scholarly journals Exposição à fumaça cirúrgica: como se proteger?

2020 ◽  
Vol 14 ◽  
Author(s):  
Jéssica Ribeiro Aranha ◽  
Patricia Aroni ◽  
Evelin Daiane Gabriel Pinhatti ◽  
Renata Perfeito Ribeiro

Objetivo: relatar o uso do equipamento para proteção respiratória por trabalhadores expostos à inalação da fumaça cirúrgica. Método: trata-se de um estudo descritivo, do tipo informativo, com base em publicações pertinentes ao uso de equipamentos de proteção respiratória utilizados pelos trabalhadores expostos à fumaça cirúrgica. Realizou-se uma busca bibliográfica de artigos científicos que abordassem o tema nas seguintes bases de dados: MEDLINE, Web of Science, Sci-Versi Scopus e LILACS. Resultados: registrou-se que as máscaras N95 filtram partículas maiores que 0,3 mícrons, portanto, nem todas as substâncias são retidas com o seu uso, já que os compostos químicos presentes na fumaça cirúrgica medem de 0,1 a 0,5 mícrons. Avalia-se, dessa forma, que a recomendação do uso da máscara cirúrgica comum pelos trabalhadores expostos à fumaça cirúrgica não é segura. Ressalta-se, porém, que existem recomendações para o seu uso diante dessa exposição. Conclusão: fazem-se necessárias, com a exposição dos trabalhadores aos componentes químicos presentes na fumaça cirúrgica produzida pelo eletrocautério, a recomendação e a implementação do uso da máscara N95, aspiradores próprios para a fumaça cirúrgica e exaustores de ambiente. Descritores: Eletrocoagulação; Equipamentos de Proteção; Pessoal de Saúde; Saúde do Trabalhador; Fumaça; Exposição Ocupacional.AbstractObjective: to report the use of respiratory protection equipment by workers exposed to inhalation of surgical smoke. Method: this is a descriptive, informative study, based on publications relevant to the use of respiratory protective equipment used by workers exposed to surgical smoke. A bibliographic search of scientific articles that addressed the topic was carried out in the following databases: MEDLINE, Web of Science, Sci-Versi Scopus and LILACS. Results: it was registered that N95 masks filter particles larger than 0.3 microns; therefore, not all substances are retained with their use, since the chemical compounds present in surgical smoke measure from 0.1 to 0.5 microns. Thus, it is assessed that the recommendation for the use of the common surgical mask by workers exposed to surgical smoke is not safe. It is noteworthy, however, that there are recommendations for its use in the face of this exposure. Conclusion: it is necessary, with the exposure of workers to the chemical components present in the surgical smoke produced by the electrocautery, the recommendation and implementation of the use of the N95 mask, vacuum cleaners for surgical smoke and room exhaust fans. Descriptors: Electrocoagulation; Protective Devices; Health Personnel; Occupational Health; Smoke; Occupational Exposure.ResumenObjetivo: informar sobre el uso de equipos de protección respiratoria por parte de los trabajadores expuestos a la inhalación de humo quirúrgico. Método: este es un estudio descriptivo e informativo, basado en publicaciones relevantes para el uso de equipos de protección respiratoria utilizados por trabajadores expuestos al humo quirúrgico. Se realizó una búsqueda bibliográfica de artículos científicos que abordaron el tema en las siguientes bases de datos: MEDLINE, Web of Science, Sci-Versi Scopus y LILACS. Resultados: se registró que las máscaras N95 filtran partículas de más de 0.3 micras, por lo tanto, no todas las sustancias se retienen con su uso, ya que los compuestos químicos presentes en el humo quirúrgico miden de 0.1 a 0.5 micras. Por lo tanto, se evalúa que la recomendación para el uso de la máscara quirúrgica común por parte de los trabajadores expuestos al humo quirúrgico no es segura. Cabe señalar, sin embargo, que hay recomendaciones para su uso ante esta exposición. Conclusión: con la exposición de los trabajadores a los componentes químicos presentes en el humo quirúrgico producido por elelectrocauterio, es necesario recomendar e implementar el uso de la máscara N95, aspiradoras para humo quirúrgico y extractores de aire. Descriptores: Electrocoagulación; Equipos de Seguridad; Personal de Salud; Salud Laboral; Humo; Exposición Profesional.

