Experimental assessment of an air curtain-sealed personal protective equipment for medical care: Influence of breathing and thermal plume

Experimental Thermal and Fluid Science, Год журнала: 2023, Номер 148, С. 110955 - 110955

Опубликована: Май 23, 2023

This paper presents the performance assessment of a novel air-sealed visor for medical care based on experiments. Personal Protective Equipment (PPE) provides effective aerodynamic sealing breathing zone, thus reducing risk inhaling droplets and aerosols carrying potential viral load. The air curtain supply system was designed after computational fluid dynamics exploratory simulations to determine suitable airflow conditions. main parameters under study are velocities fraction contaminated in zone. impact different rates, human breathing, thermal plume lateral barriers reduce leakage, investigated. For rate considering worst-case scenario with environment, results indicate that this PPE can zone by 31% 82%, without physical barriers, respectively. Although body has high velocity profile, it just affects device efficiency 2%. process increases improving 32%. shows using as an infection control barrier healthcare workers.

Язык: Английский

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Evaluation of an Australian community‐based model of care for adults with intellectual and developmental disabilities undergoing procedures under sedation

Journal of Policy and Practice in Intellectual Disabilities, Год журнала: 2024, Номер 21(4)

Опубликована: Окт. 6, 2024

Abstract Background Adults with intellectual and developmental disabilities (IDDs) have higher healthcare needs, but experience difficulties accessing preventative healthcare. Despite this inequity, models of care that address barriers provide customized treatment are limited, exacerbating vulnerabilities poorer health outcomes. This study describes the development a procedural model (PMOC) for adults disabilities, evaluates sedation tier, exploring procedure Methods Development PMOC was informed by current evidence themes identified in stakeholder consultation literature. A retrospective cohort evaluated option within model, conducted at community‐based disability service Melbourne, Australia. All records over 14‐month period were included. Descriptive statistics univariate logistic regression analysis used to analyze data. Results The includes assessment, intervention, evaluation tiers. Intervention options range from least most invasive, culminating level (mild; oral psychoactive, moderate; midazolam nitrous oxide, high; general anesthetic). total 127 IDDs received procedures under sedation; median age 26 years, 61% lived family, 81% had multiple disabilities. 197 referred CDDH, including immunization (61%) reviews (23%), resulted 98% completion rate. Mild ( n = 36) moderate 95) 67% procedures. correctly predicted 91% requirements. Living family (OR 2.211, 95% CI 1.001–4.885, p 0.05); 7.935, 4.025–15.644, <0.001); 3.064, 1.123–8.362, 0.029) associated mild, high options, respectively. Conclusions Models offering individualized interventions can support receive Demographic variables may be able predict Wider application reduce inequity vulnerable population.

Язык: Английский

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The Impact of Improved Oral Care Methods on the Oral Health of Patients Undergoing Transoral Mechanical Ventilation

Computational and Mathematical Methods in Medicine, Год журнала: 2022, Номер 2022, С. 1 - 7

Опубликована: Сен. 16, 2022

Objective. To explore the effects of improved oral care on number oropharyngeal bacteria and incidence ventilator-associated pneumonia in patients undergoing mechanical ventilation through endotracheal intubation by improving conventional methods operating procedures to evaluate quality effect. Methods. A total 100 cases mechanically ventilated with who met inclusion criteria were randomly divided into observation group control 50 each. The took routine care, that is, scrubbing 3 times per day, solution was selected as physiological brine. method, namely, before intubation, brushing washing after 0.1% povidone-iodine solution. Analysis comparison bacterial flora, cleanliness, pneumonia, time, ICU hospitalization mortality rate two groups analyzed compared. relevant data collected processed for statistical processing. Results. flora tracheal compared, there no significant difference ( $P>0.05$ ). After nursing, at 8 h, 16 24 h significantly lower than group. Statistics showed statistically id="M2"> < cleanliness higher group, while 8% 14%. show this is id="M3"> group’s score, GCS score better those id="M4"> which not id="M5"> Conclusion. Oral can effectively reduce are orotracheal pneumonia.

Язык: Английский

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Age-Related Oral and Systemic Disorders

Applied Sciences, Год журнала: 2022, Номер 12(22), С. 11583 - 11583

Опубликована: Ноя. 15, 2022

The advancement of medicine has reduced the global mortality rate; older adult population continues to grow and is expected reach 1 in 6 people by 2050 [...]

Язык: Английский

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Accessibility of Patients With Special Healthcare Needs to Dental Care in the Eastern Province of Saudi Arabia: A Multicentre Study From Perspective of Caregiver and Dental Care Providers

The Scientific World JOURNAL, Год журнала: 2024, Номер 2024(1)

Опубликована: Янв. 1, 2024

Dental care accessibility is subject to a dentist's qualification, practice and intention treat patients, regardless of whether those patients have special healthcare needs (SCN) should receive treatment in dental setting. This multicentre study aimed evaluate the characteristics with SCN, their access behaviour towards from caregiver's perspective. In addition, perspective providers who for SCN factors affecting provision was also appraised. The Eastern Province Saudi Arabia served as site this cross-sectional 1 February 2020 31 January 2022. Caregivers 272 age gender, were recruited study. proforma sought information on demographic characteristics, type disability, cooperation, medical history, occupation parent patient's oral hygiene healthcare. second had provider's about common disabilities, that affect decision provide treatment, difficulties face getting and, experience, recommendations improve SCN. Statistical analysis carried out by using SPSS version 22.0. features, perception professional's point view presented frequencies percentages. Chi-square test applied compare proportions. majority caregivers satisfied service (91.9%) survey results indicated shortage dentists (54.7%) region other pose challenges care, like severity disability (50%), family structure (46.7%), cost (35.6%) transportation (32.8%). Patients high appraisal very results. However, presence provider same rehabilitation centre major concern. cooperation may affected provider.

