Dissertationen: „Mouth Care and hygiene“

1

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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2

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).

3

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&amp.

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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

4

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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5

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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6

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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7

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).

8

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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9

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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10

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.

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11

Yiu, Kar-yung Cynthia, und 姚嘉榕. „Evaluation of interdental cleaning in adolescents and young adults in Hong Kong“. Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 1989. http://hub.hku.hk/bib/B31953918.

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12

Linjewile-Marealle, Navoneiwa. „Oral health and nutritional status of the children under five years, Queen Elizabeth II Hospital, Maseru, Lesotho“. Thesis, University of the Western Cape, 2006. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_1437_1190193126.

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The aim of this study was to compare the oral health status between well and malnourished children under five years old attending Mother and Child Health clinic in Queen Elizabeth II Hospital in Maseru, Lesotho.

13

Albougy, Hany Ahed. „A systematic review of the management of oral candidiasis associated with HIV/AIDS“. Thesis, Stellenbosch : Stellenbosch University, 2002. http://hdl.handle.net/10019.1/52713.

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On t.p.: Degree MSc Dental Science (Community Dentistry)
Thesis (MSc)--Stellenbosch University, 2002.
ENGLISH ABSTRACT: The purpose of this review was to investigate the management of oral candidiasis in HIV/AIDS patients and to evaluate the different guidelines that are available for its management. To achieve this aim, three objectives were identified: (i) to identify and report on the different interventions used to manage oral candidiasis, in patients with HIV/AIDS, (ii) to determine the efficacy of these interventions, and (iii) to provide guidelines for management. A thorough systematic search of the literature was carried out and all relevant papers were graded into three levels of evidence (A, B, and C) and scored for quality according to set criteria. A number of topical and systemic antifungal medications are used to treat oral candidiasis in HIV-positive patients. These include the poleyne antibiotics, nystatin and amphotericin B. Milder episodes of oral candidiasis respond to topical therapy with nystatin, clotrimazole troches or oral ketoconazole. Fluconazole has been extensively evaluated as a treatment for candidiasis. With HIV-infection, a cure rate of 82% has been achieved with a daily oral dose of 50 mg. Fluconazole was found to be a better choice of treatment for relapsing oropharyngeal candidiasis, resulting in either better cure rates or better prevention of relapse. Intravenous amphotericin B has been found to be effective therapy in azole refractory candidiasis where it was shown to be safe and well tolerated. Topical therapies were found to be effective treatment for uncomplicated oropharyngeal candidiasis, however patients relapsed more quickly than those treated with oral systemic antifungal therapy. Overall, nystatin appears less effective than clotrimazole and the azoles in the treatment of oropharyngeal candidiasis. With regard to the resolution of clinical symptoms, clotrimazole was found to be just as effective as the azoles, except when patient compliance was poor. Fluconazole-treated patients were more likely to remain disease-free during the fluconazole follow-up period than with those treated with other interventions. Relatively few studies were qualified to address the provision of guidelines for the management of oral candidiasis in primary health care settings. Most of the studies found were of moderate and low quality level of evidence. These studies included the assessment of different guidelines for identification, treatment and dental needs. They stressed that patients with HN need dentists who will act as primary health care providers, together with other providers to ensure adequate overall care. Given the level of interest and importance of candidiasis associated with treatment of HN -positive patients, it is surprising to find that little high quality research has been undertaken. As such, it is hoped that this review would provide researchers, oral health care workers and other health care providers with an overview of the management of oral candidiasis associated with HN/AIDS.
AFRIKAANSE OPSOMMING: Die doelstelling van die oorsig was om ondersoek in te stel na die hantering van orale kandidiase in HIV/AIDS pasiënte asook om die verskillende beskikbare riglyne vir die behandeling daarvan te evalueer. Ter verwesenliking van hierdie doelstelling is drie doelwitte geïdentifiseer: (i) om die intervensies wat gebruik word in die hantering van orale kandidiase behandeling te identifiseer, (ii) om die effektiwiteit van hierdie intervensies te identifiseer en (iii) om op grond hiervan riglyne vir die hantering voor te stel. 'n Sistematiese literatuursoektog is uitgevoer en alle relevante artikels is in drie groepe geklassifiseer (A, B en C) op grond van die data kwaliteit. 'n Verskeidenheid topikale en sistemiese antifungale middels word gebruik om orale kandidiase in HIV-positiewe pasiënte te behandel. 'n Sukseskoers van 82% is met die gebruik van 'n daaglikse dosis van 50 mg medikament gerapporteer. Fluconazole was die beter keuse van middel vir die behandeling van terugkerende orofaringeale kandidiase. Topikale behandeling was effektief in die behandeling van ongekompliseerde orofaringeale kandidiase, hoewel die kans op terugkeer van die toestand groter was as met die sistemiese middels. Pasiënte wat met flukonasool behandel is, het 'n groter kans gehad om siektevry te bly vergeleke met pasiënte op die ander intervensies. Meeste van die studies was van middelmatige tot lae kwaliteit en gevolglik was dit moeilik om behandelingsriglyne te stel. Wat egter wel duidelik is, is dat HIV pasiënte primêre mondsorg benodig wat saam met ander versorging omvattende sorg sal verseker.

