical hand hygiene with hydroalcoholic solution following the WHO protocol with traditional presurgical hand hygiene. Cultures of the hands of surgeons and surgical nurses were performed before and after presurgical hand hygiene and after removing gloves at the end of surgery. Cultures were done in 2different days: the first day after traditional presurgical hand hygiene, and the second day after presurgical hand hygiene with hydroalcoholic solution following the WHO protocol. The duration of the traditional hand hygiene was measured and compared with the duration (3min) of the WHO protocol. The cost of the products used in the traditional technique was compared with the cost of the hydroalcoholic solution used. The variability of the traditional technique was determined by observation. Following presurgical hand hygiene with hydroalcoholic solution, colony-forming units (CFU) were detected in 5 (7.3%) subjects, whereas after traditional presurgical hand hygiene CFU were detected in 14 subjects (20.5%) (p < 0.05). After glove removal, the numbers of CFU were similar. The time employed in hand hygiene with hydroalcoholic solution (3min) was inferior to the time employed in the traditional technique (p < 0.05), its cost was less than half, and there was no variability. Compared with other techniques, presurgical hand hygiene with hydroalcoholic solution significantly decreases CFU, has similar latency time, a lower cost, and saves time. Copyright © 2017 Elsevier España, S.L.U. All rights reserved.

  3. Late washing filter cleaning cycle demonstration

    International Nuclear Information System (INIS)

    Meyer, M.L.; McCabe, D.J.

    1992-01-01

    The DWPF Late Washing Facility will filter cesium and potassium tetraphenyl borate (TPB) solids using a Mott sintered metal filter, identical to the filter now used in the In-tank Precipitation Facility. The purpose of the late wash step is primarily to remove the nitrite salts from the slurry prior to delivery to DWPF. Periodic chemical cleaning of the filter will be required, presumably after each batch although the actual required frequency could not be determined on the lab-scale. Minimization of chemical cleaning solution volumes is key to maximizing the attainment of the Late Wash facility. This report summarizes work completed in experiments designed to identify minimum cleaning solution requirements

  4. 33 CFR 157.124 - COW tank washing machines.

    Science.gov (United States)

    2010-07-01

    ... 33 Navigation and Navigable Waters 2 2010-07-01 2010-07-01 false COW tank washing machines. 157... OIL IN BULK Crude Oil Washing (COW) System on Tank Vessels Design, Equipment, and Installation § 157.124 COW tank washing machines. (a) COW machines must be permanently mounted in each cargo tank. (b...

  5. Apparatus for washing out halogens

    Energy Technology Data Exchange (ETDEWEB)

    Pier, M; Hahn, J; Kroenig, W

    1941-03-26

    An apparatus is described for washing out of halogens and the like or liquid halogen compounds from the products, which are formed on pressure hydrogenation or splitting of carbon-containing material in the presence of halogens or halogen compounds, consisting of a washing apparatus installed between the reaction vessel and the hot separator, which is inclined in relatively small space for steam regulation and contains, with the steam, arranged baffles, especially spirals.

  6. Cold or hot wash: Technological choices, cultural change, and their impact on clothes-washing energy use in China

    International Nuclear Information System (INIS)

    Lin, Jiang; Iyer, Maithili

    2007-01-01

    Usage pattern of clothes washing (and clothes washers) are strongly related to local cultural practices. Such practices have led to the development of distinctive clothes-washing technologies in the US, Europe, and Japan. In emerging markets such as China, several types of technologies often co-exist. Some use less energy but more water (the impeller type), and some use more energy but less water (the horizontal axis type). The competition between different technologies is thought to lead to better consumer choices. However, it could also lead to changes in clothes-washing habits-from cold to hot wash, and therefore to much higher energy use. This paper examines the standard development process in China to illustrate that adoption of foreign technologies and technical standards, if not carefully calibrated to the local cultural practices, could have unintended consequences for energy use and environment

  7. Food safety knowledge and practice among child caregivers in Ijebu ...

    African Journals Online (AJOL)

    6.7±1.3), poor safety knowledge of changing baby clothing (6.5±1.0), safe food handling and preparation 4.6±0.6, cross contamination and hand washing techniques (4.2±0). They also had poor food safety practice on hand washing practice ...

  8. Voided urine versus bladder washing cytology for detection of urothelial carcinoma: which is better?

    Science.gov (United States)

    Keller, Anna Krarup; Jensen, Jørgen Bjerggaard

    2017-08-01

    Cytology is recommended as part of the follow-up of high-grade non-muscle-invasive bladder cancer (NMIBC). However, currently there are no solid guideline recommendations regarding the use of voided urine versus bladder washing for cytology as part of the diagnosis or follow-up of NMIBC. The aim of this study was to investigate whether the cytological outcome was equal regarding the two techniques. The authors reviewed all outpatient flexible cystoscopies carried out in their department in 2013. Patient records in the registry of pathology were examined and those with simultaneous urine and bladder washing cytology were included. Previous urothelial disease and positive histology within 3 months after the cystoscopy were registered. A total of 1458 patients had both voided urine and bladder washing cytology and were included in the study, of whom 643 (44%) had a history of urothelial disease. An equal outcome of urine and bladder washing cytology was found in 1447 patients (99.2%). For the remaining 11 patients, only four patients underwent further examinations based on cytology findings in addition to what had already been planned after cystoscopy. Of the included patients, 100 (6.9%) had a positive histological outcome within 3 months. In most patients, no relevant difference between voided urine and bladder washing cytology was observed. Therefore, if cytology is indicated, it is recommended to use the test that is most readily available locally. The additional gain in using both urine and bladder wash is minimal, and can therefore be discarded.

  9. Sludge pretreatment chemistry evaluation: Enhanced sludge washing separation factors

    International Nuclear Information System (INIS)

    Colton, N.G.

    1995-03-01

    This report presents the work conducted in Fiscal Year 1994 by the Sludge Pretreatment Chemistry Evaluation Subtask for the Tank Waste Remediation System (TWRS) Tank Waste Treatment Science Task. The main purpose of this task, is to provide the technical basis and scientific understanding to support TWRS baseline decisions and actions, such as the development of an enhanced sludge washing process to reduce the volume of waste that will require high-level waste (HLW) vitrification. One objective within the Sludge Pretreatment Chemistry Evaluation Subtask was to establish wash factors for various SST (single-shell tank) sludges. First, analytical data were compiled from existing tank waste characterization reports. These data were summarized on tank-specific worksheets that provided a uniform format for reviewing and comparing data, as well as the means to verify whether the data set for each tank was complete. Worksheets were completed for 27 SST wastes. The analytical water wash data provided tank-specific information about the fraction of each component that dissolves with water, i.e., an estimate of tank-specific wash factors for evaluating tank-by-tank processing. These wash data were then used collectively to evaluate some of the wash factors that are assumed for the overall SST waste inventory; specifically, wash factors for elements that would be found primarily in sludges. The final step in this study was to incorporate the characterization and wash factor data into a spreadsheet that provides insight into the effect of enhanced sludge washing on individual tank sludges as well as for groups of sludges that may be representative of different waste types. Spreadsheet results include the estimated mass and percentage of each element that would be removed with washing and leaching. Furthermore, estimated compositions are given of the final wash and leach streams and residual solids, in terms of both concentration and dry weight percent

  10. 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

  11. Removal of arsenic from Janghang smelter site and energy crops-grown soil with soil washing using magnetic iron oxide

    Science.gov (United States)

    Han, Jaemaro; Zhao, Xin; Lee, Jong Keun; Kim, Jae Young

    2014-05-01

    Arsenic compounds are considered carcinogen and easily enter drinking water supplies with their natural abundance. US Environmental Protection Agency is finalizing a regulation to reduce the public health risks from arsenic in drinking water by revising the current drinking water standard for arsenic from 50 ppb to 10 ppb in 2001 (USEPA, 2001). Therefore, soil remediation is also growing field to prevent contamination of groundwater as well as crop cultivation. Soil washing is adjusted as ex-situ soil remediation technique which reduces volume of the contaminated soil. The technique is composed of physical separation and chemical extraction to extract target metal contamination in the soil. Chemical extraction methods have been developed solubilizing contaminants containing reagents such as acids or chelating agents. And acid extraction is proven as the most commonly used technology to treat heavy metals in soil, sediment, and sludge (FRTR, 2007). Due to the unique physical and chemical properties, magnetic iron oxide have been used in diverse areas including information technology and biomedicine. Magnetic iron oxides also can be used as adsorbent to heavy metal enhancing removal efficiency of arsenic concentration. In this study, magnetite is used as the washing agent with acid extraction condition so that the injected oxide can be separated by magnetic field. Soil samples were collected from three separate areas in the Janghang smelter site and energy crops-grown soil to have synergy effect with phytoremediation. Each sample was air-dried and sieved (2mm). Soil washing condition was adjusted on pH in the range of 0-12 with hydrogen chloride and sodium hydroxide. After performing soil washing procedure, arsenic-extracted samples were analyzed for arsenic concentration by inductively coupled plasma optical emission spectrometer (ICP-OES). All the soils have exceeded worrisome level of soil contamination for region 1 (25mg/kg) so the soil remediation techniques are

  12. Hand hygiene compliance: is there a theory-practice-ethics gap?

    Science.gov (United States)

    Mortell, Manfred

    Practice is usually based on tradition, rituals and outdated information; there is often an additional gap between theoretical knowledge and its application in practice. This theory-practice gap has long existed (Allmark, 1995; Hewison et al, 1996). It often arises when theory is ignored because it is seen as idealistic and impractical, even if it is practical and beneficial. Most research relating to the lack of integration between theory and practice has concluded that environmental factors are responsible and will affect learning and practice outcomes. The author believes an additional dimension of ethics is required to bridge the gap between theory and practice. This would be a moral obligation to ensure theory and practice are integrated. To implement new practices effectively, healthcare practitioners must deem these practices worthwhile and relevant to their role. This introduces a new concept that the author calls the theory-practice-ethics gap. This theory-practice-ethics gap must be considered when examining some of the unacceptable outcomes in healthcare practice (Mortell, 2009). The literature suggests that there is a crisis of ethics where theory and practice integrate, and practitioners are failing to fulfil their duty as providers of healthcare and as patient advocates. This article examines the theory-practice-ethics gap when applied to hand hygiene. Non-compliance exists in hand hygiene among practitioners, which may increase patient mortality and morbidity rates, and raise healthcare costs. Infection prevention and control programmes to improve hand hygiene among staff include: ongoing education and training; easy access to facilities such as wash basins; antiseptic/alcohol handgels that are convenient, effective, and skin- and user-friendly; and organisational recognition and support for clinicians in hand washing and handgel practices. Yet these all appear to have failed to achieve the required and desired compliance in hand hygiene.

  13. Appraisal of the efficacy of washing the surfaces in the slaughter premises by means of bacteria labelled with /sup 32/P

    Energy Technology Data Exchange (ETDEWEB)

    Fiszer, W; Zabielski, J; Mroz, J [Wyzsza Szkola Rolnicza, Poznan (Poland)

    1975-01-01

    There were carried out some experiments to appraise the efficacy of washing different surfaces used in meat industry (ceramics, polished steel, polished aluminium, scratched aluminium, unpolished steel, scratched steel, beech wood, wavy polystyrene and smoth polystyrene) by the use of Bacillus subtilis labelled with /sup 32/P. It was found that beech wood proved to be the most resistant material to wash up and therefore should not be used in meat industry. The effect of washing K is the function of unevenness Ra. That dependence can be expressed with the formula: K=3.0919-0.2361 Ra. A way of washing plays an important role and the use of a scrubbing-brush increased the efficacy of washing from 2 to 8 times. The technique applied appeared very useful to perform such studies.

  14. The appraisal of the efficacy of washing the surfaces in the slaughter premises by means of bacteria labelled with 32P

    International Nuclear Information System (INIS)

    Fiszer, W.; Zabielski, J.; Mroz, J.

    1975-01-01

    There were carried out some experiments to appraise the efficacy of washing different surfaces used in meat industry (ceramics, polished steel, polished aluminium, scratched aluminium, unpolished steel, scratched steel, beech wood, wavy polystyrene and smoth polystyrene) by the use of Bacillus subtilis labelled with 32 P. It was found that beech wood proved to be the most resistant material to wash up and therefore should not be used in meat industry. The effect of washing K is the function of unevenness Ra. That dependence can be expressed with the formula: K=3.0919-0.2361 Ra. A way of washing plays an important role and the use of a scrubbing-brush increased the efficacy of washing from 2 to 8 times. The technique applied appeared very useful to perform such studies. (author)

  15. Soil washing technology evaluation

    International Nuclear Information System (INIS)

    Suer, A.

    1995-04-01

    Environmental Restoration Engineering (ERE) continues to review innovative, efficient, and cost effective technologies for SRS soil and/or groundwater remediation. As part of this effort, this technical evaluation provides review and the latest information on the technology for SRS soil remediation. Additional technology evaluation reports will be issued periodically to update these reports. The purpose of this report is to review the soil washing technology and its potential application to SRS soil remediation. To assess whether the Soil Washing technology is a viable option for SRS soil remediation, it is necessary to review the technology/process, technology advantages/limitations, performance, applications, and cost analysis

  16. Release of synthetic microplastic plastic fibres from domestic washing machines: Effects of fabric type and washing conditions.

    Science.gov (United States)

    Napper, Imogen E; Thompson, Richard C

    2016-11-15

    Washing clothes made from synthetic materials has been identified as a potentially important source of microscopic fibres to the environment. This study examined the release of fibres from polyester, polyester-cotton blend and acrylic fabrics. These fabrics were laundered under various conditions of temperature, detergent and conditioner. Fibres from waste effluent were examined and the mass, abundance and fibre size compared between treatments. Average fibre size ranged between 11.9 and 17.7μm in diameter, and 5.0 and 7.8mm in length. Polyester-cotton fabric consistently shed significantly fewer fibres than either polyester or acrylic. However, fibre release varied according to wash treatment with various complex interactions. We estimate over 700,000 fibres could be released from an average 6kg wash load of acrylic fabric. As fibres have been reported in effluent from sewage treatment plants, our data indicates fibres released by washing of clothing could be an important source of microplastics to aquatic habitats. Copyright © 2016 Elsevier Ltd. All rights reserved.

  17. Process for washing electromagnetic filters

    International Nuclear Information System (INIS)

    Guittet, Maurice; Treille, Pierre.

    1980-01-01

    This process concerns the washing of an electro-magnetic filter used, inter alia, for filtering the drain-off waters of nuclear power station steam generators, by means of a washing water used in closed circuit and freed, after each cleaning, of the solids in suspension it contains, by settlement of these solids. This invention enables the volume of water to be evaporated to be divided by 50, thereby providing a solid assurance of better safety, apart from a very significant saving [fr

  18. EFFECTIVENESS OF DOUBLE WASH SWIM-UP VERSUS DOUBLE DENSITY GRADIENT SWIM-UP TECHNIQUE OF SPERM PREPARATION IN IN VITRO FERTILISATION

    Directory of Open Access Journals (Sweden)

    Srinivas Sangisapu

    2017-10-01

    Full Text Available BACKGROUND Recovery of optimum number of good quality of spermatozoa is an important component of In Vitro Fertilisation (IVF. This is achieved by sperm preparation methods involving separation and recovery of capacitated sperms. Double Wash Swim-up (DWSU and Double Density Gradient Swim-up (DDGSU are two most accepted methods. Cochrane systematic review (2007 finds no clear benefit of one method over the other in Intrauterine Insemination (IUI. Systematic review on effectiveness of these preparations in IVF is lacking. Effectiveness is generally assessed in terms recovery rates of the sperms. Capability of successful fertilisation of good quality oocytes should ideally be the functional endpoint for evaluating effectiveness of sperm preparation methods. The aim of the study is to1. Compare the successful fertilisation rates of oocytes inseminated by semen preparation of Double Wash Swim-up (DWSU vis-a-vis by Double Density Gradient Swim-up (DDGSU method. 2. Evaluate the effectiveness of fertilisation of oocytes by Double Wash Swim-up method (DWSU vis-a-vis Double Density Gradient Swim-up (DDGSU method. MATERIALS AND METHODS A retrospective cohort study was conducted on infertile couples undergoing IVF from June 2014 to June 2017 at an ART Centre of a tertiary care hospital. The male partners were normozoospermic and female partners were normoresponsive to controlled ovarian stimulation and oocyte retrieval. RESULTS 70 male partners were subjected to double wash swim-up and 64 underwent double density gradient swim-up preparation. 1296 good quality oocytes were retrieved in their respective female partners. 452 (61% out of 742 oocytes were successfully fertilised after insemination by semen prepared by DWSU method. 378 (68% oocytes out of 554 were fertilised by insemination with semen prepared by DDGSU method. There seems to be strong association (RR=1.12 of fertilisation success with oocytes exposed to semen prepared by Double Density Gradient

  19. Experimental study on the use of spacer foils in two-step putty and wash impression procedures using silicone impression materials.

    Science.gov (United States)

    Mann, Karsten; Davids, Andreas; Range, Ursula; Richter, Gert; Boening, Klaus; Reitemeier, Bernd

    2015-04-01

    The 2-step putty and wash impression technique is commonly used in fixed prosthodontics. However, cutting sluiceways to allow the light-body material to drain is time-consuming. A solution might be the use of a spacer foil. The purpose of this study was to evaluate the influence of spacer foil on the margin reproduction and dimensional accuracy of 2-step putty and wash impressions. Two methods of creating space for the wash material in a 2-step putty and wash impression were compared: the traditional cutout technique and a spacer foil. Eleven commercially available combinations of silicone impression materials were included in the study. The impressions and the cast production were carried out under standardized conditions. All casts were measured with a 3-dimensional (3D) coordinate measuring machine. Preparation margin reproduction and the diameters and spacing of the stone cast dies were measured (α=.05). The 2 methods showed significant differences (P<.05) in the reproduction of the preparation margins (complete reproduction cutout, 90% to 98%; foil, 74% to 91%). The use of a foil resulted in greater dimensional accuracy of the cast dies compared to the cutout technique. Cast dies from the cutout technique were significantly smaller than the metallic original cast (cutout median, 4.55 mm to 4.61 mm; foil median, 4.61 to 4.64). Spacing between the dies revealed only a few additional significant differences between the techniques. When spacer foils were used, dies were obtained that better corresponded to the original tooth. Copyright © 2015 Editorial Council for the Journal of Prosthetic Dentistry. Published by Elsevier Inc. All rights reserved.

  20. Bacteremia following T-tube cholangiography: Injection by hand versus gravity-infusion technique

    International Nuclear Information System (INIS)

    Messmer, J.M.; Bradley, J.J.; Cho, S.R.; Turner, M.A.

    1986-01-01

    Twenty-four patients were evaluated to determine if the method of performing T-tube cholangiography had bearing on the development of bacteremia. Fifteen patients underwent cholangiography after hand injection (HI) of contrast medium and 12 patients cholangiogrpahy after gravity infusion of contrast medium. In three patients both techniques were used. Injection pressures were monitored and blood and bile samples were obtained for culture. In four of the 11 patients (36%) in the HI group who were not taking antibiotics, pathogens were cultured from blood drawn immediately after cholangiographic. The remaining four patients in this group were taking antibiotics and had negative blood cultures. None of the 12 patients in the GI group had positive blood cultures. There was a correlation between the higher injection pressures generated using the HI technique and positive blood cultures

  1. Evaluation of protective gloves and working techniques for reducing hand-arm vibration exposure in the workplace.

    Science.gov (United States)

    Milosevic, Matija; McConville, Kristiina M Valter

    2012-01-01

    Operation of handheld power tools results in exposure to hand-arm vibrations, which over time lead to numerous health complications. The objective of this study was to evaluate protective equipment and working techniques for the reduction of vibration exposure. Vibration transmissions were recorded during different work techniques: with one- and two-handed grip, while wearing protective gloves (standard, air and anti-vibration gloves) and while holding a foam-covered tool handle. The effect was examined by analyzing the reduction of transmitted vibrations at the wrist. The vibration transmission was recorded with a portable device using a triaxial accelerometer. The results suggest large and significant reductions of vibration with appropriate safety equipment. Reductions of 85.6% were achieved when anti-vibration gloves were used. Our results indicated that transmitted vibrations were affected by several factors and could be measured and significantly reduced.

  2. Soil washing treatability testing for rad-waste material

    International Nuclear Information System (INIS)

    Leis, K.S.; Lear, P.R.

    1997-01-01

    Soil washing treatability testing was successfully completed on soil contaminated with Ra-226 and Th-232. The objective of the soil washing study was to determine if the radiologically contaminated fraction of the soil could be separated from the bulk of the soil material. The cleanup criteria was 38 microm) fraction was allowed to settle and was washed to separate it from the highly contaminated fine (< 38 microm) fraction. The clean coarse fraction comprised 85.7% of the total solids and had less than 15 pCi/g of Ra-226 and Th-232. This material was to be disposed at a RCRA Subtitle D disposal facility. The suspended fines were flocculated and dewatered to minimize the amount of highly contaminated material produced by the soil washing. The dewatered fines would require disposal at a low-level radiological disposal facility. Mass balance calculations were made to determine production rates and chemical and equipment requirements for the full-scale soil washing treatment

  3. Determinants of hand hygiene compliance in Egypt: building blocks for a communication strategy.

    Science.gov (United States)

    Lohiniva, A-L; Bassim, H; Hafez, S; Kamel, E; Ahmed, E; Saeed, T; Talaat, M

    2015-10-02

    Hand hygiene of health-care staff is one of the most important interventions in reducing transmission of nosocomial infections. This qualitative study aimed to understand the behavioural determinants of hand hygiene in order to develop sustainable interventions to promote hand hygiene in hospitals. Fourteen focus group discussions were conducted with nurses in 2 university hospitals in Egypt. The interviews were tape recorded and transcribed. Thematic analysis was conducted by 2 independent investigators. The findings highlighted that nurses did not perceive the benefits of hand hygiene, and that they linked the need to wash hands to a sense of dirtiness. Knowledge of hand hygiene and related products was limited and preference for water and soap was obvious. Environmental constraints, lack of role models and social control were identified as barriers for compliance with hand hygiene. A multi-faceted hand hygiene strategy was developed based on existing cultural concepts valued by the hospital staff.

  4. Removal of Pb, Zn, and Cd from contaminated soil by new washing agent from plant material.

    Science.gov (United States)

    Cao, Yaru; Zhang, Shirong; Wang, Guiyin; Huang, Qinling; Li, Ting; Xu, Xiaoxun

    2017-03-01

    Soil washing is an effective approach to remove soil heavy metals, and the washing agent is generally regarded as one of the primary factors in the process, but there is still a lack of efficient and eco-friendly agents for this technique. Here, we showed that four plant washing agents-from water extracts of Coriaria nepalensis (CN), Clematis brevicaudata (CB), Pistacia weinmannifolia (PW), and Ricinus communis (RC)-could be feasible agents for the removal of soil lead (Pb), zinc (Zn), and cadmium (Cd). The metal removal efficiencies of the agents increased with their concentrations from 20 to 80 g L -1 , decreased with the increasing solution pH, and presented different trends with the reaction time increasing. CN among the four agents had the highest removal efficiencies of soil Pb (62.02%) and Zn (29.18%) but owned the relatively low Cd removal efficiencies (21.59%). The Fourier transform infrared spectroscopy showed that the abilities of plant washing agents for the removal of soil heavy metals may result from bioactive substances with specific functional groups such as -COOH, -NH 2 , and -OH. Our study provided CN as the best washing agents for the remediation of contaminated soil by heavy metals.

  5. Hand hygiene in reducing transient flora on the hands of healthcare workers: an educational intervention.

    Science.gov (United States)

    Kapil, R; Bhavsar, H K; Madan, M

    2015-01-01

    Hand hygiene has now been recognised as one of the most effective intervention to control the transmission of infections in a hospital and education is an important tool to ensure its implementation. In order to convince the users and as a part of education, it is important to generate evidence on the role of hand hygiene in reducing the bacterial flora on their hands. The present study was undertaken in a tertiary care hospital to demonstrate the presence of bacterial flora on the hands of healthcare workers (HCW) in different categories, to teach them proper hand hygiene technique using alcohol-based hand rub and determine the outcome for reduction of bacteria. A total sample size of 60 subjects including resident doctors, medical students, nurses and hospital attendants were included in the study after obtaining informed consent. Each person was educated on the technique of hand hygiene with alcohol-based hand rub and hand impressions were cultured before and after hand hygiene. All the subjects were also given a questionnaire to assess their perception on hand hygiene. The WHO posters on proper hand hygiene were displayed in the appropriate areas of the hospital in addition, as an educational tool. Majority (42 out of 60) of the HCWs had bacterial count up to 100 colonies or more on both hands before the application of hand rub while working in the hospital. After use of alcohol hand rub with a proper hand hygiene technique, it was found that the percentage reduction was 95-99% among doctors and nurses, 70% among hospital attendants and 50% among sanitary attendants. Staphylococcus aureus was present on the hands of eight persons of which three were methicillin-resistant Staphylococcus aureus. The study demonstrates that transient bacteria are present on the hands of HCWs but majority could be removed by proper hand hygiene, which needs continuous education to be effective. It also shows that active education by demonstrating the proper hand hygiene technique

  6. [The effectiveness of hand hygiene products on MRSA colonization of health care workers by using CHROMagar MRSA].

    Science.gov (United States)

    Koçak Tufan, Zeliha; Irmak, Hasan; Bulut, Cemal; Cesur, Salih; Kınıklı, Sami; Demiröz, Ali Pekcan

    2012-04-01

    The aims of this study were; to investigate the hand hygiene compliance of the health care workers (HCWs) during their routine patient care, to determine the methicillin-resistant Staphylococcus aureus (MRSA) hand colonization of the HCWs, to investigate the effect of different hand hygiene products on MRSA colonization and to evaluate the effectiveness of chromogenic agar for detecting MRSA. HCWs were investigated during their routine patient care and hand cultures were taken before and after hand wash/hygiene. Two different techniques were used to obtain the hand cultures: fingertip method (CHROMagar MRSA containing HygiSlide); and direct swab method and then inoculation to CHROMagar MRSA media. MRSA strains grown on those cultures were confirmed with conventional methods. A total of 100 HCWs (of them 61 were female; mean age: 32.7 ± 5.2 years; age range: 25-51 years) involving physicians (n= 33), nurses (n= 38) and health care assistants (n= 29), were included in the study. MRSA was detected in 39% and 11% before hand hygiene and in 13% and 6% after hand hygiene, with HygiSlide CHROMagar media and with CHROMagar in plate media, respectively. No difference were found regarding clinics, occupations, or the type of patient handling in those HCWs who were positive (n= 13) for MRSA colonization following hand hygiene, and those who were negative (n= 26). However, the type of the hand hygiene product used exhibited a statistical difference. None of the seven HCWs who used alcohol based hand rub revealed growth in the second culture while 10 of 19 (53%) HCWs who used soap and three of 13 (23%) HCWs who used chlorhexidine were still colonized with MRSA. In terms of reduction in the MRSA counts, the most effective one was the alcohol based hand rub while the soap was the least, since seven of 19 (37%) HCWs who used soap showed no reduction at all in the MRSA counts. A high ratio of hand colonization with MRSA was detected in our hospital staff (39%). It was shown that

  7. Experimental study of variations in background radiation and the effect on Nuclear Car Wash sensitivity

    International Nuclear Information System (INIS)

    Church, J; Slaughter, D; Norman, E; Asztalos, S; Biltoft, P

    2007-01-01

    Error rates in a cargo screening system such as the Nuclear Car Wash [1-7] depend on the standard deviation of the background radiation count rate. Because the Nuclear Car Wash is an active interrogation technique, the radiation signal for fissile material must be detected above a background count rate consisting of cosmic, ambient, and neutron-activated radiations. It was suggested previously [1,6] that the Corresponding negative repercussions for the sensitivity of the system were shown. Therefore, to assure the most accurate estimation of the variation, experiments have been performed to quantify components of the actual variance in the background count rate, including variations in generator power, irradiation time, and container contents. The background variance is determined by these experiments to be a factor of 2 smaller than values assumed in previous analyses, resulting in substantially improved projections of system performance for the Nuclear Car Wash

  8. 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.

  9. 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.

  10. Ultrafiltration to reuse laundering wash water

    DEFF Research Database (Denmark)

    Giagnorio, Mattia; Søtoft, Lene Fjerbæk; Tiraferri, Alberto

    2017-01-01

    Laundering industry consumes and discharges large amounts of water and surfactants, and the demand of surface active agents used for washing is increasing worldwide. Some of these substances are considered contaminants of emerging concern, as they persist in the environment. This work aimed...... at evaluating the feasibility of ultrafiltration as a method to treat the wash wastewater and possibly reuse the surfactant-rich permeate stream in laundry facilities. In particular, evaluation of surfactant recovery was performed through analysis of the permeate flux and properties obtained through polymeric...... and ceramic membranes. Wash water samples were collected at an industrial laundering facility for hospital linen and filtered through different ultrafiltration membranes with varying molecular weight cut-off. The critical micelle concentration of the detergent was quantified, and capillarity measurements were...

  11. 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

  12. Effectiveness of a multimodal hand hygiene campaign and obstacles to success in Addis Ababa, Ethiopia.

    Science.gov (United States)

    Schmitz, Karen; Kempker, Russell R; Tenna, Admasu; Stenehjem, Edward; Abebe, Engida; Tadesse, Lia; Jirru, Ermias Kacha; Blumberg, Henry M

    2014-03-17

    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. 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. 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 = 2.1, 95% CI 1.4-3.3). In the

  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. Escherichia coli Contamination across Multiple Environmental Compartments (Soil, Hands, Drinking Water, and Handwashing Water) in Urban Harare: Correlations and Risk Factors.

