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https://www.readbyqxmd.com/read/28259526/review-of-intranasally-administered-medications-for-use-in-the-emergency-department
#1
Abby M Bailey, Regan A Baum, Karolyn Horn, Tameka Lewis, Kate Morizio, Amy Schultz, Kyle Weant, Stephanie N Justice
BACKGROUND: Intranasal (IN) medication delivery is a viable alternative to other routes of administration, including intravenous (IV) and intramuscular (IM) administration. The IN route bypasses the risk of needle-stick injuries and alleviates the emotional trauma that may arise from the insertion of an IV catheter. OBJECTIVE: This review aims to evaluate published literature on medications administered via the IN route that are applicable to practice in emergency medicine...
March 1, 2017: Journal of Emergency Medicine
https://www.readbyqxmd.com/read/28182616/transmission-of-multi-drug-resistant-hiv-1-despite-antiretroviral-prophylaxis
#2
Vicente Soriano
In Brazil, a nurse recently became infected with HIV-1 despite beginning antiretroviral therapy within one hour following accidental needle stick injury while puncturing the forearm of an HIV-infected patient with detectable plasma viremia. Thereafter, the patient's virus was found to harbor multiple drug resistance mutations.
January 2017: AIDS Reviews
https://www.readbyqxmd.com/read/28174369/self-tapping-intermaxillary-fixation-screw-an-alternative-to-arch-bar
#3
Animesh Barodiya, Rishi Thukral, S M Agrawal, Anil S Chouhan, Sidharth Singh, Yogesh Loksh
INTRODUCTION: The use of intermaxillary fixation (IMF) in the treatment of faciomaxillary fractures is the key factor for reduction and immobilization. Various techniques of IMF have been described in the past and recently IMF screws have been introduced. This technique has various advantages, including ease of use, less time consumption, less trauma to the surrounding soft tissues, and relatively reduced risk of needle stick injury. This study evaluates the efficacy of IMF screws over arch bar IMF before definitive fixation of facial fractures...
February 1, 2017: Journal of Contemporary Dental Practice
https://www.readbyqxmd.com/read/28123438/a-rare-and-severe-complication-following-thyroid-fine-needle-aspiration-retropharyngeal-cellulitis
#4
Roberto Cesareo, Anda Naciu, Antonio Barberi, Valerio Pasqualini, Giuseppe Pelle, Silvia Manfrini, Gaia Tabacco, Angelo Lauria Pantano, Giuseppe Campagna, Roberto Cianni, Andrea Palermo
INTRODUCTION: Fine needle aspiration (FNA) is the most accurate and cost-effective method for evaluating thyroid nodules. We have reported a rare complication related to the procedure: severe retropharyngeal cellulitis. CASE PRESENTATION: A thirty-five-year-old female was admitted to hospital with hoarseness, laryngeal stridor and dyspnea without fever that emerged about 3 days after a first diagnostic FNA. After the procedure, the patient felt her voice became hoarse and 1 day before presentation began to have dyspnea, without fever...
October 2016: International Journal of Endocrinology and Metabolism
https://www.readbyqxmd.com/read/28105586/occupational-safety-in-the-age-of-the-opioid-crisis-needle-stick-injury-among-baltimore-police
#5
Javier A Cepeda, Leo Beletsky, Anne Sawyer, Chris Serio-Chapman, Marina Smelyanskaya, Jennifer Han, Natanya Robinowitz, Susan G Sherman
At a time of resurgence in injection drug use and injection-attributable infections, needle stick injury (NSI) risk and its correlates among police remain understudied. In the context of occupational safety training, a convenience sample of 771 Baltimore city police officers responded to a self-administered survey. Domains included NSI experience, protective behaviors, and attitudes towards syringe exchange programs. Sixty officers (8%) reported lifetime NSI. Officers identifying as Latino or other race were almost three times more likely (aOR 2...
