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https://www.readbyqxmd.com/read/28810192/vaginal-and-laparoscopic-hysterectomy-as-an-outpatient-procedure-a-systematic-review
#1
Suzanne J Dedden, Peggy M A J Geomini, Judith A F Huirne, Marlies Y Bongers
OBJECTIVES: Laparoscopic and vaginal hysterectomies are common gynaecological procedures. Same-day discharge is usual care in various gynaecological procedures like laparoscopic sterilisation and laparoscopic oophorectomies. In major procedures like vaginal or laparoscopic hysterectomy patients are usually admitted overnight. We systematically reviewed the literature to identify complications, risk factors for (re)admittance, financial consequences and patient satisfaction of same-day discharge after a vaginal or laparoscopic hysterectomy...
July 22, 2017: European Journal of Obstetrics, Gynecology, and Reproductive Biology
https://www.readbyqxmd.com/read/28807833/following-trends-in-steam-sterilizer-performance-by-quantitative-monitoring-of-non-condensable-gases
#2
R A C van Wezel, A van Gastel, A de Ranitz, J P C M van Doornmalen
BACKGROUND: Standards require a daily steam penetration test before starting production with a steam steriliser. In many cases the results of steam penetration tests are not used for improvements or optimization of processes. AIM: To detect if trend analysis with an objective and quantifying steam penetration test has added value for the end-user. METHOD: The databases of an objective quantifying steam penetration test, from the hospital and the manufacturer are coupled and analysed...
August 11, 2017: Journal of Hospital Infection
https://www.readbyqxmd.com/read/28795887/cold-atmospheric-pressure-plasmas-exhibit-antimicrobial-properties-against-critical-bacteria-and-yeast-species
#3
C Wiegand, S Fink, U-C Hipler, O Beier, K Horn, A Pfuch, A Schimanski, B Grünler
OBJECTIVE: Cold atmospheric pressure plasmas (CAPPs) have been used to sterilise implant materials and other thermally unstable medical products and to modify chemical surfaces. This study investigates the antimicrobial effect of the gas and input power used to generate CAPPs on microorganisms causing skin infections, such as Staphylococcus aureus, Pseudomonas aeruginosa, Candida albicans and Malassezia pachydermatis. METHOD: Microorganisms were cultivated on Mueller Hinton 2 (MH2) agar plates...
August 2, 2017: Journal of Wound Care
https://www.readbyqxmd.com/read/28780526/voluntary-sterilisation-and-access-to-ivf-in-qu%C3%A3-bec
#4
Katharine Browne
Bill 20, An Act to Enact the Act to promote access to family medicine and specialized medicine services and to amend various legislative provisions relating to assisted procreation, was introduced to reduce costs associated with Québec's healthcare in general and in vitro fertilisation (IVF) in particular. Passed in November 2015, the new law introduces a number of exclusion criteria for access to and funding for IVF treatment. Remarkably, one exclusion criterion-prior voluntary sterilisation-has prompted little critical commentary...
August 5, 2017: Journal of Medical Ethics
https://www.readbyqxmd.com/read/28760619/gamma-irradiated-human-amniotic-membrane-decellularised-with-sodium-dodecyl-sulfate-is-a-more-efficient-substrate-for-the-ex-vivo-expansion-of-limbal-stem-cells
#5
G S Figueiredo, S Bojic, P Rooney, S-P Wilshaw, C J Connon, R M Gouveia, C Paterson, G Lepert, H S Mudhar, F C Figueiredo, M Lako
The gold standard substrate for the ex vivo expansion of human limbal stem cells (LSCs) remains the human amniotic membrane (HAM) but this is not a defined substrate and is subject to biological variability and the potential to transmit disease. To better define HAM and mitigate the risk of disease transmission, we sought to determine if decellularisation and/or γ-irradiation have an adverse effect on culture growth and LSC phenotype. Ex vivo limbal explant cultures were set up on fresh HAM, HAM decellularised with 0...
