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At least 19 recordsLinked to original sources

Security measures for AIDS and HIV.

This study describes the measures being taken by AIDS surveillance offices across the country to ensure the security of information regarding patients with AIDS and HIV infection. Security measures were evaluated according to the cumulative number of AIDS cases reported, whether partner notification services were provided, and whether HIV seropositive reporting by name was also required. This study showed that public health departments have taken extra steps to ensure the security of AIDS and HIV data.

Acquired Immunodeficiency Syndrome

Immunologic transfusion reactions.

ABO blood group incompatibility is of major concern because the antibodies frequently cause intravascular destruction leading to the most clinically severe complications. Irregular erythrocyte antibodies seldom cause intravascular destruction. However, when the antibodies bind complement and are present in high concentration the extravascular destruction occurs predominantly in the liver and may cause a clinically severe reaction with hemoglobinemia, shock and DIC. Those IgG class antibodies which do not bind complement cause a spleen-mediated, more or less drastically shortened life span of the red cells with unpleasant but usually not life threatening consequences for the patient. The transfusion reaction may occur with a delay of several days. Compatibility testing may consist of either a cross-match performed in such a way that both ABO incompatibility and irregular antibodies are detected, or a type-and-screen procedure. In the latter a computerized delivery control checking the patient's previous serological history and the donor/recipient compatibility is a recent improvement and rationalization. In an acute situation a reduction of the normal security measures may be necessary. The clinician responsible for the patient must know the time needed for carrying out an acute blood group determination and compatibility test in the hospital and must give instructions about what normal security measures that should be refrained from. Blood group incompatible transfusions have nowadays a much better prognosis than earlier, provided a rapid diagnosis can be made and appropriate treatment can be started promptly. Formation of antibodies against leukocyte/thrombocyte antigens is a frequent consequence of transfusion which, however, can be prevented by modern blood component therapy.(ABSTRACT TRUNCATED AT 250 WORDS)

ABO Blood-Group System

[Advice as to the safety precautions for handling infectious material in a veterinary practice laboratory].

The number of microbiological investigations with infectious material increases in veterinary practice. Frequently the working space is cramped so that special security measures are imperative. These measures are discussed in detail. Their disregard can result in laboratory infections with zoonotic agents and in unpleasant lawsuits with bad consequences. The German regulations pertaining to security in laboratories are listed. They should be observed in any case.

Animals

[Measurement of blood glucose variations due to surgical stress].

It has been confirmed that the oral surgical invasion not only arouses emotions, such as anxiety and fear, but causes physiological changes at the same time through 2 different pathways, the autonomic nervous system and endocrine system. The change in blood glucose concentration is known as one of representative vital reactions associated with these 2 functional systems. Although secure measurement manipulation producing errors as small as possible is essential to the comparison of blood glucose concentrations obtained from a same individual at different times, various errors are often made during specimen preparation and measurement. Resulting values of glucose concentration are known to be especially influenced by specimen pretreatment, kinds of specimens, meals, menstruation and anesthetics among factors affecting the measurement. Thus we determined these factors in order to establish a measurement procedure to produce the least errors. As a result, it was thought to be desirable that the measurement is performed using the following procedure: 1) blood is sampled more than 90 minutes after meal; 2) whole blood collected from the median basilic vein is used as a specimen; 3) measurement is performed as soon as possible, within 60 minutes after sampling; 4) quantitative values of blood glucose concentration are obtained using dextrosticks and a dextrometer; 5) every specimen is measured 5 time to obtain a mean value used as blood glucose concentration in that specimen through averaging 3 measurement values, omitting the highest and lowest values, and 6) as for female patients, measurement (as well as operation) is performed on a day 2 weeks after the beginning of menstruation. It was concluded that blood glucose concentration can be used as a highly reliable parameter for the observation of vital reactions to external stimulation and for the determination of internal environment at a certain point of time if the measurement is performed with careful consideration of the above-mentioned factors.

Blood Glucose

[Present state and evolution of the law of social defence (author's transl)].

The law of April 9, 1930 concluded to the non responsibility of the insane. It applyed a measure of social defence and treatment of some length. The evolution of ideas, the psychological and biological discoveries had bring a change in July 1964. The measure was finalized, not for the "insanes", but demented people, severe mental disturbed patients and severe mental retarded patients. The measure became non determined in time. The role of the lawyer is important, not only for the decision, but following the decision. The role of the physician is also important and the creation of a center of guidance becomes urgent. Therapy can be extended by ambulatory care with the necessary security measures.

Ambulatory Care

Hygienic safety measures in the light of observations in a haemodialysis unit.

A report on the sanitary situation of the Haemodialysis Unit, Department of Urology, University Medical School, Pécs, is given and the preventive measures securing the sanitary standards valid for the specialized units are set out in detail. The desiderata for the sanitary safety of haemodialysis units are summed up.

