Incorrect Handling Research Articles

Evaluación de la obtención de leche bovina en el municipio de Três Corações, Minas Gerais

The present study aimed to evaluate the functioning of mechanical milking equipment and procedures for obtaining milk in dairy farms in the Minas Gerais municipality of Três Corações. General aspects of milk production were evaluated; the procedure and cleaning of the milking machines; education, behavior and knowledge of employees of 20 randomly chosen properties. Of the properties visited, 65% were classified as large milk producers; the average total milk production was 1,114 liters/day and the average number of lactating cows was 60 animals. Of the milking machines, all were mechanized and of these, 55% were bucket-to-foot type and 45% channeled. Of the employees, 75% had high school education, 10% had some type of training and all were unaware of current legislation. As for milking, high vacuum pressures, incorrect handling in the milk extraction procedure and in the cleaning process were found. As for the other procedures; such as mastitis treatment, milking line and dry cow therapy, all were empirically performed by the properties. At the end of the research, it was observed that the lack of information and training regarding the quality in the handling and hygiene of milking is a reality in the properties of Três Corações.

Forced Collection of Covid-19 Corpse From the Hospital

The Covid-19 pandemic has been ongoing for almost two years and the number of the new cases is still happening and without any sign of it ending. The number of cases has almost reached four million cases (3,854,354 cases) as of August 15, 2021. Other reasons contributing to this other than the lack health protocol implementation are community activities involving large crowds and incorrect handling of corpses who died due to Covid-19 in the community like forced retrieval of Covid-19 corpse from the hospital. For this reason, the importance of this discussion is to increase the public understanding of the legal aspects of forced retrieval of COVID-19 bodies from hospitals, the risk of transmission due to forced retrieval of COVID-19 bodies from hospitals, to reduce transmission of COVID-19 in the midst of society. The method is implemented in the form of a live broadcast discussion via Instagram from RSUPHAM Medan with the topic "forced retrieval of Covid-19 corpse from the hospital" which was held on August 26, 2021 at 11.00 WIB.

Design Thinking Method to Develop a Digital Evidence Handling Management Application

Handling digital evidence in forensics is a very crucial task. Incorrect handling can cause the evidence to become invalid as proof of a crime in court. The procedure of handling digital evidence, starting from its collection, usage, and storage, affects its acceptability in the judicial process. Therefore, a digital evidence management system becomes imperative for police researchers and investigators. This study aims at designing such a system using the design thinking method, which goes through five stages: empathy, definition, idea, prototype, and test. The result of the study is a web-based system prototype. The prototype user testing attains a system usability scale (SUS) value of 60. The SUS value means that the prototype is in the category of marginal low and indicates that the prototype does not meet the feasibility and needs improvement.

Tensorial elastodynamics for coupled acoustic/elastic anisotropic media: incorporating bathymetry

SUMMARYCorrectly implementing the fluid/solid boundary conditions at the seafloor is important for accurate full-wavefield imaging and inversion of marine seismic data. Because bathymetric profiles are rarely flat, the associated undulations influence wave modes interacting with the seafloor and, therefore, the ensuing imaging and inversion results. The conventional method of using single-domain elastic finite-difference (FD) solutions assumes that the fluid/solid contact is welded, which leads to incorrect handling of the boundary conditions and introduces modelling errors. We present a mimetic finite-difference (MFD) approach to solve the equations of anisotropic elastodynamics in a non-orthogonal coordinate system conformal to the bathymetric interface. The vertically deformed coordinate mapping transforms the irregular Cartesian (physical) domain into a regularly sampled generalized computational domain. We partition the medium into the acoustic and elastic subdomains and explicitly satisfy the fluid/solid boundary conditions with a split-node approach involving high-order one-sided MFD operators that achieve uniform spatial accuracy throughout the computational domain. Fully staggered grids (FSGs) are used to solve the velocity–pressure and velocity–stress formulations of the acoustic and anisotropic elastic wave equations, respectively. Numerical examples demonstrate that the proposed MFD+FSG algorithm accurately simulates wavefields even for strongly undulating bathymetric surfaces overlying structurally complex anisotropic media, and produces no spurious numerical artefacts (e.g. staircasing) or unphysical wave modes often caused by improper handling of the strong-contrast bathymetric interface. The wavefields generated by the tensorial MFD scheme closely match those from the more computationally expensive spectral-element method used to validate our implementation. The developed MFD+FSG technique can be effectively employed as the modelling kernel in a variety of coupled acoustic/elastic imaging and inversion applications.