2020 ◽  
Vol 11 (SPL1) ◽  
pp. 1240-1243
Author(s):  
Pradyuman Singh Rajput ◽  
Asish Kumar Saha ◽  
Insiya Gangardiwala ◽  
Anand Vijayakumar Palur Ramakrishnan

The COVID-19 pandemic initially started from the Wuhan capital city of Hubei Province in the People's Republic of China had now led to a severe public health hazard across the globe, the recorded death is approximately 958 thousand globally and counting. With the enormous amount of spread of the disease, a severe crisis for Personal Protective Equipment (PPE) is being noticed across the globe. Face masks being the first line of defence for all the healthcare workers as well for the common public. It became mandatory to wear face masks before entering the patient care area. The countries who are not manufacturing it locally had to depend on other countries for the procurement. As there is a severe supply chain disruption due to the lockdown measures taken by all the countries to contain the disease, so it had become difficult to procure the face masks from the manufacturing countries. The price for these PPEs is also rising at an alarming rate with the increase in the COVID-19 cases and the huge rate of consumption by the healthcare and other sectors. Therefore, with limited resources, the hospital has to run its services. The CDC, WHO and ICMR have released several guidelines from time to time for sterilization and reuse of face masks. This article will discuss the various methods that can be utilized to sterilize the face masks and reuse of it.


2019 ◽  
Vol 36 (1) ◽  
pp. 84-91 ◽  
Author(s):  
Pilar Puertas Molero ◽  
Félix Zurita-Ortega ◽  
Ramon Chacon-Cuberos ◽  
Manuel Castro-Sanchez ◽  
Irwin Ramirez-Granizo ◽  
...  

Actualmente, la Inteligencia Emocional es un factor clave que repercute en el bienestar social y mental de los alumnos, ayudándoles a regular y gestionar sus emociones, lo que les facilita a comprender su entorno y a tomar decisiones acertadas ante los diversos momentos estresantes que surgen diariamente en clase, lo que hace hincapié en que debe de ser un elemento continuo y progresivo desarrollado por medio de las entidades educativa. De ahí la intención de llevar a cabo un meta-análisis con el fin de conocer el grado de fiabilidad, así como los beneficios que reportan los programas de implementación de Inteligencia Emocional en los discentes.  La búsqueda bibliográfica se ha realizado en la base de datos Web of Science, SCOPUS y PubMed, obteniendo un total de 20 artículos publicados en las dos últimas décadas relacionados con la temática analizada y que respondieran a los criterios de inclusión. Solamente se incluyeron artículos de tipo longitudinal con los que se llevó a cabo un meta-análisis, obteniendo un tamaño del efecto medio de 0.73, analizando a su vez la efectividad según etapa educativa y duración de la implementación, siendo la Educación Primaria la que obtuvo mejores resultados según la aplicación de los programas (TE=0.95), seguida de la Educación Secundaria, a su vez se analizó la eficacia de las intervenciones según la duración del programa realizado, obtenido que los programas de media duración eran los que mejores datos reportaban a los estudiantes. Llegando a la conclusión de que mayoritariamente los programas contribuyen al desarrollo y a la potenciación de la Inteligencia Emocional de los discentes dotándolos de las habilidades necesarias para afrontar las situaciones que se acontecen en el día a día, así como de la capacidad para sentirse auto-realizados con las tareas llevadas a cabo y con el esfuerzo aplicado. Currently Emotional Intelligence is a key factor that affects the social and mental wellbeing of students, helping them to regulate and manage their emotions, which makes it easier for them to understand their environment and make the right decisions in the face of the different stressful moments that arise daily in class. which emphasizes that it must be a continuous and progressive element developed through educational entities. Hence the intention to carry out a meta-analysis in order to know the degree of reliability as well as the benefits reported by the programs of implementation of Emotional Intelligence in the students. The bibliographic search was carried out in the Web of Science, SCOPUS and PubMed database, obtaining a total of 20 articles published in the last two decades related to the subject analyzed and which met the inclusion criteria. Only longitudinal articles were included with which a meta-analysis was carried out, obtaining an average effect size of 0.73, analyzing in turn the effectiveness according to educational stage and duration of implementation, with Primary Education obtaining the best results. results according to the application of the programs (TE = 0.95), followed by Secondary Education, in turn, the effectiveness of the interventions was analyzed according to the duration of the program, obtained that the medium-term programs were the ones that reported the best results to the students. Reaching the conclusion that most of the programs contribute to the development and empowerment of the Emotional Intelligence of the students, equipping them with the necessary skills to face the situations that take place on a daily basis, as well as the ability to feel self-realized with the tasks carried out and with the applied effort.