    Science.gov (United States)

    Navab-Daneshmand, Tala; Friedrich, Max N D; Gächter, Marja; Montealegre, Maria Camila; Mlambo, Linn S; Nhiwatiwa, Tamuka; Mosler, Hans-Joachim; Julian, Timothy R

    2018-03-01

    Escherichia coli pathotypes (i.e., enteropathogenic and enterotoxigenic) have been identified among the pathogens most responsible for moderate-to-severe diarrhea in low- and middle-income countries (LMICs). Pathogenic E. coli are transmitted from infected human or animal feces to new susceptible hosts via environmental reservoirs such as hands, water, and soil. Commensal E. coli , which includes nonpathogenic E. coli strains, are widely used as fecal bacteria indicator, with their presence associated with increased likelihood of enteric pathogens and/or diarrheal disease. In this study, we investigated E. coli contamination in environmental reservoirs within households ( N = 142) in high-population density communities of Harare, Zimbabwe. We further assessed the interconnectedness of the environmental compartments by investigating associations between, and household-level risk factors for, E. coli contamination. From the data we collected, the source and risk factors for E. coli contamination are not readily apparent. One notable exception is the presence of running tap water on the household plot, which is associated with significantly less E. coli contamination of drinking water, handwashing water, and hands after handwashing. In addition, E. coli levels on hands after washing are significantly associated with handwashing water contamination, hand contamination before washing, and diarrhea incidence. Finally, we observed that animal ownership increases E. coli contamination in soil, and E. coli in soil are correlated with contamination on hands before washing. This study highlights the complexity of E. coli contamination in household environments within LMICs. More, larger, studies are needed to better identify sources and exposure pathways of E. coli -and enteric pathogens generally-to identify effective interventions.

  15. Changes in soil toxicity by phosphate-aided soil washing: effect of soil characteristics, chemical forms of arsenic, and cations in washing solutions.

    Science.gov (United States)

    Jho, Eun Hea; Im, Jinwoo; Yang, Kyung; Kim, Young-Jin; Nam, Kyoungphile

    2015-01-01

    This study was set to investigate the changes in the toxicity of arsenic (As)-contaminated soils after washing with phosphate solutions. The soil samples collected from two locations (A: rice paddy and B: forest land) of a former smelter site were contaminated with a similar level of As. Soil washing (0.5 M phosphate solution for 2 h) removed 24.5% As, on average, in soil from both locations. Regardless of soil washing, Location A soil toxicities, determined using Microtox, were greater than that of Location B and this could be largely attributed to different soil particle size distribution. With soils from both locations, the changes in As chemical forms resulted in either similar or greater toxicities after washing. This emphasizes the importance of considering ecotoxicological aspects, which are likely to differ depending on soil particle size distribution and changes in As chemical forms, in addition to the total concentration based remedial goals, in producing ecotoxicologically-sound soils for reuse. In addition, calcium phosphate used as the washing solution seemed to contribute more on the toxic effects of the washed soils than potassium phosphate and ammonium phosphate. Therefore, it would be more appropriate to use potassium or ammonium phosphate than calcium phosphate for phosphate-aided soil washing of the As-contaminated soils. Copyright © 2014 Elsevier Ltd. All rights reserved.

  16. Combining variational and model-based techniques to register PET and MR images in hand osteoarthritis

    International Nuclear Information System (INIS)

    Magee, Derek; Tanner, Steven F; Jeavons, Alan P; Waller, Michael; Tan, Ai Lyn; McGonagle, Dennis

    2010-01-01

    Co-registration of clinical images acquired using different imaging modalities and equipment is finding increasing use in patient studies. Here we present a method for registering high-resolution positron emission tomography (PET) data of the hand acquired using high-density avalanche chambers with magnetic resonance (MR) images of the finger obtained using a 'microscopy coil'. This allows the identification of the anatomical location of the PET radiotracer and thereby locates areas of active bone metabolism/'turnover'. Image fusion involving data acquired from the hand is demanding because rigid-body transformations cannot be employed to accurately register the images. The non-rigid registration technique that has been implemented in this study uses a variational approach to maximize the mutual information between images acquired using these different imaging modalities. A piecewise model of the fingers is employed to ensure that the methodology is robust and that it generates an accurate registration. Evaluation of the accuracy of the technique is tested using both synthetic data and PET and MR images acquired from patients with osteoarthritis. The method outperforms some established non-rigid registration techniques and results in a mean registration error that is less than approximately 1.5 mm in the vicinity of the finger joints.

  17. Management of risk of microbial cross-contamination from uncooked frozen hamburgers by alcohol-based hand sanitizer.

    Science.gov (United States)

    Schaffner, Donald W; Schaffner, Kristin M

    2007-01-01

    This research was undertaken to determine the effectiveness of an alcohol-based hand sanitizer on hands contaminated with a nonpathogen surrogate for Escherichia coli O157:H7, where the source of the contamination was frozen hamburger patties. A nonpathogenic nalidixic acid-resistant food-grade strain of Enterobacter aerogenes was used to inoculate frozen hamburger patties composed of 76% lean beef and 24% fat. Thirty-two individuals participated to produce the data used in this study. Each participant handled nine patties at least three times, a sample for microbiological analysis was collected from the surface of one hand, the participant sanitized both hands, and a sample was collected from the other hand. Burger handling created perceptible and visible food debris on the hands of most participants. Computer simulations also were used to perform a variety of risk calculations. The average reduction in bacteria from the use of sanitizer on hands contaminated by frozen burgers containing E. aerogenes was 2.6 +/- 0.7 log CFU per hand. An experiment designed to simultaneously test the effect of sanitizer on E. aerogenes and E. coli O157:H7 also revealed no significant difference in sanitizer effectiveness against the two organisms. The results of the real-world risk estimation calculations (using the actual prevalence and concentration of E. coli O157:H7 in ground beef) predict that once in 1 million trials, a single pathogen cell will be transferred to a single lettuce piece. The effectiveness of this sanitizer intervention was similar to that for hand washing and glove use previously reported. The person-to-person microbial reduction variability from sanitizer use is similar to published data for glove use and was less variable than published data on hand washing effectiveness.

  18. Laboratory testing in-tank sludge washing, summary letter report

    International Nuclear Information System (INIS)

    Norton, M.V.; Torres-Ayala, F.

    1994-09-01

    In-tank washing is being considered as a means of pretreating high-level radioactive waste sludges, such as neutralized current acid waste (NCAW) sludge. For this process, the contents of the tank will be allowed to settle, and the supernatant solution will be decanted and removed. A dilute sodium hydroxide/sodium nitrite wash solution will be added to the settled sludge and the tank contents will be mixed with a mixer pump system to facilitate washing of the sludge. After thorough mixing, the mixer pumps will be shut off and the solids will be allowed to re-settle. After settling, the supernatant solution will be withdrawn from the tank, and the wash cycle will be repeated several times with fresh wash solution. Core sample data of double shell tank 241-AZ-101 indicate that settling of NCAW solids may be very slow. A complicating factor is that strong thermal currents are expected to be generated from heat produced by radionuclides in the sludge layer at the bottom of the tank. Additionally, there are concerns that during the settling period (i.e., while mixing pumps and air-lift re-circulators are shut off), the radionuclides may heat the residual interstitial water in the sludge to the extent that violent steam discharges (steam bumping) could occur. Finally, there are concerns that during the washing steps sludge settling may be hindered as a result of the reduced ionic strength of the wash solution. To overcome the postulated reduced settling rates during the second and third washing steps, the use of flocculants is being considered. To address the above concerns and uncertainties associated with in-tank washing, PNL has conducted laboratory testing with simulant tank waste to investigate settling rates, steam bump potential, and the need for and use of flocculating agents

  19. Hand hygiene in preventing nosocomial infections:a nursing research.

    Science.gov (United States)

    Di Muzio, M; Cammilletti, V; Petrelli, E; Di Simone, E

    2015-01-01

    To verify whether there is some correlation between the nursing workload and the occurrence of healthcare-associated infections. An anonymous questionnaire made up of 20 items has been drafted for this specific purpose and delivered to a sample of 70 participants, including 33 nurses and 37 nursing students of a well-known University Hospital in Rome. The study is supported by extensive documental research, and a specific literature review. Hand hygiene is a mandatory daily practice, simple but critical, but not always clear enough for both nurses and students. The investigation demonstrated inconsistencies between nurses' and students' behaviour and what is recommended by the new WHO international guidelines. The documented correlation between the workload and the occurrence of healthcare-associated infections may be explained by the negative effect of nursing workload on correct hand-washing procedures. Out of the total sample, 58.6% answered affirmatively to both the presence of healthcare-associated infections within their unit and an excessive daily workload. Indeed, the remaining 41.4% of the sample do not report an excessive workload and states that "there are no healthcare-associated infections within their operational reality, at least not in the time period covered by the present investigation". Although limited to a small sample, this study may reveal that the correct practice of hand washing, prompted and considered fundamental by WHO, is still much underrated. Hand hygiene should be better understood and practiced in all healthcare facilities, through a series of interventions such as: specific training courses, the presence of a gel sanitizer next to each patient's bed or in each patient's room, as well as the adoption of the new international guidelines in all units. The analysis of other correlations found the presence of a protective factor (RRinfections. In fact, we found no statistically significant values to support such considerations (p>0

  20. Treatment of car wash wastewater by UF membranes

    Science.gov (United States)

    Istirokhatun, Titik; Destianti, Puti; Hargianintya, Adenira; Oktiawan, Wiharyanto; Susanto, Heru

    2015-12-01

    The existence of car wash service facilitates car owners to remove dirt and grime from their vehicles. However, the dirt washed off vehicles as well as the cleaning materials themselves may be harmful to the environment if they are not properly managed and discharged. Many technologies have been proposed to treat car wash wastewater such as coagulation flocculation, tricking filter and flocculation-flotation. Nevertheless, these technologies have low efficiency to eliminate oil and small organic compounds. Ultrafiltration (UF) membranes were used in this study to treat car wash wastewater. This study investigated the performance of UF membranes under various pressures to remove COD, oil and grease, and also turbidity from car wash waste water. The membrane performance was examined by investigation of permeate flux and membrane rejection. The results meet the standard of environmental regulation and it is possible to be reused. The highest rejection was shown by PES10 (polyethersulfone 10 kDa) in 1 bar operation with complete rejection for both turbidity and oil and grace and 95% rejection for COD.

  1. Volume reduction system by soil classifying. Soil-washing system and problems to be solved

    International Nuclear Information System (INIS)

    Oshino, Yoshio

    2016-01-01

    Radioactive contamination of ground surfaces, buildings and forests in a broad area was caused by the accident at the Fukushima Daiichi Nuclear Power Plant in Japan. The national government and municipalities have still been carrying out the decontamination works for livelihood areas after five years from the accident. The government estimated that the amounts of soils and wastes removed by the decontamination works would be about 28,000,000 cubic meters maximum including 20,000,000 cubic meters maximum of soils. The removed soils will be stored in “Interim Storage Facility” then will be finally disposed outside of Fukushima prefecture within 30 years. On the other hand, shortage of the soils as materials needed for the revitalization in Fukushima prefecture is expected. Technical Advisory Council on Remediation and Waste Management, which consists of about 90 companies, started a working group to investigate solutions to these problems. The working group focused on the investigation of the possibility to recycle the soils by washing and classification to use them as the materials for civil engineering works, and to reduce the volume of the interim storage. In the first part of this report, we have evaluated the applicability of various technologies for purification and volume reduction of the removed soils, and have researched usages, required quantities and specifications of the recycled soils. In the second part, we have made trial calculations of the volume reduction effects and costs using the washing and classification system. The calculated results showed the possibilities of reducing the storage capacity of the interim storage facility, as well as the construction and the operation costs by recycling the removed soils with the washing and classification system inside the interim storage facility. At the end of this report, we proposed problems to be solved in order to adopt the washing and classification system. (author)

  2. Hubungan Supervisi Kepala Ruangan Dengan Pelaksanaan Five Moments Hand Hygiene Perawat di RSUP Haji Adam Malik Medan

    OpenAIRE

    Simanjuntak, Heppy Delpia

    2016-01-01

    Five moments hand hygiene is an action to wash hands by nurses in five types of situation which is aimed to decrease microorganism transmission and to ward off infection. It good implementation involves ward heads as the spearheads of the goal for good nursing care in a hospital; they have to have the capacity to supervise in managing nursing care. The objective of the research was to find out the correlation of ward heads’ supervision with the implementation of nurses’ five moments hand hygi...

  3. A wash fluid for drilling into a field

    Energy Technology Data Exchange (ETDEWEB)

    Belyakov, V M; Badzhurak, R F; Koptelova, Ye K; Rogovoy, V K; Sapozhnikov, N G

    1979-01-18

    A wash fluid is proposed, used in drilling wells in water and a content of 3-5% by weight starch products. To speed up destruction of the starch products, to the fluid are added amylolytic enzymes in the amount of 0.01-0.1 percent by weight of the starch products' weight. To lower the use of starch products, up to 3% clay can be added to the fluid. The wash fluid is prepared directly at the work site. Dry powder of modified starch is mixed with cold water until a colloidal solution is obtained. Such a wash fluid preserves the required structural-mechanical properties for 3-5 days, which ensures prompt drilling into the waterbearing layer and installation of the filter. Then, during the work process, 5-6 hours before the moment required for lowering the viscosity, to the wash fluid is added the amylolytic enzyme; under its influence, the starch molecules split up, and the viscosity drops sharply. Using this wash fluid enables a reduction in well construction times from the beginning of drilling to the end of development of the water-bearing layer, and a rise in outputs and well service lives by reducing sedimentation of the water-bearing formation and elimination of down times during work required while waiting for destruction of the starch wash fluid under natural conditions.

  4. 'If an Eye Is Washed Properly, It Means It Would See Clearly': A Mixed Methods Study of Face Washing Knowledge, Attitudes, and Behaviors in Rural Ethiopia.

    Directory of Open Access Journals (Sweden)

    Kristen Aiemjoy

    2016-10-01

    Full Text Available Face cleanliness is a core component of the SAFE (Surgery, Antibiotics, Facial cleanliness, and Environmental improvements strategy for trachoma control. Understanding knowledge, attitudes, and behaviors related to face washing may be helpful for designing effective interventions for improving facial cleanliness.In April 2014, a mixed methods study including focus groups and a quantitative cross-sectional study was conducted in the East Gojjam zone of the Amhara region of Ethiopia. Participants were asked about face washing practices, motivations for face washing, use of soap (which may reduce bacterial load, and fly control strategies.Overall, both knowledge and reported practice of face washing was high. Participants reported they knew that washing their own face and their children's faces daily was important for hygiene and infection control. Although participants reported high knowledge of the importance of soap for face washing, quantitative data revealed strong variations by community in the use of soap for face washing, ranging from 4.4% to 82.2% of households reporting using soap for face washing. Cost and forgetfulness were cited as barriers to the use of soap for face washing. Keeping flies from landing on children was a commonly cited motivator for regular face washing, as was trachoma prevention.Interventions aiming to improve facial cleanliness for trachoma prevention should focus on habit formation (to address forgetfulness and address barriers to the use of soap, such as reducing cost. Interventions that focus solely on improving knowledge may not be effective for changing face-washing behaviors.

  5. Potential of activated carbon to recover randomly-methylated-β-cyclodextrin solution from washing water originating from in situ soil flushing.

    Science.gov (United States)

    Sniegowski, K; Vanhecke, M; D'Huys, P-J; Braeken, L

    2014-07-01

    Despite the overall high efficacy of cyclodextrins to accelerate the treatment of soil aquifer remediation by in-situ soil flushing, the use in practice remains limited because of the high costs of cyclodextrin and high concentrations needed to significantly reduce the treatment time. The current study tested the potential of activated carbon to treat washing water originating from soil flushing in order to selectively separate hydrocarbon contaminants from washing water containing cyclodextrin and subsequently reuse the cyclodextrin solution for reinfiltration. A high recovery of the cyclodextrin from the washing water would reduce the costs and would make the technique economically feasible for soil remediation. This study aimed to investigate whether cyclodextrin can pass through the activated carbon filter without reducing the cyclodextrin concentration when the contaminated washing water is treated and whether the presence of cyclodextrin negatively affects the purification potential of activated carbon to remove the organic pollutants from the pumped soil water. Lab-scale column experiments showed that with the appropriate activated carbon 100% of cyclodextrin (randomly-methylated-β-cyclodextrin) can be recovered from the washing water and that the effect on the efficiency of activated carbon to remove the hydrocarbon contaminants remains limited. These results show that additional field tests are useful to make in-situ soil flushing with cyclodextrin both a technical and an economical interesting technique. These results might stimulate the application of cyclodextrin in soil treatment technology. Copyright © 2013 Elsevier B.V. All rights reserved.

  6. Effects of shampoo and water washing on hair cortisol concentrations.

    Science.gov (United States)

    Hamel, Amanda F; Meyer, Jerrold S; Henchey, Elizabeth; Dettmer, Amanda M; Suomi, Stephen J; Novak, Melinda A

    2011-01-30

    Measurement of cortisol in hair is an emerging biomarker for chronic stress in human and nonhuman primates. Currently unknown, however, is the extent of potential cortisol loss from hair that has been repeatedly exposed to shampoo and/or water. Pooled hair samples from 20 rhesus monkeys were subjected to five treatment conditions: 10, 20, or 30 shampoo washes, 20 water-only washes, or a no-wash control. For each wash, hair was exposed to a dilute shampoo solution or tap water for 45 s, rinsed 4 times with tap water, and rapidly dried. Samples were then processed for cortisol extraction and analysis using previously published methods. Hair cortisol levels were significantly reduced by washing, with an inverse relationship between number of shampoo washes and the cortisol concentration. This effect was mainly due to water exposure, as cortisol levels following 20 water-only washes were similar to those following 20 shampoo treatments. Repeated exposure to water with or without shampoo appears to leach cortisol from hair, yielding values that underestimate the amount of chronic hormone deposition within the shaft. Collecting samples proximal to the scalp and obtaining hair washing frequency data may be valuable when conducting human hair cortisol studies. Copyright © 2010 Elsevier B.V. All rights reserved.

  7. A method for treating clayless wash fluids

    Energy Technology Data Exchange (ETDEWEB)

    Deykalo, T A; Dzhumagaliyev, T N; Skvortsov, D S

    1980-02-18

    To increase the heat and salt resistance of a wash fluid, monoethanolamine processed waste of licorice production - grist in a volume of 5-8% by weight, is introduced into it as the disperse phase. The processing of the grist is conducted for 1-2 hours at 20-100/sup 0/C and the volume of the monoethanolamine is 0.05-0.1% by weight. The properties of the washing fluids treated by the grist with the introduction of 20% CaC1/sub 2/ into them were not deteriorated, while complete coagulation was achieved with its introduction into washing fluids on the basis of KMTs. Grist washing liquids do not deteriorate their own properties to a temperature of 200/sup 0/C, do not cause equipment corrosion, are inert to swelling clay rocks and with the introduction of KMTs at a temperature above 130-140/sup 0/C cause insignificant destruction of the reagent which is accompanied by a change in the color of the solutions and a drop in the degree of polymerization and viscosity.

  8. Chlorides behavior in raw fly ash washing experiments

    International Nuclear Information System (INIS)

    Zhu Fenfen; Takaoka, Masaki; Oshita, Kazuyuki; Kitajima, Yoshinori; Inada, Yasuhiro; Morisawa, Shinsuke; Tsuno, Hiroshi

    2010-01-01

    Chloride in fly ash from municipal solid waste incinerators (MSWIs) is one of the obstructive substances in recycling fly ash as building materials. As a result, we have to understand the behavior of chlorides in recycling process, such as washing. In this study, we used X-ray absorption near edge structure (XANES) and X-ray diffraction (XRD) to study the chloride behavior in washed residue of raw fly ash (RFA). We found that a combination of XRD and XANES, which is to use XRD to identify the situation of some compounds first and then process XANES data, was an effective way to explain the chlorides behavior in washing process. Approximately 15% of the chlorine in RFA was in the form of NaCl, 10% was in the form of KCl, 51% was CaCl 2 , and the remainder was in the form of Friedel's salt. In washing experiments not only the mole percentage but also the amount of soluble chlorides including NaCl, KCl and CaCl 2 decreases quickly with the increase of liquid to solid (L/S) ratio or washing frequency. However, those of insoluble chlorides decrease slower. Moreover, Friedel's salt and its related compound (11CaO.7Al 2 O 3 .CaCl 2 ) were reliable standards for the insoluble chlorides in RFA, which are strongly related to CaCl 2 . Washing of RFA promoted the release of insoluble chlorides, most of which were in the form of CaCl 2 .

  9. The use of a measure of acute irritation to predict the outcome of repeated usage of hand soap products.

    Science.gov (United States)

    Williams, C; Wilkinson, M; McShane, P; Pennington, D; Fernandez, C; Pierce, S

    2011-06-01

    Healthcare-associated infection is an important worldwide problem that could be reduced by better hand hygiene practice. However, an increasing number of healthcare workers are experiencing irritant contact dermatitis of the hands as a result of repeated hand washing. This may lead to a reduced level of compliance with regard to hand hygiene. To assess whether a measure of acute irritation by hand soaps could predict the effects of repeated usage over a 2-week period. In a double-blind, randomized comparison study, the comparative irritation potential of four different hand soaps was assessed over a 24-h treatment period. The effect of repeated hand washing with the hand soap products over a 2-week period in healthy adult volunteers on skin barrier function was then determined by assessment of transepidermal water loss (TEWL), epidermal hydration and a visual assessment using the Hand Eczema Severity Index (HECSI) at days 0, 7 and 14. A total of 121 subjects from the 123 recruited completed phase 1 of the study. All four products were seen to be significantly different from each other in terms of the irritant reaction observed and all products resulted in a significantly higher irritation compared with the no-treatment control. Seventy-nine of the initial 121 subjects were then enrolled into the repeated usage study. A statistically significant worsening of the clinical condition of the skin as measured by HECSI was seen from baseline to day 14 in those subjects repeatedly washing their hands with two of the four soap products (products C and D) with P-values of 0·02 and 0·01, respectively. Subclinical assessment of the skin barrier function by measuring epidermal hydration was significantly increased from baseline to day 7 after repeated hand washing with products A, B and D but overall no significant change was seen in all four products tested by day 14. A statistically significant increase in TEWL at day 14 was seen for product A (P = 0·02) indicating a

  10. A novel washing algorithm for underarm stain removal

    Science.gov (United States)

    Acikgoz Tufan, H.; Gocek, I.; Sahin, U. K.; Erdem, I.

    2017-10-01

    After contacting with human sweat which comprise around 27% sebum, anti-perspirants comprising aluminium chloride or its compounds form a jel-like structure whose solubility in water is very poor. In daily use, this jel-like structure closes sweat pores and hinders wetting of skin by sweat. However, when in contact with garments, they form yellowish stains at the underarm of the garments. These stains are very hard to remove with regular machine washing. In this study, first of all, we focused on understanding and simulating such stain formation on the garments. Two alternative procedures are offered to form jel-like structures. On both procedures, commercially available spray or deo-stick type anti-perspirants, standard acidic and basic sweat solutions and artificial sebum are used to form jel-like structures, and they are applied on fabric in order to get hard stains. Secondly, after simulation of the stain on the fabric, we put our efforts on developing a washing algorithm specifically designed for removal of underarm stains. Eight alternative washing algorithms are offered with varying washing temperature, amounts of detergent, and pre-stain removal procedures. Better algorithm is selected by comparison of Tristimulus Y values after washing.

  11. The effect of silica in washing with geothermal water, Iceland

    International Nuclear Information System (INIS)

    Lindal, B.

    1992-01-01

    Industrial washing operation using geothermal water in Iceland are reported and testing designed to explain the beneficial effect of geothermal water for washing described. The findings indicate, that the silica content of the water may be the principal component for a superior washing quality

  12. Towards a durability test for washing-machines.

    Science.gov (United States)

    Stamminger, Rainer; Tecchio, Paolo; Ardente, Fulvio; Mathieux, Fabrice; Niestrath, Phoebe

    2018-04-01

    Durability plays a key role in enhancing resource conservation and contributing to waste minimization. The washing-machine product group represents a relevant case study for the development of a durability test and as a potential trigger to systematically address durability in the design of products. We developed a procedure to test the durability performance of washing-machines as a main objective of this research. The research method consisted of an analysis of available durability standards and procedures to test products and components, followed by an analysis of relevant references related to frequent failures. Finally, we defined the criteria and the conditions for a repeatable, relatively fast and relevant endurance test. The durability test considered the whole product tested under conditions of stress. A series of spinning cycles with fixed imbalanced loads was run on two washing-machines to observe failures and performance changes during the test. Even though no hard failures occurred, results clearly showed that not all washing-machines can sustain such a test without abrasion or performance deterioration. However, the attempt to reproduce the stress induced on a washing-machine by carrying out a high number of pure spinning cycles with fixed loads did not allow equal testing conditions: the actions of the control procedure regarding imbalanced loads differ from machine to machine. The outcomes of this research can be used as grounds to develop standardised durability tests and to, hence, contribute to the development of future product policy measures.

  13. 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

  14. Membrane processes for the reuse of car washing wastewater

    Directory of Open Access Journals (Sweden)

    Deniz Uçar

    2018-04-01

    Full Text Available This study investigates alternative treatments of car wash effluents. The car wash wastewater was treated by settling, filtration, and membrane filtration processes. During settling, total solid concentration decreased rapidly within the first 2 hours and then remained constant. Chemical oxygen demand (COD and conductivity were decreased by 10% and 4%, respectively. After settling, wastewater was filtered throughout a 100 μm filter. It was found that filtration had a negligible effect on COD removal. Finally, wastewater was filtered by four ultrafiltration membranes of varying molecular weight cutoff (MWCO (1, 5, 10 and 50 kDa and one nanofiltration membrane (NF270, MWCO = 200–400 Da. The permeate COD concentrations varied between 64.5 ± 3.2 and 85.5 ± 4.3 mg L−1 depending on UF pore size. When the NF270 nanofiltration membrane was used, the permeate COD concentration was 8.1 ± 0.4 mg L−1 corresponding to 97% removal. FeCl3 precipitation and activated carbon adsorption techniques were also applied to the retentate and 60–76% COD removals were obtained for activated carbon adsorption and FeCl3 precipitation, respectively.

  15. Enhanced removal of detergent and recovery of enzymatic activity following sodium dodecyl sulfate-polyacrylamide gel electrophoresis: UUse of casein in gel wash buffer

    International Nuclear Information System (INIS)

    McGrew, B.R.; Green, D.M.

    1990-01-01

    The inclusion of 1% casein or bovine serum albumin in buffer used to reactivate enzymes subjected to sodium dodecyl sulfate (SDS)-polyacrylamide electrophoresis resulted in accelerated removal of SDS and restoration of nuclease and beta-galactosidase enzyme activities. Nuclease and beta-galactosidase activities which are absent from gels after longer wash procedures are detectable with this technique. Enzyme activity in gels prepared with SDS which contained inhibitory contaminants was partially restored by the casein wash procedure. The threshold of detection of two-dimensionally separated deoxyribonuclease I using the casein wash procedure was 1 picogram

  16. A Pragmatic Randomized Controlled Trial of 6-Step vs 3-Step Hand Hygiene Technique in Acute Hospital Care in the United Kingdom.

    Science.gov (United States)

    Reilly, Jacqui S; Price, Lesley; Lang, Sue; Robertson, Chris; Cheater, Francine; Skinner, Kirsty; Chow, Angela

    2016-06-01

    OBJECTIVE To evaluate the microbiologic effectiveness of the World Health Organization's 6-step and the Centers for Disease Control and Prevention's 3-step hand hygiene techniques using alcohol-based handrub. DESIGN A parallel group randomized controlled trial. SETTING An acute care inner-city teaching hospital (Glasgow). PARTICIPANTS Doctors (n=42) and nurses (n=78) undertaking direct patient care. INTERVENTION Random 1:1 allocation of the 6-step (n=60) or the 3-step (n=60) technique. RESULTS The 6-step technique was microbiologically more effective at reducing the median log10 bacterial count. The 6-step technique reduced the count from 3.28 CFU/mL (95% CI, 3.11-3.38 CFU/mL) to 2.58 CFU/mL (2.08-2.93 CFU/mL), whereas the 3-step reduced it from 3.08 CFU/mL (2.977-3.27 CFU/mL) to 2.88 CFU/mL (-2.58 to 3.15 CFU/mL) (P=.02). However, the 6-step technique did not increase the total hand coverage area (98.8% vs 99.0%, P=.15) and required 15% (95% CI, 6%-24%) more time (42.50 seconds vs 35.0 seconds, P=.002). Total hand coverage was not related to the reduction in bacterial count. CONCLUSIONS Two techniques for hand hygiene using alcohol-based handrub are promoted in international guidance, the 6-step by the World Health Organization and 3-step by the Centers for Disease Control and Prevention. The study provides the first evidence in a randomized controlled trial that the 6-step technique is superior, thus these international guidance documents should consider this evidence, as should healthcare organizations using the 3-step technique in practice. Infect Control Hosp Epidemiol 2016;37:661-666.

  17. Fat suppression at 2D MR imaging of the hands: Dixon method versus CHESS technique and STIR sequence.

    Science.gov (United States)

    Kirchgesner, Thomas; Perlepe, Vasiliki; Michoux, Nicolas; Larbi, Ahmed; Vande Berg, Bruno

    2017-04-01

    To compare the effectiveness of fat suppression and the signal-to-noise ratio (SNR) of the Dixon method with those of the CHESS (Chemical Shift-Selective) technique and STIR (Short Tau Inversion Recovery) sequence in hands of normal subjects at 2D MR imaging. 14 healthy volunteers (mean age of 29.4 years) consented to have both hands prospectively imaged with SE T1 Dixon, T1 CHESS, T2 Dixon, T2 CHESS and STIR sequences in a 1.5T MR scanner. Three radiologists scored the effectiveness of fat suppression in bone marrow (EFS BM ) and soft tissues (EFS ST ) in 20 joints per subject. One radiologist measured the SNR in 10 bones per subject. Statistical analysis used two-way ANOVA with random effects, paired t-test and observed agreement to assess differences in effectiveness of fat suppression, differences in SNR and inter-observer agreement. EFS BM was statistically significantly higher for T1 Dixon than for T1 CHESS and for T2 Dixon than for T2 CHESS (pCHESS and for T2 Dixon than for STIR (pCHESS (pCHESS technique at 2D T1-weighted MR imaging of the hands. At T2-weighted MR imaging, fat suppression is more effective with the Dixon method while SNR is higher with the CHESS technique. Copyright © 2017 Elsevier B.V. All rights reserved.

  18. Ceramic wash-coat for catalyst support

    Science.gov (United States)

    Kulkarni, Anand A.; Subramanian, Ramesh; Sabol, Stephen M.