QUR’ANIC TREATMENTS FOR PREVENTING WOMEN'S OPPRESSION

The reason for choosing the topic: Highlighting the true face of Islam’s treatment of women, demanding their rights and raising their status, which we find clearly in the Holy Qur’an and in the purified Sunnah. The research problem: the most important problems facing society today are the many grievances of women, especially the incorrect handling of them, either for material or opportunistic reasons, to try to humiliate them and diminish their affair and return to the compass of the pre-Islamic era in the bad treatment of her in all aspects, forgetting that it is the basis of society. The researchers tried to find Ways to treat this problem through the folds of research. Research plan: The research was divided into two topics and a group of demands: The first topic: The Noble Qur’an prohibits oppression of women The first requirement: The Noble Qur’an forbids oppressing a woman from giving a woman her friendship. The second requirement: The Qur’an prohibits oppression of the publisher of women The third requirement: the prohibition of the Noble Qur’an from wronging women by giving them The second topic: The Qur’an prohibits harm and dilemmas against women The first requirement: The Noble Qur’an prohibits harm to women The second requirement: The Qur’an prohibits oppressing women with their dilemmas. The third requirement: The Noble Qur’an forbids wronging women by hurting them with dhihar.

Trends and characteristics of ocular exposures related to e-cigarettes and e-liquids reported to Poison Control Centers in the United States, 2010–2019

Introduction Ocular injuries and unintended exposures involving electronic nicotine delivery systems (ENDS), also known as e-cigarettes, have been reported. However, trends and characteristics of ENDS-related ocular exposures at the population level are not well documented. This study was designed to describe trends and characteristics of ENDS-related ocular exposure cases reported to poison control centers (PCCs) in the U.S. Methods We computed descriptive statistics of ENDS-related ocular exposure cases reported to PCCs between January 1, 2010 and December 31, 2019, including number of cases per year and the distribution of characteristics of those cases. We also summarized case narrative review findings. Results A total of 1,393 ENDS-related ocular exposure cases were reported to PCCs during the study period. Overall number of cases increased from two in 2010 to a peak of 389 in 2014, followed by a steady decline in 2015–2018. Of the 1,393 cases, 42.5% occurred among individuals aged 25 years and older; 20.4 and 17.7% occurred among young adults aged 18–24 years and children younger than five years, respectively. Nearly one quarter (23.8%) of the individuals experiencing ocular exposure sought or were recommended to seek medical attention. Case narrative review found that 59 of 127 (46.5%) cases were due, at least in part, to incorrect use or handling of the products. Discussion and conclusions Our study shows that more than 1,000 ENDS-related ocular exposure cases were reported to PCCs during the study period. Many of these cases involved young children; nearly half were due, at least in part, to incorrect use or handling of the products. Future efforts to prevent these exposures may focus on improving the awareness of the potential harmful effects of ENDS products and the importance of appropriate handling of ENDS products. Health care professionals may play an important role in educating patients and improving surveillance of ENDS-related ocular exposure cases.

The „EPiQ“-Study (Evaluation of preanalytical quality): S-Monovette® in manual aspiration mode drastically reduces hemolytic samples in head-to-head study

