Wear Gloves Research Articles

Management of Psychiatric Disorders with HIV and Dermatological Disorders.

Management of Psychiatric Disorders with HIV and Dermatological Disorders.

Evaluation of Cross Infection Control in Dentistry; A Patients’ Perception Study

OBJECTIVE: To assess the perception of patients visiting a dental OPD in Karachi regarding cross infection control measures that should be taken in dental practice. METHODOLOGY: A cross-sectional study was conducted at the OPD of Altamash Institute of Dental Medicine from January to August 2020. A total of 546 patients aged 20-75 years of either gender coming for routine dental check-ups were included in the study using non-probability convenience sampling. A well-structured and validated questionnaire was used to assess the knowledge, attitude and practices of patients regarding cross infection measures that should be present in dental practices. SPSS-25 was used to analyze the data. Descriptive statistics was used to calculate frequency and percentage of qualitative (gender, socioeconomic and education status, knowledge attitude and practice levels of patients) and quantitative variables (age groups). Chi-square test was used to detect the relation of patient's knowledge levels with potential factors like the age groups, gender, socioeconomic and education status. The p-value of (< 0.05) was considered as significant. RESULTS: Out of the total participants, 79.1% had good knowledge about cross infection control measures in dental practice. Majority of the patients (84.6%) agreed that dentists should wear gloves during treatment, though majority were of the opinion that a dentist can treat several patients with the same set of gloves. About 4.9% of the patients said that they ask the dentist to wear face mask and gloves while treating them, and only 3.3% said that they ask the dentist about sterilization of instruments. The knowledge level of patients showed variation with their education status but not with respect to socioeconomic status, age and gender. CONCLUSION: Although overall the patients visiting dental clinics had good perception and showed positive attitudes towards cross infection control, the dental health practitioners need to disseminate basic technical information about the infection-control practices required for safe dental practice to dental patients and the community at large. KEYWORDS: cross infection, knowledge, dentist, dental patients, perception

Incidence and Knowledge of Occupational Health Hazards in Prosthodontic Practice at a Tertiary Hospital in Islamabad

Aim: To explore various occupational hazards and assess the level of awareness among dental students Methods: Data was prospectively collected from 80 under-graduate and post-graduate students on voluntary basis. A questionnaire pertaining to the occupational hazards was handed over to the subjects and their responses were then tabulated for statistical analysis. The study design was descriptive cross sectional. Results: Among 80 participants, chemical burns was reported by 18(22.5%), thermal burns via hot instrument by 72(90%), injuries from spirit lamp by 64(80%) , needle prick injury by 37(46.3%), injuries from sharp instruments by 74(92.5%), injuries from micro-motor by 48(60%), allergic dermatitis by 25(31.3%), hot material injury by 63(78.8%) and eye irritation by 31(38.8%). While performing daily procedures and handling patients, 100% wore gloves, 95% of the participants wore masks, 32% used protective eye wear, 97.5% followed safety protocols and 92.5% washed their hands post-operatively. Adequate knowledge regarding occupational safety was reported by 100% of participants. The source of knowledge was found to be electronic media among 50% participants, social media among 27.5% participants and social media among the remaining 22.5%. Alarmingly, only 7.5% participants had received training regarding occupational safety. 48.8% followed occupational safety protocols and 93.8% were aware of the system that existed in case of any accidents happened. Conclusion: The findings of this study are consistent with the previous studies indicating a high risk of occupational health hazards in dentistry. Keywords: Occupational accidents, Prosthodontics, Allergic dermatitis

Effects of The Long-Time Wearing of Gloves by Health Care Workers Managing Covid-19 Assessed by Electrodermal Activity: A Pilot Study

Continues wearing gloves is a crucial problem among health care workers treating patients with coronavirus (COVID-19) infection that may cause skin complications. In the present study, the skin conductance (SC), skin potential (SP) and skin susceptance (SS) were used to identify the effects of long-term wearing gloves among health care workers managing COVID-19. The experimental procedure was repeated 30 times on three subjects recruited as volunteers to wear gloves for 4 hours. The baseline of parameters SC, SP, and SS were recorded at normal conditions without wearing the glove at zero time (To). The parameters were again recorded in the cases of glove-wearing with and without zinc oxide ointment (ZnO) for the same period. Noticeable differences were found in each of SC, SP and SS for subjects who wore gloves when compared to the baseline for 4 h. Results also showed significant differences in each of SP and SS during the same period with applying ZnO comparing to wearing gloves without applying ZnO. The results show that skin hydration is significantly improved by using ZnO. However, changing gloves at least every four hours of continuous wearing is recommended.

