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At least 829 records · Page 46Linked to original sources

Allergies associated with medical gloves. Manufacturing issues.

The increase in glove usage that followed the advent of Universal Precautions has been associated with a concomitant increase in glove-related allergic reactions, many of which are potentially debilitating. Manufacturing issues that can affect the allergenicity of natural rubber latex, thermoplastic elastomer, and polyvinylchloride medical gloves are therefore examined. This information can enhance the ability of the occupational dermatologist to diagnose specific allergens and to recommend appropriate treatment based on knowledge of a product's allergenic ingredients.

Dermatitis, Allergic Contact↗

The use of double latex gloves during hip fracture operations.

A prospective study was undertaken to determine the perforation rate of surgical gloves when double-gloving techniques were employed in 120 hip fracture operations. One or more perforations occurred in 30 operations (25%). In 10 operations (8.3%), perforations of both the outer and inner gloves occurred at corresponding sites. The surgeons were able to recognize the perforations during the surgery on five occasions only. Of the 64 perforations identified, 41 (64%) occurred in the left (nondominant) hands, and 42 (65.6%) occurred at the tips of thumbs and index fingers. Nearly half of the perforations (46.9%) occurred at the thumb and index finger of left (nondominant) hands. To reduce the perforation rate, further protection of the thumb and index finger of the nondominant hand of surgeons is therefore required.

Accidents, Occupational↗

The value and limitations of protective gloves in medical health service: part II.

The value of protective gloves in the health care environment is well known. However, these gloves are not perfect. Some are permeable to microorganisms and various chemicals, and/or result in side effects for health care professionals. Gloves that offer the greatest protection and least side effects are highly desirable. Protection against microorganisms and protection against chemicals used in health care are described in Part II of this three-part series.

Antineoplastic Agents↗

Fits like a glove...

Latex gloves remain the gold standard in barrier protection. Glove allergy costs and environmental clean-up run into billions of dollars each year. Managers must consider the cost of using poorly chosen gloves.

Dermatitis, Occupational↗

Choosing the best protective gloves.

Gloves should provide two-way protection from the transmission of microorganisms between worker and patient. Until recently, glove manufacturers paid little attention to barrier properties. Because the operating room is a high-risk area, surgical nurses must be especially careful about gloving practices.

Choice Behavior↗

Disposable gloves: research findings on use in practice.

This article reviews the research evidence for the safety and effectiveness of disposable gloves in preventing transmission of infection. The author concludes that all nurses should have a glove policy for their unit or department to ensure the correct type of gloves are worn in appropriate situations.

Communicable Disease Control↗

Misdiagnosis of cancer due to multiple glove powder granulomas.

A biologically absorbable powder, the cornstarch lubricant used in the production of gloves, is treated with epichlorohydrin, a cross-linking agent forming one to three diether glycerine groups to create a glove lubricating powder. This agent, together with chemicals used in glove fabrication is able to interfere with important biological diagnostic procedures, such as polymerase chain reaction (PCR) and enzyme immunoassay as well as to induce a granulomatous reaction in traumatised surgical tissue.

Absorption↗

Glove powder--a risk factor for the development of latex allergy?

Studies are described which compare the prevalence of sensitisation against latex proteins in medical personnel in different hospitals. The objective of these studies was to find out whether the use of powdered or unpowdered gloves could be related to the prevalence of latex allergy. Employees of one of the investigated hospitals (Germany) were using only powdered latex gloves, and in the other two hospitals (Great Britain) low protein powder-free latex gloves were used. Methods by which latex allergy can be avoided are suggested.

Allergens↗

Disposable gloves.

Disposable gloves are available in latex and synthetic materials, in sterile and non-sterile forms and with and without powder. Sterile disposable gloves should be worn during invasive procedures and when the hands are in contact with wounds. Non-sterile disposable gloves are recommended when the hands are in contact with blood and other body fluids and for indirect contact with wounds.

Disposable Equipment↗

Risks of occupational exposure to latex gloves.

The extraordinary increase in latex glove use in dentistry within the past decade has created a potential occupational hazard in the form of adverse reactions to components found in these gloves. Reactions may range from dry, itchy skin to a life-threatening, anaphylactic response. Management of these conditions may be as simple as switching glove brands; but in the most severe cases, it may entail the need to create a latex-free environment for the safety of the affected health care worker. This article reviews the pathophysiology, epidemiology, diagnosis and management of these conditions and provides references for more in-depth reading on the subject.

Anaphylaxis↗

A [2]catenane and a [2]rotaxane as prototypes of topological and Euclidean molecular "rubber gloves".

A [2]catenane and a [2]rotaxane have been prepared from a C2-symmetric, 2,9-diphenyl-1,10-phenanthroline-based (dpp-based) macrocycle incorporating a 1,5-dioxynaphthalene subunit by means of the transition metal templated technique. In the case of the catenane, this macrocycle is interlocked with a dpp-based macrocycle that is oriented through the location of a p-tolyl substituent in the 4-position of the phenanthroline subunit. In the case of the rotaxane, the C2-symmetric macrocycle is threaded onto an oriented, dumbbell-shaped molecule, based on the same 4-p-tolyl-1,10-phenanthroline subunit, which bears tetraarylmethane stoppers. Both species are chemically achiral molecules, yet they are composed entirely of asymmetric, mirror-image conformations. Conformational enantiomerization processes therefore take place exclusively by chiral pathways, conferring on these molecules the "rubber glove" property. However, while the molecular graph (constitutional formula) of the [2]rotaxane can be deformed into a planar and, hence, rigidly achiral representation, a feature shared by a few other compounds in the literature that have been characterized as "Euclidean rubber gloves", the molecular graph of the [2]catenane cannot be deformed in this way. It therefore has the unique property of being a chemically achiral "topological rubber glove".