BackgroundHemolytic blood samples are the number one cause for specimen rejection at emergency departments. Triggered by unsuitable blood sampling material or incorrect handling and a related strong vacuum force, hemolytic samples often must be retaken. The objective of this study was to assess whether correct manual aspiration using S-Monovette® could reduce the number of hemolytic samples. MethodsBetween January and April 2019, a head-to-head study was conducted. Whereas in the first eight weeks, all specimens were collected using Vacutainer®, in the second eight weeks, blood was taken using S-Monovette® in aspiration mode. Specimens were categorized into five classes (0–30, 31–50, 51–75, 76–100, and 101+ mg/dl of cell-free hemoglobin) and for the statistical analyses, all samples exceeding 30 mg/dl were classified as hemolytic. ResultsData were collected on 4794 blood specimens (Vacutainer®: 2634 samples, S-Monovette®: 2160 samples). While the percentage of non-hemolytic samples (HI of 0–30 mg/dl) was substantially higher for specimens drawn by S-Monovette® (95.7 %) than Vacutainer® (83.0 %), the opposite was true for all HI categories above 30 mg/dl. Importantly, the reduction of hemolytic samples took place immediately following the imposition of S-Monovette® and remained stable at a low level until the end of the study. ConclusionsBased on our results, we conclude that switching to S-Monovette® in manual aspiration mode in the blood sampling process could be highly beneficial, not only from a financial point of view, but also with regards to reducing unnecessary tasks and stress for nursing staff and improving patient outcome overall.

The Calculation Analysis of Total Productive Maintenance (TPM) on the Plumatex FFS894 Machine Using the Overall Equipment Effectiveness (OEE) Method at PT.XYZ Pharmaceutical Company

PT.XYZ is a company engaged in the pharmaceutical sector which is inseparable from problems related to the effectiveness of machines or equipment causes by the effect of Six Big Losses. Therefore, we need effective and efficient steps in the maintenance of machines or equipment to overcome and prevent these problems. Total Productive Maintenance (TPM) is a management principle to increase the productivity and efficiency of the Company's production by using machines effectively. Incorrect handling and maintenance of machines will result in losses which are called Six Big Losses. The first step in the effort to increase production efficiency at PT. XYZ Company is to measure the effectiveness of the Plumatex FFS894 machine using the Overall Equipment Effectiveness (OEE) method which then measures Six Big Losses to find out the amount of efficiency lost in the Six Big Losses factor. With a cause and effect diagram can analyze the actual problem which is the main cause of the high losses resulting in the low effectiveness of the Plumatex FFS894 machine. The conclusion on the Plumatex FFS894 machine is that the OEE value for the period of August 2020 to January 2021 range from 77.76% to 86.82%, with an average OEE value of 82.73%. So, the Plumatex FFS894 machine has not reached the ideal conditions (≥85%). The factor that made the biggest contribution which result in the low effectiveness of using the Plumatex FFS894 machine which is the main priority for improvement is Reduced Speed ​​Losses with a percentage of 25.76% and Idling and Minor Stoppage Losses with a percentage of 21.09%.

ERGONOMIC EVALUATION AND RISK MANAGEMENT OF MANUAL MATERIAL HANDLING ACTIVITIES

Manual material handling follows in nearly all working surroundings, although labors in agriculture fields, construction sites, restaurants, and hotels area are likely to be working with heavy jobs in terms of weight, currencies, Manual handling of the heavy load may turn in to a growing disorder due to the steady or increasing drop of the musculoskeletal system due to constant material lifting / handling events. It may also reason to acute trauma like bone fractures or skin cuts from accidents. One must begin to identify the correct process of methods to deal with each material to solve the problem. Adherence to standard procedures for long-term resolution of the long-term effects caused by incorrect manual material handling, is addressed through specially designed workouts after or before work and, ultimately, also automated technology Or involved in providing assistance through manual tools that assist the user in dealing with content. The proposed task is to conduct studies to identify process issues and future results and to provide solutions to the industry by means of analysis and following standard procedures. This paper mainly deals with issues directly or indirectly in many aspects and discusses solutions implemented to deal with manual content in various industry. The study concluded with a novel automation solution for rapid analysis of effects due to manual analysis that could take years to identify.