    2012-08-14

    A wash-coat (16) for use as a support for an active catalyst species (18) and a catalytic combustor component (10) incorporating such wash-coat. The wash-coat is a solid solution of alumina or alumina-based material (Al.sub.2O.sub.3-0-3 wt % La.sub.2O.sub.3) and a further oxide exhibiting a coefficient of thermal expansion that is lower than that exhibited by alumina. The further oxide may be silicon dioxide (2-30 wt % SiO.sub.2), zirconia silicate (2-30 wt % ZrSiO.sub.4), neodymium oxide (0-4 wt %), titania (Al.sub.2O.sub.3-3-40% TiO.sub.2) or alumina-based magnesium aluminate spinel (Al.sub.2O.sub.3-25 wt % MgO) in various embodiments. The active catalyst species may be palladium and a second metal in a concentration of 10-50% of the concentration of the palladium.

  19. Impact of electrochemical treatment of soil washing solution on PAH degradation efficiency and soil respirometry

    International Nuclear Information System (INIS)

    Mousset, Emmanuel; Huguenot, David; Hullebusch, Eric D. van; Oturan, Nihal; Guibaud, Gilles; Esposito, Giovanni; Oturan, Mehmet A.

    2016-01-01

    The remediation of a genuinely PAH-contaminated soil was performed, for the first time, through a new and complete investigation, including PAH extraction followed by advanced oxidation treatment of the washing solution and its recirculation, and an analysis of the impact of the PAH extraction on soil respirometry. The study has been performed on the remediation of genuine PAH-contaminated soil, in the following three steps: (i) PAH extraction with soil washing (SW) techniques, (ii) PAH degradation with an electro-Fenton (EF) process, and (iii) recirculation of the partially oxidized effluent for another SW cycle. The following criteria were monitored during the successive washing cycles: PAH extraction efficiency, PAH oxidation rates and yields, extracting agent recovery, soil microbial activity, and pH of soil. Two representative extracting agents were compared: hydroxypropyl-beta-cyclodextrin (HPCD) and a non-ionic surfactant, Tween"® 80. Six PAH with different numbers of rings were monitored: acenaphthene (ACE), phenanthrene (PHE), fluoranthene (FLA), pyrene (PYR), benzo(a)pyrene (BaP), and benzo(g,h,i)perylene (BghiP). Tween"® 80 showed much better PAH extraction efficiency (after several SW cycles) than HPCD, regardless of the number of washing cycles. Based on successive SW experiments, a new mathematical relation taking into account the soil/water partition coefficient (Kd*) was established, and could predict the amount of each PAH extracted by the surfactant with a good correlation with experimental results (R"2 > 0.975). More HPCD was recovered (89%) than Tween"® 80 (79%), while the monitored pollutants were completely degraded (>99%) after 4 h and 8 h, respectively. Even after being washed with partially oxidized solutions, the Tween"® 80 solutions extracted significantly more PAH than HPCD and promoted better soil microbial activity, with higher oxygen consumption rates. Moreover, neither the oxidation by-products nor the acidic media (p

  20. Chlorides behavior in raw fly ash washing experiments.

    Science.gov (United States)

    Zhu, Fenfen; Takaoka, Masaki; Oshita, Kazuyuki; Kitajima, Yoshinori; Inada, Yasuhiro; Morisawa, Shinsuke; Tsuno, Hiroshi

    2010-06-15

    Chloride in fly ash from municipal solid waste incinerators (MSWIs) is one of the obstructive substances in recycling fly ash as building materials. As a result, we have to understand the behavior of chlorides in recycling process, such as washing. In this study, we used X-ray absorption near edge structure (XANES) and X-ray diffraction (XRD) to study the chloride behavior in washed residue of raw fly ash (RFA). We found that a combination of XRD and XANES, which is to use XRD to identify the situation of some compounds first and then process XANES data, was an effective way to explain the chlorides behavior in washing process. Approximately 15% of the chlorine in RFA was in the form of NaCl, 10% was in the form of KCl, 51% was CaCl(2), and the remainder was in the form of Friedel's salt. In washing experiments not only the mole percentage but also the amount of soluble chlorides including NaCl, KCl and CaCl(2) decreases quickly with the increase of liquid to solid (L/S) ratio or washing frequency. However, those of insoluble chlorides decrease slower. Moreover, Friedel's salt and its related compound (11CaO.7Al(2)O(3).CaCl(2)) were reliable standards for the insoluble chlorides in RFA, which are strongly related to CaCl(2). Washing of RFA promoted the release of insoluble chlorides, most of which were in the form of CaCl(2). Copyright 2010 Elsevier B.V. All rights reserved.

  1. Humic substances as a washing agent for Cd-contaminated soils.

    Science.gov (United States)

    Meng, Fande; Yuan, Guodong; Wei, Jing; Bi, Dongxue; Ok, Yong Sik; Wang, Hailong

    2017-08-01

    Cost-effective and eco-friendly washing agents are in demand for Cd contaminated soils. Here, we used leonardite-derived humic substances to wash different types of Cd-contaminated soils, namely, a silty loam (Soil 1), a silty clay loam (Soil 2), and a sandy loam (Soil 3). Washing conditions were investigated for their effects on Cd removal efficiency. Cadmium removal was enhanced by a high humic substance concentration, long washing time, near neutral pH, and large solution/soil ratio. Based on the tradeoff between efficiency and cost, an optimum working condition was established as follows: humic substance concentration (3150 mg C/L), solution pH (6.0), washing time (2 h) and a washing solution/soil ratio (5). A single washing removed 0.55 mg Cd/kg from Soil 1 (1.33 mg Cd/kg), 2.32 mg Cd/kg from Soil 2 (6.57 mg Cd/kg), and 1.97 mg Cd/kg from Soil 3 (2.63 mg Cd/kg). Cd in effluents was effectively treated by adding a small dose of calcium hydroxide, reducing its concentration below the discharge limit of 0.1 mg/L in China. Being cost-effective and safe, humic substances have a great potential to replace common washing agents for the remediation of Cd-contaminated soils. Besides being environmentally benign, humic substances can improve soil physical, chemical, and biological properties. Copyright © 2017 Elsevier Ltd. All rights reserved.

  2. Comparison of online, hands-on, and a combined approach for teaching cautery disbudding technique to dairy producers.

    Science.gov (United States)

    Winder, Charlotte B; LeBlanc, Stephen J; Haley, Derek B; Lissemore, Kerry D; Godkin, M Ann; Duffield, Todd F

    2018-01-01

    The use of pain control for disbudding and dehorning is important from both an animal and industry perspective. Best practices include the use of local anesthetic, commonly given as a cornual nerve block (CNB), and a nonsteroidal anti-inflammatory drug. The proportion is decreasing, but many dairy producers do not use local anesthesia, perhaps in part due to lack of knowledge of the CNB technique. Although this skill is typically learned in person from a veterinarian, alternative methods may be useful. The objective of this trial was to determine if there were differences in the efficacy of online training (n = 23), hands-on training (n = 20), and a combined approach (n = 23) for teaching producers to successfully administer a CNB and disbud a calf. The primary outcome was block efficacy, defined as a lack of established pain behaviors during iron application. Secondary outcomes were background knowledge (assessed by a written quiz), CNB and disbudding technique (evaluated by rubric scoring), time taken, and self-confidence before and after evaluation. Associations between training group and outcome were assessed with logistic regression, ordered logistic regression, and Cox-proportional hazard models, with a random effect for workshop. Block efficacy was not different between training groups, with 91% successful in both combined and online groups, and 75% in the hands-on trained group. Online learners had poorer technical scores than hands-on trainees. The combined group was not different from hands-on. Time to block completion tended to be longer for the online group (62 ± 11 s), whereas time to disbudding completion was not different between hands-on (41 ± 5 s) or combined trainees (41 ± 5 s). The combined group had the highest pre-evaluation confidence score, and remained higher after evaluation than online but was not different than hands-on. Although we saw some statistical differences between groups, absolute differences were small and block efficacy was

  3. Hand Hygiene: Knowledge and Attitudes of Fourth-Year Clerkship Medical Students at Alfaisal University, College of Medicine, Riyadh, Saudi Arabia.

    Science.gov (United States)

    Hamadah, Reem; Kharraz, Razan; Alshanqity, Airabab; AlFawaz, Danah; Eshaq, Abdulaziz M; Abu-Zaid, Ahmed

    2015-08-24

    Little is known about the clerkship (clinical) medical students' knowledge of hand hygiene as the single most important precautionary measure to reduce nosocomial healthcare-associated infections. The aim of this study is to explore the knowledge of, and attitudes towards, hand hygiene practices among fourth-year clerkship medical students at Alfaisal University, College of Medicine, Riyadh, Saudi Arabia. A cross-sectional, paper-based, Yes/No formatted questionnaire was administered to explore the students' knowledge of, and attitudes towards, hand hygiene practices. Data were decoded in Microsoft Excel sheet and presented as numbers and percentages. One hundred and eleven students (n=111/147) participated in the questionnaire (response rate: 76%). Although the majority of students had a fair knowledge of hand hygiene practices, a number of them had some misconceptions. Only 14% of students correctly agreed to the statement: "Traditional hand washing (water, plus regular soap) decreases the number of germs." Furthermore, only 32% of students correctly answered that "hand washing with a regular soap, instead of an antiseptic soap, is better in limiting the transmission of clostridium difficile infections". Almost all students (93%) agreed to the importance of hand hygiene education in medical curricula and its awareness in healthcare centers. Despite the importance of hand hygiene, only 13% of students reviewed the respective WHO and CDC guidelines before starting their clinical training in the teaching hospital. The students' inadequate knowledge about hand hygiene needs to be enriched by well-structured curricular and extra-curricular programs as well as more positive attitudes by healthcare workers.

  4. A comparison of three rotary systems and hand instrumentation technique for the elimination of Enterococcus faecalis from the root canal.

    Science.gov (United States)

    Gorduysus, Melahat; Nagas, Emre; Torun, Ozgur Yildirim; Gorduysus, Omer

    2011-12-01

    The aim of this study was to compare the in vitro reduction of a bacterial population in a root canal by mechanical instrumentation using three rotary systems and hand instrumentation technique. The root canals contaminated with a suspension of Enterococcus faecalis were instrumented using ProTaper, K3, HeroShaper and K-file hand instrumentation technique. Later the root canals were sampled. After serial dilutions, samples were incubated in culture media for 24 h. Bacterial colonies were counted and the results were given as number of colony-forming units per millilitre. The results showed that all the canal instrumentation systems reduced the number of bacterial cells in the root canals. Statistically, ProTaper instruments were more effective in reducing the number of bacteria than the other rotary files or hand instruments. © 2010 The Authors. Australian Endodontic Journal © 2010 Australian Society of Endodontology.

  5. Effect of hand sanitizer on the performance of fingermark detection techniques.

    Science.gov (United States)

    Chadwick, Scott; Neskoski, Melissa; Spindler, Xanthe; Lennard, Chris; Roux, Claude

    2017-04-01

    Hand sanitizers have seen a rapid increase in popularity amongst the general population and this increased use has led to the belief that hand sanitizers may have an effect on subsequent fingermark detection. Based on this hypothesis, three alcoholic and two non-alcoholic hand sanitizers were evaluated to determine the effect they had on the detection of fingermarks deposited after their use. The following fingermark detection methods were applied: 1,2-indanedione-zinc, ninhydrin, physical developer (porous substrate); and cyanoacrylate, rhodamine 6G, magnetic powder (non-porous substrate). Comparison between hand sanitized fingermarks and non-hand sanitized fingermarks showed that the alcohol-based hand sanitizers did not result in any visible differences in fingermark quality. The non-alcoholic hand sanitizers, however, improved the quality of fingermarks developed with 1,2-indanedione-zinc and ninhydrin, and marginally improved those developed with magnetic powder. Different parameters, including time since hand sanitizer application prior to fingermark deposition and age of deposited mark, were tested to determine the longevity of increased development quality. The non-alcoholic hand sanitized marks showed no decrease in quality when aged for up to two weeks. The time since sanitizer application was determined to be an important factor that affected the quality of non-alcoholic hand sanitized fingermarks. It was hypothesized that the active ingredient in non-alcoholic hand sanitizers, benzalkonium chloride, is responsible for the increase in fingermark development quality observed with amino acid reagents, while the increased moisture content present on the ridges resulted in better powdered fingermarks. Copyright © 2017 Elsevier B.V. All rights reserved.

  6. Water saving in IC wafer washing process; IC wafer senjo deno sessui taisaku

    Energy Technology Data Exchange (ETDEWEB)

    Harada, H. [Mitsubishi Corp., Tokyo (Japan); Araki, M.; Nakazawa, T.

    1997-11-30

    This paper reports features of a wafer washing technology, a new IC wafer washing process, its pure water saving effect, and a `QC washing` which has pure water saving effect in the wafer washing. Wafer washing processes generally include the SC1 process (using ammonia + hydrogen peroxide aqueous solution) purposed for removing contamination due to ultrafine particles, the SC2 process (using hydrochloric acid + hydrogen peroxide aqueous solution) purposed for removing contamination due to heavy metals, the piranha washing process (using hot sulfuric acid + hydrogen peroxide aqueous solution) purposed for removing contamination due to organic matters, and the DHF (using dilute hydrofluoric acid) purposed for removing natural oxide films. Natural oxide films are now remained as surface protection films, by which surface contamination has been reduced remarkably. A high-temperature washing chemical circulating and filtering technology developed in Japan has brought about a reform in wafer washing processes having been used previously. Spin washing is used as a water saving measure, in which washing chemicals or pure water are sprayed onto one each of wafers which is spin-rotated, allowing washing and rinsing to be made with small amount of washing chemicals and pure water. The QC washing is a method to replace tank interior with pure was as quick as possible in order to increase the rinsing effect. 7 refs., 5 figs.

  7. Water washes and caustic leaches of sludge from Hanford Tank S-101 and water washes of sludge from Hanford Tank C-103

    International Nuclear Information System (INIS)

    Hunt, R.D.; Collins, J.L.; Chase, C.W.

    1998-07-01

    In 1993, the Department of Energy (DOE) selected the enhanced sludge washing (ESW) process as the baseline for pretreatment of Hanford tank sludges. The ESW process uses a series of water washes and caustic leaches to separate nonradioactive components such as aluminum, chromium, and phosphate from the high-level waste sludges. If the ESW process is successful, the volume of immobilized high-level waste will be significantly reduced. The tests on the sludge from Hanford Tank S-101 focused on the effects of process variables such as sodium hydroxide concentration (1 and 3 M), temperature (70 and 95 C), and leaching time (5, 24, 72, and 168 h) on the efficacy of the ESW process with realistic liquid-to-solid ratios. Another goal of this study was to evaluate the effectiveness of water washes on a sludge sample from hanford Tank C-103. The final objective of this study was to test potential process control monitors during the water washes and caustic leaches with actual sludge. Both 137 Cs activity and conductance were measured for each of the water washes and caustic leaches. Experimental procedures, a discussion of results, conclusions and recommendations are included in this report

  8. UO2 production process with methanol washing

    International Nuclear Information System (INIS)

    Sondermann, T.

    1978-01-01

    The invention refers to a process for the recovery of methanol used for washing the ammonium uranyl carbonate obtained during UO 2 production. The methanol contains about 50% H 2 O, about 10% (NH 4 ) 2 CO 3 , and is radioactive. According to the invention the methanol is purified at reduced pressure in a distillation unit and then led back to the washing unit. (UWI) 891 HP/UWI 892 MBE [de

  9. Soil decontamination at the Montevecchio-Levante mine site with experimental washing and leaching techniques

    Energy Technology Data Exchange (ETDEWEB)

    Dessi, R. [Progemisa SpA, Cagliari (Italy); Fadda, S.; Peretti, R.; Zucca, A. [CSGM, Centro Studi Germinerari e Mineralurgici del CNR, Cagliari (Italy); Serci, A. [Digita, Dipt. di Geoingegneria e Tecnologie Ambientali, Cagliari (Italy)

    2000-12-01

    The soils in the neighbourhood of the Rio Montevecchio-Sitzerri, a stream that flows in the valley below the tailings pond of the Montevecchio-Levante mineral processing plant (SW Sardinia, Italy) are severely contaminated by heavy metals, to the extent that traditional land uses are compromised. Consequently urgent measures are needed both to abate the pollution at source and rehabilitate the contaminated land. This paper is concerned with the problem of soil decontamination using washing and leaching techniques. Laboratory experiments have been conducted in mechanically agitated reactors, using citric acid and acetic acid solutions and brine of hydrochloric acid and calcium chloride. The influence of both reagent concentration and solid-to-liquid ratio has been assessed, and in the most significant cases, the attack kinetics has been determined. The tests showed the brine to be the most effective for removing metals from the soils. Based on the findings of the investigations, the possibility of decontamination by heap leaching has been simulated in the laboratory using the column technique. [Italian] I suoi circostanti il Rio Montevecchio-Sitzerri, che scorre a valle del bacino di decantazione degli sterili dell'impianto di trattamento dei minerali di Montevecchio-Levante (Sardegna Centro-Occidentale), sono caratterizzati da un elevato contenuto di metalli pesanti, che ne pregiudicano gli usi tradizionali. Si rende percio' improrogabile sia la necessita' di intervenire sulle cause all'origine della contaminazione, sia di bonificare i suoli in questione al fine di recuperarli a nuovi usi. La memoria intende portare un contributo alle relative problematiche affrontando la possibilita' di decontaminazione mediante tecniche di lavaggio e lisciviazione. La sperimentazione di laboratorio e' stata condotta in reattori ad agitazione meccanica, utilizzando soluzioni con acido citrico, acido acetico ed una salamoia costituita da acido

  10. Skin care education and individual counselling versus treatment as usual in healthcare workers with hand eczema: randomised clinical trial.

    Science.gov (United States)

    Ibler, Kristina Sophie; Jemec, Gregor B E; Diepgen, Thomas L; Gluud, Christian; Lindschou Hansen, Jane; Winkel, Per; Thomsen, Simon Francis; Agner, Tove

    2012-12-12

    To evaluate the effect of a secondary prevention programme with education on skin care and individual counselling versus treatment as usual in healthcare workers with hand eczema. Randomised, observer blinded parallel group superiority clinical trial. Three hospitals in Denmark. 255 healthcare workers with self reported hand eczema within the past year randomised centrally and stratified by profession, severity of eczema, and hospital. 123 were allocated to the intervention group and 132 to the control group. Education in skin care and individual counselling based on patch and prick testing and assessment of work and domestic related exposures. The control was treatment as usual. The primary outcome was clinical severity of disease at five month follow-up measured by scores on the hand eczema severity index. The secondary outcomes were scores on the dermatology life quality index, self evaluated severity of hand eczema, skin protective behaviours, and knowledge of hand eczema from onset to follow-up. Follow-up data were available for 247 of 255 participants (97%). At follow-up, the mean score on the hand eczema severity index was significantly lower (improved) in the intervention group than control group: difference of means, unadjusted -3.56 (95% confidence interval -4.92 to -2.14); adjusted -3.47 (-4.80 to -2.14), both Pgroup at follow-up: difference of means: unadjusted -0.78, non-parametric test P=0.003; adjusted -0.92, -1.48 to -0.37). Self evaluated severity and skin protective behaviour by hand washings and wearing of protective gloves were also statistically significantly better in the intervention group, whereas this was not the case for knowledge of hand eczema. A secondary prevention programme for hand eczema improved severity and quality of life and had a positive effect on self evaluated severity and skin protective behaviour by hand washings and wearing of protective gloves. ClinicalTrials.gov NCT01012453.

  11. Car wash wastewater treatment and water reuse - a case study.

    Science.gov (United States)

    Zaneti, R N; Etchepare, R; Rubio, J

    2013-01-01

    Recent features of a car wash wastewater reclamation system and results from a full-scale car wash wastewater treatment and recycling process are reported. This upcoming technology comprises a new flocculation-column flotation process, sand filtration, and a final chlorination. A water usage and savings audit (22 weeks) showed that almost 70% reclamation was possible, and fewer than 40 L of fresh water per wash were needed. Wastewater and reclaimed water were characterized by monitoring chemical, physicochemical and biological parameters. Results were discussed in terms of aesthetic quality (water clarification and odour), health (pathological) and chemical (corrosion and scaling) risks. A microbiological risk model was applied and the Escherichia coli proposed criterion for car wash reclaimed water is 200 CFU 100 mL(-1). It is believed that the discussions on car wash wastewater reclamation criteria may assist institutions to create laws in Brazil and elsewhere.

  12. WASH and gender in health care facilities: The uncharted territory.

    Science.gov (United States)

    Kohler, Petra; Renggli, Samuel; Lüthi, Christoph

    2017-11-08

    Health care facilities in low- and middle-income countries are high-risk settings, and face special challenges to achieving sustainable water, sanitation, and hygiene (WASH) services. Our applied interdisciplinary research conducted in India and Uganda analyzed six dimensions of WASH services in selected health care facilities, including menstrual hygiene management. To be effective, WASH monitoring strategies in health care facilities must include gender sensitive measures. We present a novel strategy, showing that applied gender sensitive multitool assessments are highly productive in assessments of WASH services and facilities from user and provider perspectives. We discuss its potential for applications at scale and as an area of future research.

  13. Effect of washing on pesticide residues in olives.

    Science.gov (United States)

    Guardia-Rubio, M; Ayora-Cañada, M J; Ruiz-Medina, A

    2007-03-01

    The present work aims at contributing to the knowledge of the fate of 5 pesticides in olives in order to evaluate how washing may affect the presence of these residues in this fruit (and consequently in olive oil). For this purpose, olives were sprayed with commercial formulations containing the active ingredients and a series of analyses were performed for 64 d by using gas chromatography with mass spectrometric detection. Selected pesticides, ranked by their importance, were diuron, terbuthylazine, simazine, alpha-endosulfan, and beta-endosulfan. The pesticide fraction, which was not removable from olives by washing, increased with time after treatment until their degradation started at week 6. Washing performed 1 d after treatment was the most effective in reducing residues, especially for simazine. Consequently, the washing step performed in olive mills could be effective in removing those herbicide residues present in olives as a consequence of contact with contaminated soil for a short time. This happens when olives are dropped and harvested off the ground by means of brushes or suction equipment.

  14. Consumer attitudes about health care-acquired infections and hand hygiene.

    Science.gov (United States)

    McGuckin, Maryanne; Waterman, Richard; Shubin, Arlene

    2006-01-01

    Mandatory reporting and disclosure of health care-acquired infections have resulted in controversy over the perceived notion that consumers will not understand how to interpret data and that such information may negatively influence utilization of hospitals. The objective was to determine consumers' attitudes about health care-acquired infections, hand hygiene practices, and patient empowerment. A telephone survey based on a random digit dialing sample of all households in the United States was conducted. Consumers were asked about choosing a hospital, hand hygiene practices, and health care-acquired infections. Some 94% of respondents rated environmental cleanliness as very important. Hospital infection rates would influence decision making for 93% of consumers. Four in 5 consumers said they would ask their health care worker to wash and sanitize his or her hands. Our findings strongly suggest that (1) consumers will use infection data in selecting and/or leaving a hospital system and (2) consumers are ready to be empowered with information to ensure a positive outcome.

  15. Plutonium recovery from carbonate wash solutions

    International Nuclear Information System (INIS)

    Gray, J.H.; Reif, D.J.; Chostner, D.F.; Holcomb, H.P.

    1991-01-01

    540Periodically higher than expected levels of plutonium are found in carbonate solutions used to wash second plutonium cycle solvent. The recent accumulation of plutonium in carbonate wash solutions has led to studies to determine the cause of that plutonium accumulation, to evaluate the quality of all canyon solvents, and to develop additional criteria needed to establish when solvent quality is acceptable. Solvent from three canyon solvent extraction cycles was used to evaluate technology required to measure tributyl phosphate (TBP) degradation products and was used to evaluate solvent quality criteria during the development of plutonium recovery processes. 1 fig

  16. The impact of WASH-1400 on reactor safety evaluation

    International Nuclear Information System (INIS)

    Tanguy, P.Y.

    1976-01-01

    Trends in reactor safety evaluation in France following the publication of WASH-1400 (the Rasmussen Report) are presented. What is called 'the meteorite case' is first schematically presented as follows: WASH-1400 shows nuclear risk equivalent to meteorite risk and reasonable corrections cannot make many orders of magnitude, consequently present safety rules are adequate. The very impact of WASH-1400 on safety approach is then discussed as for: assistance to deterministic safety analysis, introduction of probabilistic safety criteria, acceptable level of risk, and the use of results in research and reactor operating experience

  17. 21 CFR 864.9285 - Automated cell-washing centrifuge for immuno-hematology.

    Science.gov (United States)

    2010-04-01

    ... 21 Food and Drugs 8 2010-04-01 2010-04-01 false Automated cell-washing centrifuge for immuno... Establishments That Manufacture Blood and Blood Products § 864.9285 Automated cell-washing centrifuge for immuno-hematology. (a) Identification. An automated cell-washing centrifuge for immuno-hematology is a device used...

  18. 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

  19. Winter Maintenance Wash-Water Heavy Metal Removal Pilot Scale Evaluation

    Directory of Open Access Journals (Sweden)

    Christopher M. Miller

    2016-01-01

    Full Text Available To encourage sustainable engineering practices, departments of transportation are interested in reusing winter maintenance truck wash water as part of their brine production and future road application. Traffic-related metals in the wash water, however, could limit this option. The objective of this work was to conduct a pilot scale evaluation of heavy metal (copper, zinc, iron, and lead removal in a filtration unit (maximum flow rate of 45 L/minute containing proprietary (MAR Systems Sorbster® media. Three different trials were conducted and approximately 10,000 L of wash water collected from a winter maintenance facility in Ohio was treated with the pilot unit. Lab studies were also performed on six wash-water samples from multiple facilities to assess particle size removal and estimate settling time as a potential removal mechanism during wash-water storage. Pilot unit total metal removal efficiencies were 79%, 77%, 63%, and 94% for copper, zinc, iron, and lead, respectively. Particle settling calculation estimates for copper and zinc show that 10 hours in storage can also effectively reduce heavy metal concentrations in winter maintenance wash water in excess of 70%. These pilot scale results show promise for reducing heavy metal concentrations to an acceptable level for reuse.

  20. Impact of electrochemical treatment of soil washing solution on PAH degradation efficiency and soil respirometry.

    Science.gov (United States)

    Mousset, Emmanuel; Huguenot, David; van Hullebusch, Eric D; Oturan, Nihal; Guibaud, Gilles; Esposito, Giovanni; Oturan, Mehmet A

    2016-04-01

    The remediation of a genuinely PAH-contaminated soil was performed, for the first time, through a new and complete investigation, including PAH extraction followed by advanced oxidation treatment of the washing solution and its recirculation, and an analysis of the impact of the PAH extraction on soil respirometry. The study has been performed on the remediation of genuine PAH-contaminated soil, in the following three steps: (i) PAH extraction with soil washing (SW) techniques, (ii) PAH degradation with an electro-Fenton (EF) process, and (iii) recirculation of the partially oxidized effluent for another SW cycle. The following criteria were monitored during the successive washing cycles: PAH extraction efficiency, PAH oxidation rates and yields, extracting agent recovery, soil microbial activity, and pH of soil. Two representative extracting agents were compared: hydroxypropyl-beta-cyclodextrin (HPCD) and a non-ionic surfactant, Tween(®) 80. Six PAH with different numbers of rings were monitored: acenaphthene (ACE), phenanthrene (PHE), fluoranthene (FLA), pyrene (PYR), benzo(a)pyrene (BaP), and benzo(g,h,i)perylene (BghiP). Tween(®) 80 showed much better PAH extraction efficiency (after several SW cycles) than HPCD, regardless of the number of washing cycles. Based on successive SW experiments, a new mathematical relation taking into account the soil/water partition coefficient (Kd*) was established, and could predict the amount of each PAH extracted by the surfactant with a good correlation with experimental results (R(2) > 0.975). More HPCD was recovered (89%) than Tween(®) 80 (79%), while the monitored pollutants were completely degraded (>99%) after 4 h and 8 h, respectively. Even after being washed with partially oxidized solutions, the Tween(®) 80 solutions extracted significantly more PAH than HPCD and promoted better soil microbial activity, with higher oxygen consumption rates. Moreover, neither the oxidation by-products nor the acidic media (p

  1. Occupational Exposure to Alcohol-Based Hand Sanitizers: The Diagnostic Role of Alcohol Biomarkers in Hair.

    Science.gov (United States)

    Salomone, A; Bozzo, A; Di Corcia, D; Gerace, E; Vincenti, M

    2018-04-01

    Ethyl glucuronide (EtG) and fatty acid ethyl esters (FAEEs) in hair are effective direct biomarkers of ethanol ingestion, whose analytical determination can be used to discriminate between chronic and occasional ethanol intake. Ethanol is a compound widely used in some workplaces (e.g., clinics, hospitals) and is present in considerable amounts in mouthwash for oral cleaning, medications, cosmetic products, hydro-alcoholic disinfectants and antiseptics for hands. This study examined the ethyl alcohol exposure derived from hand disinfectants (in gel form) by simulating the typical occupational situation of medical-health workers (healthcare workers, nurses, surgeons, etc.) who frequently wash their hands with antiseptic sanitizer. Two types of hand disinfectants with 62% w/w of ethanol content were daily applied to the hands of a teetotaler for 20 times a day, for 4 consecutive weeks, thus simulating a typical workplace situation and a cumulative dermal exposure to ethanol of ~1,100 g. Different matrices (head, chest and beard hair, urine) were regularly sampled and analyzed using a ultra high-performance liquid chromatography tandem massspectrometry validated method for EtG and a (HS)SPME-GC-MS validated technique for FAEEs. The data obtained showed that a significant dermal absorption and/or inhalation of ethanol occurred, and that the use of detergents produce urinary EtG concentrations both higher than the cut-offs normally used for clinical and forensic analyses (either 100 and 500 ng/mL, depending on the context). The concentrations of the ethanol metabolites in the keratin matrices were, respectively, below the cut-off of 7 pg/mg for EtG and below 0.5 ng/mg for FAAEs (0.35 ng/mg for ethyl palmitate). In conclusion, the regular use of alcohol-based hand sanitizers can affect the concentration of urinary EtG and lead to positive analytical results, particularly when specimens are obtained shortly after sustained use of ethanol-containing hand sanitizer. On the

  2. Automatic washing of hooves can help control digital dermatitis in dairy cows

    DEFF Research Database (Denmark)

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

    2012-01-01

    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....... 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....