July 29, 2017: Acta Biomaterialia
https://www.readbyqxmd.com/read/28748235/in-vitro-evaluation-of-the-effect-of-chemical-and-thermal-stress-of-the-mechanical-properties-of-periodontal-curettes-under-simulated-conditions-of-sharpening-wear
#6
Daniel De Pedro, Rosario Puglisi, Paul Levi, Andrés Pascual, José Nart
PURPOSE: To determine whether chemical and thermal stress as well as sharpening are aspects that must be considered to determine when a curette has become too weak to be used safely without the threat of breakage. MATERIALS AND METHODS: A total sample of 35 curette blades was divided into 2 principal groups, control (groups 1 to 3) and experimental (groups 4 to 6). The control group was divided into 3 colour-coded groups of 19 similar curette blades and was only subjected to progressive sharpening wear (not sterilised)...
July 25, 2017: Oral Health & Preventive Dentistry
https://www.readbyqxmd.com/read/28716669/opinion-steam-sterilisation-does-not-require-saturated-steam
#7
J P C M van Doornmalen, A Paunovic, K Kopinga
No abstract text is available yet for this article.
July 14, 2017: Journal of Hospital Infection
https://www.readbyqxmd.com/read/28712156/-unfit-for-human-consumption-a-study-of-the-contamination-of-formula-milk-fed-to-young-children-in-east-java-indonesia
#8
Sarah Gibson, Daniel Sahanggamu, Dewi Fatmaningrum, Val Curtis, Sian White
OBJECTIVES: To examine levels of bacterial contamination in formula feeding bottles in Sidoarjo, East Java, and to assess the preparation practices that may have been responsible. METHODS: A cross-sectional study was conducted among 92 randomly selected households with children under the age of two who were bottle-fed formula. In each household, we carried out video observation of mothers/caregivers preparing bottles, and examined samples of formula for coliform bacteria and Escherichia coli (E...
July 16, 2017: Tropical Medicine & International Health: TM & IH
https://www.readbyqxmd.com/read/28710420/the-resilience-of-life-to-astrophysical-events
#9
David Sloan, Rafael Alves Batista, Abraham Loeb
Much attention has been given in the literature to the effects of astrophysical events on human and land-based life. However, little has been discussed on the resilience of life itself. Here we instead explore the statistics of events that completely sterilise an Earth-like planet with planet radii in the range 0.5-1.5R ⊕ and temperatures of ∼300 K, eradicating all forms of life. We consider the relative likelihood of complete global sterilisation events from three astrophysical sources - supernovae, gamma-ray bursts, large asteroid impacts, and passing-by stars...
July 14, 2017: Scientific Reports
https://www.readbyqxmd.com/read/28690738/-e-training-program-for-sterilization-in-isolated-military-operations-areas-solution-adopted-by-the-french-army
#10
Mederic Rouault, Marie-Audrey Vonesch, Claude Dussart
French Army Health Service provides medical support for armed forces deployed on external missions.In order to ensure the same health care quality in the theatre and in the metropolis, the Military Health Service provides sterilization of reusable medical devices by its own means. Army pharmacists carrying out an on-site mission comes from different domains: medical biology laboratory, research, medical supplies, hospital pharmacy or yet pharmaceutical laboratory for some reservists. Training program for sterilization in isolated military operations areas is therefore necessary in order to ensure knowledge uniformity...
2017: Pan African Medical Journal
https://www.readbyqxmd.com/read/28688722/retrospective-cohort-analysis-of-neoadjuvant-treatment-and-survival-in-resectable-and-borderline-resectable-pancreatic-ductal-adenocarcinoma-in-a-high-volume-referral-centre
#11
M Itchins, J Arena, C B Nahm, J Rabindran, S Kim, E Gibbs, S Bergamin, T C Chua, A J Gill, R Maher, C Diakos, M Wong, A Mittal, G Hruby, A Kneebone, N Pavlakis, J Samra, S Clarke
BACKGROUND: Pancreatic ductal adenocarcinoma (PDAC) is a deadly disease. Neoadjuvant therapy (NA) with chemotherapy (NAC) and radiotherapy (RT) prior to surgery provides promise. In the absence of prospective data, well annotated clinical data from high-volume units may provide pilot data for randomised trials. METHODS: Medical records from a tertiary hospital in Sydney, Australia, were analysed to identify all patients with resectable or borderline resectable PDAC...
