scholarly journals Biosafety Measures at the Dental Office After the Appearance of COVID-19: A Systematic Review

2020 ◽  
pp. 1-5
Author(s):  
Fiorella del Pilar Cabrera-Tasayco ◽  
Juana Mercedes Rivera-Carhuavilca ◽  
Katherine Joselyn Atoche-Socola ◽  
Claudio Peña-Soto ◽  
Luis Ernesto Arriola-Guillén
Keyword(s):  
Dental Care ◽  
Dental Health ◽  
Good Alternative ◽  
Waiting Room ◽  
Care Processes ◽  
Dental Office ◽  
Before And After ◽  
Specific Order ◽  
Restorative Therapy ◽  
Cleaning And Disinfection

ABSTRACT The purpose of this research was to determine biosecurity measures at the dental office after the appearance of coronavirus disease 2019 (COVID-19). A search was conducted in the main databases of the scientific literature using the words “COVID-19, coronavirus, SARS-Cov2, biosecurity, disinfection and dentistry.” We analyzed biosecurity and disinfection standards at the dental office and dental health personnel to date, and their adaptation to the needs and way of working of each. As a result, according to the information collected the following procedure was identified: a telephone appointment must be made and a questionnaire should be given before dental care; at arrival to the appointment, the temperature of the patient should be taken and proper cleaning and disinfection of the waiting room should be maintained. Panoramic radiography and CBCT are the auxiliary methods of choice. Absolute isolation and atraumatic restorative therapy techniques are a good alternative to decrease fluid exposure. The removal of protective clothing and accessories must follow a specific order and washing hands before and after is essential. In conclusion, the efficient biosecurity for dentists and patients in all dental care processes before, during, and immediately after the appointment reduces the risk of COVID-19 infection and allows healthy dental care environments.

scholarly journals Introducing Rapid Change Escalades to Adjust Organisational Issues in Clinical Practice

2021 ◽  
pp. 1-7
Author(s):  
Gerit Kulik ◽  
Gerit Kulik ◽  
Daniele Paccaud ◽  
Laurie Perey ◽  
Mario Hamelin ◽  
...  
Keyword(s):  
Time Management ◽  
Rapid Change ◽  
Waiting Room ◽  
Team Members ◽  
Clinical Process ◽  
Organizational Issues ◽  
Organizational Perspective ◽  
Care Processes ◽  
Before And After ◽  
Over Time

Background: Running clinical facilities implies facing many challenges, as neat time management and fluid care processes. A method that warrants small changes and an interconnected and collaborative proceeding is convenient for adjusting clinical processes and avoiding unwanted side effects. From an organizational perspective, a smooth clinical process translates also into a levelled occupation of team members as reflected by over-time and absenteeism. Methods: The policlinic nurse team introduced weekly mini-huddles of maximum 15 minutes to discuss work organizational issues, with structured access to collaborating professionals and their hierarchies. The team selected the topic of patients presenting without a planned appointment. Nurse’s over-time stock and absenteeism were assessed before and after the intervention. Results: The clinical process had six steps, of which the patient’s waiting room period was transformed into a nurse’s evaluation and triage period followed by a transmission note to the physician. The new process decreased the average stock of nurse’s team over-time from 65.5 to 46.8 hours (-29%), and the nurse’s absenteeism from 4.6 % to 1.97 % (-57%). Conclusion: By cautious and collaborative proceeding, and the choice of an earnest issue by front nurses, we levelled the nurse’s workload and pleased patients and professional teams.

scholarly journals Dental care in opinion of senior patients from Lublin

2021 ◽  
Vol 131 (1) ◽  
pp. 41-44
Author(s):  
Paweł Kudła ◽  
Janusz Tarczydło ◽  
Kacper Kuśmirek
Keyword(s):  
Dental Care ◽  
Dental Treatment ◽  
Dental Health ◽  
The Elderly ◽  
Health Problems ◽  
Health Condition ◽  
Age Group ◽  
Dental Office ◽  
Willingness To Change ◽  
Senior Patients