Journal Article↗

Comparative study on protective gloves for handling cytotoxic medicines: a model study with carmustine.

The quality of protective gloves was studied. Protective gloves are part of the personal safety equipment for staff handling cytotoxic drugs. A study using raster electron microscopic photography, measurement of thickness by micrometer screw and permeability of carmustine by high pressure liquid chromatographic assay was carried out. The results show differences between different types of gloves.

Carmustine↗

Effect of protective gloves on hand movement: an exploratory study.

This exploratory study was conducted to determine whether wearing protective gloves limits the range of motion that the hand can complete. The kinematic motion of the hand/wrist/forearm of two participants was analysed during the performance of two tasks typical of pesticide applicators. High-speed cinematography was used to collect data which were then digitized and combined to produce three-dimensional data. Graphs of the transformed data showed that in comparison with the barehanded state, the protective glove decreased the abduction/adduction and supination/pronation ranges that the hand could complete. Extension/flexion did not appear to be affected. Overall, kinematic motion of the hand appeared to decrease while wearing protective gloves.

Journal Article↗

Force-endurance relationship: does it matter if gloves are donned?

The human hand is a very useful multipurpose tool in all environments. However, performance capabilities are compromised considerably when gloves are donned. This is especially true for extra-vehicular activity (EVA) gloves used in a space environment. The primary aim of this study was to establish exertion and endurance limits for specific tasks. The objective of this study was to develop grip force endurance relations. Six subjects participated in a factorial experiment involving three hand conditions, three pressure differentials, and four levels of force exertion. The results indicate that while the force that could be exerted depended on the glove, pressure differential, and the level of exertion, the endurance time at any exertion level depended just on the level of exertion expressed as a percentage of maximum exertion possible at that condition. The impact of these findings for practitioners as well as theoreticians is discussed.

Journal Article↗

Clinical evaluation of the use of Op-Site gloves for the treatment of partial thickness burns of the hand.

Twenty-five patients with partial thickness burns of the hand were treated with Op-Site gloves in order to assess the clinical effectiveness of the treatment in promoting healing, and to assess the acceptability of the gloves to patients and to medical and nursing staff. The Op-Site gloves were found to be at least as effective as conventional treatments in promoting healing, and very acceptable to patients and to medical and nursing staff.

Adolescent↗

A smart virtual glove for the hand telerehabilitation.

Hand rehabilitation, following stroke or hand surgery, is repetitive and long duration and can be facilitated with the assistance of complex, heavy and cumbersome haptic gloves based on sensors. The present paper describes a virtual glove, software based, which tracks hand movements by using images collected from webcams and numerical analysis. Finger forces are calculated from the deformations impressed to some objects (of known elastic coefficient) grasped by the patient hand. The presented system is notable for simplicity, generality and low cost. Implementation and results of the proposed virtual glove will be the objects of a future paper.

Biomedical Engineering↗

Refined myoelectric control in below-elbow amputees using artificial neural networks and a data glove.

PURPOSE: To develop a system for refined motor control of artificial hands based on multiple electromyographic (EMG) recordings, allowing multiple patterns of hand movements. METHODS: Five subjects with traumatic below-elbow amputations and 1 subject with a congenital below- elbow failure of formation performed 10 imaginary movements with their phantom hand while surface electrodes recorded the EMG data. In a training phase a data glove with 18 degrees of freedom was used for positional recording of movements in the contralateral healthy hand. These movements were performed at the same time as the imaginary movements in the phantom hand. An artificial neural network (ANN) then could be trained to associate the specific EMG patterns recorded from the amputation stump with the analogous specific hand movements synchronously performed in the healthy hand. The ability of the ANN to predict the 10 imaginary movements offline, when they were reflected in a virtual computer hand, was assessed and calculated. RESULTS: After the ANN was trained the subjects were able to perform and control 10 hand movements in the virtual computer hand. The subjects showed a median performance of 5 types of movement with a high correlation with the movement pattern of the data glove. The subjects seemed to relearn to execute motor commands rapidly that had been learned before the accident, independent of how old the injury was. The subject with congenital below-elbow failure of formation was able to perform and control several hand movements in the computer hand that cannot be performed in a myoelectric prosthesis (eg, opposition of the thumb). CONCLUSIONS: With the combined use of an ANN and a data glove, acting in concert in a training phase, amputees rapidly can learn to execute several imaginary movements in a virtual computerized hand, this opens promising possibilities for motor control of future hand prostheses.

Adult↗

Clinical evaluation of the bionic glove.

OBJECTIVE: Clinical evaluation of the Bionic Glove, a prototype of a new functional electrical stimulation device designed to improve the function of the paralyzed hand after spinal cord injury. PATIENTS: Twelve people with spinal cord injury at C5-C7 who had used the device 6 months or more. SETTING: Measurements were made at the Institute "Dr Miroslav Zotović" in Belgrade as a part of a multicenter clinical trial. METHODS: Measures include Upper Extremity Function Test, Functional Independence Measure, and Quadriplegia Index of Function. RESULTS: The daily use of a Bionic Glove had two major effects: (1) increasing the power grasp; and (2) increasing the range of movements. Active force was significantly greater than passive tenodesis force, as shown in other studies. Most manual tasks improved significantly with the use of the assistive system, as judged by the time needed to complete a task or the subject's qualitative ratings of a task difficulty. Most subjects who retained some dexterity without the assistive system hesitated to use the assistive system to manipulate small objects. CONCLUSION: The Bionic Glove can significantly improve independence in people with C5-C7 spinal cord injury if their initial Functional Independence Measure and Quadriplegia Index of Function scores are 20% to 50% of the maximum values.

Activities of Daily Living↗