June 28, 2017: European Journal of Surgical Oncology
https://www.readbyqxmd.com/read/28661229/the-influence-of-malalignment-and-ageing-following-sterilisation-by-gamma-irradiation-in-an-inert-atmosphere-on-the-wear-of-ultra-high-molecular-weight-polyethylene-in-patellofemoral-replacements
#12
Raman Maiti, Raelene M Cowie, John Fisher, Louise M Jennings
Complications of patellofemoral arthroplasty often occur soon after implantation and, as well as other factors, can be due to the design of the implant or its surgical positioning. A number of studies have previously considered the wear of ultra-high-molecular-weight polyethylene patellae following suboptimal implantation; however, studies have primarily been carried out under a limited number of degrees of freedom. The aim of this study was to develop a protocol to assess the wear of patellae under a malaligned condition in a six-axis patellofemoral joint simulator...
July 2017: Proceedings of the Institution of Mechanical Engineers. Part H, Journal of Engineering in Medicine
https://www.readbyqxmd.com/read/28647423/effect-of-hand-hygiene-and-glove-use-on-cleanliness-of-reusable-surgical-instruments
#13
D M Costa, L K O Lopes, A F V Tipple, R B Castillo, H Hu, A K Deva, K Vickery
BACKGROUND: During functionality testing and packaging of reusable surgical instruments (RSI) for sterilization, instruments are frequently touched. There is a lack of standards relating to hand hygiene frequency and use of gloves in the sterilizing service unit packing area. AIM: To determine the effect of hand hygiene and glove use on maintenance of RSI cleanliness. METHODS: Following manual and automated cleaning, Halsted-mosquito forceps were assessed for adenosine triphosphate (ATP), protein and microbial contamination after handling with gloved and ungloved but washed hands using an ATP surface swab test, bicinchoninic acid assay, and standard culture plate/broth, respectively...
June 21, 2017: Journal of Hospital Infection
https://www.readbyqxmd.com/read/28609794/-destruction-of-microsurgical-devices-by-sterilisation
#14
Raphaela Berto, Jürgen Strutz
Hospital facilities issue numerous risk announcements on corrosion, deformation or premature wearout of medical devices every year. As there is yet little data on the impact of reprocessing on the quality and durability of microsurgical instruments, this paper aims at evaluating the effects of the reprocessing on microsurgical instruments. Material and Methods 22 brand new microsurgical instruments for stapes surgery were being reprocessed 30 times without being used for surgery or other purposes in the interim time...
June 13, 2017: Laryngo- Rhino- Otologie
https://www.readbyqxmd.com/read/28607022/pharmacokinetics-of-pyrazinamide-and-optimal-dosing-regimens-for-drug-sensitive-and-resistant-tuberculosis
#15
Maxwell T Chirehwa, Helen McIlleron, Roxana Rustomjee, Thuli Mthiyane, Philip Onyebujoh, Peter Smith, Paolo Denti
Pyrazinamide is used in the treatment of tuberculosis (TB) because its sterilizing effect against tubercle bacilli allows the shortening of treatment. It is part of standard treatment for drug-susceptible and drug-resistant TB, and it is being considered as a companion drug in novel regimens. The aim of this analysis was to characterize factors contributing to the variability in exposure and to evaluate drug exposures using alternative doses, thus providing evidence to support revised dosing recommendations for drug-susceptible and multidrug-resistant tuberculosis (MDR-TB)...
