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At least 307 records · Page 17Linked to original sources
PubMed2003

Comparison of two test methods for the determination of sufficient antimicrobial activity of three commonly used alcohol-based hand rubs for hygienic hand disinfection.

In Europe, the antimicrobial efficacy of alcohol-based hand rubs is determined with a quantitative suspension test (prEN 12054) and a test under practical conditions (EN 1500). Another test method has recently been published by the German Society for Hygiene and Microbiology (DGHM) with four differences to the European system in the in vitro tests: additional qualitative suspension tests with product dilutions to the ineffective range; a selection of the most resistant Gram-negative test strains in the qualitative suspension test, which should be used adjacent to Pseudomonas aeruginosa in the quantitative suspension test; a high organic load in the quantitative suspension tests (0.3% albumin and 0.3% sheep erythrocytes); and an aqueous control in the quantitative suspension test. According to DGHM, the in vitro tests should be followed by EN 1500. We have determined the antimicrobial efficacy of three commonly used alcohol-based hand rubs according to both methods. prEN 12054 was carried out without organic load. The qualitative suspension tests (DGHM) were carried out with P. aeruginosa, Escherichia coli, Proteus mirabilis, Staphylococcus aureus, Enterococcus hirae and Candida albicans. The quantitative suspension test (DGHM) was carried out with product dilutions of 75%, 50% and 25%, and a high organic load using the following test organisms: P. aeruginosa, P. mirabilis (one product only), S. aureus, E. hirae and C. albicans. All these suspension tests were carried out in quadruplicate with each product and exposure time. EN 1500 was carried out with 3 mL of each product and an application time of 30 s. All three products achieved the required bactericidal activity of prEN 12054 and the new DGHM method within 30 s, and were equally effective with the reference hand disinfection of EN 1500 within 30 s. In our study, the DGHM test method did not provide additional information for hand rubs which exhibit their bactericidal efficacy with 3 mL within 30 s (EN 1500).

Alcohols↗
PubMed2003

Outcome of hand trauma: the hand injury severity scoring system (HISS) and subsequent impairment and disability.

This study was designed to evaluate correlations between the hand injury severity scoring system (HISS) and measures of impairment and disability obtained 6 months after a hand injury. A statistically significant positive correlation was found between the severity of the injury (HISS) and residual impairment, as measured with the American Medical Association's (AMA) "Guides to the evaluation of permanent impairment, 4th edition". No statistically significant correlation was found between the severity of the injury (HISS) and the Disabilities of the Arm, Shoulder and Hand (DASH) questionnaire, which measures disability from the patient's perspective. There was however a statistically significant correlation between AMA total body impairment measured and the results of the DASH questionnaire. The results indicate the potential of the HISS for predicting the final impairment after hand injuries.

Disability Evaluation↗
PubMed1998

Classification of the mirror hand-multiple hand spectrum.

A rare variant of mirror hand is described. The hand had eight fingers and the forearm contained an ulna and a hypoplastic radius. A classification of the mirror hand-multiple hand spectrum is offered and its embryology discussed.

Fingers↗
PubMedDate not supplied

Distributions of sensory spots in the hand and two-point discrimination thresholds in the hand, face and mouth in dental students.

Densities of pressure, pain and temperature spots in the back of the hand in 551 students and two-point discrimination thresholds in the hand, the face and the mouth in 684 students were measured. The mean numbers of pressure, pain, warm and cold spots in the back of the hand were 24.7/cm2, 130.5/cm2, 3.4/cm2 and 9.1/cm2, respectively. The mean thresholds of two-point discrimination were 1.7 mm in the tip of the tongue, 2.4 mm in the upper lip, 5.5 mm in the lower jaw, 7.5 mm in the palm, 8.8 mm in the forehead, and 11.8 mm in the back of the hand. There were mostly no differences between males and females in the values of sensory spots and two-point discrimination thresholds.

Adult↗
PubMed2002

[Elastic stable intramedullary nailing of hand bones. ECMES even with the hand].