  3. Sensitive identification of mycobacterial species using PCR-RFLP on bronchial washings.

    Science.gov (United States)

    Hidaka, E; Honda, T; Ueno, I; Yamasaki, Y; Kubo, K; Katsuyama, T

    2000-03-01

    In 98 patients (24 with active pulmonary tuberculosis [TB] lesions, 28 with cured TB lesions, and 46 with nontuberculous opacities [control group] in chest CT scans), we examined whether washing the bronchus after brushing the lesion, then applying polymerase chain reaction-restriction fragment length polymorphism (PCR-RFLP) to the bronchial washings might be useful for diagnosing TB and nontuberculous mycobacteriosis (NTMosis). After biopsy and brushing with a bronchoscope, the bronchus connecting to the lesion was washed with 20 ml saline. The saline used for washing the brushes (5 ml; brushing sample), and 3 to 10 ml saline aspirated through the forceps channel (washing sample) were examined by PCR-RFLP, which proved able to identify Mycobacterium tuberculosis and seven species of nontuberculous mycobacteria (NTM). The values obtained for the sensitivity of the PCR-RFLP with respect to the brushing sample, the washing sample, and both samples mixed together were 70, 76, and 91%, respectively, when only patients who were culture-positive or radiologically improved after antituberculous therapy were considered as showing true infection. A mixture of brushing and washing samples provides useful material for PCR and culture, and the PCR-RFLP used here is a good method for the simultaneous identification of several species of mycobacterium (including M. tuberculosis).

  4. Ultrasonic coal-wash for de-ashing and de-sulfurization. Experimental investigation and mechanistic modeling

    Energy Technology Data Exchange (ETDEWEB)

    Ambedkar, B. [Indian Institute of Technology Madras, Chennai (India). Dept. of Chemical Engineering

    2012-07-01

    This study focuses on the physical aspects of ultrasonic de-ashing and de-sulfurization, such as cavitation, streaming and their combined effects. Ambedkar Balraj proposes an ultrasound-assisted coal particle breakage mechanism and explores aqueous and solvent-based ultrasonic techniques for de-ashing and de-sulfurization. Ambedkar designs a Taguchi L-27 fractional-factorial matrix to assess the individual effects of key process variables. In this volume he also describes process optimization and scale-up strategies. The author provides a mechanism-based model for ultrasonic reagent-based coal de-sulfurization, proposes a flow diagram for ultrasonic methods of high-throughput coal-wash and discusses the benefits of ultrasonic coal-wash. Coal will continue to be a major fuel source for the foreseeable future and this study helps improve its use by minimising ash and sulfur impurities.

  5. A qualitative evaluation of hand drying practices among Kenyans.

    Science.gov (United States)

    Person, Bobbie; Schilling, Katharine; Owuor, Mercy; Ogange, Lorraine; Quick, Rob

    2013-01-01

    Recommended disease prevention behaviors of hand washing, hygienic hand drying, and covering one's mouth and nose in a hygienic manner when coughing and sneezing appear to be simple behaviors but continue to be a challenge to successfully promote and sustain worldwide. We conducted a qualitative inquiry to better understand current hand drying behaviors associated with activities of daily living, and mouth and nose covering practices, among Kenyans. We conducted 7 focus group discussions; 30 in-depth interviews; 10 structured household observations; and 75 structured observations in public venues in the urban area of Kisumu; rural communities surrounding Kisumu; and a peri-urban area outside Nairobi, Kenya. Using a grounded theory approach, we transcribed and coded the narrative data followed by thematic analysis of the emergent themes. Hand drying, specifically on a clean towel, was not a common practice among our participants. Most women dried their hands on their waist cloth, called a leso, or their clothes whether they were cooking, eating or cleaning the nose of a young child. If men dried their hands, they used their trousers or a handkerchief. Children rarely dried their hands; they usually just wiped them on their clothes, shook them, or left them wet as they continued with their activities. Many people sneezed into their hands and wiped them on their clothes. Men and women used a handkerchief fairly often when they had a runny nose, cold, or the flu. Most people coughed into the air or their hand. Drying hands on dirty clothes, rags and lesos can compromise the benefits of handwashing. Coughing and sneezing in to an open hand can contribute to spread of disease as well. Understanding these practices can inform health promotion activities and campaigns for the prevention and control of diarrheal disease and influenza.

  6. A qualitative evaluation of hand drying practices among Kenyans.

    Directory of Open Access Journals (Sweden)

    Bobbie Person

    Full Text Available Recommended disease prevention behaviors of hand washing, hygienic hand drying, and covering one's mouth and nose in a hygienic manner when coughing and sneezing appear to be simple behaviors but continue to be a challenge to successfully promote and sustain worldwide. We conducted a qualitative inquiry to better understand current hand drying behaviors associated with activities of daily living, and mouth and nose covering practices, among Kenyans.We conducted 7 focus group discussions; 30 in-depth interviews; 10 structured household observations; and 75 structured observations in public venues in the urban area of Kisumu; rural communities surrounding Kisumu; and a peri-urban area outside Nairobi, Kenya. Using a grounded theory approach, we transcribed and coded the narrative data followed by thematic analysis of the emergent themes. Hand drying, specifically on a clean towel, was not a common practice among our participants. Most women dried their hands on their waist cloth, called a leso, or their clothes whether they were cooking, eating or cleaning the nose of a young child. If men dried their hands, they used their trousers or a handkerchief. Children rarely dried their hands; they usually just wiped them on their clothes, shook them, or left them wet as they continued with their activities. Many people sneezed into their hands and wiped them on their clothes. Men and women used a handkerchief fairly often when they had a runny nose, cold, or the flu. Most people coughed into the air or their hand.Drying hands on dirty clothes, rags and lesos can compromise the benefits of handwashing. Coughing and sneezing in to an open hand can contribute to spread of disease as well. Understanding these practices can inform health promotion activities and campaigns for the prevention and control of diarrheal disease and influenza.

  7. Effect of diluent wash over the removal of aqueous dissolved TBP and DBP in reprocessing

    International Nuclear Information System (INIS)

    Manjula, R.; Dasi, Mahesh; Mohandas, Jaya; Vijaya Kumar, N.; Kumar, T.

    2015-01-01

    In reprocessing of nuclear spent fuels by PUREX process Tri-n-Butyl phosphate diluted with n-Dodecane (nDD) is used as solvent. This solvent undergoes degradation due to radiation yielding degradation products, mainly Di-n-butyl phosphate (HDBP). During extraction steps some amount of these organic gets dissolved in aqueous phase owing to its mutual solubility. Removal of dissolved organic from aqueous streams before evaporation is essential to prevent red oil related disasters. Diluent wash technique employing nDD as diluent is one of the commonly used method for the same. During the continuous operation of this process, the diluent will get loaded with dissolved organic and subsequently the performance of diluent will not remain same as pure diluent. While some reports are available in literature for the efficiency of removal of TBP by nDD, so far no work has been reported for the removal of DBP. The scope of the present work is to ascertain the efficiency of diluent wash technique on the removal of dissolved TBP as well as DBP. The results obtained indicate that the removal of dissolved TBP by nDD decreases with increase in percentage of TBP in nDD. In the case of DBP it is just reverse and the removal becomes more effective when the TBP percentage in the diluent increases. A/O ratio of 6:1 is found to be more suitable. As the DBP is getting extracted very effectively into nDD containing TBP, diluent wash solution should be treated as spent organic and managed accordingly for further utilization

  8. Occupational Hydrofluoric Acid Injury from Car and Truck Washing--Washington State, 2001-2013.

    Science.gov (United States)

    Reeb-Whitaker, Carolyn K; Eckert, Carly M; Anderson, Naomi J; Bonauto, David K

    2015-08-21

    Exposure to hydrofluoric acid (HF) causes corrosive chemical burns and potentially fatal systemic toxicity. Car and truck wash cleaning products, rust removers, and aluminum brighteners often contain HF because it is efficient in breaking down roadway matter. 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. Among seven hospitalized workers, two required surgery, and all but one worker returned to the job. Among 48 injured workers, job titles were primarily auto detailer, car wash worker, truck wash worker, and truck driver. Because HF exposure can result in potentially severe health outcomes, efforts to identify less hazardous alternatives to HF-based industrial wash products are warranted.

  9. Extraction agents for the removal of polycyclic aromatic hydrocarbons (PAHs) from soil in soil washing technologies

    International Nuclear Information System (INIS)

    Lau, Ee Von; Gan, Suyin; Ng, Hoon Kiat; Poh, Phaik Eong

    2014-01-01

    Polycyclic aromatic hydrocarbons (PAHs) in soil have been recognised as a serious health and environmental issue due to their carcinogenic, mutagenic and teratogenic properties. One of the commonly employed soil remediation techniques to clean up such contamination is soil washing or solvent extraction. The main factor which governs the efficiency of this process is the solubility of PAHs in the extraction agent. Past field-scale soil washing treatments for PAH-contaminated soil have mainly employed organic solvents or water which is either toxic and costly or inefficient in removing higher molecular weight PAHs. Thus, the present article aims to provide a review and discussion of the alternative extraction agents that have been studied, including surfactants, biosurfactants, microemulsions, natural surfactants, cyclodextrins, vegetable oil and solution with solid phase particles. These extraction agents have been found to remove PAHs from soil at percentages ranging from 47 to 100% for various PAHs. -- Highlights: • The alternative and advancement in extraction agents to remove PAHs from soil using soil washing technology is summarised. • The soil regulations for PAH level in various countries are summarized for reference to researchers. • The concentration levels of PAHs in soil at present and the need for soil remediation is presented. -- The efficiency of the extraction agent plays a significant role in soil washing of PAH-contaminated soil

  10. Volumetric analysis of hand, reciprocating and rotary instrumentation techniques in primary molars using spiral computed tomography: An in vitro comparative study.

    Science.gov (United States)

    Jeevanandan, Ganesh; Thomas, Eapen

    2018-01-01

    This present study was conducted to analyze the volumetric change in the root canal space and instrumentation time between hand files, hand files in reciprocating motion, and three rotary files in primary molars. One hundred primary mandibular molars were randomly allotted to one of the five groups. Instrumentation was done using Group I; nickel-titanium (Ni-Ti) hand file, Group II; Ni-Ti hand files in reciprocating motion, Group III; Race rotary files, Group IV; prodesign pediatric rotary files, and Group V; ProTaper rotary files. The mean volumetric changes were assessed using pre- and post-operative spiral computed tomography scans. Instrumentation time was recorded. Statistical analysis to access intergroup comparison for mean canal volume and instrumentation time was done using Bonferroni-adjusted Mann-Whitney test and Mann-Whitney test, respectively. Intergroup comparison of mean canal volume showed statistically significant difference between Groups II versus IV, Groups III versus V, and Groups IV versus V. Intergroup comparison of mean instrumentation time showed statistically significant difference among all the groups except Groups IV versus V. Among the various instrumentation techniques available, rotary instrumentation is the considered to be the better instrumentation technique for canal preparation in primary teeth.

  11. Effect of face washing with soap and water and cleaning with antiseptics on upper-lid bacteria of surgical eye patients.

    Science.gov (United States)

    Bekibele, Charles O; Kehinde, Aderemi O; Ajayi, Benedictus G K

    2010-12-01

    To determine the effect of face washing with soap and water and cleaning with povidone iodine and cetrimide/chlorhexidine gluconate (Savlon) on upper-lid bacteria. Prospective, nonrandomized clinical trial. Eighty patients attending the Eye Clinic, University College Hospital, Ibadan, Nigeria. Eighty patients assigned to 4 groups had swabs of the upper eyelid skin taken before and after face wash with soap and water, and cleansing with Savlon and 5% povidone iodine. Specimens were cultured and Gram stained. Bacterial counts were carried out using standard techniques. Face washing with soap and water increased the proportion of patients with bacterial isolates from 80.0% to 87.5%. The average colony count increased from 187.1 to 318.5 colony units per mL (p = 0.02). Application of 5% povidone iodine without face washing with soap and water reduced the proportion of patients with bacterial isolates from 82.6% (mean count 196.5) to 28.6% (mean count 34.1)(p = 0.001); in comparison, the application of 5% povidone iodine after face washing with soap and water reduced the proportion from 71.4% (mean count 133.9) to 40.0% (mean count 69.0)(p = 0.01). Application of Savlon without face washing with soap and water reduced the proportion of patients with bacterial isolates from 100% (mean count 310.9) to 41.2% (mean count 19.8)(p = 0.004) compared with the application after face washing, which reduced the proportion from 89.5% (mean count 240.3) to 41.2% (mean count 82.9)(p = 0.02). Both povidone and Savlon are effective in reducing periocular bacteria in an African setting. Prior face washing with soap and water had no added benefit in reducing bacterial colony count.

  12. Hands4U: the effects of a multifaceted implementation strategy on hand eczema prevalence in a healthcare setting. Results of a randomized controlled trial.

    Science.gov (United States)

    van der Meer, Esther W C; Boot, Cécile R L; van der Gulden, Joost W J; Knol, Dirk L; Jungbauer, Frank H W; Coenraads, Pieter Jan; Anema, Johannes R

    2015-05-01

    Healthcare workers have an increased risk of developing hand eczema. A multifaceted implementation strategy was developed to implement a guideline to prevent hand eczema among healthcare workers. To investigate the effects of the implementation strategy on self-reported hand eczema and preventive behaviour. A randomized controlled trial was performed. A total of 48 departments (n = 1649) were randomly allocated to the multifaceted implementation strategy or the control group. The strategy consisted of education, participatory working groups, and role models. Outcome measures were self-reported hand eczema and preventive behaviour. Data were collected at baseline, and 3, 6, 9 and 12 months of follow-up. Participants in the intervention group were significantly more likely to report hand eczema [odds ratio (OR) 1.45; 95% confidence interval (CI) 1.03-2.04], and they reported significantly less hand washing (B, - 0.38; 95%CI: - 0.48 to - 0.27), reported significantly more frequent use of a moisturizer (B, 0.30; 95%CI: 0.22-0.39) and were more likely to report wearing cotton undergloves (OR 6.33; 95%CI: 3.23-12.41) than participants in the control group 12 months after baseline. The strategy implemented can be used in practice, as it showed positive effects on preventive behaviour. More research is needed to investigate the unexpected effects on hand eczema. © 2014 The Authors. Contact Dermatitis published by John Wiley & Sons Ltd.

  13. Removal of uranium from gravel using soil washing method

    Energy Technology Data Exchange (ETDEWEB)

    Kim, Ilgook; Kim, Kye-Nam; Kim, Seung-Soo; Choi, Jong-Won [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2015-10-15

    The development of nuclear technology has led to increasing radioactive waste containing uranium being released and disposed in the nuclear sites. Fine grained soils with a size of less than 4 mm are normally decontaminated using soil washing and electro-kinetic technologies. However, there have been few studies on the decontamination of gravels with a size of more than 4 mm. Therefore, it is necessary to study the decontamination of gravel contaminated with radionuclides. The main objective of the present study on soil washing was to define the optimal condition for acid treatment of uranium-polluted gravel. In this study, soil washing method was applied to remove uranium from gravel. The gravel was crushed and classified as particle sizes. The gravel particles were treated with sulfuric acid in a shaking incubator at 60 .deg. C and 150 rpm for 3 h. The optimal particle size of gravel for soil washing in removal of uranium was between 0.45 and 2.0 mm.

  14. Enhanced salmonella reduction on tomatoes washed in chlorinated water with wash aid T-128

    Science.gov (United States)

    Chlorine is widely used by the fresh and fresh-cut produce industries to reduce microbial populations and to prevent potential pathogen cross contamination during produce washing. However, the organic materials released from produce quickly react with chlorine and degrade its efficacy for pathogen i...

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

    NARCIS (Netherlands)

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

    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

  16. Wash-oil problem

    Energy Technology Data Exchange (ETDEWEB)

    Chlosta, J

    1941-01-01

    Meier-Grolman and others have deduced from experimental studies of the vapor pressure of solutions of benzene in paraffin oil and Solway oil-paraffin oil mixtures that the higher the proportion of aliphatic compounds in a wash oil, the less suitable it is for benzene scrubbing. This generalization is not supported. Paraffin oils from brown-coal tar and low viscous oils from the Fischer-Tropsch hydrocarbon synthesis process are both being successfully used for benzene scrubbing.

  17. Liquid dish washing soap: An excellent substitute for xylene and alcohol in hematoxylin and eosin staining procedure

    Directory of Open Access Journals (Sweden)

    Surekha Ramulu

    2012-01-01

    Full Text Available Aims: Liquid dish washing solution (DWS was used as a substitute for xylene to dewax tissue sections during hematoxylin and eosin (H and E staining. The aim was to test and compare the hypothesis that xylene-ethanol free (XEF sections deparaffinized with diluted DWS are better than or at par with the conventional H and E sections. Materials and Methods: Fifty paraffin-embedded tissue blocks was included. One section was stained with conventional HandE (group A and the other with XEF HandE (group B staining method. Slides were scored for parameters: nuclear, cytoplasmic, clarity, uniformity, and crispness of staining. Z test was used for statistical analysis. For accuracy of diagnosis, sensitivity, specificity, positive predictive value, and negative predictive value were tested. Results: Adequate nuclear staining was noted in 94% in group A and 96% in group B, -adequate cytoplasmic staining in 92% in group A and 86% in group B, clarity in 94% of group A and 96% of group B sections, uniform staining in 92% of group A and 80% of group B sections, crisp stain in 96% of group A and 88% of group B sections, and 94% of group A sections stained adequately for diagnosis as compared with 90% in group B sections. Conclusion: Liquid DWS can be used as an alternative and effective substitute to xylene and ethanol in routine HandE staining procedure.

  18. Tank 4 Characterization, Settling, And Washing Studies

    International Nuclear Information System (INIS)

    Bannochie, C.; Pareizs, J.; Click, D.; Zamecnik, J.

    2009-01-01

    A sample of PUREX sludge from Tank 4 was characterized, and subsequently combined with a Tank 51 sample (Tank 51-E1) received following Al dissolution, but prior to a supernate decant by the Tank Farm, to perform a settling and washing study to support Sludge Batch 6 preparation. The sludge source for the majority of the Tank 51-E1 sample is Tank 12 HM sludge. The Tank 51-E1 sample was decanted by SRNL prior to use in the settling and washing study. The Tank 4 sample was analyzed for chemical composition including noble metals. The characterization of the Tank 51-E1 sample, used here in combination with the Tank 4 sample, was reported previously. SRNL analyses on Tank 4 were requested by Liquid Waste Engineering (LWE) via Technical Task Request (TTR) HLE-TTR-2009-103. The sample preparation work is governed by Task Technical and Quality Assurance Plan (TTQAP), and analyses were controlled by an Analytical Study Plan and modifications received via customer communications. Additional scope included a request for a settling study of decanted Tank 51-E1 and a blend of decanted Tank 51-E1 and Tank 4, as well as a washing study to look into the fate of undissolved sulfur observed during the Tank 4 characterization. The chemistry of the Tank 4 sample was modeled with OLI Systems, Inc. StreamAnalyzer to determine the likelihood that sulfate could exist in this sample as insoluble Burkeite (2Na 2 SO 4 · Na 2 CO 3 ). The OLI model was also used to predict the composition of the blended tank materials for the washing study. The following conclusions were drawn from the Tank 4 analytical results reported here: (1) Any projected blend of Tank 4 and the current Tank 51 contents will produce a SB6 composition that is lower in Ca and U than the current SB5 composition being processed by DWPF. (2) Unwashed Tank 4 has a relatively large initial S concentration of 3.68 wt% on a total solids basis, and approximately 10% of the total S is present as an insoluble or undissolved form

  19. The first step in infection control is hand hygiene.

    Science.gov (United States)

    Canham, Leslie

    2011-01-01

    A dental health care worker (DHCW) has an obligation to prevent the spread of health care associated infections. Adhering to proper hand hygiene procedures, selecting appropriate hand hygiene products and the use of gloves are all important elements of infection control. The CDC Guidelines for Hand Hygiene state that improved hand hygiene practices can reduce transmission of pathogenic microorganisms to patients and personnel in health care settings. DHCWs must also protect themselves by recognizing pitfalls such as irritants or allergies that may pose obstacles to proper hand hygiene. Occupational irritants and allergies can be caused by frequent hand washing, exposure to hand hygiene products, exposure to chemicals and shear forces associated with wearing or removing gloves. Since the primary defense against infection and transmission of pathogens is healthy, unbroken skin, DHCWs must take steps to ensure that their skin remains healthy and intact. These steps include evaluating different types of hand hygiene products, lotions and gloves for the best compatibility. If the DHCW sees a breakdown of his or her skin barrier, steps should be taken to determine the cause and remedy. Remedies can include the use of alcohol-based hand sanitizers containing emollients and moisturizers and regular use of a medical grade hand lotion. The bottom line: healthy skin protects you at work and at home. Selection and use of appropriate hand hygiene products, including moisturizers, are an essential part ofa dental office infection control program. My coworker lost the use of her thumb for several months due to complications of a staph infection. She was unable to work and found even simple tasks such as closing a button hard to do. Think of how difficult your work would be if something happened to your hands. Injury, irritation or allergies could alter your ability to work or even perform routine tasks. Our hands provide us with the ability to work in clinical dentistry. It makes

  20. Design improvement of automated gallon washing machine to minimize musculoskeletal disorders (MSDs) in CV Barokah Abadi using ergonomic function deployment (EFD) approach

    Science.gov (United States)

    Fakhriza, Z.; Rahayu, M.; Iqbal, M.

    2017-12-01

    In the production activity of Bottled Drinking Water (AMDK) in CV Barokah Abadi there is a gallon washing station. At the work station it involves three stages of activity such as washing and rinsing the outside of the gallon, spraying the inside of the gallon and rubbing the inside of the gallon which is done in a separate place. Distribution of Nordic Body Map (NBM) questionnaires showing employee complaints data at gallon washing stations where workers complained of pain in the right upper arm, right forearm and right wrist respectively 88% and workers also complained of pain in the waist and The right hand respectively by 81%. Ergonomic gallon washer is one way to minimize the risk of MSDs. The design begins with an ergonomic evaluation of the existing conditions and the concept of the initial design of the gallon washer. The evaluation is utilized for consideration of design improvements with the utilization of Ergonomic Function Deployment (EFD) in order for the product concept to conform to the ECSHE principle (Effective, Comfortable, Safe, Healthy and Efficient). The tool improvement design can minimize the risk of MSDs seen from the worker’s posture while using an ergonomic washer.

  1. Fat suppression at three-dimensional T1-weighted MR imaging of the hands: Dixon method versus CHESS technique.

    Science.gov (United States)

    Kirchgesner, T; Perlepe, V; Michoux, N; Larbi, A; Vande Berg, B

    2018-01-01

    To compare the effectiveness of fat suppression and the image quality of the Dixon method with those of the chemical shift-selective (CHESS) technique in hands of normal subjects at non-enhanced three-dimensional (3D) T1-weighted MR imaging. Both hands of 14 healthy volunteers were imaged with 3D fast spoiled gradient echo (FSPGR) T1-weighted Dixon, 3D FSPGR T1-weighted CHESS and 3D T1-weighted fast spin echo (FSE) CHESS sequences in a 1.5T MR scanner. Three radiologists scored the effectiveness of fat suppression in bone marrow (EFS BM ) and soft tissues (EFS ST ) in 20 joints per subject. One radiologist measured the signal-to-noise ratio (SNR) in 10 bones per subject. Statistical analysis used two-way ANOVA with random effects (PCHESS sequence and the 3D FSE T1-weighted CHESS sequence (PCHESS sequence (PCHESS sequence in the axial plane (P=0.0028). Mean SNR was statistically significantly higher for 3D FSPGR T1-weighted Dixon sequence than for 3D FSPGR T1-weighted CHESS and 3D FSE T1-weighted CHESS sequences (PCHESS technique at 3D T1-weighted MR imaging of the hands. Copyright © 2017 Éditions françaises de radiologie. Published by Elsevier Masson SAS. All rights reserved.

  2. Nitric acid flowsheet with late wash PHA testing

    International Nuclear Information System (INIS)

    Zamecnik, J.R.

    1993-01-01

    This Task Technical Plan outlines the activities to be conducted in the Integrated DWPF Melter System (IDMS) in ongoing support of the Defense Waste Processing Facility (DWPF) Chemical Process Cell (CPC) utilizing the Nitric Acid Flowsheet in the Sludge Receipt and Adjustment Tank (SRAT) and Precipitate Hydrolysis Aqueous (PHA) produced by the Late Wash Flowsheet. The IDMS facility is to be operated over a series of runs (2 to 4) using the Nitric Acid Flowsheet. The PHA will be produced with the Late Wash Flowsheet in the Precipitate Hydrolysis Experimental Facility (PHEF). All operating conditions shall simulate the expected DWPF operating conditions as closely as possible. The task objectives are to perform at least two IDMS runs with as many operating conditions as possible at nominal DWPF conditions. The major purposes of these runs are twofold: verify that the combined Late Wash and Nitric Acid flowsheets produce glass of acceptable quality without additional changes to process equipment, and determine the reproducibility of data from run to run. These runs at nominal conditions will be compared to previous runs made with PHA produced from the Late Wash flowsheet and with the Nitric Acid flowsheet in the SRAT (Purex 4 and Purex 5)

  3. Human health risk assessment of chloroxylenol in liquid hand soap and dishwashing soap used by consumers and health-care professionals.

    Science.gov (United States)

    Yost, Lisa J; Rodricks, Joseph D; Turnbull, Duncan; DeLeo, Paul C; Nash, J Frank; Quiñones-Rivera, Antonio; Carlson, Pete A

    2016-10-01

    A quantitative human risk assessment of chloroxylenol was conducted for liquid hand and dishwashing soap products used by consumers and health-care workers. The toxicological data for chloroxylenol indicate lack of genotoxicity, no evidence of carcinogenicity, and minimal systemic toxicity. No observed adverse effect levels (NOAEL) were established from chronic toxicity studies, specifically a carcinogenicity study that found no cancer excess (18 mg/kg-day) and studies of developmental and reproductive toxicity (100 mg/kg-day). Exposure to chloroxylenol for adults and children was estimated for two types of rinse-off cleaning products, one liquid hand soap, and two dishwashing products. The identified NOAELs were used together with exposure estimates to derive margin of exposure (MOE) estimates for chloroxylenol (i.e., estimates of exposure over NOAELs). These estimates were designed with conservative assumptions and likely overestimate exposure and risk (i.e., highest frequency, 100% dermal penetration). The resulting MOEs ranged from 178 to over 100, 000, 000 indicating negligibly small potential for harm related to consumer or health-care worker exposure to chloroxylenol in liquid soaps used in dish washing and hand washing. Copyright © 2016 Elsevier Inc. All rights reserved.

  4. Comparison of fat maintenance in the face with centrifuge versus filtered and washed fat.

    Science.gov (United States)

    Asilian, Ali; Siadat, Amir Hossein; Iraji, Razieh

    2014-06-01

    Autogenous fat injection of the face is a viable and lasting remedy for soft tissue loss and has become a mainstay in facial rejuvenation. Fat transfer as either a stand-alone technique or as an adjunct to other filler technique and lifting depending on patient needs. Although soft tissue augmentation with autologous fat transfer has been increasingly used by esthetic surgeon, but there is no agreement concerning the best way of processing the harvested fat before injection. This study compared the clinical results obtained using simple filtered and washed fat via metal sieve with those achieved by means of pure centrifuged fat. A prospective single-blind analysis on 32 healthy patients undergoing nasolabial fold fat transplantation from 2009 to 2011 (simple sampling). Patients assigned in two groups randomly. The face of half (16 subjects) was injected with centrifuged, another half with simple filtered and washed fat to evaluate the effect of preparation methods on fat graft viability. Objective method was used to evaluate the results, involving the evaluation of postoperative photographs (in month 1, 6 and 12) by an esthetic surgeon (according to the nasolabial scale). Subjective method was a self-assessment obtained from patients about general level of satisfaction and improvement of skin texture, statistical analysis were performed by means of the Wilcoxon and Mann-Whitney test. Acquired data were analyzed using SPSS version 15 and a value of P > 0.05 was considered as significant. There was no significant difference in the survival of grafted fat between the Group 1 (fat-processing with centrifuge at 3400 rpm for 1-min) and Group 2 (washing the fat in the sieve). Our data suggest that the centrifuge of the fat does not enhance survival of grafted fat (P > 0.05).

  5. 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.

  6. 100 Area soil washing treatability test plan

    International Nuclear Information System (INIS)

    1993-03-01

    This test plan describes specifications, responsibilities, and general methodology for conducting a soil washing treatability study as applied to source unit contamination in the 100 Area. The objective ofthis treatability study is to evaluate the use of physical separation systems and chemical extraction methods as a means of separating chemically and radioactively contaminated soil fractions from uncontaminated soil fractions. The purpose of separating these fractions is to minimize the volume of soil requiring permanent disposal. It is anticipated that this treatability study will be performed in two phases of testing, a remedy screening phase and a remedy selection phase. The remedy screening phase consists of laboratory- and bench-scale studies performed by Battelle Pacific Northwest laboratories (PNL) under a work order issued by Westinghouse Hanford Company (Westinghouse Hanford). This phase will be used to provide qualitative evaluation of the potential effectiveness of the soil washing technology. The remedy selection phase, consists of pilot-scale testing performed under a separate service contract to be competitively bid under Westinghouse Hanford direction. The remedy selection phase will provide data to support evaluation of the soil washing technology in future feasibility studies for Interim Remedial Measures (IRMs) or final operable unit (OU) remedies. Performance data from these tests will indicate whether applicable or relevant and appropriate requirements (ARARs) or cleanup goals can be met at the site(s) by application of soil washing. The remedy selection tests wig also allow estimation of costs associated with implementation to the accuracy required for the Feasibility Study

  7. Applicability of the Reactor Safety Study (WASH-1400) to LMFBR risk assessments

    International Nuclear Information System (INIS)

    El-Sheikh, K.A.; Feller, K.G.; Fleischer, L.; Greebler, P.; McDonald, A.; Sultan, P.; Temme, M.I.; Fullwood, R.R.

