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https://www.readbyqxmd.com/read/29850305/empyema-necessitans-in-the-setting-of-methicillin-susceptible-staphylococcus-aureus-causing-pneumonia-and-bacteremia
#1
Sindhura Bandaru, Sukesh Manthri, Vidya Sundareshan, Vidhya Prakash
Empyema necessitans (EN) is a rare phenomenon that refers to an insidious extension of the empyema through parietal pleura and subsequent dissection into subcutaneous tissue of the chest wall. A 29-year-old man presented to the hospital with fever and chills a few days after an inadvertent needle stick while injecting heroin. His left forearm was warm with an area of fluctuance. He underwent incision and drainage of the left forearm abscess with fluid submitted for Gram stain and culture. His condition rapidly deteriorated due to sepsis, and he required transfer to the intensive care unit...
2018: Case Reports in Infectious Diseases
https://www.readbyqxmd.com/read/29806804/practice-and-attitudes-regarding-double-gloving-among-staff-surgeons-and-surgical-trainees
#2
Mark E Lipson, Rob Deardon, Noah J Switzer, Chris de Gara, Chad G Ball, Sean C Grondin
BACKGROUND: Despite supporting evidence, many staff surgeons and surgical trainees do not routinely double glove. We performed a study to assess rates of and attitudes toward double gloving and the use of eye protection in the operating room. METHODS: We conducted an electronic survey among all staff surgeons and surgical trainees at 2 tertiary care centres in Alberta between September and November 2015.We analyzed the data using log-binomial regression for binary outcomes to account for multiple independent variables and interactions...
June 1, 2018: Canadian Journal of Surgery. Journal Canadien de Chirurgie
https://www.readbyqxmd.com/read/29800051/ultrasound-guided-botulinum-neurotoxin-type-a-injection-for-correcting-asymmetrical-smiles
#3
Hyung-Jin Lee, Ji-Soo Kim, Kwan-Hyun Youn, Jungwook Lee, Hee-Jin Kim
While ultrasound-guided injections are safer and more effective than the typical (blind) injection methods, there has been no report of ultrasound-guided injection techniques being applied to patients for aesthetic treatment or to patients with an asymmetrical smile. The purpose of this study was to determine the locations of facial expression muscles using ultrasound and to use this information to guide BoNT-A injections into a patient with an asymmetrical smile. The safety and effectiveness of this technique were also evaluated...
May 24, 2018: Aesthetic Surgery Journal
https://www.readbyqxmd.com/read/29779922/safety-tolerability-acceptability-and-immunogenicity-of-an-influenza-vaccine-delivered-to-human-skin-by-a-novel-high-density-microprojection-array-patch-nanopatch%C3%A2
#4
Germain J P Fernando, Julian Hickling, Cesar M Jayashi Flores, Paul Griffin, Christopher D Anderson, S Rachel Skinner, Cristyn Davies, Katey Witham, Melinda Pryor, Jesse Bodle, Steve Rockman, Ian H Frazer, Angus H Forster
BACKGROUND: Injection using needle and syringe (N&S) is the most widely used method for vaccination, but requires trained healthcare workers. Fear of needles, risk of needle-stick injury, and the need to reconstitute lyophilised vaccines, are also drawbacks. The Nanopatch (NP) is a microarray skin patch comprised of a high-density array of microprojections dry-coated with vaccine that is being developed to address these shortcomings. Here we report a randomised, partly-blinded, placebo-controlled trial that represents the first use in humans of the NP to deliver a vaccine...
May 17, 2018: Vaccine
https://www.readbyqxmd.com/read/29775226/moxibustion-for-cephalic-version-of-breech-presentation
#5
REVIEW
Judith M Schlaeger, Cynthia L Stoffel, Jeanie L Bussell, Hui Yan Cai, Miho Takayama, Hiroyoshi Yajima, Nobuari Takakura
Moxibustion, a form of traditional Chinese medicine (TCM), is the burning of the herb moxa (Folium Artemisiae argyi or mugwort) over acupuncture points. It is often used in China to facilitate cephalic version of breech presentation. This article reviews the history, philosophy, therapeutic use, possible mechanisms of action, and literature pertaining to its use for this indication. For moxibustion, moxa can be rolled into stick form, placed directly on the skin, or placed on an acupuncture needle and ignited to warm acupuncture points...
