Routine procedures and preventive measures in tissue banking and cell therapy during COVID-19 pandemic

Following the rapid spread of SARS-CoV-2 worldwide, this article describes routine procedures and preventive measures for tissue banking and cell therapy in University Hospital Centre “Sestre milosrdnice” in the Republic of Croatia. This paper describes our current practice for preventing contamination and microbiological environmental monitoring of cleanrooms, the protection of healthcare personnel as well as patients from SARS-CoV-2. These measures are based on the recommendations obtained from the Ministry of Health of the Republic of Croatia, the Croatian Institute of Public Health and the European Centre for Disease Prevention and Control. We also present data on samples collected and treated in this period in comparison to normal work conditions before COVID-19.

Download Full-text

Empowering the patient? Medication communication during hospital discharge: a qualitative study at an internal medicines ward in Norway

BMJ Open ◽

10.1136/bmjopen-2020-044850 ◽

2021 ◽

Vol 11 (6) ◽

pp. e044850

Author(s):

Stine Eidhammer Rognan ◽

Sofia Kälvemark-Sporrong ◽

Kajsa Rebecka Bengtsson ◽

Helene Berg Lie ◽

Yvonne Andersson ◽

...

Keyword(s):

Hospital Discharge ◽

Patient Empowerment ◽

Study Data ◽

University Hospital ◽

Self Management ◽

Healthcare Personnel ◽

Power And Control ◽

Core Elements ◽

Patients Experience ◽

And Control

ObjectiveEffective communication and patient empowerment before hospital discharge are important steps to ensure medication safety. Patients discharged from hospitals are often expected to assume self-management, frequently without healthcare personnel (HCP) having ensured patients’ knowledge, motivation and/or skills. In this substudy of a larger study, we explore how patients experience medication communication during encounters with HCPs and how they are empowered at hospital discharge.DesignThis is a qualitative case study. Data collection was done through qualitative observations of patient–HCP encounters, semistructured interviews with patients and drug reconciliation. Data were analysed using content analysis.SettingAn internal medicines ward at a university hospital in Norway.ParticipantsNine patients aged 49–90 years were included close to the day of discharge.ResultsThe analysis revealed the following themes: (1) patient-centred care (PCC), which included ‘understanding and involvement in the patient-as-person’, ‘establishment of a therapeutic alliance’, and ‘sharing power and responsibility’; and (2) biomedical (conventional) care, including the subthemes ‘HCPs in power and control’ and ‘optimising medical outcomes, following guidelines’. Even though the elements of PCC were observed in several encounters, overall communication was not sufficiently fostering patient empowerment. Spending time with patients and building relations based on mutual trust seemed undervalued.ConclusionsThe results provide a broader understanding of how patients experience medication communication at hospital discharge. Both the patients and the HCPs appear to be inculcated with biomedical traditions and are uncertain about the roles and opportunities associated with PCC. Attention should be paid to patient preferences and to the core elements of the PCC model from admission to discharge to empower patients in medication self-management.

Download Full-text

Legal Requirements for Infection Prevention and Control Training Among Healthcare Personnel

Infection Control and Hospital Epidemiology ◽

10.1017/ice.2020.558 ◽

2020 ◽

Vol 41 (S1) ◽

pp. s70-s70

Author(s):

Lauren Weil ◽

Alexa Limeres ◽

Astha KC ◽

Carissa Holmes ◽

Tara Holiday ◽

...

Keyword(s):