Язык: Английский

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An Ethical Analysis Regarding the COVID-19 Pandemic Impact on Oral Healthcare in Patients with Mental Disorders

Healthcare, Год журнала: 2023, Номер 11(18), С. 2585 - 2585

Опубликована: Сен. 19, 2023

During the COVID-19 pandemic, restrictive measures were imposed that significantly impacted healthcare system in general, and dental particular. The literature cites a possible association between mental oral health, as psychiatric patients have decreased awareness of their health and, therefore, poor status. Moreover, several studies found positive SARS-CoV-2 infection conditions, well This context generated multiple ethical dilemmas case persons with disorders who require treatment because they are more vulnerable this respect. article aims to analyze issues care for concerning measures. aspects involved here basic principles bioethics related elements accessibility, equity, consent, confidentiality.

Язык: Английский

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Dental radiographic changes in individuals with COVID-19: a controlled retrospective study

Oral Radiology, Год журнала: 2023, Номер 40(2), С. 148 - 157

Опубликована: Сен. 21, 2023

Язык: Английский

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Impact of the COVID-19 pandemic on the gingival health of children and adolescents with cerebral palsy

Brazilian Dental Science, Год журнала: 2023, Номер 26(3), С. e3799 - e3799

Опубликована: Янв. 1, 2023

Objective: to evaluate the impact of COVID-19 pandemic on children and adolescents with cerebral palsy, comparing gingival condition type dental treatment before after interruption care. Material Methods: retrospective longitudinal study consisted 273 participants undergoing Dental Clinic AACD (Disabled Child Assistance Association), divided into three groups according age: Group 1 (G1: 0 5 years 11 months; n=137), 2 (G2: 6 n=85) 3 (G3: 12 17 n=51). Sociodemographic, data, clinical pattern palsy use medication were collected, evaluating by index during, nine months Chi-square, Fisher Exact Kruskal-Wallis (a = 5%) tests used. Results: homogeneous in terms sex (p=0.4581), race (p=0.1725), (p=0.3482) antiepileptic drugs (p=0.3509). Regarding condition, period during pandemic, there was a reduction number Gingival Index scores an increase (p<0.05). As for procedures performed, showed preventive (p<0.05) surgical, periodontal restorative Conclusion: it is concluded that care had negative oral health. KEYWORDS COVID-19; Caregivers; Gingivitis; Oral health; Cerebral palsy.

Язык: Английский

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Oral health of schoolchildren before and after the COVID-19 pandemic

Bratislavské lekárske listy/Bratislava medical journal, Год журнала: 2023, Номер unknown

Опубликована: Окт. 25, 2023

BACKGROUND: The COVID-19 pandemic reduced access to medical services and led an increase in complications exacerbation of many diseases that occurred during after the pandemic, including deterioration oral health.One main health indicators is index number decayed, extracted, fi lled primary teeth (deft) or permanent (DEFT).The aim this study was determine whether restricted dental a among schoolchildren.METHOD: Data systematic examinations before (school year: 2018-2019) 2021-2022) were used for study.Systematic conducted all school students from rst ninth grades at Murska Sobota Public Health Center, lled, extracted (due caries) recorded each student.The deft DEFT values calculated compared (age range: six seven years) fth 10-11 range 14-15 grades, respectively.RESULTS: We found median whole population 3, whereas it 2 afterwards (p < 0.01).For second 3 = 0.01), third grade, 4 0.01).The 1 0 seventh, eighth 1, 2, respectively, 0, 0.01 seventh p 0.02 grade).CONCLUSION: results our showed lower deft/DEFT which could be explained by increased hygiene awareness as children/parents mostly responsible maintaining good health.Limited does not necessarily imply poor (Tab. Ref. 25).

Язык: Английский

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Manifestações Orais E Maxilofaciais Da Covid-19 – Revisão Integrativa Da Literatura

Revista Naval de Odontologia, Год журнала: 2023, Номер 50(1), С. 34 - 41

Опубликована: Янв. 1, 2023

Evidências científicas sugerem que o SARS-CoV-2 está nos tecidos orais na fase inicial da contaminação como principal reservatório viral. Além cavidade oral ser meio de propagação, também se torna uma localização comum das manifestações clínicas durante início e a evolução doença. O objetivo foi avaliar literatura as maxilofaciais decorrentes pela Covid-19. Trata-se revisão integrativa bases dados Literatura Latino-Americana do Caribe em Ciências Saúde (Lilacs), Scientific Electronic Library Online (Scielo) BBO Odontologia, artigos publicados entre os anos 2019 2022 retratassem temática estudo. Inicialmente, realizou-se busca pelos descritores individualmente, seguida, foram realizados cruzamentos utilizando operador booleano “AND” e, posteriormente, três cruzados conjunto. Os critérios inclusão foram: português, inglês espanhol, indexados nas referidas dados, partir – ano surgimento Covid-19 exclusão antes 2019, fora escolhidas fugissem Durante estudo, 28 selecionados todos citados. Conclui-se pacientes contaminados com tiveram podem incluir ulcerações, inflamações orofaringe, edemas retromandibulares, infecções fúngicas, xerostomia, anosmia ageusia.

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