The COVID-19 Pandemic: Are There Any Impacts on Sustainability?

This paper sets out to explain and describe the potential ways to control COVID-19′s impact on the environment and what controllable strategies and anticipations emerge from rethinking sustainable production. The rapid and devastating spread of this disease has made millions of people throughout the world cover themselves, wear gloves, and use hand sanitizers and other medical applications. However, it means that a huge amount of clinical waste is being dumped into landfills or the oceans, and such activity may simply worsen the infection’s transmission and the sustainability of the environment, the socio-economy, and sustainable productions. This disease has greatly changed the way people live and has caused considerable occupational job losses and misfortunes, sending sustainable businesses and other organizations to the wall. Virtually every country is trying to stop the infection transmission by testing patients and isolating people, but the environmental effects of the pandemic and sustainable business have not previously been analyzed. The study suggests that the current options for sustainable production must be measured and also further researched.

Occupational Skin Diseases among Building Construction Workers in Dar es Salaam, Tanzania.

Background:Amongst established growing industries worldwide, the construction industry contributes about 7.5% of the world labor force and 16.4% of global occupational diseases and accidents. A variety of activities are practiced in construction work, such as masonry, painting, welding, carpentry, plastering, concrete and cement mixing. These may eventually lead to exposures that can subject the workers to risks of developing occupational skin diseases. Most studies done on the construction industry in Tanzania have focused on effects such as injuries, respiratory problems and ergonomics; very little research has been done on skin diseases.Objectives:The study aimed at assessing the prevalence of occupational skin diseases, associated factors and preventive measures among building construction workers in Dar es Salaam, Tanzania.Methods:Construction sites and participants were selected using simple random sampling. The Nordic Occupational Skin Questionnaire (NOSQ) was adapted and used for assessing the development of skin diseases among constructions workers. Analysis of categorical variables, associated factors and skin preventive measures was done using Chi-square tests. Bivariate and multivariate logistic regression analyses were performed to determine odds ratio and adjusted odds ratio for factors indicating an influence on the occurrence of skin diseases.Findings:The study consisted of 420 building construction workers from different sites with a mean age of 32.7 years. The participants were masons, assistant masons and carpenters. The mean work duration was 6 years. Occupational Skin diseases were prevalent in 228 (54%) workers. Carpenters had a higher prevalence of skin diseases 12(67%), followed by assistant masons 43 (64%). Timely provision of safety trainings and of PPE utility, training and guidance lowered the occurrence of skin diseases.Conclusion:A high number of construction workers experienced skin diseases, especially those who have worked for more than 4 years. Workers who received safety training before the work shift had lesser prevalence of skin diseases compared to those who did not. Receiving proper information on PPE usage and proper wearing of gloves had a protective effect.

Compounding Parenteral Products in Pediatric Wards-Effect of Environment and Aseptic Technique on Product Sterility.

Parenteral products must be compounded using an aseptic technique to ensure sterility of the medicine. We compared the effect of three clinical environments as compounding areas as well as different aseptic techniques on the sterility of the compounded parenteral product. Clinical pharmacists and pediatric nurses compounded 220 samples in total in three clinical environments: a patient room, a medicine room and biological safety cabinet. The study combined four methods: observation, environmental monitoring (settle plates), monitoring of personnel (finger dab plates) and sterility testing (membrane filtration). Of the compounded samples, 99% were sterile and no significant differences emerged between the clinical environments. Based on the settle plates, the biological safety cabinet was the only area that fulfilled the requirements for eliminating microbial contamination. Most of the steps on the observation form for aseptic techniques were followed. All participants disinfected their hands, wore gloves and disinfected the septum of the vial. Non-contaminated finger dab plates were mostly detected after compounding in the biological safety cabinet. Aseptic techniques were followed relatively well in all environments. However, these results emphasize the importance of good aseptic techniques and support the recommendation of compounding parenteral products in biological safety cabinets in clinical environments.

