scholarly journals Reducing Intervention in the COVID-19 Era: Opportunities for Vital Pulp Treatment

2021 ◽  
Vol 2 ◽  
Author(s):  
Ikhlas A. El karim ◽  
Henry F. Duncan
Keyword(s):  
Management Strategies ◽  
Working Environment ◽  
Control Measures ◽  
Infection Control Measures ◽  
Dental Procedures ◽  
Relieve Pain ◽  
Multiple Visit ◽  
Simple Alternative ◽  
Global Health Problem ◽  
Pulp Treatment

Over the last 12 months, the Severe Acute Respiratory Syndrome Coronavirus 2 (SARS-COV-2) virus has emerged as a significant global health problem with extensive repercussions for the practise of dentistry. As the principle transmission-route is via droplet-spread, aerosol-generating dental procedures (AGPs) present an exquisite challenge, which either has to be avoided or performed using strict infection-control measures, which increase the deployment of resources and cost. This new working environment necessitates the adoption of simplified, yet effective procedures that reduce intervention and minimise clinical chair time to short, single visits. Vital pulp treatment (VPT) has emerged as an attractive, technically less-complicated group of biologically-based management strategies that are aimed at maintaining pulp vitality and avoiding root canal treatment (RCT). These procedures are carried out in a strict aseptic environment using a rubber dam and have a reported high success rate, suggesting that they could be considered as effective and simple alternative therapies to relieve pain and avoid multiple visit RCT and other endodontic procedures. The relevance of promoting a simple, predictable and effective alternative to traditional, more complex dentistry has never been more compelling. In this perspective article, the latest advances in VPT are highlighted, along with an analysis of their relative success and compelling reasons why we as dentists should be adopting these treatment approaches. Thereafter, case selection, prognostic factors, techniques, limitations and future prospects of these procedures are discussed.

scholarly journals Resuming Elective Ophthalmic Surgery during COVID-19 Pandemic

2021 ◽  
Vol 14 (1) ◽  
pp. 380-387
Author(s):  
Raed Shatnawi ◽  
Motasem Al-latayfeh
Keyword(s):  
Practical Experience ◽  
Control Measures ◽  
Evidence Based ◽  
Clinical Environment ◽  
Ophthalmic Surgery ◽  
Administrative Control ◽  
Infection Control Measures ◽  
Patient Screening ◽  
Medical Instruments ◽  
Global Health Problem

Background: The Coronavirus (COVID-19) pandemic has become a global health problem. Purpose: This paper aims to describe the practical experience of resuming elective ophthalmic surgery during the COVID-19 pandemic in a specialized eye hospital. Methods: A descriptive design was conducted in Middle East Eye Hospital, Ammann, Jordan. The current practices were observed to be conducted according to many evidence-based measures, including mainly the American Academy of Ophthalmology guidelines to safely resume ophthalmology service during the COVID-19 pandemic. Results: The main strategies that were adopted were related to patient and employee awareness and education, infection control measures, medical instruments, clinical environment, administrative control, patient screening and workflow, and quality control. Conclusion: We expect that these strategies could help ophthalmologists globally to resume elective ophthalmic surgery.

Nurses' Fears and Professional Obligations Concerning Possible Human-to-Human Avian Flu

2006 ◽  
Vol 13 (5) ◽  
pp. 455-470 ◽  
Author(s):  
Huey-Ming Tzeng ◽  
Chang-Yi Yin
Keyword(s):  
Nursing Students ◽  
Private University ◽  
Working Environment ◽  
Control Measures ◽  
H5n1 Influenza Virus ◽  
Avian Flu ◽  
Professional Obligations ◽  
Infection Control Measures ◽  
H5n1 Influenza ◽  
Southern Taiwan

This survey aimed to illustrate factors that contribute to nurses' fear when faced with a possible human-to-human avian flu pandemic and their willingness to care for patients with avian flu in Taiwan. The participants were nursing students with a lesser nursing credential who were currently enrolled in a bachelor degree program in a private university in southern Taiwan. Nearly 42% of the nurses did not think that, if there were an outbreak of avian flu, their working hospitals would have sufficient infection control measures and equipment to prevent nosocomial infection in their working environment. About 57% of the nurse participants indicated that they were willing to care for patients infected with avian influenza. Nurses' fear about an unknown infectious disease, such as the H5N1 influenza virus, could easily be heightened to levels above those occurring during the 2003 severe acute respiratory syndrome outbreak in Taiwan.

scholarly journals Impact of the COVID-19 Pandemic on Cancer Patients: Challenges and Practical Approach to Management

2020 ◽  
Vol 1 (supplement) ◽  
pp. 6
Author(s):  
Uzma Azeem Awan ◽  
Rida Fatima Saeed ◽  
Muhammad Zeeshan Bhatti ◽  
Muhammad Naeem ◽  
Nosheen Akhtar
Keyword(s):  
Cancer Patients ◽  
Clinical Care ◽  
Management Strategies ◽  
Control Measures ◽  
Medical Community ◽  
Beneficial Effects ◽  
Infection Control Measures ◽  
Care Models ◽  
Current Outbreak ◽  
Cancer Intervention