Delimitando al concepto de Alfabetización: Una propuesta para un mejor entendimiento

Lo “informacional” no es el equivalente de “alfabetización”. El siguiente artículo analiza al concepto de “alfabetización” desde la desarticulación de lo que se ha venido nombrando como “alfabetización informacional”. Creemos que es importante la comprensión y definición de la “alfabetización” porque vivimos en una época en la que su uso y aplicación se ha distorsionando al grado de hacerla contradictoria con su verdadero sentido, una consecuencia de esto, es el manejo incorrecto que se hace de ella al asemejarla con lo “informacional”. Por lo tanto, a lo largo de todo el documento se desarrollará y se expondrá qué es y cómo debe entenderse a la “alfabetización”. El objetivo es concientizar a la comunidad académica sobre una propuesta conceptual que puede ayudar a un estudio más claro y organizado sobre este fenómeno, el cual tiene raíz en el área educativa, pero con presencia en las demás disciplinas académicas, así como en los diferentes ambientes y contextos en el campo del conocimiento.

Characterization of antimicrobial effect of organotin-based catalysts on diesel-biodiesel deteriogenic microorganisms.

Organotin compounds are applied in several industrial reactions and can present antifungal and antibacterial activities. Incorrect handling and storage practices of biodiesel and diesel-biodiesel blends can lead to microbial development, impacting its final quality. Concerning this problem, this work investigated the antimicrobial action of two organotin catalysts used in biodiesel production with four isolated microroorganisms (Bacillus pumilus, Pseudomonas aeruginosa, Pseudallescheria boydii, and Aureobasidium pullulans) and a pool of microorganisms (ASTM E1259 standard practice). Samples of soybean biodiesel with different concentrations of dibutyl tin dilaurate (catalyst 1) and di-n-butyl-oxo-stannane (catalyst 2) were prepared and added of mineral medium. The pool of microorganisms was inoculated and incubated at 30 °C and final biomass was weighted after 14 days. Thereafter, soybean biodiesel with catalyst 2 was used. Fungal biomass was weighted, and plate count was used to assess bacterial growth. Results show that catalysts 1 and 2 presented no inhibitory activity on the pool of microorganisms evaluated. A slight inhibitory activity was observed for B. pumilus and A. pullulans growth, but not for P. boydii, P. aeruginosa, or the pool of microorganisms. All experiment exhibited acidification higher than sterile control. Infrared analysis show less microbiological degradation products in the tin-protected fuel with ASTM inoculum. These results suggest that these tin-based catalysts show no toxic effect on native microbial population and a slight effect on some isolated microbial population in laboratory scale and for the first time shows that these organotin compounds can be employed safely as biodiesel catalyst. Graphical abstract.

Assessment of workers’ knowledge and views of occupational health hazards of gold mining in Obuasi Municipality, Ghana

Background: Small-scale mining in Ghana has been a major community and national concern due to its contribution to the destruction of farmlands and bodies of water, and to the loss of human life. Small-scale mining exposes workers to varying degrees of health hazards and problems.
 Objectives: The study aimed to assess the knowledge and views of workers about the occupational health hazards and problems related to small-scale gold mining in Obuasi Municipality, Ghana, to help improve workers’ safety at the mining sites.
 Methods: A cross-sectional study was done between May and December 2011. Simple random sampling was used to select 150 small-scale miners take part in this study. The workers were asked about their knowledge and views of occupational health hazards and problems related to gold mining. Data were entered with EpiData Entry 3.1 and analyzed using Stata 11.
 Results: Most workers (63.3%) had low knowledge of occupational health and safety regulations. Multivariable logistic regression analysis showed that knowledge about regulations was associated with level of education (OR = 8.5; 95% CI: 7–10.5). The common effects of mining that workers expressed awareness of were land pollution (30%), water pollution (28%), air pollution (18.7%), and noise pollution (16%). The factors influencing exposure to health hazards related to mining were low educational levels (14%), little work experience (30.7%), incorrect handling of equipment or chemicals (26%), poor law enforcement (12.7%), and negligence (16.7%). In general, occupational lung disease (16%), occupational hearing loss (14%), heat illnesses (12%), eye infections (16%), malaria (24%), and skin infections (18%) were the most common health problems study participants mentioned.
 Conclusion: High levels of occupational health hazards and problems related to gold mining exist among workers in private mines. Safety program should be offered as part of associated public health programs to limit the most significant risks. We further recommend education and training on regulations and the use of personal protective equipment.

