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B Bancroft

Publications and source records attributed to B Bancroft.

6 recordsLinked to original sources

A review of assigned protection factors of various types and classes of respiratory protective equipment with reference to their measured breathing resistances.

The British Standards Institution 'Guide to implementing an effective respiratory protective device programme' (BS 4275) lists assigned protection factors (APFs) for various types of respiratory protective equipment (RPE). The APFs were allocated either on the basis of available workplace studies data which met set criteria or on the basis of professional judgement that there is equivalence between its operation and that of a device for which an APF is derived from workplace data. However, in many cases no workplace study information exists to support this professional judgement. As an interim measure, pending information based on workplace measurements, the breathing resistance of a range of tight-fitting RPE from negative pressure filtering devices through to self-contained positive pressure breathing apparatus was measured at various breathing rates. The relative inhalation resistances were then compared on the assumption that similar breathing resistance performance is likely to give similar inward leakage on a facepiece and hence similar protection if all other factors, such as fit, etc., are equal. This work indicates that for most devices the allocation of APFs by analogy to other devices seems to be acceptable. However, there appears to be no justification for the allocation of an APF value of 100 to continuous flow compressed air line breathing apparatus. It is recommended that it should be lowered to 40 until there is valid workplace study data to support the current APF of 100. The work provides an informative insight into the relative performance of devices.

Humans↗

Immunology simplified.

An understanding of the inflammatory and immune response is necessary to recognize conditions that alter these responses. Because normal inflammatory and immune responses are necessary for postoperative healing, the nurse needs to recognize patients at high risk for complications in the postoperative period. The first line of defense, comprised of anatomical barriers such as the skin and mucous membranes, is easily disrupted by instrumentation such as the surgeon's scalpel or any insertion of a tube, such as a central line. This provides easy access to multitudes of pathogens in the surgical patient. The second line of defense, the nonspecific inflammatory response, assists in the elimination of pathogens and the repair of damaged tissues. The cells crucial to the nonspecific inflammatory response may be impaired by drugs such as prednisone or by certain disease states, such as diabetes. The third line of defense, the specific immune response, uses the lymphocytes as effector cells. Patients with impaired immune systems, such as cancer patients, human immunodeficiency virus-positive patients, and severely malnourished patients, are at high risk for problems with postoperative healing because of their impaired immune status. High levels of anxiety and stress can also impair the ability to fight pathogens and to repair damaged tissues. Adequate preoperative teaching programs are beneficial in reducing the stress response and therefore are important in promoting the healing process.

Humans↗