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Zeitschriftenartikel zum Thema "Mouth Care and hygiene":
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Sadler, Catharine. „Nurses transform mouth care with oral hygiene plan“. Nursing Older People 32, Nr. 1 (28.01.2020): 12–13. http://dx.doi.org/10.7748/nop.32.1.12.s9.
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Jablonski, Rita A. „Oral Health and Hygiene Content in Nursing Fundamentals Textbooks“. Nursing Research and Practice 2012 (2012): 1–7. http://dx.doi.org/10.1155/2012/372617.
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The purpose of this paper is to describe the quantity and quality of oral hygiene content in a representative sample of before-licensure nursing fundamentals textbooks. Seven textbooks were examined. Quantity was operationalized as the actual page count and percentage of content devoted to oral health and hygiene. Quality of content was operationalized as congruency with best mouth care practices. Best mouth care practices included evidence-based and consensus-based practices as published primarily by the American Dental Association and supported by both published nursing research and review articles specific to mouth care and published dental research and review articles specific to mouth care. Content devoted to oral health and hygiene averaged 0.6%. Although the quality of the content was highly variable, nearly every textbook contained some erroneous or outdated information. The most common areas for inaccuracy included the use of foam sponges for mouth care in dentate persons instead of soft toothbrushes and improper denture removal.
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Asmi, Nur Fauzia. „Relationship of Knowledge with Implementation Personal Hygiene at Food Traders in Pasir Gombong Bekasi Regency“. Jurnal Berkala Kesehatan 8, Nr. 2 (30.11.2022): 140. http://dx.doi.org/10.20527/jbk.v8i2.14654.
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Food handlers such as food traders have an important role in food processing because they can transmit disease through food. Food vendors provide personal hygiene such as using mouth coverings, aprons, desserts and coverings in preparing food can trigger events such as diarrhea, poisoning, etc. The purpose of this study was to determine the relationship with the implementation of personal hygiene, such as mouth coverings, use of aprons, food tongs and head coverings in food procesing. The type of research used is observational analytic with a cross sectional study approach. The population in this study were food traders in the Pasir Gombong area with a total sample of 64 people selected based on the lemeshow formula using simple random sampling technique. Data analysis used is chi-square. The results of this study indicate that there is a significant relationship between knowledge and personal hygiene using mouth coverings (p-value 0.005) and aprons (p-value 0.032) and no significant relationship between knowledge and the use of food tongs and head coverings with their p-value 0.111.
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Berry, Angela M., Patricia M. Davidson, Janet Masters und Kaye Rolls. „Systematic Literature Review of Oral Hygiene Practices for Intensive Care Patients Receiving Mechanical Ventilation“. American Journal of Critical Care 16, Nr. 6 (01.11.2007): 552–62. http://dx.doi.org/10.4037/ajcc2007.16.6.552.
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Background Oropharyngeal colonization with pathogenic organisms contributes to the development of ventilator-associated pneumonia in intensive care units. Although considered basic and potentially nonessential nursing care, oral hygiene has been proposed as a key intervention for reducing ventilator-associated pneumonia. Nevertheless, evidence from randomized controlled trials that could inform best practice is limited. Objective To appraise the peer-reviewed literature to determine the best available evidence for providing oral care to intensive care patients receiving mechanical ventilation and to document a research agenda for this important activity in optimizing patients’ outcomes. Methods Articles published from 1985 to 2006 in English and indexed in the CINAHL, MEDLINE, Joanna Briggs Institute, Cochrane Library, EMBASE, and DARE databases were searched by using the key terms oral hygiene, oral hygiene practices, oral care, mouth care, mouth hygiene, intubated, mechanically ventilated, intensive care, and critical care. Reference lists of retrieved journal articles were searched for publications missed during the primary search. Finally, the Google search engine was used to do a comprehensive search of the World Wide Web to ensure completeness of the search. The search strategy was verified by a health librarian. Results The search yielded 55 articles: 11 prospective controlled trials, 20 observational studies, and 24 descriptive reports. Methodological issues and the heterogeneity of samples precluded meta-analysis. Conclusions Despite the importance of providing oral hygiene to intensive care patients receiving mechanical ventilation, high-level evidence from rigorous randomized controlled trials or high-quality systematic reviews that could inform clinical practice is scarce.