Bacterial Infections

Methadone dispensing by community pharmacies.

This study reports 1 year follow-up data of 96 patients who received methadone at selected community pharmacies instead of traditional program dispensaries. Outcomes are comparable to those reported for traditional programs. Security measures were not a problem. The results indicate that most patients can begin methadone maintenance at a pharmacy without a period of stabilization at a program unit. Of several factors studied, arrest record, both preceding and during treatment, based on official police data was the single factor significantly associated with employment and continuation in methadone treatment. Community pharmacy dispensing of methadone is a useful means of operating a methadone treatment program.

Adult

[Territorial experiment: inter-relational evolution of a group of inmates in the course of an extra-institutional working experiment].

The Authors analize the interrelational evolution of a group of inmates during an outside working activity, with relation to the resocializing experiences which consider the insertion in the area of individuals subjected to detentive security measures. Such evolution, in relation with the influences of the social enviornment one was associated with, was associated with, was marked by an initial cohesion stage between members (of defensive significance), followed by a gradual research of a personal autonomy, in parallel with the acquisition of a reassuring and stabilized role. The utilization of a social space according to the conventional parameters used in the area (with particular concern towards syndical dynamics and rules), reached at the cost of self-exposure, has confirmed the reached maturity and the self balance in proposing themselves to the others as subjects active in their own resocialization, sharing the acquired social rights. Beside the situation concerning the side of the group in its insertion progress, the Authors take into examination the side of the free community in tis receptivity and availability towards the group members, analizing the interactions with the environment as therapeutical moment.

Humans

[A fatal gas embolism during a hysteroscopy-curettage].

A 26 year old woman without any pathological history except metrorrhagia underwent a hysteroscopy under epidural anaesthesia and uterine cavity dilatation by saline solution. A respiratory distress and cardoffirculatory arrest occurred at the end of the procedure. Despite several attempts of cardiorespiratory resuscitation the patient deceased. The diagnosis retained was a gas embolism caused by blast effect from reintroduction of the hysteroscope into the uterine cavity. Different mandatory security measures are evoked.

Adult

[Frequency and risk factors associated with metronidazole therapeutic noncompliance].

OBJECTIVE: to determine the frequency and risk factors of non-compliance to oral metronidazole. STUDY DESIGN: comparative cross-sectional survey. STUDY UNITS: 111 patients who received oral metronidazole. SETTING CHARACTERISTICS: two medical units: one primary level unit and one secondary care unit of the Mexican Institute of Social Security. MEASUREMENTS: non-compliance was assessed by home interview and pill count. MAIN RESULTS: frequency of non-compliance was 55%. Risk factors for non-compliance were: female sex (OR = 3.0; p less than 0.05); side effects (OR = 3.1; p less than 0.05); low literacy (OR = 3.75; p less than 0.05). Stratified analysis showed no interaction between variables. CONCLUSIONS: frequency of non-compliance to metronidazole is high, and could affect the effectiveness of medical care. Female patients with low literacy and who suffer side effects are a high risk group for non-compliance.

Administration, Oral

Key issues relating to the genetic stability and preservation of cells and cell banks.

The long term maintenance of genetically stable cells is important for ensuring reproducible results and continuity in the advance of microbiology, cell biology and biotechnology. As actively growing cultures, cells are constantly at risk of changing, and the necessity for subculturing living materials increases the chances for genetic change and contamination. Many techniques are available for stabilizing living cells; the method employed must be compatible with the intended use of the culture. The most commonly utilized means of preserving living cells are by freezing to cryogenic temperatures, and freeze-drying. Master stocks are usually maintained at liquid nitrogen or comparable temperatures, while working stocks can be frozen or freeze-dried, and maintained at more economical and easily managed temperatures where possible. However, low temperature techniques may cause damage that can result in genetic change, or potential selection when only a small portion of the population survives. Therefore, a good preservation program must include a comprehensive cell characterization regimen that is applied both before and after preserving the cells to ensure that changes are detected when they do occur. Assurance of long term stability necessitates well designed safekeeping and security measures that include minimizing specimen handling through well designed inventory systems, validation and monitoring of storage temperatures, provisions for backup inventory, and training of personnel. Cell banking also requires good cataloguing and data management practices to avoid duplication and misidentification, and to ensure proper tracking of specimens and ease of access.

Bacteria

The advent of DNA databanks: implications for information privacy.

Genetic identification tests -- better known as DNA profiling -- currently allow criminal investigators to connect suspects to physical samples retrieved from a victim or the scene of a crime. A controversial yet acclaimed expansion of DNA analysis is the creation of a massive databank of genetic codes. This Note explores the privacy concerns arising out of the collection and retention of extremely personal information in a central database. The potential for unauthorized access by those not investigating a particular crime compels the implementation of national standards and stringent security measures.

Confidentiality