A joint, multilateral approach to improve compliance with hand hygiene in 4 countries within the Baltic region using the World Health Organization's SAVE LIVES: Clean Your Hands model

2016 ◽  
Vol 44 (11) ◽  
pp. 1208-1213 ◽  
Author(s):  
Birgitta Lytsy ◽  
Agita Melbarde-Kelmere ◽  
Anna Hambraeus ◽  
Anna Liubimova ◽  
Olov Aspevall
Keyword(s):  
Hand Hygiene ◽  
World Health ◽  
Baltic Region ◽  
The World ◽  
Improve Compliance ◽  
The Baltic

FEATURES OF DESIGNING BIKE PATHS IN ST.PETERSBURG BASED ON ANALYSIS OF EXPERIENCE OF THE BALTIC REGION

2020 ◽  
Vol 4 (26) ◽  
pp. 122-130
Author(s):  
A. A. Dobrovolskaya ◽  
Keyword(s):  
Traffic Volume ◽  
Design Methods ◽  
Baltic Region ◽  
Analytical Information ◽  
The World ◽  
Lane Width ◽  
The Baltic ◽  
Specific Section

The article deals with statistics on the development of Bicycle roads in Russia and in the world, as well as design methods for a specific section of the connection of Bicycle routes in St. Petersburg. The article discusses the experience of using and entering bike paths based on the experience of Finland, as well as the types of bike paths and infrastructure features for metropolises. A model for creating a bike path by partially narrowing the roadway, graphical functions, and analytical information are provided. Practical examples of changing the infrastructure for bike paths are given. Keywords: bike path, traffic volume, design the roadway, lane width.

scholarly journals Improving Hand Hygiene Compliance in Nursing Homes: Protocol for a Cluster Randomized Controlled Trial (HANDSOME Study)

10.2196/17419 ◽  
2020 ◽  
Vol 9 (5) ◽  
pp. e17419 ◽  
Author(s):  
Gwen R Teesing ◽  
Vicki Erasmus ◽  
Mariska Petrignani ◽  
Marion P G Koopmans ◽  
Miranda de Graaf ◽  
...  
Keyword(s):  
Infectious Disease ◽  
Nursing Homes ◽  
Hand Hygiene ◽  
Hand Hygiene Compliance ◽  
Disease Incidence ◽  
Controlled Trial ◽  
World Health ◽  
The World ◽  
Hygiene Compliance ◽  
Cluster Randomized

Background Hand hygiene compliance is considered the most (cost-)effective measure for preventing health care–associated infections. While hand hygiene interventions have frequently been implemented and assessed in hospitals, there is limited knowledge about hand hygiene compliance in other health care settings and which interventions and implementation methods are effective. Objective This study aims to evaluate the effect of a multimodal intervention to increase hand hygiene compliance of nurses in nursing homes through a cluster randomized controlled trial (HANDSOME study). Methods Nursing homes were randomly allocated to 1 of 3 trial arms: receiving the intervention at a predetermined date, receiving the identical intervention after an infectious disease outbreak, or serving as a control arm. Hand hygiene was evaluated in nursing homes by direct observation at 4 timepoints. We documented compliance with the World Health Organization’s 5 moments of hand hygiene, specifically before touching a patient, before a clean/aseptic procedure, after body fluid exposure risk, after touching a patient, and after touching patient surroundings. The primary outcome is hand hygiene compliance of the nurses to the standards of the World Health Organization. The secondary outcome is infectious disease incidence among residents. Infectious disease incidence was documented by a staff member at each nursing home unit. Outcomes will be compared with the presence of norovirus, rhinovirus, and Escherichia coli on surfaces in the nursing homes, as measured using quantitative polymerase chain reaction. Results The study was funded in September 2015. Data collection started in October 2016 and was completed in October 2017. Data analysis will be completed in 2020. Conclusions HANDSOME studies the effectiveness of a hand hygiene intervention specifically for the nursing home environment. Nurses were taught the World Health Organization’s 5 moments of hand hygiene guidelines using the slogan “Room In, Room Out, Before Clean, After Dirty,” which was developed for nursing staff to better understand and remember the hygiene guidelines. HANDSOME should contribute to improved hand hygiene practice and a reduction in infectious disease rates and related mortality. Trial Registration Netherlands Trial Register (NTR6188) NL6049; https://www.trialregister.nl/trial/6049 International Registered Report Identifier (IRRID) DERR1-10.2196/17419

The World Health Organization hand hygiene observation method

2009 ◽  
Vol 37 (10) ◽  
pp. 827-834 ◽  
Author(s):  
Hugo Sax ◽  
Benedetta Allegranzi ◽  
Marie-Noëlle Chraïti ◽  
John Boyce ◽  
Elaine Larson ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
World Health Organization ◽  
World Health ◽  
The World ◽  
Observation Method ◽  
Health Organization

scholarly journals Accumulation by Any Means: Neoliberalisation and Environment in Post-Communist Europe