August 2017: Antimicrobial Agents and Chemotherapy
https://www.readbyqxmd.com/read/28601505/heat-and-chemical-treatments-in-adult-cyprinus-carpio-pisces-cypriniformes-rapidly-produce-sterile-gonads
#16
Sullip Kumar Majhi, Avinash Rambhau Rasal, Basdeo Kushwaha, Sudhir Raizada
Several options have been proposed for eradication of germ cells (GCs) in mammals such as treatment with cytotoxic drugs, irradiation, cold ischemia and hyperthermic treatment. Some of these methods have been also tried in fish but conditions for complete sterilisation of gonads have not been established. Here, we report the production of sterile adult common carp Cyprinus carpio in 10 weeks by the heat and chemical treatments. The cytotoxic drug busulfan (40mg/kg) was intraperitoneally injected into the animals at 2-week intervals (5 doses in total), and they were maintained in water at 38°C between Weeks 1 and 10...
June 3, 2017: Animal Reproduction Science
https://www.readbyqxmd.com/read/28600937/consideration-of-rainwater-quality-parameters-for-drinking-purposes-a-case-study-in-rural-vietnam
#17
Minju Lee, Mikyeong Kim, Yonghwan Kim, Mooyoung Han
Rainwater, which is used for drinking purposes near Hanoi, Vietnam, was analysed for water quality based on 1.5 years of monitoring data. In total, 23 samples were collected from different points within two rainwater harvesting systems (RWHSs). Most parameters met the standard except micro-organisms. Coliform and Escherichia coli (E. coli) were detected when the rainwater was not treated with ultraviolet (UV) light; however, analysis of rainwater after UV sterilisation showed no trace of micro-organisms. The RWHSs appear to provide drinking water of relatively good quality compared with surface water and groundwater...
June 7, 2017: Journal of Environmental Management
https://www.readbyqxmd.com/read/28597930/infection-control-guidelines-for-optometrists-2016
#18
Ka-Yee Lian, Genevieve Napper, Fiona J Stapleton, Patricia M Kiely
BACKGROUND: This paper provides an updated version of the paper: Infection control guidelines for optometrists 2007. METHODS: Information from peer-reviewed journal articles, guidelines from professional societies, and government health department and other websites and instructions from equipment manufacturers were considered in determining infection risk factors in optometric practice. They were used to revise the recommendations on disinfection, sterilisation and reprocessing procedures for instrumentation and other equipment used in optometric practice as well as personal infection control measures to be undertaken by staff...
June 9, 2017: Clinical & Experimental Optometry: Journal of the Australian Optometrical Association
https://www.readbyqxmd.com/read/28575446/transgender-sterilisation-requirements-in-europe
#19
Peter Dunne
The possibility of individuals procreating post-transition has long stalked debates on transgender rights. In 1972, Sweden became the first European jurisdiction to formally acknowledge preferred gender. Under the original Swedish law, applicants for gender recognition were explicitly required to prove an incapacity to reproduce-either through natural infertility or through a positive act of sterilisation. Across the Council of Europe, 20 countries continue to enforce a sterilisation requirement. When considering reforms to their current gender recognition rules as recently as 2015, the Polish executive and the Finnish legislature both rejected proposals to remove mandatory infertility provisions...
June 1, 2017: Medical Law Review
https://www.readbyqxmd.com/read/28567620/endophytic-fungal-assemblage-in-achyranthes-aspera-linn-revealed-by-internal-transcribed-spacer-region-of-nuclear-ribosomal-rna-genes
#20
Reshma John, Linu Mathew
Only scanty reports are available on endophytic fungal associations in Achyranthes aspera Linn. Hence in this study a total of 504 isolates belonging to ten different species of fungi were isolated from asymptomatic, surface sterilised segments of leaf, stem and root of A. aspera collected from different locations of Kerala, India. Among the isolates ascomycetes were most prevalent. Colonisation rate of fungal endophytes was high in leaf tissue (95%) followed by stem (77.75%) and root segments (33.33%). The most frequent and dominant coloniser of the host plant were Colletotrichum sp...
June 2017: 3 Biotech
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