    1976-01-01

    The feasibility of applying the WASH-1400 methods and data to LMFBR risk assessment is evaluated using the following approach for a selected LMFBR: (1) Structuring the LMFBR risk assessment problem in a modular form similar to WASH-1400; (2) Comparing the predictive tools applicable to each module; (3) Comparing the dependencies among the various modules. It is concluded that the WASH-1400 applicability is limited due to LWR-LMFBR differences in operating environments and accident phenomena. WASH-1400 and LMFBR specific methods applicable to LMFBR risk assessments are indicated

  8. Epidemiologic Background of Hand Hygiene and Evaluation of the Most Important Agents for Scrubs and Rubs

    Science.gov (United States)

    Kampf, Günter; Kramer, Axel

    2004-01-01

    The etiology of nosocomial infections, the frequency of contaminated hands with the different nosocomial pathogens, and the role of health care workers' hands during outbreaks suggest that a hand hygiene preparation should at least have activity against bacteria, yeasts, and coated viruses. The importance of efficacy in choosing the right hand hygiene product is reflected in the new Centers for Disease Control and Prevention guideline on hand hygiene (J. M. Boyce and D. Pittet, Morb. Mortal. Wkly. Rep. 51:1-45, 2002). The best antimicrobial efficacy can be achieved with ethanol (60 to 85%), isopropanol (60 to 80%), and n-propanol (60 to 80%). The activity is broad and immediate. Ethanol at high concentrations (e.g., 95%) is the most effective treatment against naked viruses, whereas n-propanol seems to be more effective against the resident bacterial flora. The combination of alcohols may have a synergistic effect. The antimicrobial efficacy of chlorhexidine (2 to 4%) and triclosan (1 to 2%) is both lower and slower. Additionally, both agents have a risk of bacterial resistance, which is higher for chlorhexidine than triclosan. Their activity is often supported by the mechanical removal of pathogens during hand washing. Taking the antimicrobial efficacy and the mechanical removal together, they are still less effective than the alcohols. Plain soap and water has the lowest efficacy of all. In the new Centers for Disease Control and Prevention guideline, promotion of alcohol-based hand rubs containing various emollients instead of irritating soaps and detergents is one strategy to reduce skin damage, dryness, and irritation. Irritant contact dermatitis is highest with preparations containing 4% chlorhexidine gluconate, less frequent with nonantimicrobial soaps and preparations containing lower concentrations of chlorhexidine gluconate, and lowest with well-formulated alcohol-based hand rubs containing emollients and other skin conditioners. Too few published data

  9. Leaching Behavior of Circulating Fluidised Bed MSWI Air Pollution Control Residue in Washing Process

    Directory of Open Access Journals (Sweden)

    Zhiliang Chen

    2016-09-01

    Full Text Available In this study, air pollution control (APC residue is conducted with water washing process to reduce its chloride content. A novel electrical conductivily (EC measurement method is proposed to monitor the dynamic change of chloride concentrations in leachate as well as the chloride content of the residue. The method equally applies to various washing processes with different washing time, liquid/solid ratio and washing frequency. The results show that washing effectively extracts chloride salts from APC residues, including those from circulating fluidized bed (CFB municipal solid waste incineration (MSWI. The most appropriate liquid/solid ratio and washing time in the first washing are found to be around 4 L water per kg of APC residue and 30 min, respectively, and washing twice is required to obtain maximum dissolution. The pH value is the major controlling factor of the heavy metals speciation in leachate, while chloride concentration also affects the speciation of Cd. Water washing causes no perceptible transfer of polychlorinated dibenzo-p-dioxins and dibenzofurans (PCDD/Fs from the APC residue to leachate. The chloride concentration is strongly related with electrical conductivity (EC, as well as with the concentrations of calcium, sodium and potassium of washing water. Their regression analyses specify that soluble chloride salts and EC could act as an indirect indicator to monitor the change of chloride concentration and remaining chloride content, thus, contributing to the selection of the optimal washing conditions.

  10. Can washing-pretreatment eliminate the health risk of municipal solid waste incineration fly ash reuse?

    Science.gov (United States)

    Wang, Yao; Pan, Yun; Zhang, Lingen; Yue, Yang; Zhou, Jizhi; Xu, Yunfeng; Qian, Guangren

    2015-01-01

    Although the reuse of washing-pretreated MSWI fly ash bas been a hot topic, the associated risk is still an issue of great concern. The present study investigated the influence of washing-pretreatment on the total contents and bioaccessibility of heavy metals in MSWI fly ash. Furthermore, the study incorporated bioaccessibility adjustment into probabilistic risk assessment, to quantify the health risk from multi-pathway exposure to the concerned chemicals as a result of reusing washed MSWI fly ash. The results revealed that both water-washing and acid-washing process have resulted in the concentrated heavy metal content, and have reduced the bioaccessibility of heavy metals. Besides, the acid-washing process increased the cancer risk in most cases, while the effect of water-washing process was uncertain. However, both water-washing and acid-washing pretreatment could decrease the hazard index based on bioaccesilbility. Despite the uncertainties accompanying these procedures, the results indicated that, in this application scenario, only water-washing or acid-washing process cannot reduce the actual risk from all samples to acceptable level, especially for cancer risk. Copyright © 2014. Published by Elsevier Inc.

  11. 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 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.

  12. 40 CFR 447.10 - Applicability; description of the oil-base solvent wash ink subcategory.

    Science.gov (United States)

    2010-07-01

    ...-base solvent wash ink subcategory. 447.10 Section 447.10 Protection of Environment ENVIRONMENTAL...-Base Solvent Wash Ink Subcategory § 447.10 Applicability; description of the oil-base solvent wash ink...-base ink where the tank washing system uses solvents. When a plant is subject to effluent limitations...

  13. Evaluation of microplastic release caused by textile washing processes of synthetic fabrics.

    Science.gov (United States)

    De Falco, Francesca; Gullo, Maria Pia; Gentile, Gennaro; Di Pace, Emilia; Cocca, Mariacristina; Gelabert, Laura; Brouta-Agnésa, Marolda; Rovira, Angels; Escudero, Rosa; Villalba, Raquel; Mossotti, Raffaella; Montarsolo, Alessio; Gavignano, Sara; Tonin, Claudio; Avella, Maurizio

    2018-05-01

    A new and more alarming source of marine contamination has been recently identified in micro and nanosized plastic fragments. Microplastics are difficult to see with the naked eye and to biodegrade in marine environment, representing a problem since they can be ingested by plankton or other marine organisms, potentially entering the food web. An important source of microplastics appears to be through sewage contaminated by synthetic fibres from washing clothes. Since this phenomenon still lacks of a comprehensive analysis, the objective of this contribution was to investigate the role of washing processes of synthetic textiles on microplastic release. In particular, an analytical protocol was set up, based on the filtration of the washing water of synthetic fabrics and on the analysis of the filters by scanning electron microscopy. The quantification of the microfibre shedding from three different synthetic fabric types, woven polyester, knitted polyester, and woven polypropylene, during washing trials simulating domestic conditions, was achieved and statistically analysed. The highest release of microplastics was recorded for the wash of woven polyester and this phenomenon was correlated to the fabric characteristics. Moreover, the extent of microfibre release from woven polyester fabrics due to different detergents, washing parameters and industrial washes was evaluated. The number of microfibres released from a typical 5 kg wash load of polyester fabrics was estimated to be over 6,000,000 depending on the type of detergent used. The usage of a softener during washes reduces the number of microfibres released of more than 35%. The amount and size of the released microfibres confirm that they could not be totally retained by wastewater treatments plants, and potentially affect the aquatic environment. Copyright © 2017 Elsevier Ltd. All rights reserved.

  14. Evaluation of different water-washing treatments effects on wheat straw combustion properties.

    Science.gov (United States)

    Ma, Qiulin; Han, Lujia; Huang, Guangqun

    2017-12-01

    A series of experiments was conducted to explore the effects of various water-washing solid-liquid ratios (1:50 and 1:10) and the stirring on wheat straw (WS) combustion properties. Comparing different solid-liquid ratio groups, a 16% increment in the higher heating value was obtained for 1:50 groups and only 5% for 1:10 groups relative to the raw material. Moreover, energy was lost 4-26 times greater in 1:10 groups than 1:50 groups. While water-washing reduced the comprehensive combustibility index by 14.89%-32.09%, the index values of washed WS were all higher than 2, indicating good combustion performance. The combustion activation energy of four washed WS were 175, 172, 186, and 176kJ/mol, which were all higher than the 160kJ/mol of WS. The fouling/slagging propensity of washed WS reduced to a lower possibility compared to medium of untreated WS. Overall, the recommended condition for washing WS before combustion is 1:50 ratio without stirring. Copyright © 2017. Published by Elsevier Ltd.

  15. Eye wash water flow direction study: an evaluation of the effectiveness of eye wash devices with opposite directional water flow

    OpenAIRE

    Fogt JS; Jones-Jordan LA; Barr JT

    2018-01-01

    Jennifer S Fogt, Lisa A Jones-Jordan, Joseph T Barr The Ohio State University College of Optometry, Columbus, OH, USA Introduction: New designs of eye wash stations have been developed in which the direction of water flow from the fountain has been reversed, with two water streams originating nasally in both eyes and flowing toward the temporal side of each eye. No study has been done to determine the ideal direction of water flow coming from the eye wash in relation to the eye. Materials ...

  16. Characterization of wastewaters from vehicle washing companies and environmental impacts

    Directory of Open Access Journals (Sweden)

    Valderi Duarte Leite

    2011-12-01

    Full Text Available The car wash business has developed rapidly in recent years due to the increased number of cars, thus, it can cause serious environmental problems considering its potential source of pollution. The aim of this study was to characterize the wastewater from car washing companies in the city of Campina Grande, in Paraiba state, and to analyze the environmental impacts generated. A survey was conducted from November 2009 to July 2010. The first step we present a survey of car wash businesses in the city, and identified 20 licensed companies in which we evaluated the number of vehicles washed per week, the existence of a system of pre-treatment of wastewater generated and infrastructure that would allow the realization of the collection of samples of the effluent, the second step was carried out chemical and physical characterization of wastewater from five 20 companies surveyed in the previous step, and third stage were measured pollution loads of wastewater from washing of vehicles in the city, from the results obtained in previous steps. The characterization parameters were analyzed: oil and grease, COD, heavy metals, TS, TSS, turbidity, TKN, total P, pH and color. The results demonstrated that the wastewater from the car wash establishments shows high concentrations of organic matter, oils and grease, heavy metals and solids, and as such did not conform with the specific environmental legislation. Evaluation of pollutant loads demonstrated that if releases without proper treatment, it can cause serious environmental problems. It is therefore essential that these establishments are properly monitored.

  17. Washing-electrokinetic Decontamination for Concrete Contaminated with Cobalt and Cesium

    International Nuclear Information System (INIS)

    Kim, Gye Nam; Yang, Byeong Il; Choi, Wang Kyu; Lee, Kune Woo; Hyeon, Jay Hyeok

    2009-01-01

    A great volume of radioactive concrete is generated during the operation and the decommissioning of nuclear facilities. The washing-electrokinetic technology in this study, which combined an electrokinetic method and a washing method, was developed to decontaminate the concrete generated in nuclear facilities. The results of only an electrokinetic decontamination for the concrete showed that cobalt was removed to below 1% from the concrete due to its high pH. Therefore, the washing electrokinetic technology was applied to lower the pH of the concrete. Namely, when the concrete was washed with 3 M of hydrochloric acid for 4 hours (0.17 day), the CaCO 3 in the concrete was decomposed into CO 2 and the pH of the concrete was reduced to 3.7, and the cobalt and cesium in the concrete were removed by up to 85.0% and 76.3% respectively. Next, when the washed concrete was decontaminated by the electrokinetic method with 0.01M of acetic acid in the 1L electrokinetic equipment for 14.83 days, the cobalt and the cesium in the concrete were both removed by up to 99.7% and 99.6% respectively. The removal efficiencies of the cobalt and cesium by 0.01M of acetic acid were increased more than those by 0.05M of acetic acid due to the increase of the concrete zeta potential. The total effluent volume generated from the washing-electrokinetic decontamination was 11.55L (7.2ml/g).

  18. 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...

  19. Fat suppression at 2D MR imaging of the hands: Dixon method versus CHESS technique and STIR sequence

    International Nuclear Information System (INIS)

    Kirchgesner, Thomas; Perlepe, Vasiliki; Michoux, Nicolas; Larbi, Ahmed; Vande Berg, Bruno

    2017-01-01

    Highlights: • Dixon yields effective fat suppression at 2D MRI of the hands. • CHESS fat suppression is less effective especially in the coronal plane. • SNR is higher with Dixon than with CHESS at T1-weighted MR imaging. • SNR is higher with CHESS than with Dixon and STIR at T2-weighted MR imaging. - Abstract: Objective: To compare the effectiveness of fat suppression and the signal-to-noise ratio (SNR) of the Dixon method with those of the CHESS (Chemical Shift-Selective) technique and STIR (Short Tau Inversion Recovery) sequence in hands of normal subjects at 2D MR imaging. Material and methods: 14 healthy volunteers (mean age of 29.4 years) consented to have both hands prospectively imaged with SE T1 Dixon, T1 CHESS, T2 Dixon, T2 CHESS and STIR sequences in a 1.5T MR scanner. Three radiologists scored the effectiveness of fat suppression in bone marrow (EFS BM ) and soft tissues (EFS ST ) in 20 joints per subject. One radiologist measured the SNR in 10 bones per subject. Statistical analysis used two-way ANOVA with random effects, paired t-test and observed agreement to assess differences in effectiveness of fat suppression, differences in SNR and inter-observer agreement. Results: EFS BM was statistically significantly higher for T1 Dixon than for T1 CHESS and for T2 Dixon than for T2 CHESS (p < 0.0001). EFS BM was significantly higher for T2 Dixon than for STIR in the coronal plane (p = 0.0020). The SNR was significantly higher for T1 Dixon than for T1 CHESS and for T2 Dixon than for STIR (p < 0.0001). The SNR was significantly lower for T2 Dixon than for T2 CHESS (p < 0.0001). Conclusion: The Dixon method yields more effective fat suppression and higher SNR than the CHESS technique at 2D T1-weighted MR imaging of the hands. At T2-weighted MR imaging, fat suppression is more effective with the Dixon method while SNR is higher with the CHESS technique.

  20. Fat suppression at 2D MR imaging of the hands: Dixon method versus CHESS technique and STIR sequence

    Energy Technology Data Exchange (ETDEWEB)

    Kirchgesner, Thomas, E-mail: Thomas.Kirchgesner@uclouvain.be; Perlepe, Vasiliki, E-mail: Vasiliki.Perlepe@uclouvain.be; Michoux, Nicolas, E-mail: Nicolas.Michoux@uclouvain.be; Larbi, Ahmed, E-mail: Ahmed.Larbi@chu-nimes.fr; Vande Berg, Bruno, E-mail: Bruno.VandeBerg@uclouvain.be

    2017-04-15

    Highlights: • Dixon yields effective fat suppression at 2D MRI of the hands. • CHESS fat suppression is less effective especially in the coronal plane. • SNR is higher with Dixon than with CHESS at T1-weighted MR imaging. • SNR is higher with CHESS than with Dixon and STIR at T2-weighted MR imaging. - Abstract: Objective: To compare the effectiveness of fat suppression and the signal-to-noise ratio (SNR) of the Dixon method with those of the CHESS (Chemical Shift-Selective) technique and STIR (Short Tau Inversion Recovery) sequence in hands of normal subjects at 2D MR imaging. Material and methods: 14 healthy volunteers (mean age of 29.4 years) consented to have both hands prospectively imaged with SE T1 Dixon, T1 CHESS, T2 Dixon, T2 CHESS and STIR sequences in a 1.5T MR scanner. Three radiologists scored the effectiveness of fat suppression in bone marrow (EFS{sup BM}) and soft tissues (EFS{sup ST}) in 20 joints per subject. One radiologist measured the SNR in 10 bones per subject. Statistical analysis used two-way ANOVA with random effects, paired t-test and observed agreement to assess differences in effectiveness of fat suppression, differences in SNR and inter-observer agreement. Results: EFS{sup BM} was statistically significantly higher for T1 Dixon than for T1 CHESS and for T2 Dixon than for T2 CHESS (p < 0.0001). EFS{sup BM} was significantly higher for T2 Dixon than for STIR in the coronal plane (p = 0.0020). The SNR was significantly higher for T1 Dixon than for T1 CHESS and for T2 Dixon than for STIR (p < 0.0001). The SNR was significantly lower for T2 Dixon than for T2 CHESS (p < 0.0001). Conclusion: The Dixon method yields more effective fat suppression and higher SNR than the CHESS technique at 2D T1-weighted MR imaging of the hands. At T2-weighted MR imaging, fat suppression is more effective with the Dixon method while SNR is higher with the CHESS technique.

  1. 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

  2. Dry washing: the solution for contaminated liquid effluent releases

    International Nuclear Information System (INIS)

    L'homme, D.; Trambouze, P.

    1998-01-01

    The release of wash water used for contaminated garments poses an ever-increasing problem on nuclear sites. Even though the radioactivity is low, it mixes with organic compounds, thus polluting a large quantity of liquid effluents. In many cases, several thousands of m 3 /year per nuclear site are produced, which at times represents more than 30% of the volume of total releases. The conventional dry cleaning process is not a viable option, given that repeated washing cause clothes to fade and the odors are rot removed completely. In order to eliminate releases, STMI has developed, after several years of research with the Technological University of Compiegne, France, a solvent dry washing process for garments used in the nuclear industry. (author)

  3. Effects of egg shell quality and washing on Salmonella Infantis penetration.

    Science.gov (United States)

    Samiullah; Chousalkar, K K; Roberts, J R; Sexton, M; May, D; Kiermeier, A

    2013-07-15

    The vast majority of eggs in Australia are washed prior to packing to remove dirt and fecal material and to reduce the microbial contamination of the egg shell. The egg contents can be an ideal growth medium for microorganisms which can result in human illness if eggs are stored improperly and eaten raw or undercooked, and it is estimated that egg-related salmonellosis is costing Australia $44 million per year. Egg shell characteristics such as shell thickness, amount of cuticle present, and thickness of individual egg shell layers can affect the ease with which bacteria can penetrate the egg shell and washing could partially or completely remove the cuticle layer. The current study was conducted to investigate the effects of egg washing on cuticle cover and effects of egg shell quality and cuticle cover on Salmonella Infantis penetration of the egg shell. A higher incidence of unfavorable ultrastructural variables of the mammillary layer such as late fusion, type B bodies, type A bodies, poor cap quality, alignment, depression, erosion and cubics were recorded in Salmonella penetrated areas of egg shells. The influence of egg washing on the ability of Salmonella Infantis on the egg shell surface to enter the egg internal contents was also investigated using culture-based agar egg penetration and real-time qPCR based experiments. The results from the current study indicate that washing affected cuticle cover. There were no significant differences in Salmonella Infantis penetration of washed or unwashed eggs. Egg shell translucency may have effects on Salmonella Infantis penetration of the egg shell. The qPCR assay was more sensitive for detection of Salmonella Infantis from egg shell wash and internal contents than traditional microbiological methods. The agar egg and whole egg inoculation experiments indicated that Salmonella Infantis penetrated the egg shells. Egg washing not only can be highly effective at removing Salmonella Infantis from the egg shell surface

  4. 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 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.

  5. Coagulation-flocculation process applied to wastewaters generated in hydrocarbon-contaminated soil washing

    International Nuclear Information System (INIS)

    Torres, L. g.; Belloc, C.; Iturbe, R.; Bandala, E.

    2009-01-01

    A wastewater produced in the contaminated soil washing was treated by means of coagulation-flocculation (CF) process. the wastewater treatment in this work continued petroleum hydrocarbons, a surfactant, i. e., sodium dodecyl sulphate (SDS) as well as salts, humic acids and other constituents that were lixiviated rom the soil during the washing process. The aim of this work was to develop a process for treating the wastewaters generated when washing hydrocarbon-contaminated soils in such a way that it could be recycled to the washing process, and at the end of the cleaning up, the waters could be disposed properly. (Author)

  6. Evaluation of washing machine load potential for smart grid integration

    NARCIS (Netherlands)

    Klaassen, E.A.M.; Kobus, C.B.A.; Huijkelom, M.; Frunt, J.; Slootweg, J.G.

    2013-01-01

    This paper presents the lessons learned from a smart wash pilot, conducted with 24 employees of distribution system operator Enexis, who were equipped with an energy computer, smart washing machine, photovoltaic panels and smart meter. The pilot goal was to gain experience and knowledge about the

  7. EBR-II Primary Tank Wash-Water Alternatives Evaluation

    International Nuclear Information System (INIS)

    Demmer, R.; Heintzelman, J.; Squires, L.; Meservey, R.

    2009-01-01

    The EBR-II reactor at Idaho National Laboratory was a liquid sodium metal cooled reactor that operated for 30 years. Approximately 1100 kg of residual sodium remained in the primary system after draining the bulk sodium. To stabilize the remaining sodium, both the primary and secondary systems were treated with a purge of moist carbon dioxide. The passivation treatment was stopped in 2005 and the primary system is maintained under a blanket of dry carbon dioxide. Approximately 670 kg of sodium metal remains in the primary system in locations that were inaccessible to passivation treatment or in pools of sodium that were too deep for complete penetration of the passivation treatment. The EBR-II reactor was permitted by the Idaho Department of Environmental Quality (DEQ) in 2002 under a RCRA permit that requires removal of all remaining sodium. The proposed baseline closure method would remove the large components from the primary tank, fill the primary system with water, react the remaining sodium with the water and dissolve the reaction products in about 100,000 gallons of wash water. On February 19-20, 2008, a workshop was held in Idaho Falls, Idaho, to evaluate alternatives that could meet the RCRA permit clean closure requirements and minimize the quantity of hazardous waste generated by the cleanup process. The workshop convened a panel of national and international sodium cleanup specialists, subject matter experts from the INL, and the EBR-II Wash Water Project team that organized the workshop. The workshop was conducted by a trained facilitator using Value Engineering techniques to elicit the most technically sound solutions from the workshop participants. A brainstorming session was held to identify possible alternative treatment methods that would meet the primary functions and criteria of neutralizing the hazards, maximizing byproduct removal and minimizing waste generation. An initial list of some 20 probable alternatives was evaluated and refined down

  8. Enteric pathogens in stored drinking water and on caregiver's hands in Tanzanian households with and without reported cases of child diarrhea.

    Directory of Open Access Journals (Sweden)

    Mia Catharine Mattioli

    Full Text Available BACKGROUND: Diarrhea is one of the leading causes of mortality in young children. Diarrheal pathogens are transmitted via the fecal-oral route, and for children the majority of this transmission is thought to occur within the home. However, very few studies have documented enteric pathogens within households of low-income countries. METHODS AND FINDINGS: The presence of molecular markers for three enteric viruses (enterovirus, adenovirus, and rotavirus, seven Escherichia coli virulence genes (ECVG, and human-specific Bacteroidales was assessed in hand rinses and household stored drinking water in Bagamoyo, Tanzania. Using a matched case-control study design, we examined the relationship between contamination of hands and water with these markers and child diarrhea. We found that the presence of ECVG in household stored water was associated with a significant decrease in the odds of a child within the home having diarrhea (OR = 0.51; 95% confidence interval 0.27-0.93. We also evaluated water management and hygiene behaviors. Recent hand contact with water or food was positively associated with detection of enteric pathogen markers on hands, as was relatively lower volumes of water reportedly used for daily hand washing. Enteropathogen markers in stored drinking water were more likely found among households in which the markers were also detected on hands, as well as in households with unimproved water supply and sanitation infrastructure. CONCLUSIONS: The prevalence of enteric pathogen genes and the human-specific Bacteroidales fecal marker in stored water and on hands suggests extensive environmental contamination within homes both with and without reported child diarrhea. Better stored water quality among households with diarrhea indicates caregivers with sick children may be more likely to ensure safe drinking water in the home. Interventions to increase the quantity of water available for hand washing, and to improve food hygiene, may

  9. Environmental Impacts Of Zirab Coal Washing Plant, Mazandaran, Iran

    Science.gov (United States)

    Moore, F.; Esmaeili, A.

    2009-04-01

    Extraction and beneficiation operations associated with coal mining increase the rate of chemical reaction of waste material to air and water media. Zirab coal washing plant is located on the bank of the Cherat stream in Mazandaran province, Iran. coal Mined from central Alborz coalfield mines is not suitable for use in Iranian Steel Corporation. Hence, coal ash content is reduced by physical and chemical processes in this plant. These processes leave a large quantity of liquid and solid wastes that accumulate in waste dump and tailing dam. sediment and water samples taken from Sheshrudbar and Cherat streams and also from Talar river show high concentration of Cd, Mo and As in water samples of coal washing plant and the associated drainage. Eh-pH diagrams revealed the chemical species of elements in water. The enrichment factor and geoaccumulation index show that Cd, Hg, Mo and V are enriched in bottom sediments of the coal washing plant and decrease with increasing distance from the plant. Sequential extraction analysis Results of three sediment samples of Cherat stream show that silicate bound is the major phase in samples taken before and after the plant, but adjacent to the plant, organic bound is dominant. The high concentration of Cd and Mo in the water soluble phase, is noticeable and may result in high mobility and bioavailability of these elements. Mann-Whitney and Wilcoxon tests on six samples, before and after the coal washing plant support the obtained results. Keywords: Zirab; coal washing plant; Sequential extraction analysis; Mann-whitney; Wilcoxon; Enrichment factor; Geoaccumulation index.

  10. Soil Chemistry Effect on Feasibility of Cr-decontamination by Acid-Washing

    OpenAIRE

    Isoyama, Masahiro; Wada, Shin-Ichiro

    2006-01-01

    Soil washing with sample acid jas been proven to be effective for removal of cationic heavy metals from contaminated soils. Since the obsorption of anitonic heavy metals is enhanced in acidic medium, the efficiency of acid-washing may not be guaranteed for soils that are doubly contaminated with cationic and anitonic heavy metals. To evaluate the efficiensy of acid-washing, nine soils are artifically contaminated with chromate and chromium was extracted with hydrochrolic acid of 0.5 mmol L[-1...

  11. European soil washing for U.S. applications

    Energy Technology Data Exchange (ETDEWEB)

    Mann, Michael J [Geraghty and Miller, Inc., Tampa, PL (United States)

    1992-07-01

    The purpose of this paper is to present the details of the introduction of a new soil treatment technology to the U.S. market. For the purposes of this presentation, I would like to introduce a concept of three tiers of contaminated soil treatment; traditional treatment technologies, alternative treatment technologies and emerging treatment technologies. Traditional treatment consists of landfilling, incineration, and stabilization. Alternative technologies consist of low-temperature thermal treatment, bioremediation, vapor extraction, and physical screening and separation to achieve volume reduction...the essence of soil washing. Emerging technologies currently include in-situ vitrification, RF processes, dechlorination, and possibly some extraction techniques. This paper focuses on the alternative soil technologies. One of the most important lessons we have learned over the past decade is that no single technology provides a broad enough capability to solve all the soil situations that we encounter - the key to feasible and cost-effective site solutions is the ability to optimize the use of reasonable alternatives in a site-specific matrix of use. The Environmental Protection Agency (EPA) has recognized this need and particularly with SARA, emphasized the importance of 'on-site' treatment technologies. This policy was initially stimulated through the development of the SITES program and most recently expanded by the formation of the Technology Innovation Office. Still, all technologies have their limitations. The limitations that are most commonly encountered are: The volume of soil is too big or too small; The contaminants species and/or concentration is not process-compatible; Organics and inorganics cannot be handled in the same treatment train; The process has little or no commercial operations experience. This document is intended to provide a description of a commercial soil-washing facility operating in Holland for the past seven years and to demonstrate

  12. 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

  13. WASH-1400: quantifying the uncertainties

    International Nuclear Information System (INIS)

    Erdmann, R.C.; Leverenz, F.L. Jr.; Lellouche, G.S.

    1981-01-01

    The purpose of this paper is to focus on the limitations of the WASH-1400 analysis in estimating the risk from light water reactors (LWRs). This assessment attempts to modify the quantification of the uncertainty in and estimate of risk as presented by the RSS (reactor safety study). 8 refs

  14. The application of the technique of imposition of hands on stress-anxiety: a systematic literature review

    Directory of Open Access Journals (Sweden)

    Pedro Mourão Roxo da Motta

    2015-07-01

    Full Text Available This article aims to analyze, according to a systematic review of the literature, the use and effect of techniques of imposition of hands: Reiki, Therapeutic Touch, and Healing Touch on stress-anxiety. Searches were performed in PubMed/Medline, Lilacs, Web of Science, Embase and Ebsco databases in October 2013; 24 articles were selected and analyzed according to the following issues: methodology, object of study, impact factors of journals, countries where the studies were developed, year of publication, and results. The literature shows predominance of quantitative methodology, 21 of the 24 studies; use of techniques of imposition of hands in patients with symptoms of stress-anxiety in cancer treatment, 8 of the 24 studies; predominance of publications in North America, 19 of the 24 studies, 14 in the U.S.; very new field of research, with the publication of the first indexed article in 1999; publication in journals with low or no impact factor, only 8 of the 24 articles were published in periodicals listed in the Journal Citation Reports; and predominance of statistically significant articles, 18 of 24 studies. Although most studies have shown positive results, the data are insufficient and further studies are needed to develop the relationship of the use of Reiki, Therapeutic Touch, and Healing Touch for the treatment of stress-anxiety

  15. Washing of Cloth Contaminated with Radionuclides Using a Detergent-free Laundry System

    Energy Technology Data Exchange (ETDEWEB)

    Yim, Sung Paal

    2005-07-01

    In this study, a new laundry system to wash clothes without using detergent (detergent-free) was applied to wash clothes contaminated with radionuclides at the RWTF of KAERI. If the clothes contaminated with radionuclides and soil decontaminated and cleaned by washing without using detergent, the problem caused by the detergent could be solved naturally. The experiment was performed in two stages. In the first stage, washability of the processed water from the detergent=free laundry system was investigated with regard to its decontamination efficiency for the radionuclides and the detergency for the soil by using the test cloth specimens. In the second stage, real working clothes contaminated with radionuclides from the RWTF were washed by using a laundry machine equipped with a detergent-free system. Decontamination and detergency of the clothes were estimated after washing and the wastewater was also analyzed for its properties.