Fatigue Level Analysis for Post-Harvest Activities of the Corn Farmers in Tanjung Bintang, South Lampung

Corn has its own charm in the agricultural industries, especially in Tanjung Bintang. This crop can be consumed as staples in food and feed industry. In corn production chain, post-harvest requires some special attentions, as its price tends to decrease due to incorrect post-harvest handling. The increase of corn demand must be followed by higher productivity that can be identified from several work elements, which consist of cutting (Ct), transporting (Tr), and milling (Mi). In this moment, the post-harvest process is carried out by both men and women. The post-harvest process of corn was performed when it had been dried on the field. Hence, there is no drying process was needed. The purpose of this study was to determine the fatigue level of corn farmers in post-harvest activities both subjectively and objectively. The objective method used in this study was direct observation in the field by measuring the heart rate using a HRM. On the other hand, the applied subjective method was the SOFI questionnaire data. The results of the questionnaire showed that there were significant differences in the dimensions of physical fatigue, which consists of lack of energy (LE), physical exertion (PE), and physical discomfort (PD) with the general transportation showing the highest fatigue and the lowest was milling. The subjective fatigue dimensions, Lack ofmotivation (LM) and sleepiness (S) did not indicate any significant difference due to the majority of the activities were the physical work. In the objective measurements, the IRHR showed that the highest IRHR value in the transporting and grinding was more than 1.50. This value indicated the work element classified as heavy work. In conclusion, the subjective and objective measurements appointed the transportation (Tr) had the highest level of fatigue.

Hygienic-Microbiological Evaluation of Tissue Dispensing Systems for Surface Disinfection in Hospitals

Surface disinfection is one of the elementary measures of infection prevention in healthcare facilities. However, the current widely used tissue dispenser systems can be microbially contaminated as a result of various causes and play a decisive role in the spread of pathogens. For this reason, these systems must be considered both as a source of infection in routine surveillance and as part of nosocomial outbreaks. Tissue dispenser systems used at the University Hospital Leipzig (UKL) were extensively analyzed between 2016 and 2018 in accordance with the recommendations of the German Association for Applied Hygiene (VAH). Within this period, 1096 disinfectant solutions from dispenser systems were tested. Areas without or with infection risk were represented with equal distribution. To exclude the possibility of contamination by dosing units (DU), the microbial-hygienic tests were extended to the 135 decentralized DU at the UKL. Overall, a decline in contaminated disinfectant solutions was recorded over the study period (31% in 2016, 18% in 2017 and 8% in 2018). However, in 2017 as well as in 2018, more contaminants were recorded in high-risk areas. Specific follow-up examinations after training in handling and preparation of the systems resulted in a decrease of contaminated disinfection solutions at hospitals. The dominant microbial contamination was with Achromobacter spp. (81%), followed by Pseudomonas spp. (10%), vancomycin-resistant enterococci (VRE) (4%) and apathogenic environmental microorganisms (5%). The solutions taken from the dosing units (n=135) did not show any growth (91.1%). Bacillus spp. were detected in 8.2% and molds in 0.7% of solutions. Contaminated dosing units as well as drinking water used for this purpose could be excluded as source of the pathogens detected in tissue dispenser systems. It is assumed that a lack of knowledge and a false sense of security led to incorrect handling of tissue dispenser systems when dealing with disinfectants.

