scholarly journals A kézhigiénés technika vizsgálata elektronikus ellenőrző berendezés segítségével 26 magyarországi betegellátó intézményben

2017 ◽  
Vol 158 (29) ◽  
pp. 1143-1148
Author(s):  
Ákos Lehotsky ◽  
Júlia Morvai ◽  
László Szilágyi ◽  
Száva Bánsághi ◽  
Alíz Benkó ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Healthcare Workers ◽  
Infection Prevention ◽  
Electronic Devices ◽  
Left Hand ◽  
Right Hand ◽  
Wide Range ◽  
The Individual ◽  
The Right ◽  
And Control

Abstract: Introduction: 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. Aim: Assessing the efficiency of modern education tools, and digital demonstration and verification equipment during their wide-range deployment. Method: 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. Results: 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). Conclusion: 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.

The learning of novel finger movement sequences

1994 ◽  
Vol 72 (4) ◽  
pp. 1596-1610 ◽  
Author(s):  
A. M. Gordon ◽  
A. Casabona ◽  
J. F. Soechting
Keyword(s):  
Time Course ◽  
Control Level ◽  
Movement Pattern ◽  
Discrete Movements ◽  
Left Hand ◽  
Right Hand ◽  
Contralateral Hand ◽  
The Individual ◽  
Movement Segment ◽  
The Right

1. Experienced typists typed phrases containing words in which one isolated letter was typed with one hand, while the remaining letters were typed with the contralateral hand. 2. The translational and rotational motion of the fingers and wrist of the right hand were obtained optoelectronically from the location of reflective markers placed on the fingers. 3. Midway through the experiment, the key corresponding to the isolated letter was physically switched with another key on the keyboard, and subjects typed the letter in its new location (for 140 trials). The letter “n,” typed with the right index finger, was either switched with letters normally typed with the same finger (u), with a different finger but same hand (o), with the same finger of the left hand (v), or with a different finger of the left hand (w). 4. When the words were typed normally, the interkey intervals were relatively short, and the onset of movement of the right hand began before the preceding keypress with the left hand. Thus the movement of the two hands overlapped. Furthermore, the movement to the isolated key was highly stereotypical, with little trial-to-trial variability. 5. After the transposition of keys, there were prolongations in the interkey intervals, with the largest delay occurring directly before the typing of the transposed key. Switches between homologous fingers (involving mirror movements) delayed the onset of keypresses to a lesser extent than did other switches. With practice, these delays were reduced but never reached the control level. 6. After the keyswitch, the onset of movement to the isolated key did not occur on average until after the last keypress with the contralateral hand, except when the switch involved the use of homologous fingers. In the latter case, overlapping movement of the two hands was maintained. Thus the learning of a series of discrete movements does not necessarily require that each movement segment be performed sequentially. 7. After the transposition of keys, the movement pattern and time course to a given key were similar to the movement patterns for that key observed during control trials in all conditions. Thus the learning of a series of movements may involve the use of previously learned movements under new conditions. 8. The results suggest that typing movements may be organized at several levels, including the individual keystroke and word level.

Redistribution

2017 ◽  
Author(s):  
Lora Deahl ◽  
Brenda Wristen
Keyword(s):  
Alternative Strategies ◽  
Adaptive Approach ◽  
Left Hand ◽  
Power And Control ◽  
Wide Range ◽  
Piano Literature ◽  
Specific Alternative ◽  
The Right ◽  
And Control

Chapter 4, the first of several chapters devoted to specific alternative strategies for small-handed players, shows how redistributing notes--taking notes with the left hand that are meant to be taken by the right, or the reverse--can mitigate or even eliminate problems caused by small handedness. To redistribute notes, the pianist must mentally reconfigure note distributions printed on the score and translate that information into action. The difficulty of this task may explain why redistribution is underutilized as an adaptive approach. Inventive solutions to common challenges found in a wide range of pedagogical and concert piano literature are presented. Specific areas of focus include: uncrossing parts; eliminating stretches in chords and arpeggios; facilitating leaps or hand shifts; increasing accuracy, power, and control; maintaining more neutral hand and wrist positions; facilitating trills and tremolos; maintaining legato and line; and projecting harmony.