AIM: Apply the principles of elastic intra-medullary nailing developed by Metaizeau for children, to bone fixation of bones of the hand. METHOD: Retrospective review of 43 patients treated between 1995 and 1999 for fracture of one or more bones of the hand. Thirty five concerned the right hand, 11 the left; 54 involved metacarpal fractures and 2 fractures of the phalanx. Only those patients whose lesions were considered mended were taken into account in this study. RESULTS: In 32 cases, bone fixation was completed with the use of a single pre-stressed pin, in 24 cases 2 prestressed pins forming a double arc were used. The delay in removal of material varied from between 35 days to 4 1/2 months. In three cases it required a dynamic splint treatment. Functional re-education was prescribed for two patients. Eight patients were lost for follow up. Fourty eight were followed with complete recovery of joint range of motion. We deplored one necrosis of the skin due to the contusion at the time of the initial trauma, one delayed healing after an animal bite required keeping the material in place for 4 months, one case of infection; in another case insufficient stabilization by the ECMES resulted in a 10 degrees mal-union of the metacarpal diaphysis. Three times the site of a fracture had to be opened in order to perform bone fixation. CONCLUSION: The ECMES appears perfectly suitable for bone fixation of the diaphysis of bones of the hand and certain metaphyseal and epiphyseal fractures. Small incisions help to avoid unbecoming scars and adhesions and foster a rapid recovery of function.

Bone Nails↗
PubMed2001

The coupled oscillator model of between-hand coordination in alternate-hand tapping: a reappraisal.

Single and alternating hand tapping were compared to test the hypothesis that coordination during rhythmic movements is mediated by the control of specific time intervals. In Experiment 1, an auditory metronome was used to indicate a set of timing patterns in which a 1-s interval was divided into 2 subintervals. Performance, measured in terms of the deviation from the target patterns and variability, was similar under conditions in which the finger taps were made with 1 hand or alternated between the 2 hands. In Experiment 2, the modality of the metronome (auditory or visual) was found to influence the manner in which the produced intervals deviated from the target patterns. These results challenge the notion that bimanual coordination emerges from coupling constraints intrinsic to the 2-hand system. They are in accord with a framework that emphasizes the control of specific time intervals to form a series of well-defined motor events.

Analysis of Variance↗
PubMed2000

A case of hand ulceration in the diabetic foot clinic--a reminder of hand neuropathy in 'at risk' patients.

BACKGROUND: A case of hand ulceration in a diabetic patient with known lower extremity complications is presented. Although often asymptomatic, quantitative testing in patients indicates reduced hand sensation in patients with lower extremity neuropathy. Hand neuropathy may occasionally lead to anaesthetic injuries, particularly in certain 'manual' occupations, as seen in our patient. CONCLUSIONS: Education on hand care is virtually nonexistent in most clinic settings, and our case highlights the need for more awareness on this potentially troublesome complication.

Diabetes Mellitus, Type 1↗
PubMed2002

Dimensionality and clinical importance of pain and disability in hand osteoarthritis: Development of the Australian/Canadian (AUSCAN) Osteoarthritis Hand Index.

OBJECTIVE: To develop a reliable, valid, and responsive self-administered questionnaire to probe pain, stiffness and physical disability in patients with osteoarthritis (OA) of the hand. DESIGN: In order to assess the dimensionality of the symptomatology of hand OA, a self-administered questionnaire was developed to probe various aspects of pain (10 items), stiffness (two items), and physical function (83 items). The question inventory was generated from eight existing health status measures and an interactive process involving four rheumatologists, two physiotherapists, and an orthopaedic surgeon. RESULTS: Face-to-face interviews were conducted with 50 OA hand patients; 39 females and 11 males with mean age 62.8 years and mean disease duration 9.4 years. Items retained were those which fulfilled specified selection criteria: prevalence > or =60% and mean importance score approximating or exceeding 2.0 Item exclusion criteria included low prevalence, gender-based, ambiguous, duplicates or similarities, alternatives, composite items, and items that were too restrictive. This process resulted in five pain, one stiffness and nine function items which have been proposed for incorporation in the AUSCAN Index. CONCLUSIONS: Using a traditional development strategy, we have constructed a self-administered multi-dimensional outcome measure for assessing hand OA. The next stage includes reliability, validity and responsiveness testing of the 15-item questionnaire.

Activities of Daily Living↗
PubMed2004

Changes in spatial position of hands modify tactile extinction but not disownership of contralesional hand in two right brain-damaged patients.