Prevention And Control ◽

Infection Prevention ◽

Healthcare Personnel ◽

Infection Prevention And Control ◽

Content Areas ◽

Training Requirements ◽

Training Content ◽

And Control ◽

Dental Professionals

Background: When healthcare providers lack infection prevention and control (IPC) knowledge and skills, patient safety and quality of care can suffer. For this reason, state laws sometimes dictate IPC training; these requirements can be expressed as applying to various categories of healthcare personnel (HCP). We performed a preliminary assessment of the laws requiring IPC training across the United States. Methods: During February–July 2018, we searched WestlawNext, a legal database, for IPC training laws in 51 jurisdictions (50 states and Washington, DC). We used standard legal epidemiology methods, including an iterative search strategy to minimize results that were outside the scope of the coding criteria by reviewing results and refining search terms. A law was defined as a regulation or statute. Laws that include IPC training for healthcare personnel were collected for coding. Laws were coded to reflect applicable HCP categories and specific IPC training content areas. Results: A total of 278 laws requiring IPC training for HCP were identified (range, 1–19 per jurisdiction); 157 (56%) did not specify IPC training content areas. Among the 121 (44%) laws that did specify IPC content, 39 (32%) included training requirements that focused solely on worker protections (eg, sharps injury prevention and bloodborne pathogen protections for the healthcare provider). Among the 51 jurisdictions, dental professionals were the predominant targets: dental hygienists (n = 22; 43%), dentists (n = 20; 39%), and dental assistants (n = 18; 35%). The number of jurisdictions with laws requiring training for other HCP categories included the following: nursing assistants (n = 25; 49%), massage therapists (n = 11; 22%), registered nurses (n = 10; 20%), licensed practical nurses (n = 10; 20%), emergency medical technicians and paramedics (n = 9; 18%), dialysis technicians (n = 8; 18%), home health aides (n = 8;16%), nurse midwives (n = 7; 14%), pharmacy technicians (n = 7; 14%), pharmacists (n = 6; 12%), physician assistants (n = 4; 8%), podiatrists (n = 3; 6%), and physicians (n = 2; 4%). Conclusions: Although all jurisdictions had at least 1 healthcare personnel IPC training requirement, many of the laws lack specificity and some focus only on worker protections, rather than patient safety or quality of care. In addition, the categories of healthcare personnel regulated among jurisdictions varied widely, with dental professionals having the most training requirements. Additional IPC training requirements exist at the facility level, but this information was not analyzed as a part of this project. Further analysis is needed to inform our assessment and identify opportunities for improving IPC training requirements, such as requiring IPC training that more fully addresses patient protections.Funding: NoneDisclosures: None

Download Full-text

Effect of Integrated Neuromuscular Exercise in Physical Education Class on Health-Related Fitness in Female Children

Healthcare ◽

10.3390/healthcare9030312 ◽

2021 ◽

Vol 9 (3) ◽

pp. 312

Author(s):

Marijana Sinđić ◽

Draženka Mačak ◽

Nikola Todorović ◽

Bianka Purda ◽

Maja Batez

Keyword(s):

Physical Education ◽

Muscular Fitness ◽

Female Children ◽

Before And After ◽

Health Related ◽

The Republic ◽

Almost All ◽

And Control ◽

Cardiorespiratory Endurance ◽

Health Related Fitness

Integrated neuromuscular training (INT) showed benefits for improving fundamental movement skills (FMS). However, the INT health-related fitness (HRF) effects are lacking. The current study aimed to determine the effects of INT implemented during physical education (PE) in a primary school in the Republic of Serbia on HRF in female children. The sample consisted of 72 healthy girls who were divided into the intervention (EG: n = 37; mean ± SD: age = 8.17 ± 0.31) and control (CG: n = 35; age = 8.11 ± 0.31) groups. The EG and CG performed the INT program and traditional PE activities two times per week within the first ~15 min of PE class, respectively. The Fitnessgram battery tests assessed the HRF (body composition, cardiorespiratory endurance, muscular fitness, and flexibility) before and after the program. After eight weeks, the EG significantly reduced all fat measures, while the CG decreased only triceps skinfold but to a smaller extent (F = 5.92, p < 0.02, ŋ2 = 0.09). Both groups significantly improved the performance of almost all muscular fitness tests (curl-ups, trunk lift, push-ups); however, the EG increased the push-ups more than the CG (F = 9.01, p < 0.01, ŋ2 = 0.14). The EG additionally improved the modified pull-ups (F = 14.09, p < 0.01, ŋ2 = 0.19) and flexed arm hang (F = 28.82, p < 0.01, ŋ2 = 0.33) tests. The flexibility and cardiorespiratory endurance of both groups did not significantly change after eight weeks. This approach of exercise showed positive acceptance and relatively good results after only eight weeks.

