scholarly journals Occupational safety of pressurized intraperitoneal aerosol chemotherapy (PIPAC)

2017 ◽  
Vol 2 (3) ◽  
pp. 121-128 ◽  
Author(s):  
Wouter Willaert ◽  
Paul Sessink ◽  
Wim Ceelen
Keyword(s):  
Detection Limit ◽  
Occupational Safety ◽  
Health Hazard ◽  
University Hospital ◽  
Sample Collection ◽  
Position Detection ◽  
Outer Pair ◽  
Environmental Air ◽  
Water Seal

AbstractBackgroundPressurized intraperitoneal aerosol chemotherapy (PIPAC) has emerged as a novel method to treat extensive, small volume peritoneal metastases. The clinical use of chemotherapy containing aerosols represents a potential occupational health hazard. We report the results of toxicological analysis during the first two clinical PIPAC procedures performed at Ghent University Hospital.MethodsAfter extensive preparation and in vitro testing, two patients were treated with PIPAC: the first using doxorubicin (2.86 mg in 51.43 mL) and cisplatin (14.28 mg in 164.3 mL), the second using oxaliplatin (182.10 mg in 186.42 mL). A standardized safety checklist was developed and used. Aerosol delivery was combined with electrostatic precipitation (ePIPAC). The following samples were obtained at several time points and locations: environmental air, floor surface wipes, surgeon’s gloves, surgeon’s hand wipes, circuit filters, and fluid from the water seal collection chamber container placed along the closed aerosol waste evacuating line. Platinum concentration was measured in these samples using voltammetry. Sample collection and analysis were performed by an independent external laboratory.ResultsPlatinum was not detected on the four floor locations after both procedures (detection limit 0.02 ng/cm2). Similarly, no platinum was detected in environmental air during both PIPACs at the surgeon’s or anesthesiologist’s position (detection limit 4.0–27 ng/m3). No platinum contamination was detected on the hands, outer pair of gloves, or inner pair of gloves of the surgeon (detection limit 70 and 50 ng respectively). Platinum was not detected on the filters and in the air-seal container liquid.ConclusionsWith adequate preparation and precautions, a clinical PIPAC program can be established without measurable chemotherapy exposure to the operating room environment or healthcare workers.

scholarly journals Evaluation of the Antimicrobial and Odor-removing Efficacy of Bio Oxygen Device for Air Decontamination

2020 ◽  
Author(s):  
ABBA ELGUJJA
Keyword(s):  
Agar Plate ◽  
University Hospital ◽  
Technological Advancement ◽  
King Saud University ◽  
Log Reduction ◽  
Air Supply ◽  
Tertiary Teaching ◽  
Environmental Air ◽  
Oxygen Process

BackgroundMaintaining a clean air in the contemporary environment laden with pollution from several factors has continued to be a challenge. Modern technological advancement has continued to make several attempts at ameliorating environmental pollutions and make the air humanly safe. One of such technological attempts is the Bio-Oxygen which is a type of air purifier that, as the manufacturer claims, produces oxygen clusters, and as a result, thereby purify air of pathogens, and remove unpleasant odour from the environmental air. 1.Antimicrobial Activity: The manufacturing company claimed that the oxygen clusters could aggregate and destroy viruses, bacteria, fungus, yeast, mould, mildew spores, protozoa and other pathogens. The manufacturer presented some results from in vitro experiments showing significant log reduction in bacterial growth in agar plate, Bio Test strips and air sample. However, there is, so far, no test done on other pathogens like viruses, fungi, yeasts, spores etc.2.Odour Removal: The bio –oxygen process also claims to be capable of removing odours, gases, chemical fumes and vapours including those arising from urine, faeces, vomit, body odour, toilets, garbage, sewage, fertilizers, cooking, fermentation, spoilage and rotting etc. as well as from chemicals such as from paints, varnishes, thinners, adhesives, glues, plastics , waxes, carpets, disinfectants, deodorants and perfumes etc. Some laboratory test findings have shown that Bio-Oxygen could reduce odour by up to 91%. The company showed several testimonials from some of its customers that installed the machine on exhaust ducts to reduce obnoxious smells emanating from their industries, e.g., in poultry, piggeries and waste management settings. There are, also the claim of successful use in smoking rooms, and in clubs to curtail smells coming from the nearby railway station. OBJECTIVE:To assess the safety and effectiveness of BIO-OXYGEN in odor control (odor removal) and air purification (antimicrobial claim).Methods:The Infection Control Department of King Khalid University Hospital Riyadh evaluated the machine for both its antimicrobial claims and odor removing claims. King Khalid University Hospital is a tertiary teaching hospital, and the headquarters of King Saud University Medical City, Riyadh.After obtaining the necessary approval, evaluated the Bio-Oxygen machine in an air supply duct supplied by an isolated air handling unit that supplies the waste collection rooms and part of the laundry department on the ground floor of the West Building.