Abstract Introduction. The issues of dental office accessibility, professionalism of the service as well as treatment reimbursement often determine geriatric patients’ decision regarding treatment. In the era of an aging society, struggling with the intensification of disease processes of the entire system, the belief of the elderly about the value and availability of dental treatments is the key to the wide use of the achievements of modern dental medicine. Thanks to this, there is a chance to improve oral health, which will directly improve the overall health condition of this age group. Aim. The aim of the study was to know the opinions of senior patients about the quality and availability of dental care for this age group. Materials and methods. The study was conducted during the Lublin Seniors Meeting LUB-SENIOR 2019 among 100 randomly selected people of both sexes aged 60-75 living in Lublin, who are not residents of retirement homes. An anonymous direct questionnaire with 7 questions regarding dental care was used. Results. After analyzing the answers given by the respondents (n=100), it was found that 84% of them showed satisfaction with the dental care available to them. Among the surveyed seniors, 81% declared having their own dentist, while 25% expressed the willingness to change him. As much as 80% of the respondents declared that dentists pay attention to seniors dental health problems. A friendly approach of the dental team to a senior patient was declared by 61% of the respondents. Preferences concerning the use of dental treatment in private offices were reported by 44% of thepeople, and within the procedures provided by the NHF – by 45%. Conclusions. The surveyed senior patients show attachment to their dentist, while expressing a positive opinion on dental care and the treatment. Few people in the studied age group show the willingness to change dentists, which is directly influenced by the doctors’ interest in health problems of the elderly.

scholarly journals Changes in dental practice in times of COVID-19: review and recommendations for dental health care

2021 ◽  
Vol 69 ◽  
Author(s):  
Manuela Gonçalves de Souza e Silva SILVEIRA ◽  
Matheus dos Santos FERNANDEZ ◽  
Thais Freitas Formozo TILLMANN ◽  
Júlia Freire DANIGNO ◽  
Mariana Silveira ECHEVERRIA ◽  
...  
Keyword(s):  
Disease Transmission ◽  
Dental Health ◽  
Healthcare Providers ◽  
Dental Practice ◽  
Waiting Room ◽  
Patient Screening ◽  
Health Authorities ◽  
Dental Procedures ◽  
Dental Office ◽  
Dental Professionals

ABSTRACT The aim of this article was to discuss biosafety measures described in the main protocols for minimizing the risk of COVID-19 transmission during dental care. COVID-19 appeared in China in late 2019 and quickly spread to other countries. Factors inherent to dental practice, such as proximity to the patient, transmission through saliva and breath, and the generation of aerosols during procedures, place the dental team at the top of the list among the most vulnerable healthcare providers. Health authorities initially recommended only maintaining urgent and emergency care and suspending elective dental procedures. Currently, elective care is gradually being resumed and requires numerous adjustments to the environment and professional routine in terms of biosafety. Several methods had been recommended to prevent the spread of other infectious diseases prior to the outbreak of COVID-19. However, further modifications are needed for the waiting room, patient screening and flow, procedures, garments, and even in dental office itself. Thus, dental professionals need to be prepared to adopt the new recommendations in order to reduce the chance of disease transmission.

scholarly journals Water Quality and Financial Analysis of a System Combining Rainwater and Greywater in a House

Water ◽  
2021 ◽  
Vol 13 (7) ◽  
pp. 930
Author(s):  
Gustavo Rosa ◽  
Enedir Ghisi
Keyword(s):  
Water Consumption ◽  
Potable Water ◽  
Treatment Process ◽  
Financial Analysis ◽  
Good Alternative ◽  
Water Savings ◽  
Financial Benefits ◽  
Before And After ◽  
Local Water ◽  
Water Tariffs