Somatic misperceptions and misrepresentations, like supernumerary phantom limb and denial of ownership of a given body part, have typically been reported following damage to the right side of the brain. These symptoms typically occur with personal or extrapersonal neglect and extinction of left-sided stimuli, suggesting that all these different symptoms may be linked to the same neural substrate. In the present research, we tested two right brain-damaged (RBD) patients to find out whether changing the position of the hands in space influences tactile extinction and denial of ownership to the same extent. Results showed that manipulation of the spatial position of the hands reduces tactile extinction but leaves denial of ownership of the left hand unaffected. Such a dissociation suggests that delusional misperceptions may be independent from somatic neglect and that representation of hands in space and attribution of ownership are dynamically mapped in at least partly separate neural substrates.

Aged↗
PubMed1999

When a rubber hand 'feels' what the real hand cannot.

We examined a patient who was clinically much better at reporting tactile stimulation when he could see his stimulated hand. Experimentally, we found that he had difficulty detecting taps accompanied by a salient (but not predictive) light located directly above his concealed hand. However, his performance was dramatically improved if the light was attached to a rubber hand situated in line with the patient's hidden hand. Previous studies have suggested that tactile sensitivity can be improved by nearby visual stimulation. However, our effect shows that crossmodal sensory facilitation does not only depend upon simple spatial proximity alone. Rather, a simultaneous visual event dramatically improves perception of touch specifically when it is attributed to the perceiver's stimulated limb.

Functional Laterality↗
PubMed2006

Osnabrueck hand eczema severity index--a study of the interobserver reliability of a scoring system assessing skin diseases of the hands.

An easy-to-use standardized instrument is needed for the clinical assessment of the severity of occupational hand eczema by dermatologists as well as occupational physicians. The Osnabrueck hand eczema severity index (OHSI) was developed for this purpose and the interobserver reliability investigated. The clinical severity was evaluated on the basis of the extension or clinical characteristics of six morphological characteristics. For the validation of the OHSI, hand eczema in 28 patients was investigated independently by one dermatologist and 2 occupational physicians. The agreement between the observers was determined by using kappa values, Kendall's coefficient of concordance, the intraclass correlation coefficient (ICC) and the 95% limits of agreement. The ICC for the total OHSI was 0.80 and the estimated limits of agreement (-3.6 and 3.0) were sufficiently small to expect that ratings according to OHSI performed by independent observers of different medical specialities should produce similar results. It could be demonstrated that the use of the OHSI is simple and practicable. The interobserver reliability for the summary score is good. OHSI seems a reliable tool for assessing the severity of occupational hand eczema.

Adult↗
PubMed2005

Streptococcus induced pustular vasculitis affecting the hands resembling pustular vasculitis of the hands--first reported case.

Pustular vasculitis of the hands is a distinctive clinical entity. It has recently been proposed by some authors to rename pustular vasculitis of the hands as 'neutrophilic dermatosis of the hands' to reflect its histological resemblance to the neutrophilic dermatoses. We report the case of a 66-year-old woman who presented with clinical appearances resembling pustular vasculitis of the hands associated with palmo-plantar pustulosis due to Streptococcus-induced 'pustular vasculitis'.

Aged↗
PubMed1980

Salmonellae on posts, hand-rails and hands in a beef abattoir.

Counts of salmonellae were done by the most probable number technique on samples collected from the hands of abattoir workers as well as on samples from hand-rails and posts regularly touched by the workers. Salmonellae were isolated from the hands of 52% of the workers who handled the hide. They had the highest average counts with counts ranging from 0 to greater than 3663 salmonellae. The remaining workers on the slaughter floor and those in the boning room had generally lower counts with contamination rates of 28% and 45% respectively. Only 3 of the 100 samples collected from the hand-rails and posts contained salmonellae. The average count was 0.11 per 100 cm2.

Abattoirs↗
PubMed1999

Dermal transfer of chlorpyrifos residues from residential surfaces: comparison of hand press, hand drag, wipe, and polyurethane foam roller measurements after broadcast and aerosol pesticide applications.

