Experiences of Midwives on Vscan Limited Obstetric Ultrasound Use: A Qualitative Exploratory Study

Background Ethiopia is a low-income country located in the horn of Africa’s sub-Saharan region, with very high incidences of maternal and neonatal mortality. Quality antenatal care improves perinatal health outcomes. The USAID funded Transform: Primary Health Care Activity in collaboration with the Ministry of Health and GE Healthcare introduced Vscan limited obstetric ultrasound services in 120 health centers in Ethiopia. So far, the experiences and opinions of midwives on their use have not been explored and described within the local context. This study therefore aims to explore and describe the experiences and opinions of midwives on Vscan limited obstetric ultrasound services at health centers within Ethiopia. Methods An exploratory and descriptive qualitative study was conducted in Amhara, Oromia, and Southern Nations, Nationalities and Peoples’ (SNNP) regions of Ethiopia. Twenty-four participants were selected through a purposeful sampling technique. In-depth individual interviews with trained midwives with practical hands-on limited obstetric ultrasound service provision experience were conducted. The thematic analysis was conducted manually. Results The qualitative data analysis on the experiences and opinions of midwives revealed three themes, namely: individual perception of self-efficacy, facilitators, and barriers of limited obstetric ultrasound services. The basic ultrasound training, which was unique in its organization and arrangement, prepared and built the self-efficacy of trainees in executing their expected competencies. Support of health systems and health managers in dedicating space, availing essential supplies, and assigning human resources emerged as facilitators of the initiated limited obstetric ultrasound services, whereas high workload on one or two ultrasound trained midwives, interruption of essential supplies like paper towels, gel, and alternative power sources were identified as barriers for limited ultrasound services. Conclusion This study explored the experiences and opinions of midwives who were trained on the provision of limited obstetric ultrasound services and served the community in health centers in rural parts of Ethiopia. The results of this study revealed the positive impacts of the intervention on the perceived self-efficacy, facilitation, and breaking-down of barriers to obstetric ultrasound services. Before scaling-up limited obstetric ultrasound interventions, health managers should ensure and commit to availing essential supplies (e.g., paper towels, ultrasound gel, and large memory hard discs), arranging private rooms, and training other mid-level health professionals. In addition, improving pregnant women’s literacy on the national schedule for ultrasound scanning services is recommended.

Tales of a Flow Stayed By Nothing: Menstruation in Immigration Detention

When Fauziya Kassindja landed at New York’s JFK airport in 1994, she was seventeen, seeking asylum, and fleeing the brutal practice of female genital mutilation. She was also menstruating. Hours after her arrival, Fauziya was strip searched, forced to stand before a female officer “completely naked, soiled pad exposed, shamed beyond words.” She was then transferred to an off-site detention facility where she was strip- searched again. When Fauziya asked where she should place her soiled pad, the female guard responded: “I don’t know. Why don’t you eat it?” When Fauziya asked for a new pad, she was told she could ask for one the next morning. She was given absolutely nothing to stay her flow—not even toilet paper or paper towels. This was the beginning of Fauziya’s experience with immigration detention. She would remain there for sixteen months.

An experimental method to study the absorption capacity of paper towels

This study proposes an experimental method for the in-plane liquid wicking to determine the absorption capacity of retail paper towels. Individual plies of the paper towels were tested to minimize the transverse wicking effects on surface wetting. The method involves arbitrary point source injection of liquid into the paper towel surface while recording microscopic images of the wetted areas as liquid spreads. The samples were selected from two main manufacturing processes: conventional wet pressing and through air drying. The tested liquids were water and decane with various driving forces. Two distinct imaging systems, infrared light absorption imaging and visible light transmission imaging, monitored and recorded the wetting process. The wetted regions were calculated to generate the wetting graphs, which illustrate both the dynamic and static wetting behaviors.It was found the amount of driving force has a negligible effect on the maximum wetted area formed on the surface.So, the maximum wetted area and the paper grammage were applied to determine the absorption capacity of the tested towels. Moreover, the absorption capacity results were validated by the basket-immersion test method (ISO 12625-8).Therefore, the proposed method in this work enables quantification of the absorption capacity of papertowels.

A practical, low-cost, short-term storage method for genomic DNA

The aim of this study was to assess the DNA preservation capability of cellulose paper towel and blotting paper as low-cost alternatives to commercial DNA preservation products. Chicken blood was applied as DNA source to each paper towel, blotting paper, FTA® cards and DNA/RNA Shield™. All samples were stored at room temperature for 130 days. DNA extraction from dried blood spots was performed after various time periods using Tris–EDTA and NaOH protocols. PCR activity and the mean amount of DNA isolated from paper towels were reliable. The results of this study demonstrated that cellulose-based blotting paper and especially paper towel had considerable DNA binding and preservation capacity for at least 130 days at room temperature without DNA degradation.

From the hospital toilet to the ward: A pilot study on microbe dispersal to multiple hospital surfaces following hand drying using a jet air dryer versus paper towels

Using a bacteriophage to represent microbial contamination, we investigated virus transmission to the hospital environment following hand drying. The use of paper towels resulted in lower rates of virus contamination on hands and clothing compared with a jet air dryer and, consequently, lower contamination of multiple hospital surfaces.