The coronavirus 2019 (COVID-19) outbreak has rapidly spread worldwide, which poses great challenges to the healthcare system around the world. This pandemic has shown that globally medical community has no care- models to deal with the effects imposed on patients with chronic illnesses. Appropriate and timely diagnosis and treatment of this highly vulnerable immunocompromised population is mandatory. Prominent challenges faced during the current outbreak include resource allocation, management of patients suffering from and follow-up-phases, patient fear and protection of healthcare workers. During Pandemic, the major management strategies for cancer patients comprise education about personal protective measures, symptoms of COVID- 19, emotional support, clear communication about infection control measures and clinical care. To decrease the risk of exposure, active individualized cancer intervention is required with reduce outpatient visits and maximum telemedicine. Currently, international guidelines to manage cancer patients in any infectious pandemic are not available. The development of a complete contingency plan with guidelines for the safety and patients care will pose beneficial effects by minimizing the risks of morbidity and mortality.

scholarly journals COVID-19 is a New Challenge for Dental Practitioners: Advice on Patients’ Management from Prevention of Cross Infections to Telemedicine

2020 ◽  
Vol 14 (1) ◽  
pp. 298-304 ◽  
Author(s):  
Amerigo Giudice ◽  
Francesco Bennardo ◽  
Alessandro Antonelli ◽  
Selene Barone ◽  
Leonzio Fortunato
Keyword(s):  
Healthcare Professionals ◽  
Recent Literature ◽  
Scientific Information ◽  
Relevant Information ◽  
Control Measures ◽  
Infection Control Measures ◽  
Dental Procedures ◽  
Dental Office ◽  
Dental Practitioners ◽  
Essential Knowledge

Background: The COVID-19, originated in China in December 2019, has spread worldwide pandemically. Infection control measures are especially needed for healthcare professionals who meet potentially infected patients. Objective: The authors aimed to provide general knowledge about COVID-19 disease and indications for the management of emergency dental procedures based on recent literature and experience gained. Methods: A literature search was performed to identify scientific information on COVID-19 and prevention of cross infection appropriate for the practice of dentistry. Results: The authors provided relevant information about SARS-CoV-2 virus, COVID-19 disease, and prevention of cross infections in the dental office. Furthermore, the authors described their experience and highlighted the potential of telemedicine. Conclusion: This article, based on relevant researches, guidelines and Authors’ experience in a COVID-19 Hospital, introduces essential knowledge about COVID-19 and transmission routes and provides recommended management protocols for dental practitioners.

Tracking industry responsiveness to COVID-19 – what has happened and what lies ahead

2021 ◽  
Vol 61 (2) ◽  
pp. 442
Author(s):  
Joelle Mitchell ◽  
Derrick O'Keeffe
Keyword(s):  
Disease Transmission ◽  
Management Strategies ◽  
Petroleum Industry ◽  
Initial Response ◽  
Control Measures ◽  
Supply Chain Disruptions ◽  
Infection Control Measures ◽  
Risk Management Strategies ◽  
The Impact ◽  
Offshore Petroleum

This study will provide a longitudinal account of how the Australian offshore petroleum industry has responded to the COVID-19 pandemic, and how the response has evolved over time, and will provide a regulatory perspective on the future challenges arising from the changes that have occurred during the industry in response to the pandemic. Since March 2020, the National Offshore Safety and Environmental Management Authority has been actively collecting information about the approach taken by the offshore petroleum industry to respond to the COVID-19 pandemic. The initial response focused on infectious disease control measures, identifying strategies to prevent disease transmission on offshore facilities and to respond should an outbreak occur offshore. The next phase considered the potential consequences of the infection control measures on facility safety and integrity, including the impact of reduced personnel on board on safety critical maintenance activities and emergency response capability, assurance of competence profile requirements being sustained on facilities, the long-term consequences of delayed routine maintenance, supply chain disruptions and access to specialist workforce. It became apparent that a rapid recovery to pre-COVID-19 conditions was unlikely, and the impacts would likely continue for some time; and psychosocial and fatigue risk management strategies were explored. Data collection methods included: surveys of operators, workplace inspections, review of documents and records, interviews with members of the workforce and participation in industry working groups.