Conducting Worksite Investigations

2017 ◽  
Author(s):  
Bruce P. Bernard
Keyword(s):  
Occupational Safety ◽  
Health Management ◽  
Health Hazard ◽  
Health And Safety ◽  
Employee Health ◽  
Hazard Evaluation ◽  
Workplace Hazards ◽  
Health Concerns ◽  
Workplace Conditions ◽  
Safety And Health

This chapter focuses on conducting worksite investigations, including walkthrough surveys, and provides occupational health and safety personnel, employees, and employers the opportunity to identify and assess current workplace conditions and employee health concerns and make recommendations on how to reduce or eliminate any identified workplace hazards. The methods described cover ways to implement corrective actions necessary for preventing future adverse incidents and to identify shortcomings in safety and health management programs. Various specific examples are provided. The National Institute for Occupational Safety and Health Hazard Evaluation Program, which has experience with all types of workplace hazards, is described. Preparing for and conducting workplace investigations is described in detail.

Progress and Challenges in Laboratory-Based Diagnostic and Screening Approaches for Aneuploidy Detection during Pregnancy

2021 ◽  
pp. 247263032110217
Author(s):  
Lindsay Schneider ◽  
Anubhav Tripathi
Keyword(s):  
Sample Collection ◽  
Aneuploidy Screening ◽  
Preimplantation Genetic Testing ◽  
Cellular Division ◽  
Vitro Fertilization ◽  
Genetic Abnormalities ◽  
The Social ◽  
Diagnostic Technologies ◽  
Screening Approaches

Aneuploidy is caused by problems during cellular division and segregation errors during meiosis that lead to an abnormal number of chromosomes and initiate significant genetic abnormalities during pregnancy or the loss of a fetus due to miscarriage. Screening and diagnostic technologies have been developed to detect this genetic condition and provide parents with critical information about their unborn child. In this review, we highlight the complexities of aneuploidy as a disease as well as multiple technological advancements in testing that help to identify aneuploidy at various time points throughout pregnancy. We focus on aneuploidy diagnosis during preimplantation genetic testing that is performed during in vitro fertilization as well as prenatal screening and diagnosis during pregnancy. This review focuses on DNA-based analysis and laboratory techniques for aneuploidy detection through reviewing molecular- and engineering-based technical advancements. We also present key challenges in aneuploidy detection during pregnancy, including sample collection, mosaic embryos, economic factors, and the social implications of this testing. The goal of this review is to synthesize broad information about aneuploidy screening and diagnostic sample collection and analysis during pregnancy and discuss major challenges the field is still facing despite decades of advancements.

scholarly journals Factors Enhancing Serum Syndecan-1 Concentrations: A Large-Scale Comprehensive Medical Examination

2019 ◽  
Vol 8 (9) ◽  
pp. 1320
Author(s):  
Kazumasa Oda ◽  
Hideshi Okada ◽  
Akio Suzuki ◽  
Hiroyuki Tomita ◽  
Ryo Kobayashi ◽  
...  
Keyword(s):  
Large Scale ◽  
Prospective Observational Study ◽  
Nitrogen Concentration ◽  
Laboratory Data ◽  
University Hospital ◽  
Endothelial Glycocalyx ◽  
Sample Collection ◽  
Blood Samples ◽  
Triglyceride Concentration ◽  
Medical Examinations