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Kumari, Sanju, und Rathish Nair. „Oral Care in Intubated Patients Whether or not on Mechanical Ventilation: A Systemic Review“. Nursing Journal of India CIX, Nr. 05 (2018): 206–10. http://dx.doi.org/10.48029/nji.2018.cix503.
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Oral care is an important part of nursing management in intubated patients as it affects both wellness and clinical outcomes of intensive care patients. Many of the intubated patients develop nosocomial pneumonia (ventilator-associated-pneumonia when on mechanical ventilation) owing to invasion by oropharyngeal microorganisms in intensive care patients. So intensive care intubated patients need proper oral assessment and oral care to avoid complications caused by oropharyngeal bacteria. We aimed to determine the standard practice guidelines over oral hygiene intubated patients in intensive care unit. For the purpose of collection of data we searched extensively on internet databases including Pub Med, Med know, Google scholar and EBSCO HOST. The keywords used were oral care, oral hygiene practice, mouth care, mouth hygiene, intubated, mechanical ventilation, intensive care and critical care. We analysed the studies performed on adult intensive care intubated patients, published in peer reviewed. Type of studies analysed were descriptive evaluation studies, randomised controlled trials, literature review and meta-analysis and randomised clinical trials. After the analysis of all study article we concluded that oral brushing with chlorhexidine solution in various strength (0.12%, 0.2%, 2%) at least twice a day can reduce the incidence of VAP in intensive care intubated patients.
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Jablonski, Rita A., Barbara Therrien und Ann Kolanowski. „No More Fighting and Biting During Mouth Care: Applying the Theoretical Constructs of Threat Perception to Clinical Practice“. Research and Theory for Nursing Practice 25, Nr. 3 (2011): 163–75. http://dx.doi.org/10.1891/1541-6577.25.3.163.
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The purpose of this article is to describe how the neurobiological principles of threat perception and fear response can support clinical approaches to prevent and reduce care-resistant behaviors during mouth care. Nursing home residents who exhibit care-resistant behavior are at risk for poor oral health because daily oral hygiene may not be consistently provided. Poor oral health predisposes these older people to systemic problems such as pneumonia, cerebral vascular accidents, and hyperglycemia. Care-resistant behavior is a fear-evoked response to nurses’ unintentionally threatening behavior during mouth care. Nurses can safely and effectively provide mouth care to persons with dementia who resist care by using personalized combinations of 15 threat reduction strategies.
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Abidia, Randa F. „Oral Care in the Intensive Care Unit: A Review“. Journal of Contemporary Dental Practice 8, Nr. 1 (Januar 2007): 76–82. http://dx.doi.org/10.5005/jcdp-8-1-76.
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Abstract Oral care for patients in the hospital's Intensive Care Unit (ICU) is important, but this is usually the responsibility of nurses without sufficient knowledge in oral care or comprehensive protocols to follow. The problems of maintaining oral care with oral intubation, performing oral assessment, guidelines for oral hygiene care, frequency of oral care needed, and suggested mouth care protocol followed by recommendations are presented and discussed in this paper. Citation Abidia RF. Oral Care in the Intensive Care Unit: A Review. J Contemp Dent Pract 2007 January;(8)1:076-082.
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Musienko, A. I., К. I. Nesterova und A. A. Musienko. „Preventive hygiene measures after reparative osteogenesis in patients with chronic generalized periodontitis“. Periodontology 24, Nr. 2 (29.04.2019): 179–83. http://dx.doi.org/10.33925/1683-3759-2019-24-2-179-183.
