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At least 577 records · Page 32Linked to original sources
PubMed2000

The wearing of facial protection in high-risk environments.

The term Universal Precautions (UP) originates from the Centre for Disease Control (CDC) in Atlanta (Taylor 1993). The precautions recognise that it is safer for all patients to be treated as potentially infective, whatever their status in life. The basic aim of UP is to lower the level of contact with blood or body fluids. This reduces the risk to all personnel of contact with blood born viruses and pathogenic organisms carried in other body fluids (Wicker 1991). The precautions recognise that there are high risk environments rather than high risk patients.

Acquired Immunodeficiency Syndrome↗
PubMed1993

The incidence and prevention of ocular injuries in orthodontic practice.

A postal survey was conducted to determine the use of eye protection and incidence of ocular trauma in orthodontic practice. One-hundred-and-fifty-nine NHS orthodontic consultants and 203 specialist orthodontic practitioners were surveyed. Two-hundred-and-forty-one (66.5 per cent) replies were received. Some form of eye protection was routinely worn by 66.8 per cent of orthodontists, 64.3 per cent of patients, but only 33.6 per cent of DSAs. Eye protection was not offered to DSAs in 31.9 per cent of practices or to patients in 22.1 per cent. Forty-three per cent of orthodontists reported instances of ocular injury in their practices. The majority of these injuries (n = 104) occurred during debonding or trimming acrylic. Other incidents involved ligating materials, intra-oral polishing, and acid etching. Most injuries (83.5 per cent) were treated in the surgery without any long-term effects. The routine use of goggles or spectacles with side-pieces and plastic lenses, which conform to British Standard BS 2092, is recommended for staff and patients during all operative procedures in orthodontic practice.

Accidents, Occupational↗
PubMed2005

Adaptation of VOR to Coriolis stimulation.

The vestibulo-ocular reflex (VOR) is normally characterized by the gain and phase of slow-phase velocity (SPV) relative to the stimulus velocity. Although this is perfectly satisfactory for steady-state sinusoidal oscillations about a single axis, it is less useful when applied to transient responses. The well-known decay of nystagmus following a step change of head velocity approximately follows a double exponential, with an initial amplitude (A), a long time constant (tau), and an adaptation time constant (tau(a)). We have developed a means of representing the transient response for a complex head velocity stimulus as experienced during high-speed artificial gravity (AG) experiments. When a subject, lying supine on a rotating horizontal platform, makes a yaw head movement of amplitude theta, the vertical semicircular canals experience a step in angular velocity. The pitch stimulus is equal to the change in the component of the centrifuge angular velocity (omega(c)) aligned with the interaural axis, and gives rise to a vertical VOR. The magnitude of the step change is omega(c) sin theta. The SPV is approximated by an exponential decay of amplitude A and single time constant tau, and then normalized relative to this stimulus step. MATLAB scripts filter the raw eye position data to remove noise, blinks, and saccades, differentiate the signal, and remove fast phases to obtain SPV. The amplitude of the fitted SPV exponential is divided by omega(c) sin theta to obtain the normalized SPV. A and tau are shown to behave differently as subjects adapt to repeated head movements of different amplitudes.

Acclimatization↗
PubMed1993

Impairment of anesthesia task performance by laser protection goggles.

This study was designed to determine whether the wearing of colored goggles, commonly used during laser surgery, increased the time needed to perform simple tasks or the likelihood of medication errors. The Stromberg Dexterity Test and the Medication Sorting Task (MST), a test of our own design, were used to measure the speed and accuracy of identifying medications. Thirty anesthesia care providers performed the tests twice, once with colored goggles and once without. Ambient light during the test was controlled to approximate that in the operating room during laser surgery. Times required to complete the tests improved with repetition of the test. When colored goggles were worn, more time was needed to complete the tests. More errors, especially serious errors in medication sorting, occurred when goggles were worn than when they were not. The wearing of colored goggles in combination with low levels of illumination and stress due to time constraints, may increase the potential for medication errors.

Anesthesiology↗
PubMed2001

Temporal bone dissection: a possible route for prion transmission?