  16. Hand Hygiene With Alcohol-Based Hand Rub: How Long Is Long Enough?

    Science.gov (United States)

    Pires, Daniela; Soule, Hervé; Bellissimo-Rodrigues, Fernando; Gayet-Ageron, Angèle; Pittet, Didier

    2017-05-01

    BACKGROUND Hand hygiene is the core element of infection prevention and control. The optimal hand-hygiene gesture, however, remains poorly defined. OBJECTIVE We aimed to evaluate the influence of hand-rubbing duration on the reduction of bacterial counts on the hands of healthcare personnel (HCP). METHODS We performed an experimental study based on the European Norm 1500. Hand rubbing was performed for 10, 15, 20, 30, 45, or 60 seconds, according to the WHO technique using 3 mL alcohol-based hand rub. Hand contamination with E. coli ATCC 10536 was followed by hand rubbing and sampling. A generalized linear mixed model with a random effect on the subject adjusted for hand size and gender was used to analyze the reduction in bacterial counts after each hand-rubbing action. In addition, hand-rubbing durations of 15 and 30 seconds were compared to assert non-inferiority (0.6 log10). RESULTS In total, 32 HCP performed 123 trials. All durations of hand rubbing led to significant reductions in bacterial counts (Phand rubbing were not significantly different from those obtained after 30 seconds. The mean bacterial reduction after 15 seconds of hand rubbing was 0.11 log10 lower (95% CI, -0.46 to 0.24) than after 30 seconds, demonstrating non-inferiority. CONCLUSIONS Hand rubbing for 15 seconds was not inferior to 30 seconds in reducing bacterial counts on hands under the described experimental conditions. There was no gain in reducing bacterial counts from hand rubbing longer than 30 seconds. Further studies are needed to assess the clinical significance of our findings. Infect Control Hosp Epidemiol 2017;38:547-552.

  17. 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.

    Science.gov (United States)

    Ibler, Kristina Sophie; Agner, Tove; Hansen, Jane Lindschou; Gluud, Christian

    2010-08-31

    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. 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. The trial is registered in ClinicalTrials.Gov, NCT01012453.

  18. Soil washing results for mixed waste pond soils at Hanford

    International Nuclear Information System (INIS)

    Gerber, M.A.; Freeman, H.D.; Baker, E.G.; Riemath, W.F.

    1991-01-01

    Soil washing technology was assessed as a means for remediating soil contaminated with mixed wastes primarily composed of heavy metals and radionuclides. The soils at the US Department of Energy's Hanford Site are considered suitable for soil washing because of their relatively low quantities of silt and clay. However, in a limited number of soil washing experiments using soils from different locations in the north pond of the 300 Area, the degree of decontamination achieved for the coarse fraction of the soil varied considerably. Part of this variation appears to be due to the presence of a discrete layer of contaminated sediment found in some of the samples

  19. Prestart-up hydrogen peroxide solution washing of NPP unit with the RBMK-type reactor

    International Nuclear Information System (INIS)

    Gruzdev, N.I.; Man'kina, N.N.; Al'tshuller, M.A.

    1979-01-01

    Presented are the results of industrial hydrogen peroxide solution washing of condensating-feed system conducted on the second unit of the Kursk NPP. Duration of the washing constituted 8 hours. The hydrogen peroxide concentration during first 4 hours was 10-20 mg/kg at a flow rate of 260 m 2 /h, during the following 4 hours it constituted 2-5 mg/kg at a flow rate of 1000 m 3 /h. It is found out that prestart-up hydrogen peroxide washing of NPP power units with the RBMK-type reactor permits: to simplify essentially the technology and scheme of washing process; to reduce a flow rate of desalt washing water; to except environmental contamination with washing solutions and reagents being neutralized; to reduce the time of washing process; to reduce the time necessary for the achievement of reference water condition factors, and to increase the unit reliability and to improve a radiation situation

  20. Evaluation of Resuspension from Propeller Wash in DoD Harbors

    Science.gov (United States)

    2016-05-01

    in ERDC’s Prop-Wash Tank Resuspension by propeller wash from tugboat: in-situ field data: near-bed velocity field, shear stress, critical shear...samples of sediment and water were collected prior to any resuspension event. A C14 Tractor and a slightly smaller Tiger tug boats were used in San

  1. MRI of the wrist and hand

    International Nuclear Information System (INIS)

    Reicher, M.A.; Kellerhouse, L.E.

    1990-01-01

    Magnetic resonance imaging (MRI) is becoming the preferred technique for evaluating a wide range of wrist and hand disorders and has a crucial role in planning arthroscopic and nonarthroscopic wrist surgery. This book details the capabilities of MRI for detecting wrist, hand, and finger pathology; provides a complete understanding of examination techniques, imaging protocols, and anatomy; and contains nearly 400 clear, sharp scans and numerous line drawings showing examination techniques, anatomic structures, and pathologic findings. After an introductory review of MR physics, the book describes state- of-the-art MRI techniques and explains the rationale for selecting imaging protocols. A complete MRI examination of a normal wrist is presented, along with a multiplanar atlas of cross-sectional wrist anatomy

  2. Effect of egg washing on the cuticle quality of brown and white table eggs.

    Science.gov (United States)

    Leleu, S; Messens, W; De Reu, K; De Preter, S; Herman, L; Heyndrickx, M; De Baerdemaeker, J; Michiels, C W; Bain, M

    2011-10-01

    Egg washing is currently not permitted within the European Union, with few exceptions. This is mainly because there are concerns that cuticle damage could occur during or after the washing process, as a result of a suboptimal operation. In this study, the cuticle coverage levels of 400 washed or unwashed eggs, derived from either a brown or a white egg-laying flock at the end of lay, were compared. The eggs from older hens inherently have poorer cuticle coverage and as a result arguably constitute a greater risk to consumer safety if they are then washed. Thus, the effects of the washing procedure used in this study on cuticle quality were tested under the worst-case scenario. A standard Swedish egg washing process was used. The cuticle coverage of the eggs was assessed by a colorimeter by quantifying the color difference before and after staining with Tartrazine and Green S. The cuticle of an additional 30 eggs from each of the four groups was then visually assessed by scanning electron microscopy. The staining characteristics of the cuticle varied greatly within each group of eggs and showed that the washing process did not lead to cuticle damage. Scanning electron microscopy confirmed that there was no irreversible damage to the cuticle of the washed eggs and that it was not possible to correctly assign the treatment (washed or not) based on a visual assessment. In conclusion, no evidence could be found to suggest that the washing procedure used in this investigation irreversibly changed the quality of the cuticle.

  3. Multivariate Statistical Analysis of Water Chemistry in Evaluating the Origin of Contamination in Many Devils Wash, Shiprock, New Mexico

    International Nuclear Information System (INIS)

    2012-01-01

    This report evaluates the chemistry of seep water occurring in three desert drainages near Shiprock, New Mexico: Many Devils Wash, Salt Creek Wash, and Eagle Nest Arroyo. Through the use of geochemical plotting tools and multivariate statistical analysis techniques, analytical results of samples collected from the three drainages are compared with the groundwater chemistry at a former uranium mill in the Shiprock area (the Shiprock site), managed by the U.S. Department of Energy Office of Legacy Management. The objective of this study was to determine, based on the water chemistry of the samples, if statistically significant patterns or groupings are apparent between the sample populations and, if so, whether there are any reasonable explanations for those groupings.

  4. Multivariate Statistical Analysis of Water Chemistry in Evaluating the Origin of Contamination in Many Devils Wash, Shiprock, New Mexico

    Energy Technology Data Exchange (ETDEWEB)

    None, None

    2012-12-31

    This report evaluates the chemistry of seep water occurring in three desert drainages near Shiprock, New Mexico: Many Devils Wash, Salt Creek Wash, and Eagle Nest Arroyo. Through the use of geochemical plotting tools and multivariate statistical analysis techniques, analytical results of samples collected from the three drainages are compared with the groundwater chemistry at a former uranium mill in the Shiprock area (the Shiprock site), managed by the U.S. Department of Energy Office of Legacy Management. The objective of this study was to determine, based on the water chemistry of the samples, if statistically significant patterns or groupings are apparent between the sample populations and, if so, whether there are any reasonable explanations for those groupings.

  5. Decontamination of electronic waste-polluted soil by ultrasound-assisted soil washing.

    Science.gov (United States)

    Chen, Fu; Yang, Baodan; Ma, Jing; Qu, Junfeng; Liu, Gangjun

    2016-10-01

    Laboratorial scale experiments were performed to evaluate the efficacy of a washing process using the combination of methyl-β-cyclodextrin (MCD) and tea saponin (TS) for simultaneous desorption of hydrophobic organic contaminants (HOCs) and heavy metals from an electronic waste (e-waste) site. Ultrasonically aided mixing of the field contaminated soil with a combination of MCD and TS solutions simultaneously mobilizes most of polybrominated diphenyl ethers (PBDEs), polychlorinated biphenyls (PCBs), polycyclic aromatic hydrocarbons (PAHs), and the analyte metal (Pb, Cu, and Ni) burdens. It is found that 15 g/L MCD and 10 g/L TS is an efficient reagent combination reconciling extraction performance and reagent costs. Under these conditions, the removal efficiencies of HOCs and heavy metals are 93.5 and 91.2 %, respectively, after 2 cycles of 60-min ultrasound-assisted washing cycles. By contrast, 86.3 % of HOCs and 88.4 % of metals are removed from the soil in the absence of ultrasound after 3 cycles of 120-min washing. The ultrasound-assisted soil washing could generate high removal efficiency and decrease the operating time significantly. Finally, the feasibility of regenerating and reusing the spent washing solution in extracting pollutants from the soil is also demonstrated. By application of this integrated technology, it is possible to recycle the washing solution for a purpose to reduce the consumption of surfactant solutions. Collectively, it has provided an effective and economic treatment of e-waste-polluted soil.

  6. The Development of Treatment Process Technology for Uranium Soil washing Leachate

    Energy Technology Data Exchange (ETDEWEB)

    Shon, Dong Bin; Kim, Gye Nam; Park, Hye Min; Kim, Ki Hong; Lee, Ki Won; Moon, Jeik won [Korea Atomic Energy Research Institute, Daejeon (Korea, Republic of)

    2011-05-15

    Electrokinetic treatment technology is a good method for removing radioactive substances such as U, Co, Cs: but it has a weakness. It takes a long time to get high removal efficiency. The Soil washing method compensates for this weak point with its short reaction time and with this method it is possible to remove a lot of uranium-contaminated soil. But a great deal of leachate is generated. That is, about more amounts of leachate are generated for the decontamination of the same volume of radioactive soil using the electrokinetic equipment. Therefore, the development of a treatment process for The Soil washing leachate is important so that there is a reduction of leachate waste volume and a choice of process. Previously, studies for liquid radioactive waste were in process at various nuclear facilities. Nuclear fuel plant survey appropriate cohesion quantity of liquid waste of radioactive. Nuclear power plants manage liquid radioactive waste with centrifugation equipment. In this study, the treatment technology for uranium Soil washing leachate generated on Soil washing decontamination for the soil contaminated with uranium was developed. A treatment process suitable to the contamination characteristics of Soil washing leachate was proposed

  7. Assessment of spatiotemporal variations in the fluvial wash-load component in the 21st century with regard to GCM climate change scenarios

    International Nuclear Information System (INIS)

    Mouri, Goro

    2015-01-01

    For stream water, in which a relationship exists between wash-load concentration and discharge, an estimate of fine-sediment delivery may be obtained from a traditional fluvial wash-load rating curve. Here, we demonstrate that the remaining wash-load material load can be estimated from a traditional empirical principle on a nationwide scale. The traditional technique was applied to stream water for the whole of Japan. Four typical GCMs were selected from the Coupled Model Intercomparison Project Phase 5 (CMIP5) ensemble to provide the driving fields for the following regional climate models to assess the wash-load component based on rating curves: the Model for Interdisciplinary Research on Climate (MIROC), the Meteorological Research Institute Atmospheric General Circulation Model (MRI-GCM), the Hadley Centre Global Environment Model (HadGEM) and the Geophysical Fluid Dynamics Laboratory (GFDL) climate model. The simulations consisted of an ensemble, including multiple physics configurations and different Representative Concentration Pathways (RCP2.6, RCP4.5 and RCP8.5), which was used to produce monthly datasets for the whole country of Japan. The impacts of future climate changes on fluvial wash load in Japanese stream water were based on the balance of changes in hydrological factors. The annual and seasonal variations of the fluvial wash load were assessed from the result of the ensemble analysis in consideration of the Greenhouse Gas (GHG) emission scenarios. The determined results for the amount of wash load increase range from approximately 20 to 110% in the 2040s, especially along part of the Pacific Ocean and the Sea of Japan regions. In the 2090s, the amount of wash load is projected to increase by more than 50% over the whole of Japan. The assessment indicates that seasonal variation is particularly important because the rainy and typhoon seasons, which include extreme events, are the dominant seasons. Because fluvial wash-load-component turbidity

  8. Assessment of spatiotemporal variations in the fluvial wash-load component in the 21st century with regard to GCM climate change scenarios

    Energy Technology Data Exchange (ETDEWEB)

    Mouri, Goro, E-mail: mouri@rainbow.iis.u-tokyo.ac.jp

    2015-11-15

    For stream water, in which a relationship exists between wash-load concentration and discharge, an estimate of fine-sediment delivery may be obtained from a traditional fluvial wash-load rating curve. Here, we demonstrate that the remaining wash-load material load can be estimated from a traditional empirical principle on a nationwide scale. The traditional technique was applied to stream water for the whole of Japan. Four typical GCMs were selected from the Coupled Model Intercomparison Project Phase 5 (CMIP5) ensemble to provide the driving fields for the following regional climate models to assess the wash-load component based on rating curves: the Model for Interdisciplinary Research on Climate (MIROC), the Meteorological Research Institute Atmospheric General Circulation Model (MRI-GCM), the Hadley Centre Global Environment Model (HadGEM) and the Geophysical Fluid Dynamics Laboratory (GFDL) climate model. The simulations consisted of an ensemble, including multiple physics configurations and different Representative Concentration Pathways (RCP2.6, RCP4.5 and RCP8.5), which was used to produce monthly datasets for the whole country of Japan. The impacts of future climate changes on fluvial wash load in Japanese stream water were based on the balance of changes in hydrological factors. The annual and seasonal variations of the fluvial wash load were assessed from the result of the ensemble analysis in consideration of the Greenhouse Gas (GHG) emission scenarios. The determined results for the amount of wash load increase range from approximately 20 to 110% in the 2040s, especially along part of the Pacific Ocean and the Sea of Japan regions. In the 2090s, the amount of wash load is projected to increase by more than 50% over the whole of Japan. The assessment indicates that seasonal variation is particularly important because the rainy and typhoon seasons, which include extreme events, are the dominant seasons. Because fluvial wash-load-component turbidity

  9. 100 Area soil washing bench-scale test procedures

    International Nuclear Information System (INIS)

    Freeman, H.D.; Gerber, M.A.; Mattigod, S.V.; Serne, R.J.

    1993-03-01

    This document describes methodologies and procedures for conducting soil washing treatability tests in accordance with the 100 Area Soil Washing Treatability Test Plan (DOE-RL 1992, Draft A). The objective of this treatability study is to evaluate the use of physical separation systems and chemical extraction methods as a means of separating chemically and radioactively contaminated soil fractions from uncontaminated soil fractions. These data will be primarily used for determining feasibility of the individual unit operations and defining the requirements for a system, or systems, for pilot-scale testing

  10. Techniques for small-bone lengthening in congenital anomalies of the hand and foot.

    Science.gov (United States)

    Minguella, J; Cabrera, M; Escolá, J

    2001-10-01

    The purpose of this study is to analyse three different lengthening techniques used in 31 small bones for congenital malformations of the hand and foot: 15 metacarpals, 12 metatarsals, 1 foot stump and 3 spaces between a previously transplanted phalanx end of the carpus or the metacarpal. Progressive lengthening with an external fixator device was performed in 23 cases: the callus distraction (callotasis) technique was used in 15 cases, whereas in the other 8 cases the speed of lengthening was faster and the defect bridged with a bone graft as a second stage. In another eight cases, a one-stage lengthening was performed. In the callotasis group, the total length gained ranged from 9 mm to 30 mm and the percentage of lengthening obtained (compared with the initial bone length) averaged 53.4%; in the fast lengthening group, the length gained ranged from 8 mm to 15 mm, and the average percentage of lengthening was 53.1%; and in the one-stage group, the length gained ranged from 7 mm to 15 mm, and the average percentage of lengthening was 43%. The overall complication rate was 22.5%.

  11. Combination of surfactant enhanced soil washing and electro-Fenton process for the treatment of soils contaminated by petroleum hydrocarbons.

    Science.gov (United States)

    Huguenot, David; Mousset, Emmanuel; van Hullebusch, Eric D; Oturan, Mehmet A

    2015-04-15

    In order to improve the efficiency of soil washing treatment of hydrocarbon contaminated soils, an innovative combination of this soil treatment technique with an electrochemical advanced oxidation process (i.e. electro-Fenton (EF)) has been proposed. An ex situ soil column washing experiment was performed on a genuinely diesel-contaminated soil. The washing solution was enriched with surfactant Tween 80 at different concentrations, higher than the critical micellar concentration (CMC). The impact of soil washing was evaluated on the hydrocarbons concentration in the leachates collected at the bottom of the soil columns. These eluates were then studied for their degradation potential by EF treatment. Results showed that a concentration of 5% of Tween 80 was required to enhance hydrocarbons extraction from the soil. Even with this Tween 80 concentration, the efficiency of the treatment remained very low (only 1% after 24 h of washing). Electrochemical treatments performed thereafter with EF on the collected eluates revealed that the quasi-complete mineralization (>99.5%) of the hydrocarbons was achieved within 32 h according to a linear kinetic trend. Toxicity was higher than in the initial solution and reached 95% of inhibition of Vibrio fischeri bacteria measured by Microtox method, demonstrating the presence of remaining toxic compounds even after the complete degradation. Finally, the biodegradability (BOD₅/COD ratio) reached a maximum of 20% after 20 h of EF treatment, which is not enough to implement a combined treatment with a biological treatment process. Copyright © 2015 Elsevier Ltd. All rights reserved.

  12. Centrifugation-free washing: A novel approach for removing immunoglobulin A from stored red blood cells.

    Science.gov (United States)

    Vörös, Eszter; Piety, Nathaniel Z; Strachan, Briony C; Lu, Madeleine; Shevkoplyas, Sergey S

    2018-08-01

    Washed red blood cells (RBCs) are indicated for immunoglobulin A (IgA) deficient recipients. Centrifugation-based cell processors commonly used by hospital blood banks cannot consistently reduce IgA below the recommended levels, hence double washing is frequently required. Here, we describe a prototype of a simple, portable, disposable system capable of washing stored RBCs without centrifugation, while reducing IgA below 0.05 mg/dL in a single run. Samples from RBC units (n = 8, leukoreduced, 4-6 weeks storage duration) were diluted with normal saline to a hematocrit of 10%, and then washed using either the prototype washing system, or via conventional centrifugation. The efficiency of the two washing methods was quantified and compared by measuring several key in vitro quality metrics. The prototype of the washing system was able to process stored RBCs at a rate of 300 mL/hour, producing a suspension of washed RBCs with 43 ± 3% hematocrit and 86 ± 7% cell recovery. Overall, the two washing methods performed similarly for most measured parameters, lowering the concentration of free hemoglobin by >4-fold and total free protein by >10-fold. Importantly, the new washing system reduced the IgA level to 0.02 ± 0.01 mg/mL, a concentration 5-fold lower than that produced by conventional centrifugation. This proof-of-concept study showed that centrifugation may be unnecessary for washing stored RBCs. A simple, disposable, centrifugation-free washing system could be particularly useful in smaller medical facilities and resource limited settings that may lack access to centrifugation-based cell processors. © 2017 Wiley Periodicals, Inc.

  13. Design of full scale debris washing system

    International Nuclear Information System (INIS)

    Taylor, M.L.; Dosani, M.A.; Wentz, J.A.; Patkar, A.N.; Barkley, N.P.

    1992-01-01

    Since 1987, IT Environmental Programs Inc. (ITEP, a subsidiary of International Technology Corporation) in conjunction with EPA/RREL in Cincinnati, Ohio, have been developing and conducting bench scale and pilot scale testing of a transportable debris washing system which can be used on-site for the decontamination of debris. During the initial phase of the debris decontamination project, a series of bench scale tests were performed in the laboratory to assess the ability of the system to remove contaminants from debris and to facilitate selection of the most efficient surfactant solution. Five nonionic, non-toxic, low foaming, surfactant solution (BG-5, MC-2000, LF-330, BB-100, and L-433) were selected for an experimental evaluation to determine their capacity to solubilize and remove contaminants from the surfaces of corroded steel places. The pieces of corroded steel were coated with a heavy grease mixture prepared in the laboratory and these pieces of debris were placed in a bench scale spray tank on a metal tray and subjected in a high-pressure spray for each surfactant solution for 15 minutes. At the end of the spray cycle, The tray was transferred to a second bench scale system, a high-turbulence wash tank, where the debris was washed for 30 minutes with the same surfactant solution as the used in the spray tank. After the was cycle was completed, the tray was removed from the wash tank and the debris was allowed to air-dry. Before and after treatment, surface-wipe samples were obtained from each of the six pieces of debris and were analyzed for oil and graese. Based on the results, BG-5 was selected as the solution best suited for cleaning grease-laden, metallic debris. 2 refs

  14. Understanding road surface pollutant wash-off and underlying physical processes using simulated rainfall.

    Science.gov (United States)

    Egodawatta, Prasanna; Goonetilleke, Ashantha

    2008-01-01

    Pollutant wash-off is one of the key pollutant processes that detailed knowledge is required in order to develop successful treatment design strategies for urban stormwater. Unfortunately, current knowledge relating to pollutant wash-off is limited. This paper presents the outcomes of a detailed investigation into pollutant wash-off on residential road surfaces. The investigations consisted of research methodologies formulated to overcome the physical constraints due to the heterogeneity of urban paved surfaces and the dependency on naturally occurring rainfall. This entailed the use of small road surface plots and artificially simulated rainfall. Road surfaces were selected due to its critical importance as an urban stormwater pollutant source. The study results showed that the influence of initially available pollutants on the wash-off process was limited. Furthermore, pollutant wash-off from road surfaces can be replicated using an exponential equation. However, the typical version of the exponential wash-off equation needs to be modified by introducing a non dimensional factor referred to as 'capacity factor' CF. Three rainfall intensity ranges were identified where the variation of CF can be defined. Furthermore, it was found that particulate density rather than size is the critical parameter that influences the process of pollutant wash-off. (c) IWA Publishing 2008.

  15. An overview of the Department of Energy's soil washing workshop

    International Nuclear Information System (INIS)

    1991-09-01

    The Soil Washing Workshop was convened in Las Vegas, Nevada, on August 28--29, 1990 at the request of C.W. Frank, Associate Director, Office of Technology Development, US Department of Energy (DOE). The purpose of the workshop was to determine the status of existing soil washing technologies and their applicability to specific soil contamination problems at DOE sites and at Superfund sites of the US Environmental Protection Agency (EPA). From the workshop deliberations, a course of action would be recommended in developing soil washing technologies. Presentations were given describing the soil contamination problems at various DOE sites. The factors addressed for each site included: type of contamination (organic, heavy metals, radionuclides, etc.), sources of contamination (leaking tanks, ponds, soil columns, pipes, etc.), types of soils that are contaminated, magnitude of the problem, current site activities (remediation), other considerations that impact the use of soil washing technology (e.g., environmental, site policies, etc.), and regulations and standards the sites are required to meet. Major findings and presentations of the workshop are presented

  16. Comparison of Standard Culture-Based Method to Culture-Independent Method for Evaluation of Hygiene Effects on the Hand Microbiome

    Science.gov (United States)

    Leff, J.; Henley, J.; Tittl, J.; De Nardo, E.; Butler, M.; Griggs, R.; Fierer, N.

    2017-01-01

    ABSTRACT Hands play a critical role in the transmission of microbiota on one’s own body, between individuals, and on environmental surfaces. Effectively measuring the composition of the hand microbiome is important to hand hygiene science, which has implications for human health. Hand hygiene products are evaluated using standard culture-based methods, but standard test methods for culture-independent microbiome characterization are lacking. We sampled the hands of 50 participants using swab-based and glove-based methods prior to and following four hand hygiene treatments (using a nonantimicrobial hand wash, alcohol-based hand sanitizer [ABHS], a 70% ethanol solution, or tap water). We compared results among culture plate counts, 16S rRNA gene sequencing of DNA extracted directly from hands, and sequencing of DNA extracted from culture plates. Glove-based sampling yielded higher numbers of unique operational taxonomic units (OTUs) but had less diversity in bacterial community composition than swab-based sampling. We detected treatment-induced changes in diversity only by using swab-based samples (P hand hygiene industry methods and for future hand microbiome studies. On the basis of our results and previously published studies, we propose recommendations for best practices in hand microbiome research. PMID:28351915

  17. Assessment of the environmental microbiological cross contamination following hand drying with paper hand towels or an air blade dryer.

    Science.gov (United States)

    Margas, E; Maguire, E; Berland, C R; Welander, F; Holah, J T

    2013-08-01

    This study compared the potential for cross contamination of the surrounding environment resulting from two different hand-drying methods: paper towels and the use of an air blade dryer. One hundred volunteers for each method washed their hands and dried them using one of the two methods. Bacterial contamination of the surrounding environment was measured using settle plates placed on the floor in a grid pattern, air sampling and surface swabs. Both drying methods produced ballistic droplets in the immediate vicinity of the hand-drying process. The air blade dryer produced a larger number of droplets which were dispersed over a larger area. Settle plates showed increased microbial contamination in the grid squares which were affected by ballistic droplets. Using the settle plates counts, it was estimated that approx. 1.7 × 10(5) cfu more micro-organisms were left on the laboratory floor (total area approx. 17.15 m(2)) after 100 volunteers used an air blade dryer compared to when paper towels were used. The two drying methods led to different patterns of ballistic droplets and levels of microbial contamination under heavy use conditions. Whilst the increase in microbial levels in the environment is not significant if only nonpathogenic micro-organisms are spread, it may increase the risk of pathogen contamination of the environment when pathogens are occasionally present on people's hands. The study suggests that the risk of cross contamination from the washroom users to the environment and subsequent users should be considered when choosing a hand-drying method. The data could potentially give guidance following the selection of drying methods on implementing measures to minimise the risk of cross contamination. © 2013 The Society for Applied Microbiology.

  18. Soil washing results for mixed waste pond soils at Hanford

    International Nuclear Information System (INIS)

    Gerber, M.A.

    1991-09-01

    Soil washing technology was assessed as a means for remediating soil contaminated with mixed wastes primarily composed of heavy metals and radionuclides. The soils at the US Department of Energy's Hanford Site are considered suitable for soil washing because of their relatively low quantities of silt and clay. However, in a limited number of soil washing experiments using soils from different locations in the north pond of the 300 Area, the degree of decontamination achieved for the coarse fraction of the soil varied considerably. Part of this variation appears to be due to the presence of a discrete layer of contaminated sediment found in some of the samples. 7 refs., 2 figs., 4 tabs

  19. Hand-Geometry Recognition Based on Contour Parameters

    NARCIS (Netherlands)

    Veldhuis, Raymond N.J.; Bazen, A.M.; Booij, W.D.T.; Hendrikse, A.J.; Jain, A.K.; Ratha, N.K.

    This paper demonstrates the feasibility of a new method of hand-geometry recognition based on parameters derived from the contour of the hand. The contour is completely determined by the black-and-white image of the hand and can be derived from it by means of simple image-processing techniques. It

  20. Possibilities of soil washing for decontamination at Belgoprocess

    Energy Technology Data Exchange (ETDEWEB)

    Aerts, Wouter [Belgoprocess, Dessel, Antwerp (Belgium); De Bruecker, Thomas; Lytek, Anna [DEC - DEME Environmental Contractor, Zwijndrecht, Antwerp (Belgium)

    2013-07-01

    Contaminated soils form a large part of the nuclear waste arising from decommissioning activities. The storage and disposal of these large volumes of waste is costly. For this reason techniques which can decontaminate this waste stream to free release levels are economically very interesting. A feasibility study of the possibilities of soil washing to decontaminate such soils was ordered by NIRAS/ONDRAF and performed at Belgoprocess in collaboration with DEC. Initial contamination level and particle size distributions of contaminated soils from three different sources were determined. The main isotopes detected with gamma spectrometry contained in the waste were {sup 241}Am, {sup 137}Cs, {sup 226}Ra, {sup 60}Co and {sup 232}Th. The particle size distribution revealed that more than half of the mass of the quartz sand that makes up the soil has a particle size between 125 and 212 μm. This fraction is less contaminated than the fractions containing smaller particles. However, separation of the fines fraction (< 125 μm) was not enough to achieve the free release limit. Soil attrition was tested as an extra decontamination step for the sand fraction. The removal efficiencies for the different radionuclides contained in the soil were measured. The process conditions were optimized to achieve maximum removal and a treatment method for the secondary waste coming from this process step was determined. The soil washing process was not only performed with water but also with nitric acid to assess the possibilities of a combination of a mechanical and a chemical decontamination process. Reduction efficiencies of 60-80% for the most relevant radionuclides were recorded. (authors)

  1. Membrane processes for the reuse of car washing wastewater

    OpenAIRE

    Deniz Uçar

    2018-01-01

    This study investigates alternative treatments of car wash effluents. The car wash wastewater was treated by settling, filtration, and membrane filtration processes. During settling, total solid concentration decreased rapidly within the first 2 hours and then remained constant. Chemical oxygen demand (COD) and conductivity were decreased by 10% and 4%, respectively. After settling, wastewater was filtered throughout a 100 μm filter. It was found that filtration had a negligible effect on COD...

  2. Treatment of hand ischemia following angioaccess surgery using the distal revascularization interval-ligation technique with preservation of vascular access: description of an 18-case series.

