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At least 19 recordsLinked to original sources

The occupational hazard of human immunodeficiency virus and hepatitis B virus infection. II. Effect of grade, age, sex and region of employment on perceived risks and preventive measures adopted by anaesthetists.

The effect of grade, age, sex and region of employment on the attitude of anaesthetists to the possible risk of Human Immunodeficiency Virus (HIV) and Hepatitis B Virus (HBV) infection and the measures adopted to minimise the risk were assessed. As a group, anaesthetists in training were more concerned than consultants about the risk of HIV or HBV infection and, as a consequence, were more likely to adopt protective measures. A similar variation was seen with age, younger anaesthetists being more concerned about the risk of infection and adopting preventive measures in greater numbers than their older colleagues. The sex of the anaesthetist had minimal effect on their attitude. Despite the marked variation in the incidence of both HIV and HBV, the attitude of anaesthetists to the risk of infection and the numbers adopting simple preventive measures did not vary significantly on a regional basis throughout the country. However, there was a significant inter-regional variation in the availability and uptake of HBV immunisation (p < 0.01) and knowledge of the existence of local policy guidelines for the management of known HIV or HBV positive patients (p < 0.01).

Adult

[A comparative analysis of 2 different approaches to implementing preventive measures in patients with borderline arterial hypertension].

Routine recommendations were used to prevent hypertensive disease in patients with borderline arterial hypertension without using drugs in one of the surveys. The other involved the same methods under constant control and psychological maintenance to continue preventive measures. The second approach was found to be more effective and to considerably increase the patients' compliance.

Adult

[Effectiveness of social hygiene and organized preventive measures in dysentery in preschool institutions].

The work presents the data on the development and realization of the complex of social and hygienic, as well as organizational and preventive measures for dysentery control at institutions for children of preschool age in one of the regions of our country. This complex comprises the improvement of "epidemiological" knowledge of the staff, preventive orientation in the work of the epidemiological section of the local Sanitary Epidemiological Station, the spread of sanitary and hygienic knowledge children and in their families, the improvement of material and technical equipment of children's institutions. The complex proved to be highly effective: at institutions for children of preschool age morbidity -ate in dysentery decrease 4--5 times, and its specific falue dropped from 40% to 5.4%, the frequency of positive results given by tests for the presence of intestinal microflora in washings from various objects decreased more than 25 times. Morbidity rate at institutions for children of preschool age decreased 4--5 times as compared with that among children not attending such institutions. The above data suggest the necessity of introducing this experience in other regions of our country.

Child Health Services

The occupational hazard of human immunodeficiency virus and hepatitis B virus infection. I. Perceived risks and preventive measures adopted by anaesthetists: a postal survey.

We have conducted a postal survey of members of the Association of Anaesthetists to ascertain perceived risks and preventive measures adopted with regard to the occupational hazard of Human Immunodeficiency Virus and Hepatitis B Virus infection. Despite recognition of the infection risk and the adoption of appropriate measures when managing known infected patients, the majority of anaesthetists have not implemented simple precautions in their daily routine work. Less than 16% of respondents routinely wear gloves and more than one in three still resheath needles. It would appear that the recommendations of the Association with regard to universal safety precautions have not been implemented by the majority of its members.

Accidents, Occupational

Anti-HCV antibody presence in hemodialyzed patients: assessment after one year regarding some preventive measures chosen.

The authors report on the presence of anti-HCV antibodies in a uremic chronic (UC) patient population after 6 months and 1 year with regard to certain selective preventive measures. The nonincreased number of HCV-positive subjects among the UC population could lead to the conclusion that the risk of environmental spreading of HCV is less than the risk of HBV diffusion.

Hepacivirus

Control of perinatal infection by traditional preventive measures.

A 9-year review of nosocomial infections occurring in the department of obstetrics and gynecology of a major teaching hospital demonstrated the dramatic effect of strict asepsis and isolation on postoperative infection rates. With rigidly enforced preventive measures and without the use of prophylactic antibiotics, the rates of wound infection and endometritis and the relative prevalence of gram-negative aerobic organisms cultured from these infections could be reduced substantially. The role of anerobes in these infections was not established, since adequate techniques for the accurate diagnosis of anaerobic infection were not available at the time of this study. The relative importance of the numerous infection-control measures used is unclear. It is apparent, however, that by implementing all traditional methods of asepsis, virtually all types of nosocomial infection could be controlled, and the increased prevalence of gram-negative infections observed during the past decades could be reversed.

Asepsis

[Epidemiological studies on viral hepatitis among long-term sojourners in the developing countries and evaluation of preventive measures].