Effects of wearing of metacarpal gloves on hand dexterity, function, and perceived comfort: A pilot study

Metacarpal gloves are commonly used in heavy-duty industries such as mining and are typically thicker and bulkier than manufacturing or assembly industrial gloves. This pilot study investigates the impact of wearing metacarpal gloves on hand dexterity, functional capabilities, and perceived comfort. Four types of commercially available metacarpal gloves were selected for evaluation in a randomized controlled trial. Evaluations included turning and placing tests, also grip, pinch, and screwdriver tests, and rating of the perceived level of effort. Dexterity test results showed that metacarpal gloves significantly reduced the ability to perform motor tasks requiring coordination compared to bare hands. Hand functions such as gripping, pinching, and forearm rotations were not significantly affected. However, the perceived level of effort needed to complete those hand functions increased as the metacarpal glove's bulkiness increased. High levels of mechanical protection typically offered by metacarpal gloves can inversely affect hand dexterity and hand exertion.

Does high adherence to contact precautions lead to low in-hospital transmission of multi-drug-resistant micro-organisms in the endemic setting?

Conflicting results have been published on the impact of contact precautions (CPs) on reduction of transmission of multi-drug-resistant micro-organisms (MDROs) in the endemic setting. Ambiguous definitions coupled with low adherence partly explain these differences. We prospectively monitored the level of adherence to CPs and aimed to relate it to in-hospital transmission of MDROs. Between January 2016 and March 2018, all patients under CPs underwent continuous monitoring of adherence to CPs by routine on-site visits on days 0, 3 and 7 after initiating CPs using a standardized checklist. The protocol included 10 interventions that were routinely checked such as CP sign at the door as well as wearing of gowns and gloves upon entry to the patient room. Patients requiring CPs were defined as colonized or infected with MDROs (meticillin-resistant Staphylococcus aureus (MRSA), non-Escherichia coli extended-spectrum beta lactamase (ESBL) Enterobacterales, vancomycin-resistant enterococci (VRE) and carbapenem-resistant Gram-negative micro-organisms (CRGN)) as well as patients infected with respiratory viruses, norovirus, scabies and hypervirulent strains of Clostridioides difficile. Overall, data from 13,756 CP records from 1378 visits of 812 patients were analysed. Adherence varied between 93% and 100% for each intervention, except for "separate space for contaminated material" with an adherence of 5.3-6.1%. The incidence of in-hospital transmission during the study period was extremely low for MRSA, VRE, non-E.coli ESBL Enterobacterales and CRGN with 0.00-0.064 cases/1000 patient days. High adherence coupled with continuous monitoring of CPs correlated with a very low in-hospital transmission rate. These results indicate that CPs are highly effective if routine monitoring of adherence is implemented.

New Data on Latrodectus tredecimguttatus Rossi, 1790, the Medically Important Spider Species (Araneae: Theridiidae) from Iran.

Spiders are one of the most important orders of Arachnida comprising more than 48,000 species in the world. Except for families Uloboridae and Holarchaeidae, all others are classified as the venomous spider. However, only about 200 species are medically relevant and cause public health problems or even death. In Iran, there are 51 families and 763 species of spiders, of which the families, Theridiidae and Sicariidae are dangerous for the human being, and the first one is more prevalent. The Latrodectus is considered one of the most poisonous spiders in the world and Iran. This genus has five species in Iran, among which Latrodectus tredecimguttatus (black widow spider or “Dolmak”) is considered one of the most poisonous spiders in Iran. Therefore, this study aimed to investigate this species in the Northwest of Iran (West Azerbaijan, East Azerbaijan, and Ardabil provinces, Iran). Spatial distribution maps were prepared using GIS 9.4. In the current study, five adult female spiders were collected from Germi and Ardabil cities (Ardabil Province), Ahar County (East Azerbaijan province), and Urmia city (West Azerbaijan province) of Iran. These species were first observed in Ardabil province, Iran. Therefore, the presence of Latrodectus species under the rocks in wheat farms in this corner of Iran may be a threat to farms and visitors. People in these areas should wear gloves and avoid any activity that disturbs the spiders and make them aggressive.

When to change gloves worn during invasive surgical procedures.

When to change gloves worn during invasive surgical procedures.

Audio Visual Reception of American Sign Language for Blind, Deaf and Dumb People

The computer recognition of sign language is an important process for enabling communication with the visually and hearing impaired people. This proposed project introduces an efficient way of computer recognition of sign languageby using a simplified method by the use of an accelerometer sensor which is a three axis sensor and a voice IC. The main objective of our project is to convert the sign language into a voice format and display the corresponding message on the LCD screen. The basic idea of this project is to have accelerometer sensors attached to the gloves worn by the impaired person. When the person flexes his/her hand for the pre-coded commands, the accelerometer sensors senses the change due to the angular movement of fingers and produces a corresponding output voltage. The sensed analog signal is converted to digital signal by ADC and transmits it to the voice IC via a microcontroller. The objective of the microcontroller is to perform the matching of the obtained hex-code with its corresponding pre-coded commands using Keil software. Once the code is matched with its pre-coded commands the output is delivered through a speaker via a voice IC and the command is also displayed in a LCD screen.