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Abstract Relevance. Improving the efciency of dental orthopedic care for patients with generalized periodontal disease is an actual modern problem.Materials and methods. A comparative evaluation of the effectiveness of various types of toothpaste in the postoperative period of dental implantation due to partial absence of teeth, periodontitis of moderate severity during gum recession was carried out. In group I (group I, n = 32), patients used a paste containing sodium bicarbonate, in group II (n = 25) – without sodium bicarbonate. Postoperative complaints and symptoms of reactive inflammation were monitored for 10 days; before the operation, after 1, 3, 6 and 12 months after it – hygiene indices Silness J., Loe H., Muhllemen; PMA index.Results. In general, the duration of postoperative reactive inflammation in the groups did not have signifcant differences, but in terms of the relief of edema, bleeding and the severity of breath from the mouth, the best results were in the patients of the group. The hygiene indices before the operation and immediately after it were comparable, but a month after the surgical intervention in patients of group I, all the hygiene indices were better, over time these differences increased and had a reliable character. The Muhlemann index was more dependent on the use of single-stage implantation technology using growth factor, while the PMA index, on the contrary, reflected the effectiveness of not only surgical technology, but also the quality of postoperative hygienic and therapeutic measures.Conclusions. Studies have shown that the systematic use in the postoperative period of toothpaste containing sodium bicarbonate allows you to stop edema, bleeding and the severity of breath from the mouth, improves the performance of basic hygiene indices than other types of toothpastes.
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Holmes, Susan. „The management of xerostomia in older adults“. Reviews in Clinical Gerontology 9, Nr. 4 (November 1999): 317–26. http://dx.doi.org/10.1017/s0959259899009442.
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Since the oral cavity has a specific role in maintaining wellbeing, appropriate care can help to increase quality of life by keeping the mouth free from infection, maintaining dentition - thus facilitating ‘normal’ eating - and restoring appearance. Yet, as age increases, the ability to carry out effective oral care may be jeopardized by physical and mental disability and an associated inability to manage personal care. Indeed, a significant relationship between dexterity, impaired oral hygiene and accumulation of dental plaque has been demonstrated in institutionalized older adults. Although levels of untreated dental caries, periodontal disease and tooth loss may be significant, oral care is frequently overlooked in older individuals; dental care is rarely provided in institutional settings, often being sought only when an oral health problem is identified. There is, therefore, a significant unmet dental need, associated with marked oral disease and poor levels of oral hygiene. This is often exacerbated by the effects of aging on the mouth.
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Fulmer, Terry, und Patricia Cabrera. „The Primary Care Visit: What Else Could Be Happening?“ Nursing Research and Practice 2012 (2012): 1–4. http://dx.doi.org/10.1155/2012/720506.
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The Institute of Medicine Report called for a greater role for nurses within the context of oral health in two recent publications,Advancing Oral Health in America(2011) andImproving Access to Oral Health Care for Vulnerable and Underserved Populations(2011). Nurses provide care for many vulnerable persons, including frail and functionally dependent older adults, persons with disabilities, and persons with intellectual and developmental disabilities. These persons are the least likely to receive necessary, health-sustaining dental care (which is distinct from mouth care). The mouth, or more accurately, plaque, serves as a reservoir for bacteria and pathogens. The link between mouth care, oral health, and systemic health is well-documented; infections such as pneumonia have been linked to poor oral health. Nurses, therefore, need to reframe mouth care as oral infection control and infection control more broadly. The can provide the preventive measure that are crucial to minimizing systemic infections. Nurses in all settings can potentially provide mouth care, conduct oral health assessments, educate patients about best mouth care practices, and make dental referrals. Yet, nurses are often hesitant to do anything beyond basic oral hygiene—and even in this area, often fail to provide mouth care based on best practices.
Dissertationen zum Thema "Mouth Care and hygiene":
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Yip, Shuaih-yee Bethia, und 葉率意. „Oral care practice in cancer nursing“. Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2006. http://hub.hku.hk/bib/B45011990.
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Guzzi, Johnna M. „Impact of early childhood perceptions and experiences on oral health practices in later life“. Morgantown, W. Va. : [West Virginia University Libraries], 2002. http://etd.wvu.edu/templates/showETD.cfm?recnum=2651.