2021 ◽  
Vol 65 (6) ◽  
pp. 527-532
Author(s):  
Ekaterina A. Shashina ◽  
Denis V. Shcherbakov ◽  
Tatiana S. Isiutina-Fedotkova ◽  
Valentina V. Makarova ◽  
Vitaly A. Sukhov ◽  
...  

Introduction. Wearing a face mask is an important measure against spread of infection during the COVID-19 pandemic. The purpose of the study was to analyze various aspects of the face masks use by the population during the pandemic. The questioner was used. Results. Almost all respondents (96.4%) wore respiratory protective devices during the pandemic; 91.4% respondents worn face masks visiting grocery stores, pharmacies and medical organizations; 64.0% - visiting non-food trade facilities; 76.9% - travelling by surface transport, and 76.1% - being on the subway. Different types of face masks were used, 93.3% of respondents used disposable medical mask, 25.4% - reusable cloth masks. However, only 44.8% of respondents indicated that their protective equipment was made of non-woven material; 26.1% did not know how many layers their protective equipment contained; about a third of respondents (20.1% - 30.21%) were not able to assess the effectiveness of different types of respiratory protection. A third of the respondents (33.6%) wore a disposable medical mask for 2 hours, 35.2% - more than 2 hours in one day, 28.0% - for several days. Conclusions. Most of the respondents wore the face mask. Disposable medical masks were most commonly used. Requirements for the duration of wearing of face masks were met by about third of the respondents, for the handling - half of the respondents. Spontaneous choice of face mask by respondents confirms the importance of the development of hygiene guideline for choosing the most effective respiratory protection.


Author(s):  
Oren Izenberg

This book offers a new way to understand the divisions that organize twentieth-century poetry. It argues that the most important conflict is not between styles or aesthetic politics, but between poets who seek to preserve or produce the incommensurable particularity of experience by making powerful objects, and poets whose radical commitment to abstract personhood seems altogether incompatible with experience—and with poems. Reading across the apparent gulf that separates traditional and avant-garde poets, the book reveals the common philosophical urgency that lies behind diverse forms of poetic difficulty—from William Butler Yeats's esoteric symbolism and George Oppen's minimalism and silence to Frank O'Hara's joyful slightness and the Language poets' rejection of traditional aesthetic satisfactions. For these poets, what begins as a practical question about the conduct of literary life—what distinguishes a poet or group of poets?—ends up as an ontological inquiry about social life: What is a person and how is a community possible? In the face of the violence and dislocation of the twentieth century, these poets resist their will to mastery, shy away from the sensual richness of their strongest work, and undermine the particularity of their imaginative and moral visions—all in an effort to allow personhood itself to emerge as an undeniable fact making an unrefusable claim.


2020 ◽  
Vol 10 (31) ◽  
pp. 87-95
Author(s):  
Nicole Maria Miyamoto Bettini ◽  
Fabiana Tomé Ramos ◽  
Priscila Masquetto Vieira de Almeida