The impact of covid-19 on ophthalmic practice in Bangladesh– A cross-sectional study

To assess the interference of patient care due to COVID 19 related restrictions and to formulate the future guidelines.This cross-sectional online survey-based study was carried out among the ophthalmologist of Bangladesh in the early lock down period (01 April to 30 April) 2020. Total 93 ophthalmologists responded to the study. Most of the ophthalmologist were seeing the patients with red eye (40.9%), ocular trauma (40.9%), acute infections and inflammations (35.5%), and vision loss (31.2%). 80.6% responder informed that they wear Mask, gloves, and head cap during patient evaluation. 51.6% used Personal protection equipment. 55.9% used a breath shield with the slit lamp settings. 60.4% maintained hand wash, and disinfectant facilities for the patients. 85.7% ophthalmologist had ensured for wearing the mask to all patients before entering the examination and consultancy room. 86% ophthalmologist of our study had performed their surgeries for ophthalmic emergency.Wearing mask is an important tool to prevent transmission of COVID-19 for both patients and ophthalmologists in working place. Maintaining normal ophthalmic practice and surgery are challenging during COVID-19 pandemic.

Speaking System for Mute Peoples

This interacting device is a microcontroller based system which is basically outline for lessening the communication space between dumb and normal people. This system can be accordingly configured to work as a “smart device”. In this paper, Atmega 328 microcontroller, voice module, LCD display and flex sensors are utilize. The device considered is basically residing of a glove and a microcontroller based system. Data gloves are used to detect the hand motion and microcontroller based system will interpret those few manoeuvre into human place voice. The data glove is furnished with four flex sensors placed on the glove. This system is helpful for dumb people and their hand manoeuvre will be converted into speech signal because of the date glove worn on the hands.

Impact of daily wearing of fabric gloves on the management of hand eczema: A pilot study in health-care workers.

Hand eczema is a major occupational disease, especially in medical workers, reducing their quality of life (QOL) and work productivity. Daily wearing of fabric gloves to prevent loss of moisture and lipids from the surface of the hands has been regarded as good in the management of hand eczema. However, limited evidence is available regarding the efficacy of moisturizing care with daily gloves on hand eczema. This pilot study was performed to evaluate the efficacy of moisturizing intervention with daily wearing of fabric gloves on skin barrier function, disease severity, and microbiome in health-care workers with hand eczema. Study 1: Nurses in the neonatal intensive care unit or growing care unit with and without hand eczema were recruited in the study. Subjects were instructed to apply moisturizer and wear two types of fabric gloves, common cotton gloves and moisturizing fabric gloves containing malate, for 4weeks. Study 2: Physicians and health-care workers were recruited and instructed to wear a cotton glove on one hand at nighttime for 4weeks. Disease severity, skin barrier function, QOL, and hand microbiome (Study 1) were evaluated. Study 1 found that daily wearing of both types of fabric gloves accompanied by use of topical moisturizers reduced the severity of hand eczema without changing the variation of microbiome. Study 2 found no apparent change between wearing and not wearing cotton gloves. In summary, topical moisturizer is of fundamental importance, and concomitant use of fabric gloves may merely enhance the efficacy of moisturizer in the management of hand eczema.

Contamination of lenalidomide on blister packages after administration and its exposure countermeasures

Background: Reliable exposure control measures are needed to avoid occupational exposures from hazardous drugs. However, there is little information on blister packages concerning exposure. We investigated the contamination and exposure control methods of lenalidomide. Materials and Methods: Nine facilities involved with the RevMate program (the Japanese REMS program) participated in this study. Blister packages (10 capsules/ sheet, no cuts) were collected from each institution after the administration of 5-mg Revlimid capsules. Additionally, the safety performance of different gloves was tested. Results: A total of 18 samples were analyzed and the results revealed that all samples were contaminated with lenalidomide. Our questionnaire revealed that all pharmacists handled the blister packages with their bare hands when they were checking the remaining capsules of lenalidomide. We analyzed gloves made from four different materials (nitrile, polyvinyl chloride, latex, and polyethylene) and found no permeability in any glove type. Conclusion: We conclude that the spent blister package is a potential source of exposure to lenalidomide. All medical staff and caregivers should wear gloves when they handle lenalidomide.