14

Pow, Ho-nang Edmond, und 鮑浩能. „Oral health and quality of life after intensity-modulated head and neck radiotherapy for nasopharyngeal carcinoma“. Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2006. http://hub.hku.hk/bib/B4501565X.

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15

Hashim, Raghad, und n/a. „A quantitative and qualitative study of early childhood caries among young children in the Emirate of Ajman, United Arab Emirates“. University of Otago. School of Dentistry, 2008. http://adt.otago.ac.nz./public/adt-NZDU20080521.144521.

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Objectives: The objective of the quantitative research was to estimate the prevalence of Early Childhood Caries (ECC) and severe Early Childhood Caries (s-ECC) and the severity of Early Childhood Caries (ECC) in the primary dentition of young children in Ajman, UAE, and investigate their association with child and family characteristics, dietary habits, fluoride use, oral hygiene practices and dental services utilization. The purpose of the qualitative research was to obtain information that could explain some of the findings of the quantitative stage in order to progress towards determining a strategy to control ECC in this population. Methods: A two-stage cluster sample was used to randomly select children aged 5 or 6 years old who were enrolled in public or private schools in Ajman, UAE. Clinical examinations for caries were conducted by a single examiner using WHO criteria. Parents completed questionnaires seeking information on child and family characteristics, dietary habits, oral hygiene, fluoride use and dental service utilization. Bivariate and multivariate analyses were used to identify risk markers and risk indicators for caries experience. To complement the quantitative findings, the second (qualitative) stage of the research was conducted with six chosen groups of mothers from different educational backgrounds and different nationalities. Each group contained between six and ten mothers - some of whose children had been examined in the quantitative section of the project. The mothers were invited to comment on the significance for them of those risk indicators identified in the earlier section of the research. The manual thematic coding method of analysis was used. Problems concerning the dental health of children were identified based on the results of both stages. Results: The total number of children sampled was 1297. Dental examination and questionnaire data were obtained for 1036 (79.9%), of whom 50.0% were female. The prevalence of ECC in 5- and 6-year-old children was 72.9% (95% CI, 61.8, 83.9) and 80.0% (95% CI, 76.0, 84.4) respectively, with mean dmft scores of 4.0 (sd, 4.1) and 4.9 (sd, 4.3) respectively (P<0.05). The overall prevalence of s-ECC was 31.1% (95% CI, 23.6, 38.9). Multivariate analysis indicated that frequency of snacking between meals per day, snack consumption level and the frequency of brushing had a significant effect on the severity of ECC, while only the snack consumption level and the frequency of brushing had a significant effect on plaque score. There was a strong association between plaque score and the severity of ECC. The total number of mothers who contributed to the qualitative study was 42. The findings of the qualitative stage showed that some mothers had a negative perception toward the primary dentition and unhelpful attitudes towards their children�s diets (through promoting a high consumption of cariogenic food), while the use of fluoride (other than in toothpaste) was rare. However, many mothers were in favor of bottled water fluoridation once they understood the benefits of such a scheme and supported the idea of a dental preventive program beng provided through their children�s schools. Conclusions: The prevalence and severity of ECC in young children in Ajman is high, with child and family characteristics, dietary habits, oral hygiene practices and dental utilization being important determinants. Young children in Ajman would benefit from health promotion strategies directed towards appropriate dietary practices and oral hygiene measures framed within culturally specific guidelines.