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Thesis (M.S.)--West Virginia University, 2002. Title from document title page. Document formatted into pages; contains ix, 83 p. : ill. (some col.). Vita. Includes abstract. Includes bibliographical references (p. 64-66).
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Adam, Razia Zulfikar. „Do complete dentures improve the quality of life of patients?“ Thesis, University of the Western Cape, 2006. http://etd.uwc.ac.za/index.php?module=etd&.
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Few studies have documented the impact of complete dentures on patients&rsquo oral health-related quality of life. Objectives: The purpose of this study was to investigate the relationship between gender, age, socioeconomic status and denture satisfaction
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Li, Kar-yan, und 李嘉恩. „Age-period-cohort analysis of sequential cross-sectional oral health survey data“. Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2010. http://hub.hku.hk/bib/B45159336.
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Jose, Babu. „Dental caries and oral hygiene practices of children and caregivers inKerala, India“. Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2001. http://hub.hku.hk/bib/B31954224.
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林煥彩 und Huancai Lin. „Oral health status, knowledge, attitudes and behaviour of adults in Guangdong, China“. Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1999. http://hub.hku.hk/bib/B31238981.
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Gibson, Heather D. „An oral hygiene education program based on an assessment of the oral health needs of children ages four to seven in Guastatoya, Guatemala“. Morgantown, W. Va. : [West Virginia University Libraries], 2002. http://etd.wvu.edu/templates/showETD.cfm?recnum=2707.
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Thesis (M.S.)--West Virginia University, 2002. Title from document title page. Document formatted into pages; contains ix, 92 p. : ill. (some col.). Vita. Includes abstract. Includes bibliographical references (p. 45-46).
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Leung, Chun-fung Albert, und 梁晉峰. „Aetiological, behavioural and cultural features of halitosis in a HongKong population“. Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1998. http://hub.hku.hk/bib/B31215646.
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Rantanen, Irma. „Betaine in oral hygiene with special attention to dry and sensitive mucosa“. Turku : Turun Yliopisto, 2003. http://books.google.com/books?id=qcJpAAAAMAAJ.
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Chong, Adeline Yang Li. „The effects of chlorhexidine containing toothpastes and tea tree oil containing mouthwashes on plaque and gingival inflammation : a thesis submitted in partial fulfilment for the degree of Masters [sic] of Dental Surgery (Periodontics)“. Title page, contents and summary only, 1999. http://web4.library.adelaide.edu.au/theses/09DM/09dmc548.pdf.
British Columbia. Ministry of Health & Ministry Responsible for Seniors & the Ministry of Advanced Education, Training & Technology. Mouth care for persons in residential care. Vancouver, B.C: Edlers Group, Faculty of Dentistry, U.B.C., 1998.
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International Symposium for Interface Oral Health Science (3rd 2009 Sendai, Japan). Interface Oral Health 2009: Proceedings of the 3rd International Symposium for Interface Oral Health Science, held in Sendai, Japan, between January 15 and 16, 2009 and the 1st Tohoku-Forsyth Symposium, held in Boston, MA, USA, between March 10 and 11, 2009. Herausgegeben von Sasano T. (Takashi), Suzuki, O. (Osamu) Ph.D., Stashenko P. (Philip) und Tohoku-Forsyth Symposium (1st : 2009 : Boston, MA). Tokyo: Springer, 2010.
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Cinar, Ayse Basak. Oral and general health promotion for children: A holistic approach : basics, concepts, behavioral aspects, a research-based evidence. Saarbrücken, Germany: VDM Verlag Dr. Müler, 2009.
Morgan, Anne. „Mouth Care“. In Textbook of Palliative Care, 335–42. Cham: Springer International Publishing, 2019. http://dx.doi.org/10.1007/978-3-319-77740-5_37.
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Morgan, Anne. „Mouth Care“. In Textbook of Palliative Care, 1–8. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-31738-0_37-1.
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Fusco, Flavio. „Mouth Care“. In Textbook of Palliative Medicine and Supportive Care, 539–46. 3. Aufl. Boca Raton: CRC Press, 2021. http://dx.doi.org/10.1201/9780429275524-56.