January 19, 2017: Journal of Urban Health: Bulletin of the New York Academy of Medicine
https://www.readbyqxmd.com/read/28069471/an-unexpected-fatal-cchf-case-and-management-of-exposed-health-care-workers
#6
Goksel Guven, Leyla Talan, Neriman Defne Altintas, Kemal Osman Memikoglu, Fugen Yoruk, Alpay Azap
Crimean-Congo hemorrhagic fever (CCHF) is a tick borne viral disease which can also be transmitted by direct contact with blood or tissue specimens of infected animals or humans. We present a fatal case of CCHF, who was diagnosed after death, and describe the post-exposure management plan for the health care workers (HCWs) involved in her care. In total of 52 HCWs were involved in the patient's care and they were stratified into risk groups. Overall, 20 HCWs were grouped in high and intermediate risk groups, including the HCW with needle stick injury...
January 6, 2017: International Journal of Infectious Diseases: IJID
https://www.readbyqxmd.com/read/28027198/a-topical-anesthetic-and-lidocaine-mixture-for-pain-relief-during-keloid-treatment-a-double-blind-randomized-controlled-trial
#7
Arnik Usanakornkul, Chairat Burusapat
BACKGROUND: Keloids are abnormal overgrowth of collagen fibers, and the first-line treatment includes intralesional injection of triamcinolone acetonide (TA), which is associated with pain. OBJECTIVE: To study the benefit of applying topical anesthetics or a 1:1 mixture of 1% lidocaine and TA at the TA injection site to alleviate pain during keloid treatment. METHODS AND MATERIALS: A double-blind, randomized controlled trial was conducted...
January 2017: Dermatologic Surgery: Official Publication for American Society for Dermatologic Surgery [et Al.]
https://www.readbyqxmd.com/read/27981261/3d-near-infrared-and-ultrasound-imaging-of-peripheral-blood-vessels-for-real-time-localization-and-needle-guidance
#8
Alvin I Chen, Max L Balter, Timothy J Maguire, Martin L Yarmush
This paper presents a portable imaging device designed to detect peripheral blood vessels for cannula insertion that are otherwise difficult to visualize beneath the skin. The device combines near infrared stereo vision, ultrasound, and real-time image analysis to map the 3D structure of subcutaneous vessels. We show that the device can identify adult forearm vessels and be used to guide manual insertions in tissue phantoms with increased first-stick accuracy compared to unassisted cannulation. We also demonstrate that the system may be coupled with a robotic manipulator to perform automated, image-guided venipuncture...
October 2016: Medical Image Computing and Computer-assisted Intervention: MICCAI ..
https://www.readbyqxmd.com/read/27861473/-direct-cost-of-primary-care-of-mild-traumatic-brain-injury-in-adults-by-grd-in-third-level-of-care
#9
Rodolfo Barragán-Hervella, Álvaro Montiel-Jarquín, Iván Limón-Serrano, Víctor Escobedo-Sosa, Jorge Loría-Castellanos
OBJECTIVE: To describe the direct cost of primary health care for patients with mild traumatic head injury in a third level medical facility. DESIGN: Cross-sectional study in 219 patients with mild traumatic brain injury (GRD 090 S06.0 ICD-10 including uncomplicated concussion without complication and increased comorbidity). LOCATION: A medical unit of tertiary care in the State of Puebla, Mexico. MAIN MEASUREMENTS: Direct costs were taken from ACDO...
November 2016: Gaceta Médica de México
https://www.readbyqxmd.com/read/27847696/ice-reduces-needle-stick-pain-associated-with-local-anesthetic-injection
#10
Babak Mahshidfar, Salimeh Cheraghi Shevi, Mohsen Abbasi, Mohammad Hosseini Kasnavieh, Mahdi Rezai, Mina Zavereh, Reza Mosaddegh
BACKGROUND: Local anesthetic injections are widely used in the emergency department for different purposes. Pain management for such injections is of great importance to both patients and the healthcare system. OBJECTIVES: Our study aimed to determine the effectiveness and safety of cryotherapy in patients receiving local anesthetic injections. METHODS: Subjects who presented with superficial lacerations were randomly assigned to 2 groups, the first group received ice packing prior to injection and the second did not...