Laterality Differences for Speed but Not for Control in Sequential Finger Tapping

1988 ◽  
Vol 67 (3) ◽  
pp. 927-933 ◽  
Author(s):  
Linda Z. Podbros ◽  
Maria A. Wyke
Keyword(s):  
Motor Activity ◽  
Finger Tapping ◽  
Cerebral Function ◽  
Sequential Order ◽  
Left Hand ◽  
Right Hand ◽  
The Right ◽  
And Control ◽  
Normal Adults ◽  
Complex Movement

Multiple or sequential finger tapping is preferential to the dominant right hand with respect to speed. However, in more complex movement, variables other than speed become important. The present investigation uses a sequential finger-rapping task which permits assessment of between-hands differences with respect to rate and control of movement, with and without vision. 36 right-handed normal adults rapidly tapped their fingers in sequential order on a block (2.54 cm. sq.), trying not to move the block. Analyses of variance (mode × hand) performed for taps and shift of the block show the right hand to be faster than the left hand with and without vision, adding further to the notion that the left hemisphere predominates in increases in rapid movement and in sequencing aspects of motor activity. However, while both hands were steadier with vision than without, there were no between-hand differences with regard to control, suggesting equivalency of cerebral function for factors of manual sequencing other than speed.

Modulation of Cortical Activity During Different Imitative Behaviors

2003 ◽  
Vol 89 (1) ◽  
pp. 460-471 ◽  
Author(s):  
Lisa Koski ◽  
Marco Iacoboni ◽  
Marie-Charlotte Dubeau ◽  
Roger P. Woods ◽  
John C. Mazziotta
Keyword(s):  
Posterior Parietal Cortex ◽  
Right Hemisphere ◽  
Brain Activity ◽  
Mirror Neuron ◽  
Left Hand ◽  
Right Hand ◽  
Tightly Coupled ◽  
Posterior Parietal ◽  
The Right ◽  
And Control

Imitation is a basic form of motor learning during development. We have a preference to imitate the actions of others as if looking in a mirror (specular imitation: i.e., when the actor moves the left hand, the imitator moves the right hand) rather than with the anatomically congruent hand (anatomic imitation: i.e., actor and imitator both moving the right hand). We hypothesized that this preference reflects changes in activity in previously described frontoparietal cortical areas involved in directly matching observed and executed actions (mirror neuron areas). We used functional magnetic resonance imaging to study brain activity in normal volunteers imitating left and right hand movements with their right hand. Bilateral inferior frontal and right posterior parietal cortex were more active during specular imitation compared with anatomic imitation and control motor tasks. Furthermore this same pattern of activity was also observed in the rostral part of the supplementary motor area (SMA-proper) of the right hemisphere. These findings suggest that the degree of involvement of frontoparietal mirror areas in imitation depends on the nature of the imitative behavior, ruling out a linguistic mediation of these areas in imitation. Moreover, activity in the SMA appears to be tightly coupled to frontoparietal mirror areas when subjects copy the actions of others.

scholarly journals Infection prevention and control compliance among exposed healthcare workers in COVID-19 treatment centers in Ghana: A descriptive cross-sectional study

PLoS ONE ◽  
2021 ◽  
Vol 16 (3) ◽  
pp. e0248282
Author(s):  
Mary Eyram Ashinyo ◽  
Stephen Dajaan Dubik ◽  
Vida Duti ◽  
Kingsley Ebenezer Amegah ◽  
Anthony Ashinyo ◽  
...  
Keyword(s):  
Hand Hygiene ◽  
Prevention And Control ◽  
Healthcare Workers ◽  
Infection Prevention ◽  
Assessment Tool ◽  
Secondary Level ◽  
Infection Prevention And Control ◽  
Cross Sectional ◽  
Behavior Change Interventions ◽  
And Control