    Science.gov (United States)

    Sessa, Carmine; Riehl, Gregory; Porcu, Paolo; Pichot, Olivier; Palacin, Pedro; Maghlaoua, Mohamed; Magne, Jean-Luc

    2004-11-01

    Hand ischemia is a rare complication of angioaccess surgery for hemodialysis. Management usually requires ligation of the arteriovenous fistula (AVF). The purpose of this report is to describe our experience with the use of the distal revascularization interval-ligation (DRIL) technique for treatment of ischemia without ligation of the AVF. From January 1999 to September 2002, the DRIL technique was used to treat 18 patients (10 men, 8 women, 10 diabetic patients) with severe paresthesia of the hand (n = 9) and finger necrosis (n = 10). The AVF was located at the elbow in 16 patients and at the wrist in 2 patients. Mean flow distal to the AVF was less than 10 mL in 5 patients, less than 5 mL in 10, and unmeasurable in 3. The conduit used for all DRIL arterial bypasses, including 15 brachiobrachial bypasses, 1 axillobrachial bypass, 1 brachioradial bypass, and 1 radioradial bypass, was the great saphenous vein graft. Trophic manifestations required finger amputation in five patients, pulpar necrosis resection in four, and transmetacarpal amputation of the index finger in one patient. Symptoms disappeared in 13 patients (73%) and improved in 5 (27%). The time required for healing of finger amputations and trophic manifestations ranged from 15 days to 2 months. Mean arterial flow through the DRIL bypass was 50 mL/min (range, 20-90 mL/min). With a mean follow-up interval of 16 months (range, 5-48 months), primary patency of the DRIL artery bypass and AVF was 94% and the limb salvage rate was 100%. The DRIL technique is the most effective procedure for treatment of angioaccess-induced hand ischemia. This technique can be used to achieve persistent relief of symptoms with continued access patency. The DRIL artery bypass improves vacularization of the hand, and ligature of the artery stops the vascular steal without affecting hemodialysis access. The DRIL technique should be proposed as first-line treatment for hand ischemia due to AVF for hemodialysis.

  3. The integration of innovative technologies into a physical-separation-based soil washing system

    International Nuclear Information System (INIS)

    Krstich, M.A.

    1995-01-01

    An innovative system's approach to the treatment of soils at the Fernald Environmental Management Project (FEMP) has been proposed to effectively and cost competitively treat a significant mass of soil. The use of an integrated soil treatment system to decontaminate FEMP soils is a unique application of the soil washing technology. Due to the unfavorable soil particle size distribution and the ubiquitous distribution of uranium among these particle size fractions, conventional soil washing processes commonly used on predominantly sandy soils alone may not achieve the desirable waste minimization level without the inclusion of innovative technologies. This objective of this paper is to briefly describe the physical separation and chemical extraction process commonly used in soil washing operation and to present the baseline soil washing approach used on FEMP soils. Noting the successful and not-so-successful processes within the soil washing operation at the FEMP, a proposed innovative system's approach to treating FEMP soils will be described. This system's approach will integrate a conventional soil washing operation with proposed innovative technologies

  4. Road surface washing system for decontaminating radioactive substances. Experiment of radioactive decontamination

    International Nuclear Information System (INIS)

    Endo, Mitsuru; Endo, Mai; Kakizaki, Takao

    2015-01-01

    The Great East Japan Earthquake that occurred on March 11, 2011 resulted in the explosion of the TEPCO Fukushima 1st Nuclear Power Plant and the global dispersion of a large quantity of radioactive substances. A high radiation dose was particularly recorded in Fukushima prefecture several weeks after the accident, although the level is presently sufficiently low. However, considering that the adverse effects of low but extended exposure to radiation are yet to be negated, there is the urgent need for further decontamination. In our study, we focused on the efficient decontamination of radioactive substances in residential areas, for which we propose a high-pressure water jet system for washing road surfaces. The system differs from conventional systems of its type that were initially designed for use in the immediate environment of the nuclear reactors of the TEPCO Fukushima 1st Nuclear Power Plant. The proposed system consists of multiple washing, transporter, and server robots. The washing robots decontaminate the road surface using high-pressure water jets and are transported between washed and unwashed areas by the transporter robots. The server robots supply the water used for washing and absorb the polluted water together with ground dust. In this paper, we describe the concept of the system and present the results of decontamination experiments. Particular attention is given to the washing robot and its mechanism and control method. The results of the integration of the washing robot in an experimental system confirmed the feasibility of the proposed system. (author)

  5. Assessment of spatiotemporal variations in the fluvial wash-load component in the 21st century with regard to GCM climate change scenarios.

    Science.gov (United States)

    Mouri, Goro

    2015-11-15

    For stream water, in which a relationship exists between wash-load concentration and discharge, an estimate of fine-sediment delivery may be obtained from a traditional fluvial wash-load rating curve. Here, we demonstrate that the remaining wash-load material load can be estimated from a traditional empirical principle on a nationwide scale. The traditional technique was applied to stream water for the whole of Japan. Four typical GCMs were selected from the Coupled Model Intercomparison Project Phase 5 (CMIP5) ensemble to provide the driving fields for the following regional climate models to assess the wash-load component based on rating curves: the Model for Interdisciplinary Research on Climate (MIROC), the Meteorological Research Institute Atmospheric General Circulation Model (MRI-GCM), the Hadley Centre Global Environment Model (HadGEM) and the Geophysical Fluid Dynamics Laboratory (GFDL) climate model. The simulations consisted of an ensemble, including multiple physics configurations and different Representative Concentration Pathways (RCP2.6, RCP4.5 and RCP8.5), which was used to produce monthly datasets for the whole country of Japan. The impacts of future climate changes on fluvial wash load in Japanese stream water were based on the balance of changes in hydrological factors. The annual and seasonal variations of the fluvial wash load were assessed from the result of the ensemble analysis in consideration of the Greenhouse Gas (GHG) emission scenarios. The determined results for the amount of wash load increase range from approximately 20 to 110% in the 2040s, especially along part of the Pacific Ocean and the Sea of Japan regions. In the 2090s, the amount of wash load is projected to increase by more than 50% over the whole of Japan. The assessment indicates that seasonal variation is particularly important because the rainy and typhoon seasons, which include extreme events, are the dominant seasons. Because fluvial wash-load-component turbidity

  6. Does intraoperative navigation improve the accuracy of mandibular angle osteotomy: Comparison between augmented reality navigation, individualised templates and free-hand techniques.

    Science.gov (United States)

    Zhu, Ming; Liu, Fei; Zhou, Chaozheng; Lin, Li; Zhang, Yan; Chai, Gang; Xie, Le; Qi, Fazhi; Li, Qingfeng

    2018-04-11

    Augmented reality (AR)-based navigation surgery has evolved to be an advanced assisted technology. The aim of this study is to manifest the accuracy of AR navigation for the intraoperative mandibular angle osteotomy by comparing the navigation with other interventional techniques. A retrospective study was conducted with 93 post-surgical patients with mandibular angle hypertrophy admitted at our plastic and reconstructive surgery department between September 2011 and June 2016. Thirty-one patients received osteotomy conducted using a navigation system based on augmented reality (AR group), 28 patients received osteotomy conducted using individualised templates (IT group) and the remaining 34 patients received osteotomy performed by free hand (free-hand group). The post-operative computed tomography (CT) images were reviewed and analysed by comparing with pre-surgical planning generated by three-dimensional (3D) software. The preparation time, cutting time, whole operating time and discrepancy in osteotomy lines were measured. The preparation time was much shorter for the free-hand group than that for the AR group and the IT group (P  0.05). In addition, the discrepancy in osteotomy lines was lower for the AR group and in the IT group than for the free-hand group (P < 0.01). The navigation system based on AR has a higher accuracy, more reliability and better user friendliness for some particular clinical procedures than for other techniques, which has a promising clinical prospect. Copyright © 2018. Published by Elsevier Ltd.

  7. Effect of hand hygiene on infectious diseases in the office workplace: A systematic review.

    Science.gov (United States)

    Zivich, Paul N; Gancz, Abigail S; Aiello, Allison E

    2018-04-01

    Extensive data suggests that hand hygiene is a critical intervention for reducing infectious disease transmission in the clinical setting. However, it is unclear whether hand hygiene is effective at cutting down on infectious illnesses in non-clinical workplaces. The aim of this review is to assess the current literature concerning the effects of hand-washing interventions on infectious disease prevention among employees in nonclinical, office-based workplaces. In compiling this review, PubMed, Scopus, and Business Source Premier were examined for studies published from 1960 through 2016. Eleven studies (eight experimental, two observational, one a simulation) were identified as eligible for inclusion. Hand-hygiene interventions at various levels of rigor were shown to reduce self-reported illness symptoms. Hand hygiene is thought to be more effective against gastrointestinal illness than it is against respiratory illness, but no clear consensus has been reached on this point. Minimal hand-hygiene interventions seem to be effective at reducing the incidence of employee illness. Along with reducing infections among employees, hand-hygiene programs in the workplace may provide additional benefits to employers by reducing the number of employee health insurance claims and improving employee morale. Future research should use objective measures of hand hygiene and illness, and explore economic impacts on employers more fully. Copyright © 2018 Association for Professionals in Infection Control and Epidemiology, Inc. Published by Elsevier Inc. All rights reserved.

  8. The Compliance Rates of Hand Hygiene in Intensive Care Unit and Surgical Services at a State Hospital in Turkey

    Directory of Open Access Journals (Sweden)

    Serap Süzük

    2015-12-01

    Full Text Available Objective: The most efficient and most cost effective method for preventing health care associated infections is hand hygiene. Although hand hygiene is the most effective and simple method, compliance rates are very low among health care workers. It was aimed to evaluate the rates of compliance of healthcare workers in a state hospital. Material and Method: In this study, totally 112 healthcare workers (31 doctors and 81 nurses were evaluated with the 5-indication observation method in a period between January and July 2013. Results: A total of 754 (65.9% out of 1.144 cases were resulted in accurate hand washing and hand-rubbing. When the intensive care unit and surgical clinics were evaluated together, it was found that hand hygiene compliance rates were 51.26% in 199 cases and 66.85% in 591 cases for doctors and nurses, respectively. Conclusion: Consequently, we think that pre-informed observations are important training instruments for hand hygiene compliance.

  9. Towards NIRS-based hand movement recognition.

    Science.gov (United States)

    Paleari, Marco; Luciani, Riccardo; Ariano, Paolo

    2017-07-01

    This work reports on preliminary results about on hand movement recognition with Near InfraRed Spectroscopy (NIRS) and surface ElectroMyoGraphy (sEMG). Either basing on physical contact (touchscreens, data-gloves, etc.), vision techniques (Microsoft Kinect, Sony PlayStation Move, etc.), or other modalities, hand movement recognition is a pervasive function in today environment and it is at the base of many gaming, social, and medical applications. Albeit, in recent years, the use of muscle information extracted by sEMG has spread out from the medical applications to contaminate the consumer world, this technique still falls short when dealing with movements of the hand. We tested NIRS as a technique to get another point of view on the muscle phenomena and proved that, within a specific movements selection, NIRS can be used to recognize movements and return information regarding muscles at different depths. Furthermore, we propose here three different multimodal movement recognition approaches and compare their performances.

  10. Washing of gel particles in wet chemical manufacture of reactor fuel particles

    International Nuclear Information System (INIS)

    Ringel, H.

    1980-07-01

    In the manufacture of HTR fuel particles and particles of fertile material by wet chemical methods, the ammonium nitrate formed during the precipitation reaction must be washed out of the gel particles. This washing process has been investigated theoretically and experimentally. A counter-current washer has been developed which in particular takes account of the aspects of refabrication - such as compact construction and minimum waste. A counter-current washing column of 17 mm internal diameter and 640 mm length gives to gel particle throughput of 0.65 1/h. The volume ratio of wash water to gel particles is 5, and the residual nitrate concentration in the particles is 7 x 10 -3 mols of NO - 3 /1. (orig.) [de

  11. Remediation of 137Cs contaminated concrete using electrokinetic phenomena and ionic salt washes in nuclear energy contexts.

    Science.gov (United States)

    Parker, Andrew J; Joyce, Malcolm J; Boxall, Colin

    2017-10-15

    This work describes the first known the use of electrokinetic treatments and ionic salt washes to remediate concrete contaminated with 137 Cs. A series of experiments were performed on concrete samples, contaminated with K + and 137 Cs, using a bespoke migration cell and an applied electric field (60V potential gradient and current limit of 35mA). Additionally, two samples were treated with an ionic salt wash (≤400molm -3 of KCl) alongside the electrokinetic treatment. The results show that the combined treatment produces removal efficiencies three times higher (>60%) than the electrokinetic treatment alone and that the decontamination efficiency appears to be proportional to the initial degree of contamination. Furthermore, the decontamination efficiencies are equivalent to previous electrokinetic studies that utilised hazardous chemical enhancement agents demonstrating the potential of the technique for use on nuclear licensed site. The results highlight the relationship between the initial contamination concentration within the concrete and achievable removal efficiency of electrokinetic treatment and other treatments. This information would be useful when selecting the most appropriate decontamination techniques for particular contamination scenarios. Copyright © 2017 Elsevier B.V. All rights reserved.

  12. A prospective, comparative, evaluator-blind clinical study investigating efficacy and safety of two injection techniques with Radiesse ® for the correction of skin changes in aging hands

    Directory of Open Access Journals (Sweden)

    Elena I Gubanova

    2015-01-01

    Full Text Available Background: Dermal fillers are used to correct age-related changes in hands. Aims: Assess efficacy and safety of two injection techniques to treat age-related changes in the hands using calcium hydroxylapatite filler, Radiesse ® . Settings and Design: This was a prospective, comparative, evaluator-blind, single-center study. Materials and Methods: Radiesse ® (0.8 mL/0.2 mL 2% lidocaine was injected subdermally on Day (D01, using a needle multipoint technique in one hand (N and a fan-like cannula technique in the other (C. Assessments were made pre-injection, on D14, Month (M02, M03 and M05 using the Merz Aesthetics Hand Grading Scale (MAS and Global Aesthetic Improvement Scale (GAIS. Participants completed questionnaires on satisfaction, pain and adverse events (AEs. Statistical Analysis Used: Data distribution was tested with the Shapiro-Wilk and Levene′s tests. The Wilcoxon signed-rank and Chi-square tests were employed to evaluate quantitative and qualitative data, respectively. Results: All 10 participants completed the study, four opted for a M03 touch-up (0.8 mL Radiesse ® . Evaluator-assessed mean GAIS scores were between 2 (significant improvement but not complete correction and 3 (optimal cosmetic result at each time point. The MAS score improved from D01 to M05 (N: 2.60 to 1.40; C: 2.20 to 1.30. Following treatment, participants reported skin was softer, more elastic, more youthful and less wrinkled. Other than less noticeable veins and tendons on the C hand, no differences in participant satisfaction were noted. All AEs were mild, with no serious AEs reported. Conclusions: Both injection techniques (needle and cannula demonstrated equivalent clinical efficacy with a comparable safety profile for the correction of age-related changes in hands with Radiesse ® .

  13. Use of WALLANT technique in hand surgery, safe and advantageous. Personal experience

    Directory of Open Access Journals (Sweden)

    Mihaela Pertea

    2018-05-01

    Full Text Available Objectives. To confirm the efficiency of using local anesthesia with lidocaine and epinephrine in hand surgery. Materials and methods. 75 patients in whom we used local anesthesia with 1% lidocaine and epinephrine in solution 1: 100 000. We evaluated the amount of used anesthetic, the time to onset of anesthesia, intraoperative bleeding, the duration of intervention and hospitalization, immediate postoperative complications. Results. It has been no case of digital necrosis or other vascular complications and no intraoperative bleeding. The amount of the used anesthetic varied. In no case it was necessary to use of phentolamine as an antidote to the effects of adrenaline. Conclusions. Wide awake local anesthesia no tourniquet technique is safe, having many advantages: it is not necessary to use the tourniquet with or without intravenous sedation, the surgeon and patient comfort is maximum, there is no risk of digital necrosis, hospitalization time is short and the costs are minimal.

  14. Computer Simulation of Bound Component Washing To Minimize Processing Costs

    Directory of Open Access Journals (Sweden)

    Dagmar Janáčová

    2011-11-01

    Full Text Available In this paper we focused on the optimization of the washing processes because many technological processes are characterizedby large consumption of water, electrical energy and auxiliary chemicals mainly. For this reason it is very important to deal withthem. For the optimization of process of washing it is possible to set up an access of the indirect modeling that is based on make-up ofmathematical models coming out of study of the physical operation mechanism. The process is diffusion character it is characterizedby the value of diffusion effective coefficient and so called structure power of the removing item to the solid phase. The mentionedparameters belong to input data that are appropriate for the automatic control of washing process.

  15. Immersion hand radiography in the evaluation of musculoskeletal disorders

    International Nuclear Information System (INIS)

    Ngo, C.; Yaghmai, I.; Zach, R.

    1987-01-01

    A prospective study is undertaken to evaluate a new soft-tissue immersion technique. The hand is immersed in a plastic tray containing a mixture solution of alcohol and water. Exposures are made employing low-kilovolt technique. Conventional x-rays of the hands are obtained to serve as baseline studies and for the purpose of comparison. Soft-tissue immersion technique has proven sensitive and efficient in outlining the skin, subcutaneous fat layers, and fat layers between muscle planes. More importantly, the tendons and the joint capsules, which are hardly seen on standard hand radiographs, are easily highlighted with this technique. In conclusion, this technique appears to be superior to conventional plain radiographs in the evaluation and early detection of soft-tissue changes related to musculoskeletal disorders, especially in cases of arthritides

  16. Arsenic bioavailability in soils before and after soil washing: the use of Escherichia coli whole-cell bioreporters.

    Science.gov (United States)

    Yoon, Youngdae; Kang, Yerin; Chae, Yooeun; Kim, Sunghoon; Lee, Youngshim; Jeong, Seung-Woo; An, Youn-Joo

    2016-02-01

    We investigated the quantification of bioavailable arsenic in contaminated soils and evaluation of soil-washing processes in the aspect of bioavailability using a novel bacterial bioreporter developed in present study. The whole-cell bioreporter (WCB) was genetically engineered by fusing the promoter of nik operon from Escherichia coli and green fluorescent protein as a sensing domain and reporter domain. Among eight well-known hazardous heavy metals and metalloid, this system responded specifically to arsenic, thereby inferring association of As(III) with NikR inhibits the repression. Moreover, the response was proportional to the concentration of As(III), thereby it was capable to determine the amount of bioavailable arsenic quantitatively in contaminated soils. The bioavailable portion of arsenic was 5.9 (3.46-10.96) and 0.9 (0.27-1.74) % of total from amended and site soils, respectively, suggesting the bioavailability of arsenic in soils was related to the soil properties and duration of aging. On the other hand, only 1.37 (0.21-2.97) % of total arsenic was extracted into soil solutions and 19.88 (11.86-28.27) % of arsenic in soil solution was bioavailable. This result showed that the soluble arsenic is not all bioavailable and most of bioavailable arsenic in soils is water non-extractable. In addition, the bioavailable arsenic was increased after soil-washing while total amount was decreased, thereby suggesting the soil-washing processes release arsenic associated with soil materials to be bioavailable. Therefore, it would be valuable to have a tool to assess bioavailability and the bioavailability should be taken into consideration for soil remediation plans.

  17. Washing Habits and Machine with Intake of hot and cold Water

    DEFF Research Database (Denmark)

    Christensen, Bente Lis; Nørgaard, Jørgen

    1997-01-01

    with slightly adapted washing habits, or 17% of normal today. If the heat is supplied from combined heat and power production as in the actual experiment, CO2-emission is reduced by 81%. With hot water from oil or gas heaters the reduction will be slightly lower, while with solar hot water it will be larger.......Domestic washing machines typically spend around 80% of the electricity on heating water. Most of this can be replaced by more appropriate heat sources like district heat from combined heat and power production, or gas heating system. In recent years some washing machine manufacturers have marketed...... machines which can take in both hot and cold water and mix it to the temperature wanted. Such one machine has been tested in daily household use over 5 months, with habits of very few hot water washes. The result is an electricity consumption corresponding to 67 kWh per year for an average household...

  18. [HAND HYGIENE BELIEFS AND PERCEPTIONS OF NURSING STUDENTS].

    Science.gov (United States)

    Hernández-García, Ignacio; Cardoso-Muñoz, Antonio Manuel

    2016-05-01

    A key element to promote the compliance of hand hygiene (HH) among health care workers (HCWs) is to analyze their perceptions of it. Our objective was to evaluate the beliefs and perceptions that nursing students have on HH. A cross-sectional study was performed during the 2011-2012 school year. It included all enrolled nursing students from a Spanish University. The information was obtained by a self-administered questionnaire, which assessed the importance of HH to control nosocomial infections (NI), beliefs (by Hand Hygiene Beliefs Scale-HHBS) and perceptions of the importance given to HH in the curriculum (by Hand Hygiene Importance Scale-HHIS). Associations were analyzed using logistic regression. 146 students of the 270 (54.1%) completed the questionnaire. Assessing the importance of HH as NI control measure ranged from 4 to 10 points (median = 9). The more agreement HHIS item was to consider HH as an important part of the curriculum (76.1%), while HHBS item was to believe that hands washing after going to the toilet reduces the transmission of infectious diseases (100%). Importance of HH to control NI valued with > 9 points was associated with the agreement to consider it as an relevant part of the curriculum (OR:2.5), and to believe that HCWs play an important role in preventing NI (OR: 4.3). HH was rated as an important NI control measure. Educational programs should be carried out at universities to students do HH, whether they observe poor compliance among HCWs in their practices.

  19. Chemical changes in silver carp (Hypophthalmichthys molitrix minced muscle during frozen storage: Effect of a previous washing process

    Directory of Open Access Journals (Sweden)

    Hosseini, Hedayat

    2010-03-01

    Full Text Available 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 °C 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 gelforming ability in order to obtain surimi-type commercial products.La carpa plateada (Hypophthalmichthys molitrix ha adquirido un gran interés debido a su creciente producción acuícola y a su empleo en la elaboración de surimi. Este trabajo tiene como objetivo el estudio del efecto que sobre la calidad de músculo de carpa plateada desmenuzada puede tener un proceso de lavado seguido de conservación en congelación (6 meses; -18 °C. Así, se observó un efecto positivo del lavado sobre la calidad de acuerdo con un descenso en los contenidos de humedad exprimible, aminas volátiles, ácidos grasos libres y sustancias reactivas con el ácido tiobarbitúrico; esta mejora de calidad se mantuvo durante la conservación en congelación. Asimismo, la mayoría de los índices de calidad estudiados reflejaron pérdidas de calidad durante la conservación en congelación independientemente del tratamiento previo; sin embargo, la capacidad de retención de agua permaneci

  20. 40 CFR 446.10 - Applicability; description of the oil-base solvent wash paint subcategory.

    Science.gov (United States)

    2010-07-01

    ...-base solvent wash paint subcategory. 446.10 Section 446.10 Protection of Environment ENVIRONMENTAL...-Base Solvent Wash Paint Subcategory § 446.10 Applicability; description of the oil-base solvent wash... production of oil-base paint where the tank cleaning is performed using solvents. When a plant is subject to...

  1. Purification of crude biodiesel using dry washing and membrane technologies

    OpenAIRE

    Atadashi, I.M.

    2015-01-01

    Purification of crude biodiesel is mandatory for the fuel to meet the strict international standard specifications for biodiesel. Therefore, this paper carefully analyzed recently published literatures which deal with the purification of biodiesel. As such, dry washing technologies and the most recent membrane biodiesel purification process have been thoroughly examined. Although purification of biodiesel using dry washing process involving magnesol and ion exchange resins provides high-quali...

  2. Improving understanding of the underlying physical process of sediment wash-off from urban road surfaces

    Science.gov (United States)

    Muthusamy, Manoranjan; Tait, Simon; Schellart, Alma; Beg, Md Nazmul Azim; Carvalho, Rita F.; de Lima, João L. M. P.

    2018-02-01

    Among the urban aquatic pollutants, the most common is sediment which also acts as a transport medium for many contaminants. Hence there is an increasing interest in being able to better predict the sediment wash-off from urban surfaces. The exponential wash-off model is the most widely used method to predict the sediment wash-off. Although a number of studies proposed various modifications to the original exponential wash-off equation, these studies mostly looked into one parameter in isolation thereby ignoring the interactions between the parameters corresponding to rainfall, catchment and sediment characteristics. Hence in this study we aim (a) to investigate the effect of rainfall intensity, surface slope and initial load on wash-off load in an integrated and systematic way and (b) to subsequently improve the exponential wash-off equation focusing on the effect of the aforementioned three parameters. A series of laboratory experiments were carried out in a full-scale setup, comprising of a rainfall simulator, a 1 m2 bituminous road surface, and a continuous wash-off measuring system. Five rainfall intensities ranging from 33 to 155 mm/h, four slopes ranging from 2 to 16% and three initial loads ranging from 50 to 200 g/m2 were selected based on values obtained from the literature. Fine sediment with a size range of 300-600 μm was used for all of the tests. Each test was carried out for one hour with at least 9 wash-off samples per test collected. Mass balance checks were carried out for all the tests as a quality control measure to make sure that there is no significant loss of sand during the tests. Results show that the washed off sediment load at any given time is proportional to initial load for a given combination of rainfall intensity and surface slope. This indicates the importance of dedicated modelling of build-up so as to subsequently predict wash-off load. It was also observed that the maximum fraction that is washed off from the surface increases

  3. Evolution of robotic nephrectomy for living donation: from hand-assisted to totally robotic technique.

    Science.gov (United States)

    Giacomoni, Alessandro; Di Sandro, Stefano; Lauterio, Andrea; Concone, Giacomo; Mangoni, Iacopo; Mihaylov, Plamen; Tripepi, Matteo; De Carlis, Luciano

    2014-09-01

    The application of robotic-assisted surgery offers EndoWrist instruments and 3-D visualization of the operative field, which are improvements over traditional laparoscopy. The results of the few studies published so far have shown that living donor nephrectomy using the robot-assisted technique is safe, feasible, and offers advantages to patients. Since November 2009, 16 patients have undergone robotic-assisted living donor nephrectomy at our Institute. Patients were divided into two groups according to the surgical technique adopted for the procedure: Group A, hand-assisted robotic nephrectomy (eight patients); Group B, totally robotic nephrectomy (eight patients). Intra-operative bleeding was similar in the two groups (90 vs 100 mL for Group A and B, respectively). Median warm ischemia time was significantly shorter in Group A (2.3 vs 5.1 min for Group A and B, respectively, P-value = 0.05). Switching to the open procedure was never required. Median operative time was not significantly longer in Group A than Group B (275 min vs 250 min, respectively). Robotic assisted living kidney recovery is a safe and effective procedure. Considering the overall technical, clinical, and feasibility aspects of living kidney donation, we believe that the robotic assisted technique is the method of choice for surgeon's comfort and donors' safety. Copyright © 2014 John Wiley & Sons, Ltd.

  4. Washing of Uranium Gel Resulted from Gelation Using Ammonia

    International Nuclear Information System (INIS)

    Nurwijayadi; Bangun-Wasito; Sukarsono; Endang-Nawangsih

    2000-01-01

    Washing of uranium gel resulted from gelation using ammonia underconcentration of 1, 2.5, 3, 4 and 5 % has been carried out. The sol wasprepared by reacting uranyl nitrate, urea and HMTA at 5 o C. The resulted solwas dropped into a column containing paraffin oil at temperature of 95 o C.The resulted gel color was orange. It was simmered in a 2.5 % ammoniasolution for 24 hours. After that, the gel was washed in an ammonia solutionunder a concentration variation. The best washing process occurred at ammoniaconcentration of 2.5 % with most absorbed ion nitrate, i.e. 292.2 ppm. Theresulted true density using N 2 was about 8.3 - 8.6 g/ml, specific surfacearea using multi point BET was about 1.5 - 3.1 m 2 /g, average pore radius was22.27 -41.22 A and total pore volume was 3.55 x 10 -3 cc/g. (author)

  5. Study Effect of Salt Washing Process on Content and Iodium Stability of Salt

    Directory of Open Access Journals (Sweden)

    Nelson Saksono

    2010-10-01

    Full Text Available Effect of Salt Washing Process on Content and Iodium Stability of Salt. Salt washing process should increase the saltquality. It should clean the salt from sludge or clay and also reduce the impurity compound such as Mg, Ca and the reductor content. The objective of these reseach is to assess the effect of washing process on the content og hygroscopic impurities compound (Ca and Mg, and reductor content of salt. The research also investigate the water absorbing, pH, KIO3 content as function of time to obtain effect of washing process on KIO3 stability in salt. The experiment result shows that the lowest content of Mg and reductor compound 0.016 % wt and 2.65 ppm respectively which is reached at the fi ne salt washing process using 27 % wt brine. The analysis of water content indicates an increase the Ca and Mg content, causing an water absorbtion in salt , However the effect on pH the is not clear.

  6. Set-up for steam generator tube bundle washing after explosion expanding the tubes

    International Nuclear Information System (INIS)

    Osipov, S.I.; Kal'nin, A.Ya.; Mazanenko, M.F.

    1985-01-01

    Set-up for steam generator tube bundle washing after the explosion expanding of tubes is described. Washing is accomplished by distillate. Steam is added to distillate for heating, and compersed air for preventing hydraulic shock. The set-up is equiped by control equipment. Set-up performances are presented. Time for one steam generator washing constitutes 8-12 h. High economic efficiency is realized due to the set-up introduction

  7. Can theoretical intervention improve hand hygiene behavior among nurses?

    Directory of Open Access Journals (Sweden)

    Baghaei R

    2016-06-01

    Full Text Available Rahim Baghaei,1 Elham Sharifian,1 Aziz Kamran2 1Inpatient Safety Research Center, Nursing and Midwifery School, Urmia University of Medical Sciences, Urmia, 2Public Health Department, Khalkhal Faculty of Medical Sciences, Ardabil University of Medical Sciences, Ardabil, IranBackground: Hand washing is the best strategy to prevent known nosocomial infections but the nurses' hand hygiene is estimated to be poor in Iran.Objective: This study aimed to determine the effectiveness of BASNEF (Behavior, Attitude, Subjective Norms, and Enabling Factors model on hand hygiene adherence education.Methods: This controlled quasi-experimental study was conducted on 70 hemodialysis unit nurses (35 case and 35 control in the health and educational centers of the University of Medical Sciences of Urmia, Iran. To collect the data, a six-part validated and reliable questionnaire was used. The data were analyzed using SPSS version18, using Wilcoxon, Mann–Whitney, chi-square, and Fisher's exact tests. The significance level was considered P<0.05.Results: The mean age was 38.4±8.1 years for the intervention group and 40.2±8.0 years for the control group. There was no significant difference between the two groups for any demographic variables. Also, before the intervention, there was no significant difference between the two groups for any components of the BASNEF model. Post-intervention, the attitude, subjective norms, enabling factors, and intention improved significantly in the intervention group (P<0.001, but hand hygiene behavior did not show any significant change in the intervention group (P=0.16.Conclusion: Despite the improving attitudes and intention, the intervention had no significant effect on hand hygiene behavior among the studied nurses.Keywords: hand hygiene, adherence, education nurse, behavior

  8. 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.