Environmental and economic sustainability in public contexts: the impact of hand-drying options on waste management, carbon emissions and operating costs

Due to the high density of users hosted everyday, public buildings are important producers of waste and emissions of greenhouse gases (GHGs). Public restrooms play an underrated role in waste generation and GHG emissions, especially if paper towels are used as the hand-drying method. The choice of the hand-drying method (i.e., paper towels vs. electrical hand dryers) also affects the economic balance of a public institution, involving costs for the purchase of hand-drying materials/apparatuses, energy and waste disposal. The present paper aims at evaluating the economic and environmental impact of the introduction of electrical hand dryers (alternative scenario) in place of paper towels (reference scenario) in a public building. The paper presents a solid methodology, based on a numerical experiment approach, to identify a decision criterion for establishing the economical convenience of adopting the alternative scenario in public restrooms. Key factors affecting the choice between the proposed alternatives are presented and discussed in a dedicated sensitivity analysis. From the environmental point of view, this study evaluates the impact of each scenario in terms of GHG emissions, related to multiple waste treatment options and different electric grid mixes. Based on the experimental assumptions, the method allowed concluding that the alternative scenario becomes economically convenient when the number of daily usages (N) is > 57 ± 4. The environmental convenience of the alternative scenario is visible even at N < 10. The method here described can be successfully used to support strategic decisions for cost optimization and environmental mitigation in institutional buildings.

Microbiological Assessment of the Different Hand Drying Methods and Washroom Environment Cross-Contamination

Proper hand drying is a fundamental part of the hand hygiene process looking at optimizing the elimination of potentially pathogenic microbes. This research compared the effectiveness of three different hand drying methods—paper towels, the use of warm air dryers in stationary hands position, and the use of air drying while hand rubbing—and their potential for cross-contamination of other users and the surrounding environment. One hundred sixty samples were collected from finger pads and palms, before and after drying. The outlet of the air dryers, air current emitted from the air dryers, and washroom environment air were also tested. The study reported that paper towels were more successful in eliminating bacteria and lead to less contamination to the washroom environment compared to the air dryers. The average number of bacteria obtained from volunteers using hand air dryer while hand rubbing was significantly higher than drying with air dryer while holding hands stationary. Plates exposed to the turned-off dryer for 5 minutes gave an average of only 25 colonies/plate, while plates exposed to the air outlet of the turned-on warm air dryers provided 292 colonies/plate. Placing Petri dishes at least one meter away from the dryer in the washroom for 30 minutes gave 72.5 colonies/plate. The current research also documented frequent contamination of public washroom environments and showed dissemination of potential pathogens, including Escherichia coli (E. coli), Klebsiella species, Bacillus cereus (B. cereus), Staphylococcus aureus (S. aureus), and coagulase-negative Staphylococci. Over 70.0% of Staphylococci were resistant to at least three antibiotics and 50.0% revealed coresistance to at least four antibiotics including penicillin, erythromycin, clindamycin, and co-trimoxazole. The method of hand drying may serve as a risk factor of cross-contamination from users to the environment and subsequent users and as reservoirs of drug-resistant bacteria in public washrooms.

Perilaku Murid Sekolah Dasar Kelas III Sampai Kelas VI Tentang Mencuci Tangan Di SDN 017 Di Kelurahan Buluh Kasap Kecamatan Dumai Timur Kota Dumai Tahun 2018

Many children do not wash their hands before eating, so that the bacteria can result in hand with food will be brought in through the mouth and throat to the digestive tract so that the occurrence of an initial survey pencernaan.Based o n the survey that has been done at SD 017 Kelurahan Buluh Kasap Kota Dumai. Most students take hand washing not matching true procedures.The purpose of the research to Description Of The Behavior Of The Primary School Students In Hand washing SDN 017 Buluh Kasap Kota Dumai Tahun 2018. This is a descriptive study conducted on students in grade III and VI SD 017 Buluh Kasap Kota Dumai. The population is all elementary students in grades III through grade VI. Sampling technique with accidental sampling, with a sample of 43 people. Data collection tool used was koesioner and observation sheets . Analysis of the data used univariate data analysis. The results obtained over half (88.3%) of respondents had a high level of knowledge about hand washing, half (88.3%) of respondents have a positive attitude about hand washing, and over half (53.4%) of respondents have either no action about hand washing. In order for the implementation of hand washing behavior expected for elementary school students in order to make policy regarding hand washing, controlling, providing motivation for elementary students 19 olo desert village about handwashing, and complete facilities and infrastructure, including the provision of hand soap and paper towels or clean towel.

The Holy Trinity of Healthy Relationships

The pandemic has thrust students of all ages more forcefully into the arms of technology. Now that the Zoom-enabled school year is underway, I've pondered just how far technology will go toward replacing old-fashioned, one-on-one human interaction. It is indeed amazing what robots and chatbots can do. I schedule 90% of my meetings using an artificial intelligence “assistant” and not once has anyone guessed that their calendar appointment, reminder, and chirpy “Thanks!” came from an algorithm. And it has occurred to me that the two undergraduate classes I am now teaching remotely, attended by fewer than 100 students in total, could in theory balloon to a million at nearly zero marginal cost. And yet my experience teaching remotely has convinced me that human beings are built for human relationships. We don't mind buying paper towels on our browsers, but there is no one-click equivalent to feeling understood, respected, and cared for by another person.