A Organização Mundial da Saúde - OMS confirmou a circulação internacional do novo Coronavírus em janeiro de 2020, nomeando-o como COVID-19 e, declarando uma pandemia. É de extrema importância que durante a pandemia, os profissionais de saúde tenham acesso e conhecimento sobre o uso correto dos Equipamentos de Proteção Individual (EPIs) e suas indicações, tomando assim, as devidas precauções na prevenção de infecções. O presente estudo buscou identificar a padronização mundial quanto ao uso dos EPIs utilizados no atendimento a pacientes suspeitos e/ou confirmados de COVID-19 no Brasil, EUA, China, Espanha, Itália e demais países europeus. Os guidelines apresentam a padronização quanto ao uso dos EPIs utilizados no atendimento a suspeitos e/ou confirmados de COVID-19, indo ao encontro das recomendações fornecidas pela OMS. Até o momento, o uso de EPIs é sem dúvida a estratégia mais importante e eficaz para proteger os profissionais de saúde durante a assistência ao paciente com COVID-19.Descritores: Infecções por Coronavírus, Equipamento de Proteção Individual, Pessoal de Saúde, Enfermagem. Recommendations for personal protective equipment to combat COVID-19Abstract: The World Health Organization - WHO confirmed the international circulation of the new Coronavirus in January 2020, naming it as COVID-19 and declaring a pandemic. It is extremely important that during the pandemic, health professionals have access and knowledge about the correct use of Personal Protective Equipment (PPE) and its indications, thus taking appropriate precautions to prevent infections. The present study sought to identify the worldwide standardization regarding the use of PPE utilized to take care of suspected and confirmed patients with COVID-19 in Brazil, USA, China, Spain, Italy and other European countries. The guidelines present a standardization regarding the use of PPE utilized to take care of suspected and confirmed with COVID-19, in line with the recommendations provided by WHO. To date, the use of PPE is undoubtedly the most important and effective strategy to protect healthcare professionals during care for patients with COVID-19.Descriptors: Coronavirus Infections, Personal Protective Equipment, Health Personnel, Nursing. Recomendaciones para el equipo de protección personal para combatir COVID-19Resumen: La Organización Mundial de la Salud - La OMS confirmó la circulación internacional del nuevo Coronavirus en enero de 2020, nombrándolo COVID-19 y declarando una pandemia. Es extremadamente importante que durante la pandemia, los profesionales de la salud tengan acceso y conocimiento sobre el uso correcto del Equipo de Protección Personal (EPP) y sus indicaciones, tomando así las precauciones adecuadas para prevenir infecciones. El presente estudio buscó identificar la estandarización mundial con respecto al uso de EPP utilizado para atender a pacientes sospechosos y/o confirmados con COVID-19 en Brasil, Estados Unidos, China, España, Italia y otros países europeos. Las pautas presentan la estandarización con respecto al uso de EPP utilizado para cuidar COVID-19 sospechoso y/o confirmado, de acuerdo con las recomendaciones proporcionadas por la OMS. Hasta la fecha, el uso de EPP es, sin duda, la estrategia más importante y efectiva para proteger a los profesionales de la salud durante la atención de pacientes con COVID-19.Descriptores: Infecciones por Coronavirus, Equipo de Protección Personal, Personal de Salud, Enfermería.


2019 ◽  
Vol 70 (3) ◽  
pp. 184-192
Author(s):  
Toan Dao Thanh ◽  
Vo Thien Linh

In this article, a system to detect driver drowsiness and distraction based on image sensing technique is created. With a camera used to observe the face of driver, the image processing system embedded in the Raspberry Pi 3 Kit will generate a warning sound when the driver shows drowsiness based on the eye-closed state or a yawn. To detect the closed eye state, we use the ratio of the distance between the eyelids and the ratio of the distance between the upper lip and the lower lip when yawning. A trained data set to extract 68 facial features and “frontal face detectors” in Dlib are utilized to determine the eyes and mouth positions needed to carry out identification. Experimental data from the tests of the system on Vietnamese volunteers in our University laboratory show that the system can detect at realtime the common driver states of “Normal”, “Close eyes”, “Yawn” or “Distraction”


2018 ◽  
Vol 8 (4) ◽  
pp. 65-69
Author(s):  
Mao Nguyen Van ◽  
Dong Tran Nam

Background: Pigmented tumour of the skin is one of the common tumour in human including the benign pigmented tumours (more common) called Nevi tumours and the malignant one called melanoma which was less frequent but the most poor in prognosis. In addition, the others not belonging to these group had the same clinical appearance, so the application of histopathology and immunohistochemistry for the definitive diagnosis was indespensible. Objectives: 1. To describe the macroscopic features of the pigmented tumoral-like lesions; 2. To classify the histopathologic types of the pigmented cell tumours and the other pigmented tumours of the skin. Materials and Method: Cross-sectional research on 55 patients diagnosed as pigmented tumoral lesions by clinician, then all definitively diagnosed by histopathology combining the immunohistochemistry in difficult cases. Results: There was no difference in gender, the disease was discovered most common in adult, especially with the age over 51 years old (58.1%). the most region located was in the face accounting for 60%, following the trunk and limbs (14.6%, 12.8% respectively). All 3 malignant melanomas happened in foot. The most common color of the lesions was black (65.4%), the other ones were rose, grey and blue. Histopathology and immunohisthochemistry showed that the true pigmented cell tumours were 52.6% encompassing benign ones (Nevi tumour) (41.8%), melanoma (5.4%) and lentigo (5.4%). 47.4% was not the true pigmented cell tumour including pigmented basocellular carcinoma (36.4%) and the others less common as histiofibromas, acanthoma and papilloma. Conclusion: the pigmented tumoral-like lesions of the skin could be the true pigmented cell tumours and the others, so the application of the histopathology and the immunohistochemistry after the clinical discovery helps to determine and classify the disease definitely and for the best orientation of treatment as well. Key words: skin tumour, benign pigmented tumour (Nevi), malignant pigmented tumour (melanoma), pigmented basocellular carcinoma