  9. 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.

  10. The design of hands and feet contamination monitor

    International Nuclear Information System (INIS)

    Song Jiangxue; Shen Yang; Deng Changming; Zhang Jia; Hou Lei; Meng Dan

    2011-01-01

    In order to protect the hands and feet of personnel engaged in nuclear, draw on advanced hands and feet contamination monitor, we design a new radiation protection instrumentation. It describes the composition of the hands and feet contamination monitor, and software program design. It describes the hardware monitor software, firmware and computer programming techniques. If device found your hand and foot surface is contamination, it will prompt you to decontamination, to protect your hands and feet of safety. (authors)

  11. Washing enhanced electrokinetic remediation for removal cadmium from real contaminated soil

    International Nuclear Information System (INIS)

    Giannis, Apostolos; Gidarakos, Evangelos

    2005-01-01

    The main objective of this study is to evaluate the combination of electrokinetic remediation and soil washing technology in order to remove cadmium from contaminated soil. This paper presents the results of an experimental research undertaken to evaluate different washing and purging solutions to enhance the removal of cadmium from a real contaminated soil during electrokinetic remediation. Two different experimental modules were applied in the laboratory. Soil was saturated with tap water, while acetic and hydrochloric acids, as well as ethylenediaminetetraacetic acid (EDTA) were used as purging solutions in the first module. Results show that there was a decrease of cadmium concentration near anode, but a significant increase in the middle of the cell, due to the increasing pH. Citric, nitric and acetic acids were used for soil washing and purging solutions in the second module. In this case, an 85% reduction of cadmium concentration was achieved. Therefore, results indicate that soil pH and washing solutions are the most important factors in governing the dissolution and/or desorption of Cd in a soil system under electrical fields

  12. Incremental yield of bronchial washing for diagnosing smear-negative pulmonary tuberculosis

    Directory of Open Access Journals (Sweden)

    Alonso Soto

    2013-08-01

    Full Text Available OBJECTIVE To assess the increased diagnostic yield for pulmonary tuberculosis using bronchial washing cultures compared with sputum cultures. METHODS Study conducted with 61 adults in Lima, Peru, from January 2006 to December 2007. The yield of sputum cultures was compared with the yield of acid-fast bacilli smears and cultures of bronchial washing for diagnosing pulmonary tuberculosis in suspected cases of clinical tuberculosis with negative acid fast bacilli sputum smears. RESULTS Twenty seven (95%CI 32;58 of the cases were eventually diagnosed with smear-negative pulmonary tuberculosis. Bronchial washing samples detected 23 (95%CI 72;99 of the smear-negative pulmonary tuberculosis cases compared with 15 (95%CI 37;74 for sputum cultures (p = 0.02. The incremental diagnostic yield of acid fast bacilli smear and culture of bronchial washing specimens over sputum culture was 44% (95%CI 25;65. CONCLUSIONS In function of the epidemiological context and the resources available, bronchoscopy should be deployed as part of a comprehensive work up that optimizes smear-negative pulmonary tuberculosis diagnosis and minimizes risk and costs.

  13. Suppression of deicing salt corrosion of weathering steel bridges by washing

    International Nuclear Information System (INIS)

    Hara, Shuichi; Miura, Masazumi; Uchiumi, Yasushi; Fujiwara, Toshiaki; Yamamoto, Masataka

    2005-01-01

    To elucidate the influences of deicing salts and high pressure (2-4 MPa) washing on the characteristics of the rust formed on weathering steel bridges, washing experiments have been carried out for three years. The rust was characterized by means of ion chromatography, X-ray diffraction and adsorption of N 2 . The rust thickness was measured, and also the rust weight per unit area of the steel surface was measured. It was found that water-soluble chloride accelerated the rate of corrosion because the rust particles grow by the chloride ions and micro-pore structure of the rust appeared by the chloride ions. Washing with water suppressed corrosion owing to the disappearance of chloride ions

  14. 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.

  15. Effect of washing and boiling on residues of pirimiphos-methyl in soybeans

    International Nuclear Information System (INIS)

    Sulistiawaty, M.; Anwar, E.

    1996-01-01

    The residues of pirimiphos-methyl (0-2-diethylamino-6-methyl-pyrimidine-4-il-o-dimethyl phos-phorothioate) in soybean grains were studied using 14 C-labelled-pirimiphos-methyl. Jute sock containing soybean grains were sprayed with pirimiphos-methyl and then stored at room temperature. The results indicated than residues of pirimiphos-methyl in soybeans before washing, after washing, and after washing + boiling at 0 week storage were: 1.0, 0.42, and 0.01%: then increased to 42.01, 30.75, and 10.02%, respectively, after 12 weeks, and finally decreased to 38.33, 27.01, and 6.10%, respectively, after 24 weeks storage. The residues of pirimiphos-methyl in washing water at 0 week storage was 0.41%, then increased to 8.01% after 24 weeks storage. The percentage was calculated based on the amount of residue found compared to the initial pirimiphos-methyl used. (author)

  16. Effect of Disinfectants on Preventing the Cross-Contamination of Pathogens in Fresh Produce Washing Water

    NARCIS (Netherlands)

    Banach, J.L.; Sampers, I.; Haute, van S.; Fels, van der H.J.

    2015-01-01

    The potential cross-contamination of pathogens between clean and contaminated produce in the washing tank is highly dependent on the water quality. Process wash water disinfectants are applied to maintain the water quality during processing. The review examines the efficacy of process wash water

  17. Sequential hand hygiene promotion contributes to a reduced nosocomial bloodstream infection rate among very low-birth weight infants: An interrupted time series over a 10-year period

    NARCIS (Netherlands)

    Helder, O.K.; Brug, J.; van Goudoever, J.B.; Looman, C.W.N.; Reiss, I.K.M.; Kornelisse, R.F.

    2014-01-01

    Background Sustained high compliance with hand hygiene (HH) is needed to reduce nosocomial bloodstream infections (NBSIs). However, over time, a wash out effect often occurs. We studied the long-term effect of sequential HH-promoting interventions. Methods An observational study with an interrupted

  18. Sequential hand hygiene promotion contributes to a reduced nosocomial bloodstream infection rate among very low-birth weight infants: an interrupted time series over a 10-year period

    NARCIS (Netherlands)

    Helder, Onno K.; Brug, Johannes; van Goudoever, Johannes B.; Looman, Caspar W. N.; Reiss, Irwin K. M.; Kornelisse, René F.

    2014-01-01

    Sustained high compliance with hand hygiene (HH) is needed to reduce nosocomial bloodstream infections (NBSIs). However, over time, a wash out effect often occurs. We studied the long-term effect of sequential HH-promoting interventions. An observational study with an interrupted time series

  19. Does intraoperative navigation improve the accuracy of pedicle screw placement in the apical region of dystrophic scoliosis secondary to neurofibromatosis type I: comparison between O-arm navigation and free-hand technique.

    Science.gov (United States)

    Jin, Mengran; Liu, Zhen; Liu, Xingyong; Yan, Huang; Han, Xiao; Qiu, Yong; Zhu, Zezhang

    2016-06-01

    To assess the accuracy of O-arm-navigation-based pedicle screw insertion in dystrophic scoliosis secondary to NF-1 and compare it with free-hand pedicle screw insertion technique. 32 patients with dystrophic NF-1-associated scoliosis were divided into two groups. A total of 92 pedicle screws were implanted in apical region (two vertebrae above and below the apex each) in 13 patients using O-arm-based navigation (O-arm group), and 121 screws were implanted in 19 patients using free-hand technique (free-hand group). The postoperative CT images were reviewed and analyzed for pedicle violation. The screw penetration was divided into four grades: grade 0 (ideal placement), grade 1 (penetration 4 mm). The accuracy rate of pedicle screw placement (grade 0, 1) was significantly higher in the O-arm group (79 %, 73/92) compared to 67 % (81/121) of the free-hand group (P = 0.045). Meanwhile, a significantly lower prevalence of grade 2-3 perforation was observed in the O-arm group (21 vs. 33 %, P arm navigation compared to free-hand technique (2 vs. 15 %, P arm navigation (58 vs. 42 %, P arm-based pedicle screw placement in dystrophic NF-1-associated scoliosis. O-arm navigation system does facilitate pedicle screw insertion in dystrophic NF-1-associated scoliosis, demonstrating superiorities in the safety and accuracy of pedicle screw placement in comparison with free-hand technique.

  20. Occupational Safety. Hand Tools. Pre-Apprenticeship Phase 1 Training.

    Science.gov (United States)

    Lane Community Coll., Eugene, OR.

    This self-paced student training module on safety when using hand tools is one of a number of modules developed for Pre-apprenticeship Phase 1 Training. Purpose of the module is to teach students the correct safety techniques for operating common hand- and arm-powered tools, including selection, maintenance, technique, and uses. The module may…

  1. EFFECTIVENESS OF DOUBLE WASH SWIM-UP VERSUS DOUBLE DENSITY GRADIENT SWIM-UP TECHNIQUE OF SPERM PREPARATION IN IN VITRO FERTILISATION

    OpenAIRE

    Srinivas Sangisapu; Sandeep Karunakaran; Ashok Kumar Pillai

    2017-01-01

    BACKGROUND Recovery of optimum number of good quality of spermatozoa is an important component of In Vitro Fertilisation (IVF). This is achieved by sperm preparation methods involving separation and recovery of capacitated sperms. Double Wash Swim-up (DWSU) and Double Density Gradient Swim-up (DDGSU) are two most accepted methods. Cochrane systematic review (2007) finds no clear benefit of one method over the other in Intrauterine Insemination (IUI). Systematic review on effective...

  2. Impact of the use of an alcohol-based hand sanitizer in the home on reduction in probability of infection by respiratory and enteric viruses.

    Science.gov (United States)

    Tamimi, A H; Maxwell, S; Edmonds, S L; Gerba, C P

    2015-11-01

    The goal of this study was to determine the reduction in risk of infection by viruses with the use of an alcohol-based hand sanitizer, used in addition to routine hand washing, in family members in households. A quantitative microbial risk model was used to determine the probability of infection from the concentration of virus on the hands. The model incorporated variation in hand size, frequency of touching orifices (nose, mouth, eyes), and percent transfer to the site of infection, as well as, dose-response for each virus. Data on the occurrence of virus on household members' hands from an intervention study using MS-2 coliphage was used to determine the reduction of viruses on the hands pre- and post-intervention. It was found that the risk of rhinovirus, rotavirus or norovirus infection after the intervention was reduced by 47-98% depending upon the initial concentration of virus on the hands.

  3. Soil physical characteristics after EDTA washing and amendment with inorganic and organic additives

    International Nuclear Information System (INIS)

    Zupanc, Vesna; Kastelec, Damijana; Lestan, Domen; Grcman, Helena

    2014-01-01

    Soil washing has been established as suitable remediation technology, with most research focused on metal removing efficiency and toxic effect on plants, less on the influence on soil physical characteristics, which was the focus of this study. In soil column experiment highly contaminated soil and soil washed with EDTA, mixed with additives (gypsum, hydrogel, manure, peat) were tested. White clover was used as a soil cover. Yield, metal concentration in soil and plant, aggregate fractionation and stability, saturated hydraulic conductivity and soil water retention of the soil were measured. Soil washing decreased metal concentration in soil and plants, but yield of white clover on remediated soil was significantly lower compared to the original soil. Significant differences in water retention characteristics, aggregate fractionation and stability between original and remediated soil have been determined. Gypsum, hydrogel and peat increased plant available water, manure and peat increased yield on remediated soil. -- Highlights: • Clover yield on washed soil was significantly lower than on original soil. • Organic additives increased yield on remediated soils. • Soil washing changed soil water retention and soil structure. • Hydrogen, gypsum and peat increased plant available water of remediated soil. -- The study critically examines yield, plant metal uptake and possible changes in soil physical characteristics as a consequence of soil washing procedure for metal pollution remediation

  4. Observed practices and perceived advantages of different hand cleansing agents in rural Bangladesh: ash, soil, and soap.

    Science.gov (United States)

    Nizame, Fosiul A; Nasreen, Sharifa; Halder, Amal K; Arman, Shaila; Winch, Peter J; Unicomb, Leanne; Luby, Stephen P

    2015-06-01

    Bangladeshi communities have historically used ash and soil as handwashing agents. A structured observation study and qualitative interviews on the use of ash/soil and soap as handwashing agents were conducted in rural Bangladesh to help develop a handwashing promotion intervention. The observations were conducted among 1,000 randomly selected households from 36 districts. Fieldworkers observed people using ash/soil to wash their hand(s) on 13% of occasions after defecation and on 10% after cleaning a child's anus. This compares with 19% of people who used soap after defecation and 27% after cleaning a child who defecated. Using ash/soil or soap was rarely (soap. © The American Society of Tropical Medicine and Hygiene.

  5. Effect and Removal Mechanisms of 6 Different Washing Agents for Building Wastes Containing Chromium

    Directory of Open Access Journals (Sweden)

    Wang Xing-run

    2012-01-01

    Full Text Available With the building wastes contaminated by chromium in Haibei Chemical Plan in China as objects, we studied the contents of total Cr and Cr (VI of different sizes, analyzed the effect of 6 different washing agents, discussed the removal mechanisms of 6 different washing agents for Cr in various forms, and finally selected applicable washing agent. As per the results, particle size had little impact on the contents of total Cr and Cr (VI; after one washing with water, the removal rate of total Cr and Cr (VI was 75% and 78%, respectively, and after the second washing with 6 agents, the removal rate of citric acid was the highest, above 90% for total Cr and above 99% for hexavalent chromium; the pH of building wastes were reduced by citric acid, and under acid condition, hexavalent chromium was reduced to trivalent chromium spontaneously by organic acid, which led to better removal rate of acid soluble Cr and reducible Cr; due to the complexing action, citric acid had best removal rate for oxidizable trivalent chromium. In conclusion, citric acid is the most applicable second washing agent for building wastes.

  6. Lifelong Learning for the Hand Surgeon.

    Science.gov (United States)

    Adkinson, Joshua M; Chung, Kevin C

    2015-09-01

    Hand surgeons are faced with the impossible task of mastering a rapidly expanding pool of knowledge and surgical techniques. Dedication to lifelong learning is, therefore, an essential component of delivering the best, most up-to-date care for patients. Board certification, participation in continuing medical education and maintenance of certification activities, and attendance at national meetings are essential mechanisms by which hand surgeons may foster the acquisition of essential knowledge and clinical skills, This article highlights the history, current status, and emerging needs in continuing medical education for the hand surgeon. Copyright © 2015 American Society for Surgery of the Hand. Published by Elsevier Inc. All rights reserved.

  7. Hands-On Calculus

    Science.gov (United States)

    Sutherland, Melissa

    2006-01-01

    In this paper we discuss manipulatives and hands-on investigations for Calculus involving volume, arc length, and surface area to motivate and develop formulae which can then be verified using techniques of integration. Pre-service teachers in calculus courses using these activities experience a classroom in which active learning is encouraged and…

  8. Axial Dispersion during Hanford Saltcake Washing

    International Nuclear Information System (INIS)

    Josephson, Gary B.; Geeting, John GH; Lessor, Delbert L.; Barton, William B.

    2006-01-01

    Clean up of Hanford salt cake wastes begins with dissolution retrieval of the sodium rich salts that make up the dominant majority of mass in the tanks. Water moving through the porous salt cake dissolves the soluble components and also displaces the soluble radionuclides (e.g. 137Cs and 99TcO4- ). The separation that occurs from this displacement, known as Selective dissolution, is an important component in Hanford?s pretreatment of low activity wastes for subsequent Supplemental treatment. This paper describes lab scale testing conducted to evaluate Selective dissolution of cesium from non-radioactive Hanford tank 241-S-112 salt cake simulant containing the primary chemicals found the actual tank. An modified axial dispersion model with increasing axial dispersion was developed to predict cesium removal. The model recognizes that water dissolves the salt cake during washing, which causes an increase in the axial dispersion during the wash. This model was subsequently compared with on-line cesium measurements from the retrieval of tank 241-S-112. The model had remarkably good agreement with both the lab scale and full scale data

  9. Chelator induced phytoextraction and in situ soil washing of Cu

    International Nuclear Information System (INIS)

    Kos, Bostjan; Lestan, Domen

    2004-01-01

    In a soil column experiment, we investigated the effect of 5 mmol kg -1 soil addition of citric acid, ethylenediamine tetraacetate (EDTA), diethylenetriamine-pentaacetate (DTPA) and [S,S]-stereoisomer of ethylenediamine-disuccinate (EDDS) on phytoextraction of Cu from a vineyard soil with 162.6 mg kg -1 Cu, into the test plant Brassica rapa var. pekinensis. We also examined the use of a horizontal permeable barrier, composed of layers of nutrient enriched sawdust and apatite, for reduction of chelator induced Cu leaching. The addition of all chelators, except citric acid, enhanced Cu mobility and caused leaching of 19.5-23% of initial total Cu from the soil column. However, Cu plant uptake did not increase accordingly; the most effective was the EDDS treatment, in which plant Cu concentration reached 37.8±1.3 mg kg -1 Cu and increased by 3.3-times over the control treatment. The addition of none of the chelators in the concentration range from 5 to 15 mmol kg -1 exerted any toxic effect on respiratory soil microorganisms. When EDDS was applied into the columns with horizontal permeable barriers, only 0.53±0.32% of the initial total Cu was leached. Cu (36.7%) was washed from the 18 cm soil layer above the barrier and accumulated in the barrier. Our results indicate that rather than for a reduction of Cu leaching during rather ineffective chelate induced Cu phytoextraction, horizontal permeable barriers could be more effective in a new remediation technique of controlled in situ soil washing of Cu with biodegradable chelates

  10. Mechanical design of a shape memory alloy actuated prosthetic hand.

    Science.gov (United States)

    De Laurentis, Kathryn J; Mavroidis, Constantinos

    2002-01-01

    This paper presents the mechanical design for a new five fingered, twenty degree-of-freedom dexterous hand patterned after human anatomy and actuated by Shape Memory Alloy artificial muscles. Two experimental prototypes of a finger, one fabricated by traditional means and another fabricated by rapid prototyping techniques, are described and used to evaluate the design. An important aspect of the Rapid Prototype technique used here is that this multi-articulated hand will be fabricated in one step, without requiring assembly, while maintaining its desired mobility. The use of Shape Memory Alloy actuators combined with the rapid fabrication of the non-assembly type hand, reduce considerably its weight and fabrication time. Therefore, the focus of this paper is the mechanical design of a dexterous hand that combines Rapid Prototype techniques and smart actuators. The type of robotic hand described in this paper can be utilized for applications requiring low weight, compactness, and dexterity such as prosthetic devices, space and planetary exploration.

  11. Formulation and Assessment of a Wash-Primer Containing Lanthanum "Tannate" for Steel Temporary Protection

    Science.gov (United States)

    D'Alessandro, Oriana; Selmi, Gonzalo J.; Deyá, Cecilia; Di Sarli, Alejandro; Romagnoli, Roberto

    2018-02-01

    Tannins are polyphenols synthesized by plants and useful for the coating industry as corrosion inhibitors. In addition, lanthanum salts have a great inhibitory effect on steel corrosion. The aim of this study was to obtain lanthanum "tannate" with adequate solubility to be incorporated as the corrosion inhibitor in a wash-primer. The "tannate" was obtained from commercial "Quebracho" tannin and 0.1 M La(NO3)3. The soluble tannin was determined by the Folin-Denis reagent, while the concentration of Lanthanum was obtained by a gravimetric procedure. The protective action of "tannate" on SAE 1010 steel was evaluated by linear polarization curves and corrosion potential measurements. Lanthanum "tannate" was incorporated in a wash-primer formulation and tested by corrosion potential and ionic resistance measurements. The corrosion rate was also determined by the polarization resistance technique. Besides, the primer was incorporated in an alkyd paint system and its anticorrosion performance assessed in the salt spray cabinet and by electrochemical impedance spectroscopy. Results showed that lanthanum "tannate" primer inhibits the development of deleterious iron oxyhydroxides on the steel substrate and incorporated into a paint system had a similar behavior to the primer formulated with zinc tetroxychromate.

  12. Gas turbine cleaning upgrade (compressor wash)

    Energy Technology Data Exchange (ETDEWEB)

    Asplund, P [Gas Turbine Efficiency, Jarfalla (Sweden)

    1999-12-31

    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.

  13. 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.

  14. Self-reported hand eczema among dental workers in Japan - a cross-sectional study.

    Science.gov (United States)

    Minamoto, Keiko; Watanabe, Takeshi; Diepgen, Thomas L

    2016-10-01

    Dental workers are considered to have a high risk of developing occupational hand eczema. To estimate the prevalence of work-related hand eczema and associated risk factors in dental workers in Japan. A self-administered questionnaire was sent by mail to all dental clinics of Kumamoto City, Japan. In addition, patch testing with 24 dentistry-related allergens was offered. In total, 46.4% of dental workers (n = 528: response 31.4%, based on 97 clinics) reported a lifetime history of chronic hand eczema. The 1-year prevalence was 36.2%. According to logistic regression analysis, the most important risk factors for the 1-year prevalence were a personal history of atopic dermatitis [odds ratio (OR) 4.7, 95% confidence interval (CI): 2.2-8.8], asthma and/or allergic rhinitis (OR 2.0, 95%CI: 1.3-3.0), dry skin (OR 1.7, 95%CI: 1.1-2.7), shorter duration of work (OR 2.0, 95%CI: 1.2-3.5 for up to 10 years versus >20 years), and washing hands >10 times per day (OR 1.6, 95%CI: 1.0-2.5). Fifty-four workers were patch tested. Rubber chemicals and acrylates were the most frequent occupationally relevant contact allergens. Dental workers in Japan have a high prevalence of hand eczema. Health education to prevent hand eczema and more frequent patch testing are needed. © 2016 John Wiley & Sons A/S. Published by John Wiley & Sons Ltd.

  15. Superstorm Sandy marine debris wash-ups on Long Island - What happened to them?

    Science.gov (United States)

    Swanson, R Lawrence; Lwiza, Kamazima; Willig, Kaitlin; Morris, Kaitlin

    2016-07-15

    Superstorm Sandy generated huge quantities of debris in the Long Island, NY coastal zone. However, little appears to have been washed offshore to eventually be returned to Long Island's beaches as marine debris wash-ups. Information for our analysis includes debris collection statistics, very high resolution satellite images, along with wind and sea level data. Rigorous debris collection efforts along with meteorological conditions following the storm appear to have reduced the likelihood of debris wash-ups. Copyright © 2016 Elsevier Ltd. All rights reserved.

  16. Investigation of heterogeneous ice nucleation in pollen suspensions and washing water

    Science.gov (United States)

    Dreischmeier, Katharina; Budke, Carsten; Koop, Thomas

    2014-05-01

    Biological particles such as pollen often show ice nucleation activity at temperatures higher than -20 °C. Immersion freezing experiments of pollen washing water demonstrate comparable ice nucleation behaviour as water containing the whole pollen bodies (Pummer et al., 2012). It was suggested that polysaccharide molecules leached from the grains are responsible for the ice nucleation. Here, heterogeneous ice nucleation in birch pollen suspensions and their washing water was investigated by two different experimental methods. The optical freezing array BINARY (Bielefeld Ice Nucleation ARraY) allows the direct observation of freezing of microliter-sized droplets. The IN spectra obtained from such experiments with birch pollen suspensions over a large concentration range indicate several different ice nucleation active species, two of which are present also in the washing water. The latter was probed also in differential scanning calorimeter (DSC) experiments of emulsified sub-picoliter droplets. Due to the small droplet size in the emulsion samples and at small concentration of IN in the washing water, such DSC experiments can exhibit the ice nucleation behaviour of a single nucleus. The two heterogeneous freezing signals observed in the DSC thermograms can be assigned to two different kinds of ice nuclei, confirming the observation from the BINARY measurements, and also previous studies on Swedish birch pollen washing water (Augustin et al., 2012). The authors gratefully acknowledge funding by the German Research Foundation (DFG) through the project BIOCLOUDS (KO 2944/1-1) and through the research unit INUIT (FOR 1525) under KO 2944/2-1. We particularly thank our INUIT partners for fruitful collaboration and sharing of ideas and IN samples. S. Augustin, H. Wex, D. Niedermeier, B. Pummer, H. Grothe, S. Hartmann, L. Tomsche, T. Clauss, J. Voigtländer, K. Ignatius, and F. Stratmann, Immersion freezing of birch pollen washing water, Atmos. Chem. Phys., 13, 10989

  17. Combined soil washing and CDEO for the removal of atrazine from soils

    Energy Technology Data Exchange (ETDEWEB)

    Vieira dos Santos, Elisama [Institute of Chemistry, Federal University of Rio Grande do Norte, Lagoa Nova CEP 59078-970, Natal, RN (Brazil); Sáez, Cristina [Department of Chemical Engineering, Universidad de Castilla – La Mancha, Enrique Costa Building, Campus Universitario s/n, 13071 Ciudad Real (Spain); Martínez-Huitle, Carlos Alberto [Institute of Chemistry, Federal University of Rio Grande do Norte, Lagoa Nova CEP 59078-970, Natal, RN (Brazil); Cañizares, Pablo; Rodrigo, Manuel Andres [Department of Chemical Engineering, Universidad de Castilla – La Mancha, Enrique Costa Building, Campus Universitario s/n, 13071 Ciudad Real (Spain)

    2015-12-30

    Highlights: • Sequential soil washing-waste electrolysis is an efficient treatment for removing atrazine. • Ratio surfactant/soil influences on the size of micelles and organic load. • Electrolysis with diamond anodes oxidizes pollutants from soils washing wastes. • Electrolysis of soil washing fluids promotes the reduction in size of micelles. • Sulphate ions release from the oxidation of SDS participates in the oxidation process. - Abstract: In this work, it is studied the removal of atrazine from spiked soils by soil washing using surfactant fluids, followed by the treatment of the resulting washing waste by electrolysis with boron doped diamond (BDD) anode. Results confirm that combination of both technologies is efficient for the removal and total mineralization of atrazine. Ratio surfactant/soil is a key parameter for the removal of atrazine from soil and influences significantly in the characteristic of the wastewater produced, affecting not only to the total organic load but also to the mean size of micelles. The higher the ratio surfactant soil, the lower is the size of the particles. Electrolyses of this type of waste attain the complete mineralization. TOC and COD are removed from the start of the treatment but the key of the treatment is the reduction in size of the micelles, which lead to a higher negative charge in the surface and to the faster depletion of the surfactant as compared with the pesticide.

  18. A soil washing pilot plant for removing petroleum hydrocarbons from contaminated soils

    International Nuclear Information System (INIS)

    Toor, I.A.; Roehrig, G.R.

    1992-01-01

    A soil washing pilot plant was built and tested for its ability to remove petroleum hydrocarbons from certain soils. The ITEX soil washing pilot plant is a trailer mountable mobile unit which has a washing capacity of two tons per hour of contaminated soils. A benchscale study was carried out prior to the fabrication of the pilot plant. The first sample was contaminated with diesel fuel while the second sample was contaminated with crude oil. Various nonionic, cationic and anionic cleaning agents were evaluated for their ability to remove petroleum hydrocarbons from these materials. The nonionic cleaning agents were more successful in cleaning the soils in general. The ultimate surfactant choice was based on several factors including cost, biodegradability, cleaning efficiency and other technical considerations. The soil samples were characterized in terms of their particle size distributions. Commercial diesel fuel was carefully mixed in this sand to prepare a representative sample for the pilot plant study. Two pilot runs were made using this material. A multistage washing study was also conducted in the laboratory which indicates that the contamination level can be reduced to 100 ppm using only four stages. Because the pilot plant washing efficiency is twice as high, it is believed that ultimate contamination levels can be reduced to lower levels using the same number of stages. However, this hypothesis has not been demonstrated to date

  19. Performance Study of Screen-Printed Textile Antennas after Repeated Washing

    Directory of Open Access Journals (Sweden)

    Kazani I.

    2014-06-01

    Full Text Available The stability of wearable textile antennas after 20 reference washing cycles was evaluated by measuring the reflection coefficient of different antenna prototypes. The prototypes’ conductive parts were screen-printed on several textile substrates using two different silver-based conductive inks. The necessity of coating the antennas with a thermoplastic polyurethane (TPU coating was investigated by comparing coated with uncoated antennas. It is shown that covering the antennas with the TPU layer not only protects the screen-printed conductive area but also prevents delamination of the multilayered textile fabric substrates, making the antennas washable for up to 20 cycles. Furthermore, it is proven that coating is not necessary for maintaining antenna operation and this up to 20 washing cycles. However, connector detachment caused by friction during the washing process was the main problem of antenna performance degradation. Hence, other flexible, durable methods should be developed for establishing a stable electrical connection.

  20. Status and progress in sludge washing: A pivotal pretreatment method

    International Nuclear Information System (INIS)

    Barton, W.B.; MacLean, G.T.; Meng, C.D.; Winkler, C.M.

    1995-01-01

    Separation of the bulk soluble chemical salts from the insoluble metal hydroxides and radionuclides is central to the strategy of disposing Hanford tank waste. Sludge washing and caustic leaching have been selected as the primary methods for processing the 230 million L (61,000,000 gal) of Hanford tank waste. These processes are very similar to those selected for processing waste at the West Valley Site in New York and the Savannah River Site in South Carolina. The purpose of sludge washing is to dissolve and remove the soluble salts in the waste. Leaching of the insoluble solids with caustic will be used to dissolve aluminum hydroxide and chromium hydroxide, and convert insoluble bismuth phosphate to soluble phosphate. The waste will be separated into a high-level solids fraction and a liquid fraction that can be disposed of as low-level waste after cesium removal. The washing and leaching operations involve batchwise mixing, settling, and decanting within the existing underground storage tanks

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