Compliance with infection prevention and control (IPC) protocols is critical in minimizing the risk of coronavirus disease (COVID-19) infection among healthcare workers. However, data on IPC compliance among healthcare workers in COVID-19 treatment centers are unknown in Ghana. This study aims to assess IPC compliance among healthcare workers in Ghana’s COVID-19 treatment centers. The study was a secondary analysis of data, which was initially collected to determine the level of risk of COVID-19 virus infection among healthcare workers in Ghana. Quantitative data were conveniently collected using the WHO COVID-19 risk assessment tool. We analyzed the data using descriptive statistics and logistic regression analyses. We observed that IPC compliance during healthcare interactions was 88.4% for hand hygiene and 90.6% for Personal Protective Equipment (PPE) usage; IPC compliance while performing aerosol-generating procedures (AGPs), was 97.5% for hand hygiene and 97.5% for PPE usage. For hand hygiene during healthcare interactions, lower compliance was seen among nonclinical staff [OR (odds ratio): 0.43; 95% CI (Confidence interval): 0.21–0.89], and healthcare workers with secondary level qualification (OR: 0.24; 95% CI: 0.08–0.71). Midwives (OR: 0.29; 95% CI: 0.09–0.93) and Pharmacists (OR: 0.15; 95% CI: 0.02–0.92) compliance with hand hygiene was significantly lower than registered nurses. For PPE usage during healthcare interactions, lower compliance was seen among healthcare workers who were separated/divorced/widowed (OR: 0.08; 95% CI: 0.01–0.43), those with secondary level qualifications (OR 0.08; 95% CI 0.01–0.43), non-clinical staff (OR 0.16 95% CI 0.07–0.35), cleaners (OR: 0.16; 95% CI: 0.05–0.52), pharmacists (OR: 0.07; 95% CI: 0.01–0.49) and among healthcare workers who reported of insufficiency of PPEs (OR: 0.33; 95% CI: 0.14–0.77). Generally, healthcare workers’ infection prevention and control compliance were high, but this compliance differs across the different groups of health professionals in the treatment centers. Ensuring an adequate supply of IPC logistics coupled with behavior change interventions and paying particular attention to nonclinical staff is critical in minimizing the risk of COVID-19 transmission in the treatment centers.

scholarly journals Dissemination interventions to improve healthcare workers’ adherence with infection prevention and control guidelines: a systematic review and meta-analysis

2021 ◽  
Vol 16 (1) ◽  
Author(s):  
Marcus Tolentino Silva ◽  
Tais Freire Galvao ◽  
Evelina Chapman ◽  
Everton Nunes da Silva ◽  
Jorge Otávio Maia Barreto
Keyword(s):  
Hand Hygiene ◽  
Prevention And Control ◽  
Healthcare Workers ◽  
Hand Hygiene Compliance ◽  
Infection Prevention ◽  
Meta Analysis ◽  
Infection Prevention And Control ◽  
Vaccination Uptake ◽  
Hygiene Compliance ◽  
And Control

Abstract Background The COVID-19 pandemic has challenged health systems worldwide since 2020. At the frontline of the pandemic, healthcare workers are at high risk of exposure. Compliance with infection prevention and control (IPC) should be encouraged at the frontline. This systematic review aimed to assess the effects of dissemination interventions to improve healthcare workers’ adherence with IPC guidelines for respiratory infectious diseases in the workplace. Methods We searched CENTRAL, MEDLINE, Embase, and the Cochrane COVID-19 Study Register. We included randomized controlled trials (RCTs) and cluster RCTs that assessed the effect of any dissemination strategy in any healthcare settings. Certainty of evidence was assessed using the GRADE approach. We synthesized data using random-effects model meta-analysis in Stata 14.2. Results We identified 14 RCTs conducted from 2004 to 2020 with over 65,370 healthcare workers. Adherence to IPC guidelines was assessed by influenza vaccination uptake, hand hygiene compliance, and knowledge on IPC. The most assessed intervention was educational material in combined strategies (plus educational meetings, local opinion leaders, audit and feedback, reminders, tailored interventions, monitoring the performance of the delivery of health care, educational games, and/or patient-mediated interventions). Combined dissemination strategies compared to usual routine improve vaccination uptake (risk ratio [RR] 1.59, 95% confidence interval [CI] 1.54 to 1.81, moderate-certainty evidence), and may improve hand hygiene compliance (RR 1.70; 95% CI 1.03 to 2.83, moderate-certainty). When compared to single strategies, combined dissemination strategies probably had no effect on vaccination uptake (RR 1.01, 95% CI 0.95 to 1.07, low-certainty), and hand hygiene compliance (RR 1.16, 95% CI 0.99 to 1.36, low-certainty). Knowledge of healthcare workers on IPC improved when combined dissemination strategies were compared with usual activities, and the effect was uncertain in comparison to single strategy (very low-certainty evidence). Conclusions Combined dissemination strategies increased workers’ vaccination uptake, hand hygiene compliance, and knowledge on IPC in comparison to usual activities. The effect was negligible when compared to single dissemination strategies. The adoption of dissemination strategies in a planned and targeted way for healthcare workers may increase adherence to IPC guidelines and thus prevent dissemination of infectious disease in the workplace. Trial registration Protocol available at http://osf.io/aqxnp.