The aim of this study was to determine whether neural tissue is present in the bone 'dust' given off during temporal bone drilling. Bone 'dust' from three temporal bone dissections was collected and examined. Evidence of neural tissue was present in two out of the three specimens. Neural tissue is present in the bone dust given off during temporal bone drilling. This poses the question as to the risk of prion transmission during such dissection.

Creutzfeldt-Jakob Syndrome↗
PubMed2001

Blood splash and tonsillectomy: an underestimated hazard to the otolaryngologist.

Mucocutaneous exposure is an important route of transmission of hepatitis viruses and HIV in healthcare workers. Few data exist in the literature on the risk of transconjunctival exposure during many surgical procedures. We investigated the use of eye protection during tonsillectomy and measured the incidence of potential eye splash. No otolaryngologist surveyed routinely used eye protection during tonsillectomy. Splash events occurred in 23 out of 103 tonsillectomies. In all cases the surgeon was unaware of the splash. Splash events were significantly more likely to occur during adult tonsillectomy (p < 0.05). We strongly advise the routine use of eye protection during tonsillectomy.

Adolescent↗
PubMed2005

Eye observation and corneal protection during endonasal surgery.

Traumatic orbital complications of endonasal surgery, although rare, are a cause of significant morbidity. Although a variety of methods of monitoring eye function during surgery have been described, the best method remains direct perioperative observation of the eye. However, the eye must also be protected during surgery otherwise corneal drying will occur and corneal abrasion may result. This article describes and illustrates the use of Geliperm, a sterile, transparent, pliant hydrogel dressing, as a corneal protector allowing continuous observation of the eye during endonasal surgery.

Acrylamides↗
PubMed1978

Protection of the eye during carotid angiography.

An eye shield was developed for use in neurological examinations in projections in which it does not interfere with the information sought. Use of this shield in A.P., oblique, 30 deg Towne's and 12 deg carotid Towne's projections reduced the corneal dose to approximately 5% of the unshielded value. For lateral projections, doses were reduced to approximately 5-15%. Use of the shield resulted in corneal doses of the order of 0.5 mrad/mAs and 1.0 mrad/mAs for standard and magnified projections respectively, with the exception of the lateral projections for which the corresponding values were approximately 0.3 mrad/mAs and 0.7 mrad/mAs. Corneal dose for a typical carotid angiogram was estimated to be reduced from 6.2 rad to 0.33 rad by the use of the shield.

Carotid Arteries↗
PubMed1995

Eye splashes during invasive vascular procedures.

In recent years there has been an increased awareness among health care workers regarding possible risk of nosocomial transmission of blood borne pathogens. The aim of this study is to document the risk of contamination of radiologists' eyes during invasive vascular procedures. Radiologists performing these examinations were asked to wear glasses throughout. After each examination the glasses were inspected for droplets. 150 procedures were performed on 123 patients (M = 80, F = 43). 10 procedures (6.7%) resulted in splashes to glasses. In four of these cases the radiologist was not aware of the "eye splash" nor was there a spray event to account for it. Radiologists were aware of 13 spray events (8.7% of all procedures). There was a significantly increased risk of spray events and eye splashes during thrombolysis (chi 2 = 14.93, p < 0.001) and of spray events during angioplasty when compared with perfemoral arteriography (chi 2 = 8.816, p < 0.01). Procedures lasting longer than 30 min were associated with a significantly increased risk of spray events (chi 2 = 5.63, p < 0.02). Significantly more eye splashes were associated with more than two catheter changes (chi 2 = 8.912, p < 0.01). It is suggested that protective eye wear should be used routinely during invasive vascular procedures.

Angiography↗
PubMed1995

Technical note: the relationship between TV position and the effectiveness and comfort of protective spectacles in fluoroscopic procedures.