May 18, 2018: Journal of Midwifery & Women's Health
https://www.readbyqxmd.com/read/29773935/factors-contributing-to-appropriate-sharps-disposal-in-the-community-among-patients-with-diabetes
#6
Li Huang, Svetlana Katsnelson, Jie Yang, Charalambos Argyrou, Marina M Charitou
Background: Proper disposal of sharps has been well studied in hospital settings but not often addressed in the home setting. This lack of attention has resulted in erratic use of proper sharps disposal techniques and thus increased risk of needle-stick injuries and infections. This study aimed to evaluate methods of disposal and patient demographic factors associated with correct disposal of diabetes-related sharps in the community. Methods: A survey was administered to diabetes patients at an endocrinology clinic of an academic tertiary care center...
May 2018: Diabetes Spectrum: a Publication of the American Diabetes Association
https://www.readbyqxmd.com/read/29765441/suspected-unexpected-and-other-adverse-reactions-to-antiretroviral-drugs-used-as-post-exposure-prophylaxis-of-hiv-infection-five-year-experience-from-clinical-practice
#7
Justyna D Kowalska, Ewa Pietraszkiewicz, Ewa Firląg-Burkacka, Andrzej Horban
Introduction: With increased use of antiretroviral drugs (ARVs) in HIV uninfected persons, proper reporting on suspected unexpected serious adverse reactions (SUSARs) and continued insight into adverse drug reactions (ADRs) are needed for adequate information on safety of ARVs in such populations. Material and methods: Medical documentation of persons receiving ARVs after non-occupational HIV exposure (non-occupational post-exposure prophylaxis - nPEP) during 5 successive years (2009-2013) was evaluated by two HIV physicians...
April 2018: Archives of Medical Science: AMS
https://www.readbyqxmd.com/read/29743391/short-sleep-duration-among-thai-nurses-influences-on-fatigue-daytime-sleepiness-and-occupational-errors
#8
Jindarat Chaiard, Jirawan Deeluea, Benjamas Suksatit, Wanpen Songkham, Nonglak Inta
OBJECTIVES: This study was conducted to: 1) describe sleep duration, fatigue, daytime sleepiness, and occupational errors among Thai nurses and 2) explore the influence of sleep duration on fatigue, daytime sleepiness, and occupational errors. METHODS: A cross-sectional design was implemented. A convenience sample of 233 full-time nurses with at least one year of work experience was recruited to participate in the study. Data were collected using self-reported questionnaires and 1-week sleep diaries...
May 9, 2018: Journal of Occupational Health
https://www.readbyqxmd.com/read/29738783/do-safety-engineered-devices-reduce-needle-stick-injuries
#9
J Schuurmans, S P Lutgens, L Groen, P M Schneeberger
BACKGROUND: Needle stick injuries (NSIs) are one of the most common health hazards facing health care workers (HCWs) across the globe. Needles with safety engineered devices (SEDs) have been developed to minimize the risk of exposure to blood-borne infections such as Hepatitis B virus (HBV), Hepatitis C virus (HCV) and human immunodeficiency virus (HIV) associated with NSIs. AIM: To assess the effect of the introduction of SEDs in preventing NSIs among HCWs in the Jeroen Bosch Hospital (JBH), the Netherlands...
May 5, 2018: Journal of Hospital Infection
https://www.readbyqxmd.com/read/29714154/high-prevalence-of-abandoned-needlesticks-from-injecting-drug-users-in-milton-keynes-uk-analysing-access-to-needle-exchange-centres-and-drug-dependency-services
#10
Dushyant Mital, Steve Conway, Joanne Trueman
BACKGROUND: In 2015, Milton Keynes (MK) Council waste management team shows an increase in the numbers of abandoned used needles being found across MK. MK is an area of high Human Immunodeficiency Virus (HIV) prevalence and high Hepatitis C (HCV) in People Who Inject Drugs (PWID), the overriding concern was for the safety of the public. METHODS: Analysis of data collection to understand the scale and spread of the problem, preventing/ reducing the incidence of abandoned needles and looking at access to the designated Drug Dependency Unit (DDU) and the Blood Borne Virus (BBV) service...