Glove use and vaccination: What the guidance says

Clearing up the confusion over whether to wear gloves for COVID-19 vaccinations

Awareness of the Egyptian public about COVID-19: what we do and do not know

ABSTRACT To survey the health-seeking behaviors and perspectives of the Egyptian population toward the COVID-19 pandemic. A descriptive survey was designed and disseminated via social media platforms. The survey consisted of 32 questions addressing respondent’s demographics, knowledge, practice, and attitude toward the COVID-19 pandemic. A total of 25,994 Egyptians participated in the survey from the 29 Egyptian governorates. More than 99% of the respondents were aware of the COVID-19 pandemic. Responses showed split opinions regarding whether people should wear gloves or masks to prevent COVID-19 infection (47.7% and 49.5% replied with “False”, respectively). Almost one-quarter (23.1%) of the respondents went to crowded places during the last 14 days. Calling the emergency hotline and self-isolation at home were the most frequent practices to deal with COVID-19 symptoms (34.1% and 44.5%, respectively). A total of 85% of respondents reported their confidence in the Egyptian healthcare system to win the battle against COVID-19 despite the challenges. A vast majority of this large population sample reported reasonable knowledge levels and potentially appropriate practices toward COVID-19.

Gloves use and possible barriers - an observational study with concluding questionnaire.

Aim: The basic assumption of this study was that the use of medical non-sterile gloves represents a barrier to correct hand hygiene behaviour. The aim of this study was to examine this assumption and detect reasons for possible incorrect behaviour. Accordingly, the hypothesis is that peri-glove compliance is lower than hand-disinfection compliance. Methods: The study involved the direct observation of the use of non-sterile, single-use medical gloves in three different wards of a university hospital. Nursing staff and physicians were observed. After the observation period, the observed persons received a custom-designed questionnaire in order to test their self-assessment, knowledge as well as structural conditions relating to the use of gloves. The results were evaluated and compared with the observation data. Results: All employees disinfected their hands in 18.6% of cases before and in 65% of cases after the use of non-sterile gloves. Gloves were changed in the event of the indication for hand disinfection/change of gloves in 27.5% of cases. When changing gloves, the employees disinfected their hands in 47.2% of cases. The respondents assessed themselves as being significantly better than the observations revealed. The respondents are aware of the rules about hand disinfection before and after the use of gloves. However, it was less commonly known that gloves are not an absolute barrier to the transmission of bacteria.Conclusion: Non-sterile single-use gloves seem to be a barrier to hand disinfection. Solutions must be found in order to improve peri-glove compliance, in particular with regard to hand disinfection before and during the wearing of gloves. Alongside the mere transfer of knowledge, the use of non-sterile gloves with regard to the current structural conditions in everyday clinical practice should be critically scrutinised, questioned, tested and developed for the users through precise instructions.

COVID-19 Prevention Behaviors among Health Staff: Data from a Large Survey in the West of Iran

Background: Hospital staffs are at high risk of Novel Coronavirus (2019-nCoV preventive behaviors play a peculiar role in the reduction of the incidence and mortality of this infection. Therefore, the present study aimed to assess the prevention behaviors of COVID-19 among health staff based on the Extended Parallel Model (EPPM) in western Iran. Study design: It was a cross-sectional study. Methods: The present study was performed in the west of Iran in April 2020. In total, 1,664 cases were enrolled in this study via multi-stage sampling. The data were collected using a questionnaire, including the demographic characteristics of participants and EPPM constructs. All analyses were conducted in Stata software (version 14) at a 5% significant level. Results: As evidenced by the obtained results, 1,523 (91.53%), 1,226 (73.68%), 1,526 (91.71%), 893 (53.67%), and 862 (51.86%) of health staff wear gloves, use masks, avoid contact with others, maintain a good distance from other people, and wash their hands frequently with water and soap, respectively. In terms of using gloves and avoiding contacts with others, participants with high perceived threat had higher odds of observing health behaviors (OR= 3.14, 95% CI: 2.08, 4.73; P<0.001) and (OR= 3.1, 95% CI: 2.04, 4.69; P<0.001), respectively. In all categories of EPPM, the participants with high efficacy had higher odds of exhibiting health behaviors, compared to those with low efficacy (P<0.001). Conclusion: The results of the present study demonstrated that health workers are expected to be at the highest level of threat and efficiency. Moreover, the findings emphasized the effectiveness of the recommended strategies in the prevention of COVID-19 disease.