Editorial Note

1946 ◽  
Vol 11 (1) ◽  
pp. 2-2
Keyword(s):  
Editorial Note ◽  
Speech Sounds ◽  
Left Hand ◽  
Hand Column ◽  
Right Hand ◽  
Infant Speech ◽  
The Right

In the article “Infant Speech Sounds and Intelligence” by Orvis C. Irwin and Han Piao Chen, in the December 1945 issue of the Journal, the paragraph which begins at the bottom of the left hand column on page 295 should have been placed immediately below the first paragraph at the top of the right hand column on page 296. To the authors we express our sincere apologies.

THE VALUE OF LOVE IN THE SYSTEM OF FORMATION OF THE PROFESSIONAL MATURITY OF THE EDUCATOR

2020 ◽  
Vol 1 (10(79)) ◽  
pp. 12-18
Author(s):  
G. Bubyreva
Keyword(s):  
Russian Federation ◽  
The State ◽  
Educational Process ◽  
Wide Range ◽  
The Family ◽  
The Russian Federation ◽  
The Government ◽  
The Individual ◽  
The Right

The existing legislation determines the education as "an integral and focused process of teaching and upbringing, which represents a socially important value and shall be implemented so as to meet the interests of the individual, the family, the society and the state". However, even in this part, the meaning of the notion ‘socially significant benefit is not specified and allows for a wide range of interpretation [2]. Yet the more inconcrete is the answer to the question – "who and how should determine the interests of the individual, the family and even the state?" The national doctrine of education in the Russian Federation, which determined the goals of teaching and upbringing, the ways to attain them by means of the state policy regulating the field of education, the target achievements of the development of the educational system for the period up to 2025, approved by the Decree of the Government of the Russian Federation of October 4, 2000 #751, was abrogated by the Decree of the Government of the Russian Federation of March 29, 2014 #245 [7]. The new doctrine has not been developed so far. The RAE Academician A.B. Khutorsky believes that the absence of the national doctrine of education presents a threat to national security and a violation of the right of citizens to quality education. Accordingly, the teacher has to solve the problem of achieving the harmony of interests of the individual, the family, the society and the government on their own, which, however, judging by the officially published results, is the task that exceeds the abilities of the participants of the educational process.  The particular concern about the results of the patriotic upbringing served as a basis for the legislative initiative of the RF President V. V. Putin, who introduced the project of an amendment to the Law of RF "About Education of the Russian Federation" to the State Duma in 2020, regarding the quality of patriotic upbringing [3]. Patriotism, considered by the President of RF V. V. Putin as the only possible idea to unite the nation is "THE FEELING OF LOVE OF THE MOTHERLAND" and the readiness for every sacrifice and heroic deed for the sake of the interests of your Motherland. However, the practicing educators experience shortfalls in efficient methodologies of patriotic upbringing, which should let them bring up citizens, loving their Motherland more than themselves. The article is dedicated to solution to this problem based on the Value-sense paradigm of upbringing educational dynasty of the Kurbatovs [15].

Barriers to infection prevention and control practice among Amhara region teaching hospitals in Ethiopia: Qualitative study

2019 ◽  
Vol 15 (2) ◽  
Author(s):  
Walelegn Worku Yallew ◽  
Abera Kumie ◽  
Feleke Moges Yehuala
Keyword(s):  
Healthcare Worker ◽  
Prevention And Control ◽  
Healthcare Workers ◽  
Infection Prevention ◽  
Teaching Hospitals ◽  
Infection Prevention And Control ◽  
Amhara Region ◽  
Implementation Barriers ◽  
Control Practice ◽  
And Control

Healthcare workers have good perception towards infection prevention, but there has been a poor practice towards it. Therefore, the aim of this study was to explore barriers to practice of infection prevention and control practice in teaching hospitals in Amhara region. A phenomenological approach used to explore the lived experience of healthcare workers and management staffs towards infection prevention practice and control. The data was collected from ten in-depth interviews and 23 focus group discussion participants, by face to face interview using open ended interview performed in safe and quiet places. Data was managed using OpenCode software version 4.03 and contents were analyzed thematically. Totally ten different barriers were identified, such as availability of facilities, shortage of material supply, lack of maintenance of facilities and equipment, high patient flow, experience, emergency situation, healthcare worker behaviour and healthcare worker’s information about infection prevention, low awareness of patients and visitors and overflow of families and visitors to the hospital. For effective infection prevention practice implementation, barriers should be considered via identifying specific organizational, healthcare worker, patients and visitors as targets.

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