2017: Current Drug Abuse Reviews
https://www.readbyqxmd.com/read/29650178/the-effective-needle-stick-injury-prevention-strategies-for-nursing-students-in-the-clinical-settings-a-literature-review
#11
Hanny Handiyani, L Meily Kurniawidjaja, Dewi Irawaty, Rita Damayanti
OBJECTIVE: Nursing students are prone to needle stick injuries (NSIs) during their practice in the hospitals. This study aimed to identify the effective NSI prevention strategies for nursing students in the clinical settings. METHOD: Literature review was performed using the databases of ScienceDirect, ProQuest, MEDLINE, PsycINFO, Scopus, CINAHL, SpringerLink, JSTOR, and PubMed. The search terms of "nursing students", "NSI incidents", "prevention", and "clinical settings" were entered, generating 103 articles published between 1991 and 2015...
February 2018: Enfermería Clínica
https://www.readbyqxmd.com/read/29567035/knowledge-attitudes-and-practices-regarding-hepatitis-b-vaccination-among-hospital-based-doctors-and-nurses-in-china-results-of-a-multi-site-survey
#12
Yan Liu, Chao Ma, Haimei Jia, Erping Xu, Yong Zhou, Zhujiazi Zhang, Li Lu, Lance Rodewald, Lixin Hao
BACKGROUND: Hepatitis B virus (HBV) can cause chronic HBV infection, which may lead to advanced cirrhosis and liver cancer. Healthcare workers (HCWs) are at risk HBV infection as an occupational hazard. Hepatitis B vaccination of HCWs is recommended by WHO, but the status of hepatitis B vaccination among HCWs in China is seldom reported. METHODOLOGY: We conducted a cross-sectional study in 22 hospitals of 3 developed cities in China. We interviewed managers in infectious diseases and occupational health departments, and at least 40 HCWs per hospital...
April 19, 2018: Vaccine
https://www.readbyqxmd.com/read/29488399/laboratory-and-benchtop-performance-of-a-mealtime-insulin-delivery-system
#13
Darlene M Dreon, Trevor M Hannon, Brett Cross, Brett J Carter, Nicholas S Mercer, Jason H Nguyen, Andy Tran, Peter A Melendez, Nancy Morales, Jonathan E Nelson, Meng H Tan
BACKGROUND: A basal bolus insulin regimen requires multiple daily insulin injections, which might discourage patient adherence. As a potential solution, a mealtime insulin-delivery system-a 3-day wearable bolus-only patch-was designed to manually administer mealtime insulin discreetly by actuating buttons through clothing, without the need for multiple needle sticks. METHOD: Extensive functional testing of the patch included dose accuracy (from initial fill of the device to empty), pressure-vacuum leak testing, last-dose lockout and occlusion detection (safety alert features that lock the dosing buttons when no insulin is delivered), assessments of insulin drug stability, toxicological risk (including chemical testing), and system biocompatibility...
February 1, 2018: Journal of Diabetes Science and Technology
https://www.readbyqxmd.com/read/29443411/intravascular-access-devices-from-an-interventional-radiology-perspective-indications-implantation-techniques-and-optimizing-patency
#14
REVIEW
Kristen A Lee, Raja S Ramaswamy
Central venous access has become invaluable in the treatment of patients with a wide array of acute and chronic disease entities. Central venous catheters provide durable, short-term and long-term access solutions while saving the patient from repeated peripheral needle sticks. Central venous catheters include: non-tunneled central venous catheters, tunneled central venous catheters, and port catheters. Typically, the placement of a central venous catheter is performed by Vascular and Interventional Radiologists...
February 2018: Transfusion
https://www.readbyqxmd.com/read/29344047/a-comparative-study-of-shift-work-effects-and-injuries-among-nurses-working-in-rotating-night-and-day-shifts-in-a-tertiary-care-hospital-of-north-india
#15
Anjana Verma, Jugal Kishore, Shobha Gusain
Background: Shift work can have an impact on the physical and psychological well-being of the healthcare worker, affecting patients as well as their own safety at the workplace. This study was conducted to compare the health outcomes and injuries, along with associated risk factors between the nurses working in rotating night shift (RNS) as compared to day shift (DS) only. Materials and Methods: It was a cross-sectional study conducted from June to November 2016 in a tertiary care hospital of Delhi...