It is known that acute viral hepatitis is very common among sojourners in developing countries. In order to conduct effective health control, epidemiological studies were made on viral hepatitis which occurred among Japanese staying in developing countries, and evaluations were carried out on preventive measures. The subjects of present study were a group of Japanese people staying in developing countries for two years. Mid year population of the group was 1732 in 1988. Period of the present study is ten years from 1979 to 1988. The study was conducted based on the reports from offices in each country, survey trips and serological studies on the subjects. In 1979, frequency of hepatitis A (HA) was very high showing 79% of total hepatitides. However after starting of inoculation of human immune serum globulin (ISG), the frequency of HA declined remarkably. Statistical significance was recognized in the efficacy of ISG. Among 35 cases of hepatitis B (HB) (34 males and 1 female), 2 derived from HBe antigen carrier while the remaining 34 were regarded as infected during their stay in developing countries. No cases of HB were recognized among those who received injections of HB vaccine. The rate of people whose HB marker turned positive during their stay is showing a tendency of increase (4.2% in 1987). The frequency of infection with HB virus is especially high in Asian and African countries where the carrier rates of native people were also high. Ten cases of non-A non-B hepatitis were recognized. Among them 7 were infected in Asia, 1 in Africa and 1 in Central America.(ABSTRACT TRUNCATED AT 250 WORDS)

Adult

Early complications in second toe to hand transplantation-the occurrences and preventive measures.

The operative experience of twenty cases of second toe to hand transplantations was discussed. Although there was only one total failure, there were frequent complications. The factors leading to the high rate of complications (just over 1/3 of cases) were analysed. A treatment scheme, which took into consideration a large number of precautions and preventive measures against early complications was carefully outlined.

Adolescent

[The efficacy of personal prevention measures in controlling the exposure to metals of welders].

Biological monitoring of welders employed in a power plant showed urinary nickel levels largely exceeding the reference values (Ni-U welders mean = 43.2, S.D. = 22.1 micrograms/24 h; Ni-U reference values mean = 2.7, S.D. = 1.4 micrograms/24 h). Subsequently urinary excretion levels of other metals (Cr, Zn, Fe, Mn, Cu, Al, Pb) were measured for a more complete assessment of occupational exposure of these subjects; only aluminum and lead were found to slightly exceed the reference values and correlate with urinary nickel levels. As a consequence of these results, some adjustments in personal prevention measures were introduced at the workplace; the subsequent biological monitoring checks showed a progressive reduction in urinary nickel excretion levels over time in all welders.

Adult

[Iatrogenic disease observed in a hospital setting. II. Analysis of causes and suggestions for novel preventive measures].

In a previous article, we reported the results of a survey of iatrogenic illness in teaching hospitals. In the second part of this study, we shall consider the origins of the 109 adverse events which occurred in a 24-hour period among 1733 hospital patients in a total of 43 units (mean prevalence, 6.28%). In a total of 89 cases (83 of which were drug-related and 6 of which were of various non-instrumental causes), self-treatment and/or poor patient compliance appeared to be the main cause in 16 (18%); negligence or erroneous prescription (non-respect of a contraindication, wrong indication or dosage, excessive duration of treatment, inadequate monitoring, etc...) appeared to be responsible in 27 cases (30.3%). It may be that at least some of these cases of iatrogenic illness due to errors or negligence on the part of the patient and/or physician (48.3%) could be avoided in future by better training of health personnel and improved public health education. The human and financial costs of iatrogenic illness show that risk-prevention measures are required; we propose a number of strategies concerning both initial training in medical school and ongoing education in therapeutics, together with ways of improving the behaviour of both physicians and the pharmaceutical industry. The latter suggestions are addressed at the media and the health authorities; some concern legislation, while others are aimed at improving early public health education, an essential element in this setting.

Hospitals, University

[Postradiation secondary glaucoma and prevention measures].

The authors have examined the possibility of preventing the development of secondary glaucoma after eye irradiation with a narrow medicinal proton beam. Twenty-eight patients with cilio-choroidal melanoma were involved in the study, 7 male and 21 female ones, aged 48.4 on an average. The authors' findings evidence that postradiation changes in the anterior segment of the eye, resulting from radiation iridocyclitis, are mainly responsible for the development of secondary glaucoma. Preliminary laser-effected formation of iridal coloboma is conducive to a normal flow in the anterior chamber at the expense of an additional pupil functioning and thus helps reduce the possibility of secondary glaucoma development by 1.6 times (or by 38.5%).

Adult

[Preventive measures against fungal infections].

The manifestation of a mycotic infection can be prevented by exposition prophylaxis, disposition prophylaxis or chemoprophylaxis. The main statements are discussed. Protective measurements are helpful provided the instructions are followed continually. One must pay attention to one's personal hygiene. The environmental sanitation can be also important.

Amphotericin B

[Cerebral complications of cervical angiography (frequency, clinical manifestations, preventive measures and treatment)].

The authors carried out angiographic examinations in 327 patients with tumours in the cervical region and 11 of these (3.36%) demonstrated complications, toxico-allergic ones in 10 and thromboembolism of the cerebral vessels--in one case. Toxico-allergic reactions and dynamic disturbances of the cerebral circulation developed more often in contrasting 2 or more brachycephalic vessels, with a two-fold introduction of the contrast medium into one and the same vascular basin and also in cases of a quick injection of a relatively large amount of the compound into the vertebral artery. Thromboembolism of the cerebral vessels was, apparently, caused by a small clot of blood which occluded an atherosclerotically altered internal carotid artery at the site of its bifurcation. Clinical manifestations of the said complications and a number of preventive and curative measures in case of cerebral complications arising during cervical angiography are considered in detail.

Adolescent