This study aimed to evaluate the installation of a system that combines rainwater to wash clothes and greywater to flush toilets in a house located in Florianópolis, southern Brazil. The evaluation consisted of determining the potable water savings, performing a financial analysis, and verifying the possibility of using rainwater and reusing greywater according to the local legislation. The reduction in potable water consumption was determined by comparing the monthly water and sewage bill, before and after installing the system, combining rainwater and greywater. The financial analysis was performed considering the financial benefits, operational costs, costs for installing the system, and local water tariffs. After installing the system, there was a decrease of 38.0% in the monthly potable water consumption, which represents a decrease of 7.00 m3 in the monthly potable water consumption. The payback periods for the old and new water tariffs were equivalent to, respectively, ten years and seven months, and eight years and five months. Both rainwater and greywater had parameters with concentrations higher than the limits established by the legislation. Therefore, the rainwater had to go through a device for discarding the first flush and needed disinfection; and the greywater needed to go through a treatment process. The results indicated that the system combining rainwater and greywater shows significant potential for potable water savings, which can be a good alternative to the preservation of potable water resources. It is important to note that current studies on rainwater use and greywater reuse are mainly related to non-potable purposes, but it was shown herein that rainwater can be used for washing clothes.

scholarly journals Audio-guided self-hypnosis for reduction of claustrophobia during MR imaging: results of an observational 2-group study

2021 ◽  
Author(s):  
Adriane E. Napp ◽  
Torsten Diekhoff ◽  
Olf Stoiber ◽  
Judith Enders ◽  
Gerd Diederichs ◽  
...  
Keyword(s):  
High Risk ◽  
Mr Imaging ◽  
Odds Ratio ◽  
Control Group ◽  
Waiting Room ◽  
High Risk Patients ◽  
Imaging Results ◽  
Before And After ◽  
Risk Patients ◽  
And Coping

Abstract Objectives To evaluate the influence of audio-guided self-hypnosis on claustrophobia in a high-risk cohort undergoing magnetic resonance (MR) imaging. Methods In this prospective observational 2-group study, 55 patients (69% female, mean age 53.6 ± 13.9) used self-hypnosis directly before imaging. Claustrophobia included premature termination, sedation, and coping actions. The claustrophobia questionnaire (CLQ) was completed before self-hypnosis and after MR imaging. Results were compared to a control cohort of 89 patients examined on the same open MR scanner using logistic regression for multivariate analysis. Furthermore, patients were asked about their preferences for future imaging. Results There was significantly fewer claustrophobia in the self-hypnosis group (16%; 9/55), compared with the control group (43%; 38/89; odds ratio .14; p = .001). Self-hypnosis patients also needed less sedation (2% vs 16%; 1/55 vs 14/89; odds ratio .1; p = .008) and non-sedation coping actions (13% vs 28%; 7/55 vs 25/89; odds ratio .3; p = .02). Self-hypnosis did not influence the CLQ results measured before and after MR imaging (p = .79). Self-hypnosis reduced the frequency of claustrophobia in the subgroup of patients above an established CLQ cut-off of .33 from 47% (37/78) to 18% (9/49; p = .002). In the subgroup below the CLQ cut-off of 0.33, there were no significant differences (0% vs 9%, 0/6 vs 1/11; p = 1.0). Most patients (67%; 35/52) preferred self-hypnosis for future MR examinations. Conclusions Self-hypnosis reduced claustrophobia in high-risk patients undergoing imaging in an open MR scanner and might reduce the need for sedation and non-sedation coping actions. Key Points • Forty percent of the patients at high risk for claustrophobia may also experience a claustrophobic event in an open MR scanner. • Self-hypnosis while listening to an audio in the waiting room before the examination may reduce claustrophobic events in over 50% of patients with high risk for claustrophobia. • Self-hypnosis may also reduce the need for sedation and other time-consuming non-sedation coping actions and is preferred by high-risk patients for future examinations.

scholarly journals Efficacy of Three Commercial Disinfectants in Reducing Microbial Surfaces’ Contaminations of Pharmaceuticals Hospital Facilities