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Bateman, Emma, Richard Logan, Rachel Gibson und Dorothy Keefe. „Mouth“. In Textbook of Palliative Care, 1–17. Cham: Springer International Publishing, 2018. http://dx.doi.org/10.1007/978-3-319-31738-0_17-1.
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Moro, Maria Luisa, Marie-Noëlle Chraïti und Benedetta Allegranzi. „Hand Hygiene in Long-Term Care Facilities and Home Care“. In Hand Hygiene, 329–36. Hoboken, NJ, USA: John Wiley & Sons, Inc., 2017. http://dx.doi.org/10.1002/9781118846810.ch42c.
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Harr, Jeffrey N., Philip F. Stahel, Phillip D. Levy, Antoine Vieillard-Baron, Yang Xue, Muhammad N. Iqbal, Jeffrey Chan et al. „Hand Hygiene“. In Encyclopedia of Intensive Care Medicine, 1009. Berlin, Heidelberg: Springer Berlin Heidelberg, 2012. http://dx.doi.org/10.1007/978-3-642-00418-6_3128.
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Konferenzberichte zum Thema "Mouth Care and hygiene":
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Eltai, Nahla Omer, Lubna Abu Rub, Hana A. Mohamed, Asma A. Al Thani, Hamda Qotba und Hadi M. Yassine. „Testing Air Quality of Primary Health Care Centers in Qatar“. In Qatar University Annual Research Forum & Exhibition. Qatar University Press, 2020. http://dx.doi.org/10.29117/quarfe.2020.0125.
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Background: Poor indoor air quality results in significant adverse effects on human health. In particular, the hospital atmospheric environment requires high air quality to protect patients and health care workers against airborne disease including nosocomial infections. Monitoring and surveillance programs of air pollutants and communicable diseases are essential as they provide information on the effectiveness of occupational hygiene and hazard control, and beneficial in assessing risks to community and environment. Objectives: This study aims to identify, monitor and report the level of air borne bacteria at four PHCC canters in Doha. Methodology: Four primary Health Centers (HC) were selected for testing air quality namely, Qatar University HC (North of Doha), AlRayan HC (West of Doha), Um Ghualina HC (Centre of Doha) and Old airport HC (South of Doha). Three sublocations were tested in each health center including a triage room, lobby and outdoor sample; each centre was visited once a month. Two sampling methods were used in this study: Anderson impactor (viable method) and filtration method (non-viable method). Anderson six stages impactor (TISCH Environmental, USA) was used to collect airborne bacteria on nutrient agar plates. Then the samples were incubated at 37 o C for 24 - 48 hours. The average colony- forming units (CFU) of bacteria was calculated per cubic meter of air (CFU/m3 ). On the other hand, the SKC Button Sampler (SKC Inc. PA, USA) was used to collect the airborne bacteria using cellulose ester filters. The collected isolates will be identified by sequencing 16srRNA (Miseq) later. Preliminary results: According to our preliminary results, the smallest average number of bacteria in the air was detected in QU HC, 3.2 (CFU/m3 ). While the highest average number was 44.7 CFU/m3 detected in Old Airport HC. Al-Rayyan HC and Om Ghuilina HC exhibited 30 and 20 CFU/m3 sequentially. Conclusions: Our preliminary results depicted that the occupancy pattern, size, and age of the building affect the number of bacteria in the air. However, more samples will be collected for better statistical sample size and analysis. .In addition, the captured airborne bacteria will be identified by 16s r RNA sequencing later.
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Nugent, Melanie Jane, Annette Brooke, Suzanne Monks und Nicola George. „47 Mouth care matters project echo“. In The Marie Curie Research Conference Improving End of Life for All Sunday 30 January – Friday 4 February 2022. British Medical Journal Publishing Group, 2022. http://dx.doi.org/10.1136/spcare-2021-mcrc.47.
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Cowin, P. „124. Industrial Hygiene Career Development Program“. In AIHce 1996 - Health Care Industries Papers. AIHA, 1999. http://dx.doi.org/10.3320/1.2764784.