October 2016: Anesthesiology and Pain Medicine
https://www.readbyqxmd.com/read/27847548/needlestick-and-sharps-injuries-in-dermatologic-surgery-a-review-of-preventative-techniques-and-post-exposure-protocols
#11
REVIEW
Christopher Rizk, Holly Monroe, Ida Orengo, Theodore Rosen
Background: Needlestickand sharps injuries are the leading causes of morbidity in the dermatologicfield. Among medical specialties, surgeons and dermatologists have the highest rates of needlestickand sharps injuries.The high rates of needlestickand sharps injuries in dermatology not only apply to physicians, but also to nurses, physician assistants, and technicians in the demnatologic field. Needlestickand sharps injuries are of great concern due to the monetary, opportunity, social, and emotional costs associated with their occurrence...
October 2016: Journal of Clinical and Aesthetic Dermatology
https://www.readbyqxmd.com/read/27828002/an-integrated-intervention-for-increasing-clinical-nurses-knowledge-of-hiv-aids-related-occupational-safety
#12
Liping He, Zhiyan Lu, Jing Huang, Yiping Zhou, Jian Huang, Yongyi Bi, Jun Li
Background: Approximately 35 new HIV (Human Immunodeficiency Virus, HIV) cases and at least 1000 serious infections are transmitted annually to health care workers. In China, HIV prevalence is increasing and nursing personnel are encountering these individuals more than in the past. Contaminated needle-stick injuries represent a significant occupational burden for nurses. Evidence suggests that nurses in China may not fully understand HIV/AIDS (Acquired immunodeficiency syndrome, AIDS) and HIV-related occupational safety...
November 7, 2016: International Journal of Environmental Research and Public Health
https://www.readbyqxmd.com/read/27808624/how-to-suture-a-wound
#13
Joseph Bonham
Rationale and key points This article explores how to suture a wound using several common techniques. The use of different suture techniques depends on various factors, including the type of wound, its location, skin thickness, wound tension and cosmetic considerations. » Nurses should have a comprehensive understanding of the relevant anatomy and underlying structures, and the expertise to determine that suturing, rather than other methods of wound closure, is appropriate in each case. » Nurses should work within their scope of practice and to agreed departmental protocols...
October 19, 2016: Nursing Standard
https://www.readbyqxmd.com/read/27806502/a-comparison-between-the-new-and-the-conventional-method-for-recapping-of-needles-in-a-hospital-setting
#14
Mohsen Masoodi, Haleh Chehrehgosha, Marjan Mokhtare, Amir Hossein Faghihi, Shahram Agah
INTRODUCTION: Needle stick injury is a common and serious event despite training and education and preventive strategies. The common form of the needle stick among health care workers can be occurred while recapping of needle and it is important because of the risk of transferring infectious strains. With aim of reducing the needle stick injury we compared the results of a new recapping method as high dropping cover to a needle and then try to fix it for frequency of needle stick injury and impending to injury among a sample of nurses...
July 12, 2016: Global Journal of Health Science
https://www.readbyqxmd.com/read/27766172/risk-reduction-of-needle-stick-injuries-due-to-continuous-shift-from-unsafe-to-safe-instruments-at-a-german-university-hospital
#15
Hagen Frickmann, Wibke Schmeja, Emil Reisinger, Thomas Mittlmeier, Karen Mitzner, Norbert Georg Schwarz, Philipp Warnke, Andreas Podbielski
This study assessed protective effects of a continuous introduction of safe instruments in terms of reduction of needle stick injuries. The retrospective study analyzed correlations between the increasing proportion of safe instruments and a reduction of the incidence of needle stick injuries linked to such instruments in a German university hospital over 5 years. Incidents declined about 17.6% from 80.3 incidents per 1000 employees to 66.2, associated with an increase in the proportions of injuries due to instruments without protective mechanisms such as scalpels or hypodermic needles by 12...
