Search PubMed⌕ Search

Biomedical subjects

C H Miller

Publications and source records attributed to C H Miller.

At least 253 records · Page 14Linked to original sources
PubMedDate not supplied

Strategies for dental clinic infection control.

The application of proper infection control procedures helps to protect practitioners, patients and the community. The goal is to minimize the spread of potentially pathogenic micro-organisms and to remove and/or kill organisms that have contaminated objects and surfaces. Dental practitioners are aided in this process by the generation of rules, guidelines and recommendations by regulatory agencies and professional organizations. Ideally, each office/clinic would generate and maintain a written set of infection control procedures.

Cross Infection↗
PubMedDate not supplied

Multicenter evaluation of training of non-endoscopists in 30-cm flexible sigmoidoscopy.

An estimated 145,000 patients will be diagnosed with colorectal cancer in the United States in 1987. Although half of these cancers are potentially detectable by sigmoidoscopy, rigid sigmoidoscopy is not widely used for early detection, largely because of discomfort it causes patients. Flexible sigmoidoscopy has been shown to be more acceptable and more efficient in detecting cancers. In order for flexible sigmoidoscopy to be of more value in cancer control, however, primary care physicians must learn the technique and incorporate it into their complete physical examinations. This paper reports the results of a multicenter trial that evaluated the training required for non-endoscopists to learn how to use the 30-cm flexible sigmoidoscope. Instructions with plastic models, followed by an average of six supervised patient examinations, proved sufficient for them to learn the necessary skills.

Colonic Neoplasms↗
PubMedDate not supplied

Effectiveness of steam sterilization on the contents of sharps containers.

The purpose of this study was to evaluate the killing effect that treatment in gravity or high-vacuum steam autoclaves had on endospores present on strips or applied to dental needles within 10 types of small sharps containers. Spore strips containing Bacillus stearothermophilus endospores were used, while needles were soiled with an equal number of spores or with spores mixed with blood. Needles were tested capped and uncapped. Strips and needles were autoclaved in empty and 3/4 filled containers placed in several orientations (vents open or closed, upward or on-side). If sterilization was not accomplished within the initial period, additional exposure time was added up to a one hour maximum. Major findings for gravity autoclaves were: 1) strips and needles present in empty containers could, in most cases, be sterilized within 15 minutes when the vents were left open and the containers were placed on-side; 2) spore- and spore plus blood-soiled needles were more difficult to sterilize then were commercial spore strips; 3) capping of needles and the presence of blood did not decrease sterilization efficiency; 4) sterilization in the presence of fill material required additional exposure times and 5) larger containers (greater than 500 ml volume) were more difficult to sterilize than were the smaller (250 ml) ones. All type of open-vented, filled containers could be sterilized within 10 minutes in a high-vacuum autoclave.

Dental Instruments↗
PubMedDate not supplied

Treatment and disposal of contaminated sharps.

Dentists, like other health care workers, make an overt effort to protect themselves and their employees from infectious agents present in the body fluids of their patients. Of special concern are treatment-generated infectious waste materials, such as sharps. Sharps are items such as needles, sutures, scalpel blades, or broken glass which are capable of puncturing, cutting, or abrading tissue. Needles can cause occupational transmission of hepatitis B and AIDS. This article presents methods to safety store, treat, and dispose of sharps. All suggested procedures comply with current Indiana law, CDC guidelines, and EPA and OSHA regulations.

Dental Offices↗
PubMedDate not supplied

Chairside asepsis.

Explore the source record for details and available documents.

Communicable Disease Control↗