Bem-estar e manejo nutricional de fêmeas suínas gestantes: uma breve revisão

A suinocultura tem recebido um incremento forte, com introdução de novas técnicas e com isso vem crescendo fortemente no Brasil e no mundo. Segundo a Associação Brasileira de Proteína Animal, o Brasil ocupa o 4º lugar como maior produtor e exportador de carne suína. Esses dados mostram que no sistema de produção de suínos o proprietário tem uma extrema importância na área, a qual manejos corretos em todas as fases de criação trazem resultados positivos, assim como perdas na produção no que se diz respeito ao manejo incorreto. Os consumidores estão cada vez mais atentos ao bem-estar animal, estando este quesito entre as exigências principais. O ambiente deve ser limpo e seco e com um manejo correto das canaletas a fim de diminuírem os problemas sanitários. A densidade é de 2,5 m²/animal para fêmeas em baias coletivas e 1,8 m²/animal para leitoas. Recomenda-se atenção redobrada na questão de regular a quantidade de ração fornecida para as fêmeas no final da gestação e lactação. Quanto mais cedo for o diagnóstico de gestação melhor, uma vez que se retira as fêmeas vazias do grupo de parição. O estudo, através de revisão de literatura referente ao bem estar e os manejos para com a gestante suína, auxilia favorecendo procedimentos devidos e alertando acerca dos indevidos para cada situação, de forma a reduzir gastos, assim como, melhorar a questão de bem estar animal.

Amamentação no alojamento conjunto: percepção de mães primíparas no puerpério imediato

OBJETIVO: Compreender a percepção da puérpera primípara sobre o processo da amamentação no Alojamento Conjunto. MÉTODOS: pesquisa descritiva e exploratória com abordagem qualitativa. Foram entrevistadas cinco puérperas internadas no Alojamento Conjunto de uma maternidade pública, no interior da Bahia. Os dados foram coletados por meio de entrevista semiestruturada e analisados pela técnica de Bardin. A pesquisa foi aprovada pelo CEP/UEFS, sob o parecer nº 2.529.234. RESULTADOS: Emergiram três categorias: significados da amamentação para as mães; dificuldades da amamentação no AC; e estratégias incentivadoras para amamentação. A amamentação tem significados como: um ato de amor, prazeroso; aleitamento como promoção da saúde da criança; de seu bem estar físico e emocional, prevenção de doenças e vínculo entre mãe e filho. Ainda, a amamentação como momento de dor e resignação. CONCLUSÃO: Constatou-se a falta de orientação no pré-natal, manejo inadequado da amamentação que resultou em dores e outros desconfortos físicos oriundos da pega incorreta e do mau posicionamento do bebê. Emergiu a falta de privacidade no Alojamento Conjunto. Explicitou-se algumas estratégias incentivadoras: orientações acerca das técnicas de aleitamento; atenção dos profissionais aos aspectos emocionais e ainda, o apoio da família, fundamentais para o sucesso da amamentação.

Fatal outcomes following immunization errors as reported to the EudraVigilance: A case series

BackgroundSerious adverse reactions after immunization are rare but do occur. In very rare instances, cases with fatal outcome have been reported. These reports can have a huge impact and even more so when due to an immunization error. The aim of this study is to systematically review immunization errors with fatal outcomes in EudraVigilance. MethodsThis was a case-series analysis of Individual Case Safety Reports (ICSRs) reporting immunization errors and a fatal outcome. To determine the level of certainty of a causal association between the immunization errors and fatal outcomes two independent reviewers assessed all ICSRs using the WHO tool “Causality assessment of an Adverse Event Following Immunization (AEFI)”. In accordance with the tool, the ICSRs were classified as consistent, indeterminate, inconsistent/coincidental, or unclassifiable. In addition, we estimated the contribution of reported errors to the fatal outcomes as large, moderate, small, none, or unclassifiable using a classification developed for this study. ResultsA total of 154 ICSRs met the inclusion criteria. Vaccines reported most frequently were pneumococcal (33), rabies (27) and influenza vaccines (24). Most frequently reported errors were non-compliance with recommended schedules of immunization (63). The most frequently reported vaccine-error combination was rabies vaccines and non-compliance with a recommended schedule of immunization (23). Twelve cases were classified as consistent with causal association and had a large error contribution. These cases concerned a cluster of six cases reporting incorrect handling of multi-dose vials containing measles vaccine and six cases reporting administration of live-attenuated vaccines to immunocompromised patients. DiscussionIn this study, we showed that fatal outcomes following immunization errors are very rare. Four key issues were the importance of: (1) quality control of multi-dose vaccines, (2) screening patients for immunocompromising factors, (3) education on the importance of adherence, and (4) measures to improve distinction between vaccines and medicines.