Endothelial disorders are related to various diseases. An initial endothelial injury is characterized by endothelial glycocalyx injury. We aimed to evaluate endothelial glycocalyx injury by measuring serum syndecan-1 concentrations in patients during comprehensive medical examinations. A single-center, prospective, observational study was conducted at Asahi University Hospital. The participants enrolled in this study were 1313 patients who underwent comprehensive medical examinations at Asahi University Hospital from January 2018 to June 2018. One patient undergoing hemodialysis was excluded from the study. At enrollment, blood samples were obtained, and study personnel collected demographic and clinical data. No treatments or exposures were conducted except for standard medical examinations and blood sample collection. Laboratory data were obtained by the collection of blood samples at the time of study enrolment. According to nonlinear regression, the concentrations of serum syndecan-1 were significantly related to age (p = 0.016), aspartic aminotransferase concentration (AST, p = 0.020), blood urea nitrogen concentration (BUN, p = 0.013), triglyceride concentration (p < 0.001), and hematocrit (p = 0.006). These relationships were independent associations. Endothelial glycocalyx injury, which is reflected by serum syndecan-1 concentrations, is related to age, hematocrit, AST concentration, BUN concentration, and triglyceride concentration.

scholarly journals Stage 2 Acupuncture for Poor Ovarian Response: A Randomized Controlled Trial

2021 ◽  
Vol 10 (10) ◽  
pp. 2182
Author(s):  
Jihyun Kim ◽  
Hoyoung Lee ◽  
Tae-Young Choi ◽  
Joong Il Kim ◽  
Byoung-Kab Kang ◽  
...  
Keyword(s):  
Randomized Controlled Trial ◽  
Controlled Trial ◽  
Ovarian Response ◽  
Controlled Ovarian Hyperstimulation ◽  
University Hospital ◽  
Ovarian Hyperstimulation ◽  
Poor Ovarian Response ◽  
Vitro Fertilization ◽  
Randomized Controlled

Acupuncture is believed to improve ovarian reserve and reproductive outcomes in women undergoing in vitro fertilization (IVF). This study was conducted to evaluate the effect of network-optimized acupuncture followed by IVF on the oocyte yield in women showing a poor ovarian response. This study was an exploratory randomized controlled trial conducted from June 2017 to January 2020 at the Pusan National University Hospital. Women diagnosed with poor ovarian response were enrolled and randomly divided into two groups: IVF alone and Ac + IVF groups (16 acupuncture sessions before IVF treatment). Eight acupoints with high degree centrality and betweenness centrality were selected using network analysis. Among the participants, compared with the IVF treatment alone, the acupuncture + IVF treatment significantly increased the number of retrieved mature oocytes in women aged more than 37 years and in those undergoing more than one controlled ovarian hyperstimulation cycle. The negative correlation between the number of retrieved mature oocytes and consecutive controlled ovarian hyperstimulation cycles was not observed in the Ac + IVF group irrespective of the maternal age. These findings suggest that physicians can consider acupuncture for the treatment of women with poor ovarian response and aged > 37 years or undergoing multiple IVF cycles.

PSIII-11 The effect of feeding supplemental zeolite (clinoptilolite) of two different particle sizes on measures of nitrogen utilization and nutrient digestibility in finishing beef heifers

2021 ◽  
Vol 99 (Supplement_3) ◽  
pp. 287-287
Author(s):  
Cheyanne A Myers ◽  
Mario de Haro Marti ◽  
Mireille Chahine ◽  
Gwinyai E Chibisa
Keyword(s):  
Particle Size ◽  
Nutrient Intake ◽  
Nutrient Digestibility ◽  
Particle Sizes ◽  
Sample Collection ◽  
Beef Heifers ◽  
Plasma Urea ◽  
Ruminal Ph ◽  
N Utilization