Although interventional radiological procedures can result in significant eye doses to an operator, protective measures are often rejected because screens are found to impede manipulations, and 0.5 mm lead equivalent spectacles are heavy and uncomfortable. With many units the TV monitors are positioned so that the operator needs to turn his head through 80 degrees or more to view the image while screening. The aim of this study was to determine the distribution of the shielding in protective spectacles which will combine maximum dose reduction for different TV positions with minimum weight. Thermoluminescent dosimeters were used to assess the effectiveness of various spectacles in shielding the lens of the eye when a skull phantom was orientated at different angles in a large area beam of X-rays generated at a tube potential typical of diagnostic energies. The beam was tilted upwards at an angle of 20 degrees as though originating from the irradiated volume of a patient. The results showed that if weight was a consideration, and the head was turned away from the image intensifier through an angle greater than 80 degrees, the shielding was most effective when concentrated in the side-panels of the spectacles. The shape of the side-panels, however, was critical to the adequate shielding of this radiation.

Eye↗
PubMed2002

Absorbed dose behind eye shields during kilovoltage photon radiotherapy.

The absorbed dose at the position of the lens of the eye under lead or tungsten eye shields during kilovoltage photon radiotherapy is critically dependent not so much on the thickness of the eye shield itself as on the size of the treatment field and the diameter of the shield used. Whilst dose from primary photons is easily attenuated to relatively insignificant levels by a few millimetres of lead or tungsten, scattered photons from outside the shielded area can provide over 25% of the prescribed dose. Since backscatter factors do not increase monotonically with photon energy, it is not safe to assume that the highest photon energy used will provide the highest dose. A simple method to estimate the dose under an eye shield based on tabulated backscatter factors is shown. Measurements under commercially available eye shields were made to verify the expression and to determine the attenuation of primary photons. Predicted and measured absorbed dose under the eye shields were found to agree to within 1% of the prescribed dose. The relative dose due to primary photons beneath the eye shields was found to be less than 0.1% and 0.5 (+/-0.1)% for the 150 kV and 260 kV beams, respectively. This is considerably less than the dose from backscattered radiation.

Eye Protective Devices↗
PubMed2004

A comparative study on the observation of spontaneous nystagmus with Frenzel glasses and an infrared CCD camera.

OBJECTIVES: To compare the usefulness of a CCD camera with infrared illumination (IR-CCD camera) over Frenzel glasses (F Glasses) for the observation of spontaneous nystagmus, the incidence and direction of nystagmus, and the frequency, amplitude and slow phase of spontaneous nystagmus. METHODS: One hundred vertiginous patients, fifty-three females and forty-seven males participated in this study. Before undergoing routine neurotological examination, their eye movements were recorded by electronystagmogram (ENG) in conjunction with observations of eye movements under F glasses and through an IR-CCD camera. The data was collected from patients who exhibited spontaneous nystagmus either under F glasses or the IR-CCD camera. RESULTS: Thirty-three patients showed spontaneous nystagmus under F glasses. On the other hand, under the IR-CCD camera, all patients examined exhibited spontaneous nystagmus. The frequency of nystagmus was not significantly different between these two systems. However, the amplitude and slow phase velocity exhibited significantly larger values under the IR-CCD camera in patients with spontaneous nystagmus both under the IR-CCD camera and F glasses. CONCLUSION: From these observations and evidence, the IR-CCD camera can be recommended as a more useful system and powerful tool for neurotological examination than F glasses.

Adolescent↗
PubMed1979

Eye protection in the paralyzed face.

All patients with a VIIth nerve paralysis with any limitation of closure of the eye should have in the office or out-patient clinic setting: 1. paper tarsorrhaphy of the upper or possibly lower lid; 2. artificial tears and/or ointment; and 3. glasses to protect the cornea from air currents. Kinetic and static surgical procedures are discussed. The kinetic procedures include facial nerve repair and grafting, VIIth-XIIth nerve anastamosis, muscle nerve block transplantation, transposition of nonparalyzed muscle and cross over. The principals of VIIth nerve repair and grafting and presented in the intracranial, internal auditory canal, labyrinthine, tympanomastoid and extratemporal sites. The static procedures include resection of redundant skin, fascia lata strip suspension, weakening of contralateral non-paralyzed musculature, and adjunctive procedures such as resection of ptotic melolabial fold, plication of parotid-masseteric fascia, dermal graft suspension, blepharoplasty, brow lift, canthoplasty, horizontal shortening of lower lid, fascial suspension of lower lip, McLaughlin tarsorrhaphy, and palpebral spring. Patient counseling is emphasized.

Blepharoptosis↗