September 29, 2016: European Journal of Microbiology & Immunology
https://www.readbyqxmd.com/read/27749643/nurses-knowledge-and-practice-of-blood-borne-pathogens-and-infection-control-measures-in-selected-beni-suef-hospitals-egypt
#16
Ahmed E Arafa, Amel A Mohamed, Manal M Anwar
BACKGROUND AND PURPOSE: Blood-borne pathogens (BBP) [hepatitis B virus (HBV), hepatitis C virus (HCV), and HIV] pose a considerable infectious risk for nurses, resulting in unwanted health outcomes and psychological stress. AIM OF THE WORK: This study aimed to assess the knowledge and practices of nurses and define administrative roles regarding in BBP and infection control (IC) measures in selected Beni-Suef Hospitals. PARTICIPANTS AND METHODS: A cross-sectional study was carried out from December 2014 to January 2015 using a self-administered questionnaire...
September 2016: Journal of the Egyptian Public Health Association
https://www.readbyqxmd.com/read/27746273/characterization-of-needle-assisted-jet-injections
#17
Xinxin Li, Bryan Ruddy, Andrew Taberner
Hypodermic injections have been the standard for transcutaneous drug delivery for many years. However, needle phobia, pain, and risks of needle-stick injuries have manifested in poor patient compliance. Needle-free jet injections (NFJI) have been developed to address these drawbacks but the reliability of dose and depth of delivery have been limited by a lack of control over jet parameters, and by variability in the skin's mechanical properties among individuals. Moreover, the device size and cost have been restrained by the high pressure (>20MPa) required to penetrate the skin...
December 10, 2016: Journal of Controlled Release: Official Journal of the Controlled Release Society
https://www.readbyqxmd.com/read/27738637/knowledge-and-self-reported-practice-of-insulin-injection-device-disposal-among-diabetes-patients-in-gondar-town-ethiopia-a-cross-sectional-study
#18
Abebe Basazn Mekuria, Begashaw Melaku Gebresillassie, Daniel Asfaw Erku, Kaleab Taye Haile, Eshetie Melese Birru
Background. Incorrect sharp disposal practices may expose the public to needle-stick injuries. The present study aimed at assessing the knowledge and practice of diabetic patients towards insulin injection device disposal in Gondar town, Ethiopia. Methods. A cross-sectional study was employed on insulin requiring diabetes patients who visited the diabetes clinic at Gondar University Referral Hospital (GURH) from February 1 to March 28, 2016. Frequencies, percentages, and ANOVA (analysis of variance) and Student's t-test were used to analyze variables...
2016: Journal of Diabetes Research
https://www.readbyqxmd.com/read/27646926/impact-of-the-shape-of-the-needle-tip-on-the-efficacy-of-flushing-implantable-port-chambers
#19
Gérard Guiffant, Christian Dupont, Jacques Merckx
INTRODUCTION: To follow international guidelines and protect healthcare workers from needle stick injuries, manufacturers now provide safety non-coring needles. METHODS: Numerical simulations show the potential efficacy of infusion and flushing flow in straight and curved side wall port chambers from a beveled non-coring needle (BNCN) or a bevel-free cannula (BFC). RESULTS: In straight and curved side wall port chambers, the stream of flow with a BNCN is determined by the direction of the bevel, whereas the outlet stream from a BFC leads to a cylindrical symmetric flow...
November 2, 2016: Journal of Vascular Access
https://www.readbyqxmd.com/read/27621202/hepatitis-e-virus-antibodies-in-finnish-veterinarians
#20
T Kantala, P M Kinnunen, S Oristo, P Jokelainen, O Vapalahti, L Maunula
We investigated hepatitis E virus (HEV) infections in Finnish veterinarians engaged in different practice specialties and evaluated the effect of different background factors on HEV exposure by examining total HEV antibodies in samples collected from the participants of the 2009 National Veterinary Congress in Helsinki, Finland. Finnish veterinarians commonly have total HEV antibodies with seroprevalence of 10.2%. Of the non-veterinarians, 5.8% were seropositive. Increasing age was associated with HEV seropositivity, and, surprisingly, the highest HEV seroprevalence (17...
September 13, 2016: Zoonoses and Public Health
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