January 2018: Iranian Journal of Nursing and Midwifery Research
https://www.readbyqxmd.com/read/29332187/human-bite-injuries-to-the-head-and-neck-current-trends-and-management-protocols-in-england-and-wales
#16
Glyndwr W Jenkins, Robert Isaac, Shakir Mustafa
INTRODUCTION: Human bite injuries can be challenging in their presentation to the examining physician. In a study by Merchant et al., 18% of patients presenting with a human bite injury had suffered wounds to the head and neck region. Current trends in their initial management at presentation to emergency departments throughout England and Wales will be discussed in this paper. MATERIALS AND METHOD: A postal survey was sent out to 100 A&E lead clinicians. This was followed up by telephone enquiries to improve the response rate...
March 2018: Oral and Maxillofacial Surgery
https://www.readbyqxmd.com/read/29317904/a-change-management-approach-to-improving-safety-and-preventing-needle-stick-injuries
#17
Ann-Marie Aziz
Key drivers for preventing healthcare-associated infection (HCAI) include evidence-based practices and procedures that prevent infection. Among the current guidance for preventing HCAIs is evidence and mandatory requirements for reducing needle stick injuries (NSIs). This article highlights how John Kotter's model for change could help healthcare workers plan for successful and sustained deployment of needle safety devices (NSDs) and ultimately reduce the risk of a NSI.
September 2017: Journal of Infection Prevention
https://www.readbyqxmd.com/read/29310496/survey-to-identify-depth-of-penetration-of-critical-incident-reporting-systems-in-austrian-healthcare-facilities
#18
Gerald Sendlhofer, Harald Eder, Karina Leitgeb, Roland Gorges, Heidelinde Jakse, Marianne Raiger, Silvia Türk, Walter Petschnig, Gudrun Pregartner, Lars-Peter Kamolz, Gernot Brunner
Incident reporting systems or so-called critical incident reporting systems (CIRS) were first recommended for use in health care more than 15 years ago. The uses of these CIRS are highly variable among countries, ranging from being used to report critical incidents, falls, or sentinel events resulting in death. In Austria, CIRS have only been introduced to the health care sector relatively recently. The goal of this work, therefore, was to determine whether and specifically how CIRS are used in Austria. A working group from the Austrian Society for Quality and Safety in Healthcare (ASQS) developed a survey on the topic of CIRS to collect information on penetration of CIRS in general and on how CIRS reports are used to increase patient safety...
January 2018: Inquiry: a Journal of Medical Care Organization, Provision and Financing
https://www.readbyqxmd.com/read/29233727/a-mathematical-model-and-experimental-verification-of-optimal-nozzle-diameter-in-needle-free-injection
#19
Dongping Zeng, Yong Kang, Lu Xie, Xiaoxiao Xia, Zefeng Wang, Wenchuan Liu
Needle-free injection (NFI), as an alternative drug delivery strategy, owns great potential. It is able to reduce complaints about needle phobia and avoid the occurring of accidental needle stick injuries. The nozzle diameter is inherently important in determining the injection dose, injection depth, and pain associated with NFIs. In this work, needle-free injectors with nozzle diameters of 0.17, 0.20, 0.30, 0.40, and 0.50 mm were studied in the simulation and experiment. This article optimizes the mathematical model for spring-powered NFI by considering the hydraulic loss due to the abrupt change in the nozzle exit area and the friction force between the piston and ampoule...
April 2018: Journal of Pharmaceutical Sciences
https://www.readbyqxmd.com/read/29230388/blood-body-fluid-exposure-and-needle-stick-sharp-injury-among-nurses-working-in-public-hospitals-southwest-ethiopia
#20
Yeshitila Belay Belachew, Tefera Belachew Lema, Gugssa Nemera Germossa, Yohannes Mehretie Adinew
Background: Every health professional around the world is at risk of blood/body fluid exposure and needle stick/sharp injury as a result of exposure to blood or body fluids and needle or sharp injuries. However, the extent of these hazards and their driving forces are not well documented in Ethiopia. Thus, the aim of this study was to assess determinants of blood/body fluid exposure and needle stick/sharp injury among nurses working in Jimma zone, southwest Ethiopia. Methods: An institution-based census was conducted among 318 nurses working in Jimma zone public hospitals from March 10 to 30, 2016...
2017: Frontiers in Public Health
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