1988 ◽  
Vol 5 (2) ◽  
pp. 239-246
Author(s):  
Mohammad A. Siddiqui

IntroductionCommunication today is increasingly seen as a process through whichthe exchange and sharing of meaning is made possible. Commtinication asa subject of scientific inquiry is not unique to the field of mass communication.Mathematicians, engineers, sociologists, psychologists, political scientists,anthropologists, and speech communicators have been taking an interest inthe study of communication. This is not surprising because communicationis the basic social process of human beings. Although communication hasgrown into a well developed field of study, Muslim scholars have rdrely hcusedon the study of communication. Thus, a brief introduction to the widely usedcommunication concepts and a framework for the study of communicationwithin the context of this paper is provided.In 1909, Charles Cooley defined communication from a sociologicalperspective as:The mechanism through which human relations exist and develop -all the symbols of mind, together with the means of conveyingthem through space and preserving them in time. It includes theexpression of the face, attitude and gesture, the tones of the voice,words, writing, printing, railways, telegraph, and whatever elsemay be the latest achievement in the conquest of space and time.In 1949, two engineers, Claude Shannon and Warren Weaver, definedcommunication in a broader sense to include all procedures:By which one mind may affect another. This, of course, involvesnot only written and oral speeches, but also music, the pictorialarts, the theater, the ballet, and, in kct, all human behavior.Harold Lasswell, a political scientist, defines communication simply as:A convenient way to describe the act of communication is to answerthe following question: Who, says what, in which channel, towhom, with what effect?S.S. Stevens, a behavioral psychologist, defines the act of communication as:Communication occurs when some environmental disturbance (thestimulus) impinges on an organism and the organism doessomething about it (makes a discriminatory response) . . . Themessage that gets no response is not a commnication.Social psychologist Theodore Newcomb assumes that:In any communication situation, at least two persons will becommunicating about a common object or topic. A major functionof communication is to enable them to maintain simultaneousorientation toward one another and toward the common object ofcommunication.Wilbur Schramm, a pioneer in American mass communication research,provides this definition:When we communicate we are trying to share information, anidea, or an attitude. Communication always requires threeelements-the source, the message, and the destination (thereceiver).


2020 ◽  
Author(s):  
Mayli Lañas-Navarro ◽  
Jose Ipanaque-Calderon Sr ◽  
Fiorela E Solano

BACKGROUND Research on the use of the Internet in the medical field is experiencing many advances, including mobile applications, social networks, telemedicine. Its implementation in medical care and comprehensive patient management is a much discussed topic at present. OBJECTIVE This narrative review aims to understand the impact of the internet and social networks on the management of diabetes, both for patients and medical staff. METHODS The bibliographic search was carried out in the databases Pubmed, Virtual Health Library (VHL) and Lilacs between 2018 to 2020. RESULTS Multiple mobile applications have been created for the help and control of diabetic patients, as well as the implementation of online courses, improving the knowledge of health personnel applying them in the field of telemedicine. CONCLUSIONS The use of the Internet and social networks brings many benefits for both the diabetic patient and the health personnel, offering advantages for both.


2020 ◽  
Vol 63 (4) ◽  
pp. 49-59 ◽  
Author(s):  
Noé Pérez Carrillo ◽  
Carlos Emiliano García Córdova ◽  
Ana Paula Ruiz Funes Molina ◽  
Alberto Manuel Ángeles Castellanos ◽  
Mayra Estrada Serrano ◽  
...  

The current landscape represents an unprecedented challenge in managing surgical patients, decision-making and the use of resources such as protective equipment in the context of the COVID-19 pandemic. Therefore, the objective of this article is to provide guidelines for good conduct in the operating room, the use of personal protective equipment, suggestions for surgeries and the best approach in the context of this situation. The main objective of these recommendations is to mitigate the risk of contagion and to educate medical-surgical health personnel in how to deal with this pandemic. Key words: COVID-19; coronavirus: protective equipment; surgery; operating room; training; emergency


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