Abstract Clinoptilolite (CLN), could potentially improve nitrogen (N) utilization when fed to beef cattle as it can bind ruminal-ammonia-N (NH3-N), limiting its loss and subsequent detoxification into urea-N, which is released into blood and is excreted in urine. However, the effectiveness of CLN is influenced by physical properties such as particle size. Although decreasing the particle size has been shown to increase the binding of ammonium in-vitro, this remains to be evaluated in vivo. Therefore, the objective of this study was to determine the effects of feeding CLN of two different particle sizes (30 and 400 µm) on ruminal NH3-N and plasma-urea-N (PUN) concentrations, ruminal pH, and nutrient intake and apparent total-tract digestibility. Six ruminally-cannulated beef heifers (mean initial BW± SD, 620.8 ± 30.15) were used in a replicated 3 × 3 Latin square design with 21 d periods (sample collection from d 15 to 21). Dietary treatments were: 1) finishing ration with no supplement (CON), 2) CON +30-µm CLN (CL-30), and 3) CON + 400-µm CLN (CL-400). Clinoptilolite was top-dressed (2.5% of diet DM) during morning feeding. Intake was measured daily. Ruminal fluid was collected on d 19 for NH3-N analysis and blood was collected 3 h post-feeding on d 21 for PUN analysis. Indwelling pH loggers were used to measure ruminal pH (d 15 to 21) and grab fecal samples were collected from d 19 to 21 to determine total-tract nutrient digestibility. Statistical analysis was conducted using PROC MIXED in SAS. There was no treatment effect (P ≥ 0.13) on ruminal NH3-N and PUN concentrations, ruminal pH, and nutrient (DM, OM, NDF, ADF and CP) intake and apparent total tract digestibility. In conclusion, feeding CLN to finishing heifers had no effect on measures of N utilization, ruminal pH and nutrient intake and apparent total-tract digestibility.

Amuchina Gel Xgerm hand rub in vitro virucidal activity against SARS-CoV-2

2021 ◽  
Author(s):  
Alessandra Capezzone de Joannon ◽  
Angela Testa ◽  
Natalie Falsetto ◽  
Michela Procaccini ◽  
Lorella Ragni
Keyword(s):  
Detection Limit ◽  
Bovine Serum Albumin ◽  
Serum Albumin ◽  
Bovine Serum ◽  
Virucidal Activity ◽  
European Standard ◽  
Enveloped Viruses ◽  
Prevention Measure ◽  
Study Product

Aim: Ethanol is highly effective at inactivating enveloped viruses, including SARS-CoV-2. The aim of this study is to evaluate the virucidal activity of Amuchina Gel Xgerm (74% ethanol) against SARS-CoV-2, according to the European Standard EN14476:2013+A2:2019. Materials & methods: Virucidal activity of the study product was evaluated against SARS-CoV-2 strain USAWA1/2020 in suspension, in the presence of 0.3 g/l of bovine serum albumin. Results: The log10 reduction of SARS-CoV-2 in the presence of bovine serum albumin was ≥4.11 ± 0.12 after 30 s of exposure to the study product (80% dilution). Cytotoxicity was observed in the 100 dilution, affecting the detection limit by 1 log10. Conclusion: Virucidal activity against SARS-CoV-2 supports the effectiveness of this alcohol-based formulation as a prevention measure for COVID-19 illness.

Survival of cryptosporidium parvum, escherichia coli, faecal enterococci and clostridium perfringens in river water: influence of temperature and autochthonous microorganisms

1997 ◽  
Vol 35 (11-12) ◽  
pp. 249-252 ◽  
Author(s):  
G. J. Medema ◽  
M. Bahar ◽  
F. M. Schets
Keyword(s):  
Surface Water ◽  
River Water ◽  
Cryptosporidium Parvum ◽  
Health Hazard ◽  
Influence Of Temperature ◽  
E Coli ◽  
Untreated Water ◽  
Time Required ◽  
Micro Organisms