2021 ◽  
Vol 18 (2) ◽  
pp. 779
Author(s):  
Giuseppina Di Martino ◽  
Salvatore Pasqua ◽  
Bruno Douradinha ◽  
Francesco Monaco ◽  
Chiara Di Bartolo ◽  
...  
Keyword(s):  
United States Pharmacopeia ◽  
Log10 Reduction ◽  
Colony Forming Units ◽  
Before And After ◽  
Disinfection Procedure ◽  
Cleaning And Disinfection ◽  
States Pharmacopeia ◽  
Representative Samples ◽  
Correct Implementation ◽  
Reduction Index

To evaluate and validate the efficacy of disinfectants used in our cleaning procedure, in order to reduce pharmaceutical hospital surfaces’ contaminations, we tested the action of three commercial disinfectants on small representative samples of the surfaces present in our hospital cleanrooms. These samples (or coupons) were contaminated with selected microorganisms for the validation of the disinfectants. The coupons were sampled before and after disinfection and the microbial load was assessed to calculate the Log10 reduction index. Subsequently, we developed and validated a disinfection procedure on real surfaces inside the cleanrooms intentionally contaminated with microorganisms, using approximately 107–108 total colony forming units per coupon. Our results showed a bactericidal, fungicidal, and sporicidal efficacy coherent to the acceptance criteria suggested by United States Pharmacopeia 35 <1072>. The correct implementation of our cleaning and disinfection procedure, respecting stipulated concentrations and contact times, led to a reduction of at least 6 Log10 for all microorganisms used. The proposed disinfection procedure reduced the pharmaceutical hospital surfaces’ contaminations, limited the propagation of microorganisms in points adjacent to the disinfected area, and ensured high disinfection and safety levels for operators, patients, and treated surfaces.

IMPACT OF JOINT COMMISSION INTERNATIONALACCREDITATION (JCIA) ON HEALTH CARE PROCESSES AND THE CHALLENGES FACED BY PHYSICIANS AND NURSES.

2021 ◽  
pp. 34-35
Author(s):  
Binu Thomas ◽  
Ankur Joshi
Keyword(s):  
Health Care ◽  
Employee Engagement ◽  
Interdisciplinary Collaboration ◽  
Joint Commission ◽  
Health Centers ◽  
Cross Sectional ◽  
Care Processes ◽  
Before And After ◽  
Collaboration And Communication ◽  
The Impact

Purpose: To evaluate the impact of joint commission international accreditation on health care processes as well as to assess the challenges faced by the physicians and nurses . Method: Conducted a cross sectional study in 11 health centers belong to Dubai health authority. Prepared a checklist and questionnaire to assess the changes in the processes brought by accreditation as well as the challenges faced by employees respectively. Studied perceived challenges by recruiting physician (n=106) and nurses (n=194) using convenience sampling technique. Done content validity of the tools with clinical quality experts. Conducted pilot study for the questionnaire and checked the reliability using Cronbach alpha (0.924). After obtaining ethical clearance and consent from subjects, the researcher visited health centers and administered questionnaire to the participants. To evaluate the process improvements, the researcher audited documents for the availability of processes before and after accreditation using the validated checklist, which consisted of 25 processes reecting various domains of quality, employee engagement, interdisciplinary collaboration and communication. Results: Observed tremendous improvements in the availability of processes. The proportion of processes before and after the accreditation was statistically signicantly different (p <.001) for quality of health care. However for employee engagement (p=.250) and interdisciplinary collaboration and communication (p=1.000) no statistical signicance were noted even though there were signicant improvements. Majority (57.5%) of doctors and nurses perceived that the accreditation processes were challenging. Discussion: Observed processes improvements ensuring quality, employee engagement, interdisciplinary collaboration and communication after accreditation.However,majority ofthe employees perceived that, the accreditationwas challenging in terms ofworkload, communication and documentation.

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