Download Full-text

Poult Enteritis and Mortality Syndrome in Turkey Poults: Causes, Diagnosis and Preventive Measures

Animals ◽

10.3390/ani11072063 ◽

2021 ◽

Vol 11 (7) ◽

pp. 2063

Author(s):

Awad A. Shehata ◽

Shereen Basiouni ◽

Reinhard Sting ◽

Valerij Akimkin ◽

Marc Hoferer ◽

...

Keyword(s):

Preventive Measures ◽

Clinical Signs ◽

Accurate Diagnosis ◽

Economic Losses ◽

Turkey Poults ◽

Causative Agents ◽

Enteric Disorders ◽

And Control ◽

Enteropathogenic Viruses ◽

Poult Enteritis

Poult enteritis and mortality syndrome (PEMS) is one of the most significant problem affecting turkeys and continues to cause severe economic losses worldwide. Although the specific causes of PEMS remains unknown, this syndrome might involve an interaction between several causative agents such as enteropathogenic viruses (coronaviruses, rotavirus, astroviruses and adenoviruses) and bacteria and protozoa. Non-infectious causes such as feed and management are also interconnected factors. However, it is difficult to determine the specific cause of enteric disorders under field conditions. Additionally, similarities of clinical signs and lesions hamper the accurate diagnosis. The purpose of the present review is to discuss in detail the main viral possible causative agents of PEMS and challenges in diagnosis and control.

Download Full-text

The Impact of Socially Responsible Reporting on Successful Corporate Operations

Organizacija ◽

10.2478/orga-2013-0007 ◽

2013 ◽

Vol 46 (2) ◽

pp. 47-54 ◽

Cited By ~ 1

Author(s):

Anton Peršič ◽

Mirko Markič

Keyword(s):

Research Method ◽

Quantitative Research ◽

Socially Responsible ◽

The Real Estate ◽

Construction Market ◽

Responsible Conduct ◽

The Republic ◽

And Control ◽

The Impact ◽

A Company

The aim of our research was to study the impact and purpose of the reporting on socially responsible conduct on the success of corporate operations. The data and information were gathered with the quantitative research method, whereas the instrument for gathering them was a questionnaire that was distributed among 759 large and medium sized organisations from the field of market services in the Republic of Slovenia. We have established that activities aimed at socially responsible conduct are directly connected with the success of corporate operations, especially the revenue (p = 0.001), the profit of a company (p = 0.000), operational growth (p = 0.007) and operational economy (p = 0.002), and are typical for organizations with a larger number of employees (p = 0.032). In this regard, the real estate and construction market activities received the lowest scores. Research results provide theoretical as well as practical benefits for everyone dealing with the planning, implementation and control of sustainable development, as well as socially responsible conduct within the organization.

Download Full-text

PM466 RHD Prevention and Control Programme in the Republic of Kiribati

Global Heart ◽

10.1016/j.gheart.2014.03.1787 ◽

2014 ◽

Vol 9 (1) ◽

pp. e157

Author(s):

Samantha Colquhoun ◽

Akineti Nikuata ◽

Joseph H. Kado ◽

Kautu Bakatu ◽

Teatao Tiira ◽

...

Keyword(s):

Prevention And Control ◽

Control Programme ◽

The Republic ◽

And Control

Download Full-text

Assessment of a Mandatory Tetanus, Diphtheria, and Pertussis Vaccination Requirement on Vaccine Uptake over Time

Infection Control and Hospital Epidemiology ◽

10.1086/663337 ◽

2012 ◽

Vol 33 (1) ◽

pp. 81-83 ◽

Cited By ~ 13

Author(s):

David J. Weber ◽

Stephanie A. Consoli ◽

Emily Sickbert-Bennett ◽

William A. Rutala

Keyword(s):

Patient Care ◽

Infect Control Hosp ◽

Vaccine Uptake ◽

University Hospital ◽

Healthcare Personnel ◽

Direct Patient Care ◽

Tdap Vaccine ◽

Newly Hired ◽

Termination Date ◽

Over Time

Tetanus, diphtheria, and pertussis (Tdap) vaccine is recommended for all healthcare personnel who provide direct patient care unless medically contraindicated. Our university hospital made employment conditional upon receipt of Tdap vaccine. Implementation for newly hired employees quickly resulted in complete compliance, but achieving adherence among current workers required setting a termination date for noncompliance.Infect Control Hosp Epidemiol 2012;33(1):81-83