Oocysts of Cryptosporidium parvum can survive for several months in surface water, one of the main factors determining their success in environmental transmission and thus their health hazard via water. Several factors in the environment, e.g. temperature, presence of predators and exo-enzymes will probably influence oocyst survival. The high persistence of oocysts may also limit the value of traditional faecal indicator bacteria. The aim of this study was to determine the rate at which C parvum oocysts, E coli, faecal enterococci and C perfringens spores die in surface water and the influence of temperature and the presence of autochthonous (micro)organisms on the die-off rate. Microcosms with autoclaved river water were inoculated with the organisms. Microcosms with untreated river water were inoculated with concentrated primary effluent containing the bacteria and with C parvum oocysts. Microcosms were incubated at 5°C or 15°C at 100rpm. Viability of oocysts was monitored by in vitro excystation and dye-exclusion; viability of the bacteria was determined on appropriate selective media. When pseudo first-order die-off kinetics were assumed, the die-off rate of oocysts at 5°C was 0.010 log10/d and at 15°C, 0.006–0.024 log10/d. These rates underestimate die-off since oocyst disintegration was not accounted for. Incubation in autoclaved or untreated water did influence the die-off rate of oocysts at 15°C but not at 5°C. The die-off rate of E coli and enterococci was faster in the non-sterile river water than in autoclaved water at both temperatures. At 15°C, E coli (and possibly E faecium) even multiplied in autoclaved water. In untreated river water, the die-off of E coli and enterococci was approximately 10x faster than die-off of oocysts but die-off rates of C perfringens were lower than those of oocysts. As for oocysts, die-off of the bacteria and spores was faster at 15°C than at 5°C. Oocysts are very persistent in river water: the time required for a 10x reduction in viability being 40–160d at 15°C and 100d at 5°C. Biological/biochemical activity influenced oocyst survival at 15°C and survival of both vegetative bacteria at 5 and 15°C. The rapid die-off of E coli and enterococci makes them less suitable as indicators of oocyst presence in water. As C perfringens survived longer in untreated river water than oocysts, it may prove useful as an indicator of the presence of C parvum.

scholarly journals Effect of Nursing Guidelines on Coping of Infertile Couples Undergoing In Vitro Fertilization

2020 ◽  
Vol 2 (2) ◽  
pp. 11
Author(s):  
Gehan S. Abdelgelel ◽  
Shadia H. Muhsib ◽  
Mona H. Abdelaal ◽  
Randa M. Ibrahim
Keyword(s):  
In Vitro Fertilization ◽  
Coping Strategies ◽  
Unprotected Sex ◽  
The Body ◽  
University Hospital ◽  
Vitro Fertilization ◽  
Significant Difference ◽  
Infertile Couples ◽  
Nursing Guidelines

Context: Infertility is defined as not being able to conceive after one year of unprotected sex. In vitro fertilization (IVF) is a process of fertilization where an ovum is combined with sperm outside the body, in vitro. In vitro fertilization (IVF) is psychologically and emotionally stressful. Coping strategies are needed to master, tolerate, reduce, or minimize stressful events. Aim: This study aimed to evaluate the effect of nursing guidelines on coping of infertile couples' undergoing In Vitro Fertilization. Methods: A quasi-experimental research design was utilized to achieve the aim of this study. This study conducted at the assisted reproductive technology unit of Ain shams Maternity University Hospital on a convenient sample of 98 couples undergoing fertility treatments. Two tools were used for data collection; the first tool was a structured interviewing questionnaire to assess the couple's socio-demographic data, obstetric history, the couple's knowledge regarding in vitro fertilization. The second tool was ways of coping scale (WQS) to assess coping strategies among the infertile couple. Results: There is no statistically significant difference between couples in both groups according to their knowledge and their coping strategies to IVF before the implementation of nursing guidelines (p> 0.05). In contrast, there is a highly statistically significant improvement in knowledge and coping strategies of couples on the study group compared to control group couples after implementation of nursing guidelines(p<0.001). Conclusion: The finding of the current study supported the hypothesis, which stated that the infertile couples who will expose to the nursing guidelines, will exhibit improved coping strategies to IVF compared to the controls. The study recommended the application of nursing guidelines at the IVF unit of Ain Shams Maternity University Hospital and other settings for IVF treatment as routine care to improve infertile couples' coping strategies.

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