Medication Tracking: Design and Fabrication of a Dry Powder Inhaler with Integrated Acoustic Element by 3D Printing.

Asthma is a prevalent lung disorder that cause heavy burdens globally. Inhalation medicaments can relieve symptoms, improve lung function and, thus, the quality of life. However, it is well-documented that patients often do not get the prescribed dose out of an inhaler and the deposition of drug is suboptimal, due to incorrect handling of the device and wrong inhalation technique. This study aims to design and fabricate an acoustic dry powder inhaler (ADPI) for monitoring inhalation flow and related drug administration in order to evaluate whether the patient receives the complete dose out of the inhaler. The devices were fabricated using 3D printing and the impact of the acoustic element geometry and printing resolution on the acoustic signal was investigated. Commercial Foradil (formoterol fumarate) capsules were used to validate the availability of the ADPI for medication dose tracking. The acoustic signal was analysed with Partial-Least-Squares (PLS) regression. Indicate that specific acoustic signals could be generated at different air flow rates using a passive acoustic element with specific design features. This acoustic signal could be correlated with the PLS model to the air flow rate. A more distinct sound spectra could be acquired at higher printing resolution. The sound spectra from the ADPI with no capsule, a full capsule and an empty capsule are different which could be used for medication tracking. This study shows that it is possible to evaluate the medication quality of inhaled medicaments by monitoring the acoustic signal generated during the inhalation process.

PRIMARY ABANDON-OF-THE-SAC (PAS) TECHNIQUE: PRELIMINARY RESULTS OF A NOVEL MINIMALLY INVASIVE APPROACH FOR INGUINOSCROTAL HERNIA REPAIR.

ABSTRACT Background: Laparoscopic best approach of repairing inguinoscrotal hernias are still debatable. Incorrect handling of the distal sac can possibly result in damage to cord structures and negative postoperative outcomes as ischemic orquitis or inguinal neuralgia. Aim: To describe a new technique for a minimally invasive approach to inguinoscrotal hernias and to analyze the preliminary results of patients undergoing the procedure. Methods: A review of a prospectively maintained database was conducted in patients who underwent minimally invasive repair using the “primary abandon-of-the-sac” (PAS) technique for inguinoscrotal hernias. Patient´s demographics, as well as intraoperative variables and postoperative outcomes were also analyzed. Results: Twenty-six male were submitted to this modified procedure. Mean age of the case series was 53.8 years (range 34-77) and body mass index was 26.8 kg/m2 (range 20.8-34.2). There were no intraoperative complications or conversion. Average length of stay was one day. No surgical site infections, pseudo hydrocele or neuralgia were reported after the procedure and two patients presented seroma. No inguinal hernia recurrence was verified during the mean 21.4 months of follow up. Conclusion: The described technique is safe, feasible and reproducible, with good postoperative results.

Cantonese-style barbecue meat food safety in Vancouver Coastal Health

Cantonese-style barbecue meat is a popular food sold by retail food establishments in the Vancouver Coastal Health (VCH) region. It involves considerable preparation and food handling. A suspected foodborne illness associated with consumption of Cantonese-style barbecue meat was investigated by VCH in 2010. A clinical specimen submitted by the complainant and food samples from the implicated food establishment tested positive for Staphylococcus aureus and its toxin. The food samples also contained other pathogenic bacteria. Repeated food sampling at this establishment showed similar findings and resulted in a Closure Order. To determine if these concerning microbiological results were isolated or were more widespread among Cantonese-style barbecue meat establishments, a study involving surveys, food sampling, educational workshops, and evaluation was conducted at 68 facilities within VCH. This case study provided valuable data that were not previously available about Cantonese-style BBQ meat products and their preparation and handling. Our detailed review of BBQ meat processes and the laboratory results confirmed that these are high-risk foods, and incorrect handling and sanitation practices can present a health risk to consumers. Knowledge retention and improvement in food handling practices by operators were not observed when evaluated 6 months after participating in educational workshops held at their facilities.