Indoor residential pesticide applications present the potential for human exposures, particularly for small children. Personal contact with target and nontarget surfaces can result in transfer of pesticides to the skin, but the magnitude of such transfer is uncertain. This research compared surface sampling techniques [wipe and polyurethane foam (PUF) roller] with the removal ability of human skin following broadcast and total aerosol release applications of Dursban (Dow Elanco, Midland, MI), a residential formulation containing the insecticide chlorpyrifos. Hands were washed immediately after surface contact, following a protocol that included a laboratory-generated adjustment factor to account for incomplete removal of chlorpyrifos from skin. Chlorpyrifos transfer was similar for hand press and hand drag techniques, averaging approximately 1-6 ng/cm2 of carpet contacted. These amounts represented < 1% of the amount of chlorpyrifos deposited on the surfaces 3.5 hr earlier. Chlorpyrifos transfer from carpet to skin was 23-24 times lower than for wipe sampling and 33-36 times lower than for PUF roller sampling (p = 0.0007 and p = 0.0006 for broadcast and aerosol applications, respectively). Hand press sampling removed approximately 4.5 times less chlorpyrifos from nontarget furniture surfaces (12 ng/cm2) than did wipe sampling (56 ng/cm2; p = 0.009). Chlorpyrifos residues on carpet were substantially higher after broadcast applications than after aerosol applications, but residues on such nontarget surfaces as furniture were substantially higher for the aerosol application. This study indicates that human skin removes substantially less residue from carpets and furniture than either conventional wipe or PUF roller sampling methods following residential pest control applications of chlorpyrifos. Although this paper focuses on quantifying residue transfer from surface to skin using different surface sampling techniques, no attempt is made to quantify the amount of chlorpyrifos residue that is subsequently absorbed.

Aerosols↗
PubMed1990

Relation of testosterone and hand preference in right-handed young adults to sex and familial sinistrality.

The relationship between serum testosterone level and the degree of hand preference was studied in right-handed young adults. Hand preference was assessed by the Edinburgh Handedness Inventory. Serum testosterone level was determined using tritium-marked-radioimmunoassay. There was no significant correlation between these variables in males without FS. In males with FS and in females with and without FS, the serum testosterone levels were found to be negatively linearly correlated with the degree of the right-hand preference. Similar results were obtained with respect to foot and eye preferences. It was concluded that not only prenatal testosterone but adult testosterone also may exert a life long influence on cerebral lateralization; this effect seems to be much more pronounced in the female than male brain, which may exert a female-like pattern under genetic control.

Adolescent↗
PubMed1988

[An experimental study of the hand test situation: effects of test definition during instruction on hand test performance].

The purpose of this study was to examine how Hand Test performance is affected by test definition included with task instructions. The Hand Test was administered to male college students equally divided into three groups which differed in terms of the type of test definition included with the task instruction as follows: (1) Emotionally disturbed test definition (ED Group); (2) Imagery test definition (IM Group); and, (3) Standard instruction with no test definition (N Group). The MMPI was subsequently administered to all subjects with the following results. The ED Group revealed higher DES and lower ACQ scores than the N Group. The IM Group obtained higher DES and TEN scores and lower ACQ and ICP (CRIP) scores than the N Group. The ED Group exhibited positive correlations between PASS, ACQ and ICP (CRIP) scores and psychopathological MMPI scales while the IM Group revealed negative correlations between ACQ, PASS, TEN, ICP (CRIP), FEAR and DES scores and psychopathological MMPI scales. These results indicated in general that Hand Test performance is sensitive to the test situation and that this factor should be taken into account when Hand Test responses are interpreted.

Adolescent↗
PubMed2001

Comparison and clinical evaluation of hand-assist devices for hand-assisted laparoscopy.

Hand-assisted laparoscopic surgery (HALS) is being used increasingly in urologic laparoscopy, particularly for laparoscopic nephrectomy. Hand-assist devices (HADs) facilitate the intra-abdominal placement of the hand during laparoscopy. There are currently three HADs available in the United States: the Pneumo Sleeve, the Handport, and the Intromit. The performance of each HAD is assessed regarding usage options, maintenance of pneumoperitoneum, device failure, exchange of intra-abdominal hands, adaptation to obese patients, and specimen removal. The use of these devices is reviewed based on our experience in more than 100 cases of HALS.

Equipment Design↗
PubMed2003

[Skin flaps for repairing hands with severe burn and compression injuries in the hand].

OBJECTIVE: To investigate the therapeutic effects of different skin flaps for repairing severe complex hand injuries with burns and compression. METHODS: From January 1990 to December 2000, 39 patients with severe complex injuries due to burns and compression in the hand were treated with different skin flaps, followed by early-stage postoperative comprehensive rehabilitation therapy. RESULTS: All the patients were followed up for 6 to 12 months, and significant differences were observed in the appearance and function of the repaired hands with different skin flaps. CONCLUSION: The medial skin flap taken from the lower leg and the reverse-flow island flap from the anterior aspect of the forearm, when combined with early postoperative rehabilitation treatment, can achieve good recovery of function and appearance of the injured hand.

Adolescent↗