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Hamzah, Arie Utariani, Kohar Hari Santoso, Christrijogo Sumartono, Soni Sumarso, Sulistiawan und Alsep Dolfi Luntungan. „Growth Changes of Mouth Germs after Implementation of Oral Hygiene Actions“. In The 23rd Regional Conference of Dermatology 2018. SCITEPRESS - Science and Technology Publications, 2018. http://dx.doi.org/10.5220/0008156503160319.
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Paik, N. „37. Practice of Industrial Hygiene in Korea“. In AIHce 1996 - Health Care Industries Papers. AIHA, 1999. http://dx.doi.org/10.3320/1.2765058.
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Nawakowski, A. „250. Industrial Hygiene Initiatives in Eastern Europe“. In AIHce 1996 - Health Care Industries Papers. AIHA, 1999. http://dx.doi.org/10.3320/1.2764919.
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Yeomans, Jamie. „P-135 Amended mouth care matters project“. In A New World – Changing the landscape in end of life care, Hospice UK National Conference, 3–5 November 2021, Liverpool. British Medical Journal Publishing Group, 2021. http://dx.doi.org/10.1136/spcare-2021-hospice.152.
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Petosa, L. „102. IAQ and Mechanical Hygiene: The Nuts and Bolts“. In AIHce 1996 - Health Care Industries Papers. AIHA, 1999. http://dx.doi.org/10.3320/1.2764763.
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Esposito, P., und T. Stich. „127. Integrating Performance Measures with Industrial Hygiene Program Evaluations“. In AIHce 1996 - Health Care Industries Papers. AIHA, 1999. http://dx.doi.org/10.3320/1.2764787.
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Groover, D. „128. Behavioral Analysis: Bringing Good Science to Industrial Hygiene“. In AIHce 1996 - Health Care Industries Papers. AIHA, 1999. http://dx.doi.org/10.3320/1.2764788.
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Berichte der Organisationen zum Thema "Mouth Care and hygiene":
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Souza, Elaine Oliveira, Poliana Leal Silva, Rudval Souza Silva, Flávia Catarino Conceição Ferreira und Larissa Chaves Pedreira. Self-care for oral hygiene in adults and the elderly in nursing: scope review protocol. INPLASY - International Platform of Registered Systematic Review and Meta-analysis Protocols, Februar 2022. http://dx.doi.org/10.37766/inplasy2022.2.0034.
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Review question / Objective: This scoping review will use the following question: What is the concept of self-care for oral hygiene in adults and elderly individuals in nursing care settings? Subsequent questions will be used in order to achieve better results, as follows: What does the demand for self-care for oral hygiene require? What is self-care for oral hygiene? What results stem from the self-care deficit for oral hygiene? The objective of this scoping review is to map the evidence available in the field of nursing on the antecedents, attributes and consequences of self-care for oral hygiene in adults and elderly individuals. Information sources: Medline/Pubmed, CINAHL, Scopus, Web of Science, LILACS and IBECS will be used. As gray literature, the CAPES Digital Library of Theses and Dissertations and the OpenGrey platform will be evaluated.
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Jenkins, J. Lee, Edbert B. Hsu, Anna Russell, Allen Zhang, Lisa M. Wilson und Eric B. Bass. Infection Prevention and Control for the Emergency Medical Services and 911 Workforce. Agency for Healthcare Research and Quality (AHRQ), November 2022. http://dx.doi.org/10.23970/ahrqepctb42.