Download Full-text

Ensuring social guarantees and human rights for the implementation of the labour legislation of the Republic of Kazakhstan

RIVISTA DI STUDI SULLA SOSTENIBILITA ◽

10.3280/riss2020-001019 ◽

2020 ◽

pp. 315-335

Author(s):

Anarkhan R. Kuttygalieva ◽

Yermek A. Buribayev ◽

Bakhytkali M. Koshpenbetov ◽

Gakku N. Rakhimova ◽

Zhanna A. Khamzina ◽

...

Keyword(s):

Human Rights ◽

Labour Market ◽

Analytical Method ◽

Practical Significance ◽

Safety Standards ◽

Collective Agreements ◽

The Republic ◽

Labour Legislation ◽

And Control ◽

Labour Regulation

The relevance of the study is determined by the fact that in order to improve the legislation of the country, it is necessary to study the successful experience of other countries. The purpose of the study is to propose a number of measures that will help improve labour legislation in Kazakhstan. The work uses primarily the analytical method. It is determined by the fact that apart from statutory labour protection rules, some safety standards are contained in collective agreements that speci-fy and sometimes supplement relevant legislative provisions. The paper states the fact that it is necessary to factor in world experience in organizing and operating a system of supervision and control over compliance with labour legislation for the Republic of Kazakhstan. The novelty of the study is that with a study of the legislation on labour regulation in Western countries, the authors identify a number of measures that will be relevant for implementation in the Republic of Kazakhstan. The practical significance of the study is determined by the incompatibility of iso-lation from the outside world, including from the international labour market with objectives of development.

Download Full-text

Is suicidal ideation associated with allergic asthma and allergic rhinitis?

Jornal Brasileiro de Pneumologia ◽

10.1590/s1806-37562017000000129 ◽

2018 ◽

Vol 44 (1) ◽

pp. 31-35 ◽

Cited By ~ 2

Author(s):

Martín Bedolla-Barajas ◽

Norma Angélica Pulido-Guillén ◽

Bolívar Vivar-Aburto ◽

Jaime Morales-Romero ◽

José Raúl Ortiz-Peregrina ◽

...

Keyword(s):

Allergic Rhinitis ◽

Suicidal Ideation ◽

Allergic Asthma ◽

Allergic Diseases ◽

Cross Sectional Study ◽

University Hospital ◽

Control Group ◽

Healthy Controls ◽

Cross Sectional ◽

And Control

ABSTRACT Objective: To investigate whether there is an association between suicidal ideation (SI) and allergic diseases in adults. Methods: This was a comparative cross-sectional study involving individuals ranging from 20 to 50 years of age recruited from a university hospital in the city of Guadalajara, Mexico. We included patients with a confirmed diagnosis of allergic asthma, those with a confirmed diagnosis of allergic rhinitis, and healthy controls. All subjects completed the Beck Depression Inventory-II (BDI-II), which includes an item that evaluates the presence of suicidal thoughts or desires within the last two weeks, in order to identify SI. Results: The sample comprised 115 patients with allergic asthma, 111 patients with allergic rhinitis, and 96 healthy controls. The number of individuals identified with SI in the three groups were, respectively, 17 (14.8%), 13 (11.7%), and 8 (8.3%). Regarding the presence of SI, no statistically significant association was found in the allergic asthma group (OR = 1.98; 95% CI: 0.78-4.64; p = 0.154) or in the allergic rhinitis group (OR = 1.46; 95% CI: 0.58-3.68; p = 0.424) when they were compared with the control group. However, the presence of depression was associated with SI in the three groups: allergic asthma (OR = 12.36; 95% CI: 2.67-57.15; p = 0.001); allergic rhinitis (OR = 6.20; 95% CI: 1.66-23.14; p = 0.006); and control (OR = 21.0; 95% CI: 3.75-117.36; p < 0,001). Conclusions: In comparison with the control group, no association was found between SI and the groups with allergic diseases. In contrast, there was association between SI and depression in the three groups.

Download Full-text