1970 ◽  
Vol 4 (1) ◽  
Author(s):  
Frederick Peters
Keyword(s):  
World Bank ◽  
International Monetary Fund ◽  
Financial Institutions ◽  
Transition Period ◽  
International Financial Institutions ◽  
Strategic Partnerships ◽  
Baltic Region ◽  
The World Bank ◽  
The World ◽  
The Baltic

This paper explores water services restructuring in the post-communist Europe. The cases of the cities of St Petersburg, Russia and Tallinn, Estonia serve to trace changes in tone and timbre over the course of the post-communist transition to a market based economy. This paper is divided into two sections: we begin by placing the European Bank of Reconstruction and Development (EBRD) in the context of the World Bank and International Monetary Fund–the International Financial Institutions significantly involved with infrastructure rebuilding. Section Two presents a brief look at specific cases of municipal water restructuring in the Baltic Region in postcommunist transition period, 1991 – 2006, brokered and funded in part by EBRD money. Tracing investments and the strategic partnerships formed in the region by the EBRD sheds light onto the development of IFI capacity and strategy since the early 1990s. The politics behind the notion described in shorthand with Harvey’s reworking of the Marxian ‘Primitive Accumulation’ is crucial to understanding the dynamics and trends often apparent in water infrastructure restructuring.

scholarly journals From Best Evidence to Best Practice – Implementation of a Hand Washing Campaign in the Accident and Emergency Department of the Georgetown Public Hospital Corporation

2019 ◽  
pp. 7-8
Author(s):  
Jessica Van Meter ◽  
Sally Dye ◽  
Natansa Amsterdam ◽  
Gangapattie Dani ◽  
Le-Ann Hamilton ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Best Practice ◽  
Clinical Observation ◽  
Healthcare Providers ◽  
Hand Washing ◽  
World Health ◽  
Observation Window ◽  
Improve Compliance ◽  
Baseline Knowledge ◽  
Health Organization

Objective: Hand washing compliance amongst emergency healthcare providers is complicated by limited supplies, patient volume, mal-positioning of hygiene materials, and lack of education on the importance of hand hygiene. Design and Methods: A survey was distributed to A&E healthcare staff to determine baseline knowledge about the importance of hand hygiene. Participants were asked to identify departmental obstacles to the practice of proper hand hygiene. Using World Health Organization teaching materials, a hand hygiene clinical observation tool was implemented to determine compliance prior to delivery of tailored education. Education was done utilizing posters, flyers, and powerpoint presentation. Hand sanitizer stations were installed to improve compliance. Finally, the clinical observation tool was implemented following the education initiative to determine impact on provider compliance. A post-implementation survey was distributed to determine if increased education and supplies impacted baseline knowledge and compliance. Results: Only 88% of surveyed providers recognized that the A&E has a current hand hygiene policy with 64% noting GPHC does not stress hand hygiene enough. Providers reported they utilize hand hygiene 75% yet all participants acknowledged that proper hand washing greatly reduces the spread of infection. 53% of providers surveyed felt comfortable encouraging their peers to wash their hands. Conclusions: Initial provider hand hygiene within the A&E was abysmal. Though identified as a predominant barrier, supplies were readily available throughout the observation window. Educational materials placed throughout the department improved both the perception and compliance of hand hygiene. The importance of provider hand hygiene must be continually stressed in order to maintain optimal compliance.

scholarly journals Keep your droplets to yourself: Universal use of face masks along with social distancing

2021 ◽  
Vol 19 (2) ◽  
pp. 114-123
Author(s):  
Helena Carvalho ◽  
Daniel Contaifer Jr ◽  
Renata N. Aranha ◽  
Juliana A. De Matos
Keyword(s):  
Hand Hygiene ◽  
Mathematical Models ◽  
Control Mechanism ◽  
Respiratory Infections ◽  
Experimental Studies ◽  
World Health ◽  
Source Control ◽  
The World ◽  
Viral Respiratory Infections ◽  
Viral Respiratory

Introduction: As the COVID-19 pandemic progresses aroundthe world, the universal use of face masks imposes itself as ameasure to mitigate the transmission of SARS-CoV-2 and iscurrently recommended by the World Health Organization.However, its effectiveness as a method of preventing COVID-19 is still controversial. Objective: To review the literatureon the universal use of facial masks, including fabric ones, andtheir recommendations for use. Methods: Narrative reviewof published studies on the topic. Results: Face masks act predominantlyas a source control mechanism, as they capturethe droplets expelled by the user when speaking, coughingor sneezing, protecting other people and the environmentfrom contamination by potentially infecting droplets. Evidenceof the effectiveness of its universal use as a method ofmitigating epidemics of viral respiratory infections is derivedfrom experimental studies and mathematical models. Properuse of facial masks is essential to ensure their effectivenessand prevent damage, and includes covering the nose, mouthand chin, washing the fabric masks with soap and water afteruse and hand hygiene several times a day, especially whenhandling the mask. Conclusions: The universal use of facialmasks in the context of the COVID-19 pandemic is justified,especially considering the occurrence of virus transmissionin the pre-symptomatic period, and should be adopted inconjunction with other measures such as adequate socialdistance and hygiene from the hands, following the motto“I protect you and you protect me”.

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