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Objectives. To summarize current evidence on exposures to infectious pathogens in the emergency medical services (EMS) and 911 workforce, and on practices for preventing, recognizing, and controlling occupationally acquired infectious diseases and related exposures in that workforce. Review methods. We obtained advice on how to answer four Guiding Questions by recruiting a panel of external experts on EMS clinicians, State-level EMS leadership, and programs relevant to EMS personnel, and by engaging representatives of professional societies in infectious diseases and emergency medicine. We searched PubMed®, Embase®, CINAHL®, and SCOPUS from January 2006 to March 2022 for relevant studies. We also searched for reports from State and Federal Government agencies or nongovernmental organizations interested in infection prevention and control in the EMS and 911 workforce. Results. Twenty-five observational studies reported on the epidemiology of infections in the EMS and 911 workforce. They did not report demographic differences except for a higher risk of hepatitis C in older workers and severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2) in minorities. EMS clinicians certified/licensed in Advanced Life Support have a high risk for blood and fluid exposure, and EMS clinicians had a higher risk of hospitalization or death from SARS-CoV-2 than firefighters whose roles were not primarily related to medical care. Eleven observational studies reported on infection prevention and control practices (IPC), providing some evidence that hand hygiene, standard precautions, mandatory vaccine policies, and on-site vaccine clinics are effective. Research on IPC in EMS and 911 workers has increased significantly since the SARS-CoV-2 pandemic. Conclusions. Moderate evidence exists on the epidemiology of infections and effectiveness of IPC practices in EMS and 911 workers, including hand hygiene, standard precautions, mandatory vaccine policies, and vaccine clinics. Most evidence is observational, with widely varying methods, outcomes, and reporting. More research is needed on personal protective equipment effectiveness and vaccine acceptance, and better guidance is needed for research methods in the EMS and 911 worker setting.
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Boyes, Allison, Jamie Bryant, Alix Hall und Elise Mansfield. Barriers and enablers for older people at risk of and/or living with cancer to accessing timely cancer screening, diagnosis and treatment. The Sax Institute, Juli 2022. http://dx.doi.org/10.57022/ieoy3254.
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• Older adults have complex and unique needs that can influence how and when cancer is diagnosed, the types of treatment that are offered, how well treatment is tolerated and treatment outcomes. • This Evidence Check review identified 41 studies that specifically addressed barriers and enablers to cancer screening, diagnosis and treatment among adults aged 65 years and older. • Question 1: The main barriers for older people at risk of and/or living with cancer to access and participate in timely cancer screening relate to lack of knowledge, fear of cancer, negative beliefs about the consequences of cancer, and hygiene concerns in completing testing. The main enablers to participation in timely cancer screening include positive/helpful beliefs about screening, social influences that encourage participation and knowledge. • Question 2: The main barriers for older people at risk of and/or living with cancer to access and/or seek timely cancer diagnosis relate to lack of knowledge of the signs and symptoms of cancer that are distinct from existing conditions and ageing, healthcare accessibility difficulties, perceived inadequate clinical response from healthcare providers, and harmful patient beliefs about risk factors and signs of cancer. The main enablers to accessing and/or seeking a timely cancer diagnosis include knowledge of the signs and symptoms of cancer, and support from family and friends that encourage help-seeking for symptoms. • Question 3: The main barriers for older people at risk of and/or living with cancer in accessing and completing cancer treatment include discrimination against patients in the form of ageism, lack of knowledge, patient concern about the adverse effects of treatment, predominantly on their independence, healthcare accessibility difficulties including travel and financial burden, and patients’ caring responsibilities. The main enablers to accessing and completing cancer treatment are social support from peers in a similar situation, family and friends, the influence of healthcare providers, and involving patients in treatment decision making. • Implications. The development of strategies to address the inequity of cancer outcomes in people aged 65 years and older in NSW should consider: Increasing community members’ and patients’ knowledge and awareness by providing written information and decision support tools from a trusted source Reducing travel and financial burden by widely disseminating information about existing support schemes and expanding remote patient monitoring and telehealth Improving social support by promoting peer support, and building the support capacity of family carers Addressing ageism by supporting patients in decision making, and disseminating education initiatives about geriatric oncology to healthcare providers Providing interdisciplinary geriatric oncology care by including a geriatrician as part of multidisciplinary teams and/or expanding geriatric oncology clinics.
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Decontamination of the mouth or digestive tract was not linked to reductions in drug-resistant bloodstream infections in the intensive care unit. National Institute for Health Research, Februar 2019. http://dx.doi.org/10.3310/signal-000727.