KNOWLEDGE AND PRACTICE OF NURSES REGARDING INFECTION CONTROL MEASURES IN THE SELECTED HEALTH FACILITIES OF DELHI

2019 ◽  
Vol 3 (6) ◽  
Author(s):  
Dr. Mohan Lata ◽  
Dr. Ranjana Singh ◽  
Dr. Monika Rana ◽  
Dr. Suparna Ghosh Jerath
Keyword(s):  
Infection Control ◽  
Knowledge Score ◽  
Health Facilities ◽  
Public Hospitals ◽  
Working Environment ◽  
Control Measures ◽  
Cross Sectional ◽  
Record Keeping ◽  
Infection Control Measures ◽  
Knowledge And Practice

Introduction :Universal precautions as defined by Centre for Disease Control and Prevention (CDC) is “a set of precautions or actions designed to prevent the transmission of hepatitis B virus, hepatitis C virus, human immunodeficiency virus and other body fluids, blood borne pathogens when providing health care to a patient”. This study aims to assess the knowledge and practice of nurses on infection control measures in the selected health facilities of Delhi and identify the factors affecting their adoption of the practices. Methodology: This was a cross-sectional mixed method study. Quantitative data was collected from 159 nurses working in selected public hospitals, using a pre tested structured questionnaire and qualitative data was collected from key stakeholders using in depth interview guide. For analysis Stata version 14.2 was used. Result: The adequate knowledge (>80 percent score) was found in 71.7 percent nurses. There were also a few (1.3 percent) nurses who had poor level of knowledge. The adequate level of practice (>80 percent score) was found in 72.9 percent of participants. There were also few nurses (1.3 percent) whose practice level was poor. Further linear regression was done to look for determinants of knowledge and practice. The likelihood of knowledge score was significantly more among those who have seen SOPs and have attended training on infection control measures. Practice score was significantly more among those who have more knowledge and have attended training. The major barriers reported were understaffing, patient over load, record keeping and data entry and sometimes non-availability of adequate resources. Conclusion: It was found in the present study that knowledge and practice of infection control among nurses was adequate but needs to be improved further to provide a completely safe working environment for the study population and prevent them from the risk of occupational hazard. The need for extensive trainings, adequate staff patient ratio and for making the resources available are suggested

scholarly journals Awareness of Infection Control Protocols Among Dental Students in Babylon Dental Faculty

2018 ◽  
Vol 26 (4) ◽  
pp. 222-233
Author(s):  
Khalil Ibraheem Zaidan
Keyword(s):  
Infectious Diseases ◽  
Infection Control ◽  
College Teaching ◽  
Dental Students ◽  
Control Measures ◽  
Survey Study ◽  
Dental Practice ◽  
Cross Sectional ◽  
Infection Control Measures ◽  
Dental Procedures

Infection control and knowledge of common "infectious diseases" is essential for safe dental practice. Conveyance of infectious diseases is likely "from one individual to another during dental procedures", thorough" blood-borne" viruses and bacteria   "such as hepatitis" , human immunodeficiency virus (HIV). Thence in dental practice, the  sterilization and particular protection  is of most importance Process in  dental procedures,  and patient sponsor settings seek specific strategies guide to prevent the  transmission of diseases among dental students , oral verdure care staffs and their patients. Aim: Current study highlight  the methods and behavior  to evaluate  the  benefits of awareness, stance and pursuit of infection control between dental students in training dental clinic at Babylon  dental collage . Materials and Methods: A cross-sectional wipe using a rear ordered questionnaire was executed. The reconnaissance consisted of 38 closed-ended questions that included the key areas of infection control, including hand hygiene, personal preservation, sterilization and disinfection and ecological infection monitoring. There were also questions to elicit perceptions regarding the treatment of HBV and HIV/AIDS patients. Results: Survey study was done for dental students replied to the reconnaissance. Their situation and realization across infection control in college teaching  clinic .The results were assorted between 100% were orderly using gloves and 96% mask   with patient to 6% were orderly wore eye glasses. The type of sterilization of instrument was 90% autoclave and 10% oven and from analysis of data revealed most teaching clinics devoid of instruction post about control of infection control measures   Conclusion: "Improved compliance with recommended infection control procedures is required for all dentists" and graduated dental students  predestined in the existing project. Enduring instruction "programs and short-time" processions about "cross-infection and infection control" modes are convenient to progress the awareness and attitude of Dental students in infection control.

scholarly journals Building infrastructure and operating-technological options in post-COVID-19 oral health care

2020 ◽  
Vol 9 (12) ◽  
pp. e29091211211
Author(s):  
Livia Fernandes Probst ◽  
Paulo Zárate Pereira ◽  
Gilberto Alfredo Pucca Junior ◽  
Alessandro Diogo De Carli
Keyword(s):  
Public Health ◽  
Information And Communication Technologies ◽  
Physical Space ◽  
Control Measures ◽  
Public Health Services ◽  
Infection Control Measures ◽  
Minimally Invasive Dentistry ◽  
Dental Procedures ◽  
Information And Communication ◽  
The Impact

During the COVID-19 pandemic, concerns about the impact of the aerosol generated in dental procedures on the spread of disease led to additional infection control measures that will remain as part of the biosafety routine after the end of the pandemic. This article addresses a little discussed topic that concerns the need to adapt the physical space and operational-technological choices for post-COVID dental care19. The current architecture of spaces for dental care in teaching and public health service units allows the care of several patients simultaneously. However, aerosols are produced routinely during dental procedures, with a real possibility of contamination between different patients. In this way, we present perspectives and suggestions for readjusting these spaces for teaching units and public health services in the short, medium and long term and also for using the resources of Information and Communication Technologies and minimally invasive dentistry.

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