16

Leung, Chiu-man Katherine, und 梁超敏. „Effect of cevimeline on oral health and quality of life in Sjögren's syndrome patients“. Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2006. http://hub.hku.hk/bib/B38205762.

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17

Shub, Alexis. „Periodontal disease and adverse pregnancy outcomes“. University of Western Australia. School of Women's and Infants' Health, 2007. http://theses.library.uwa.edu.au/adt-WU2007.0184.

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[Truncated abstract] Periodontal disease is a common and underdiagnosed disease in humans that may have adverse effects on pregnancy outcomes. The aim of this thesis was to investigate the effects of periodontal disease in pregnancy by means of two observational human studies and the development of animal models of fetal and uterine exposure to periodontopathic bacteria and lipopolysaccharide. I performed a prospective study examining the rates of preterm birth, small for gestational age neonates and neonatal inflammation in 277 women who had undergone a detailed antenatal periodontal examination and oral health questionnaire. Periodontal disease was associated with small for gestational age neonates, and increased CRP levels in umbilical cord blood, but no effect was seen on the rate of preterm birth. Maternal oral health symptoms predicted both periodontal disease and newborn biometry. In a retrospective case control study, I examined the role of periodontal disease in perinatal mortality. Participants included 53 women who had experienced a perinatal loss for which no cause could be found after thorough investigation, and 111 control women. Women who had experienced a perinatal loss were more than twice as likely as controls to have periodontal disease. The incidence of periodontal disease was even higher in women in whom the perinatal loss was due to extreme prematurity. In contrast to my prospective study, risks to the pregnancy could not be predicted by maternal oral health behaviours or oral health symptoms. In order to better understand the mechanisms regulating the associations described in the human studies, two animal models were developed; one to investigate acute exposure and the second to investigate long-term exposure to periodontal pathogens. The first study examined the effects of administration of a bolus of periodontopathic bacteria and lipopolysaccharide to the pregnant sheep. Injection of bacteria and lipopolysaccharide in the amniotic fluid of the pregnant preterm sheep caused a high rate of fetal lethality, disturbance of fetal acid base status and inflammation of the fetus and membranes. Given the circumstances of exposure to periodontopathic pathogens in human periodontal disease, a model investigating long-term exposure to periodontopathic lipopolysaccharide on pregnancy outcomes was developed. ... Overall, I have demonstrated that maternal periodontal disease is associated with adverse pregnancy outcomes including fetal growth restriction and possibly perinatal loss. Mechanisms regulating these effects are likely to be mediated by fetal adaptations to intrauterine inflammation resulting in altered fetal development, growth or survival. Randomised controlled trials that are currently in progress will provide further information on the effects of periodontal disease in human pregnancy, and the efficacy of treatment to reduce these adverse outcomes.

18

Zhu, Haiwei, und 竺海瑋. „Oral health-related quality of life after stroke“. Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2006. http://hub.hku.hk/bib/B37922567.

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19

Thaveesangpanich, Puckpring. „An in vitro pH-cycling study on the effects of child toothpastes on enamel caries“. Thesis, Click to view the E-thesis via HKUTO, 2003. http://sunzi.lib.hku.hk/hkuto/record/B31954315.

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20

Nguỹên, Thành Thi. „A three month study on the effect of chlorhexidine mouthrinse in the plaque control program of elderly patients in California“. CSUSB ScholarWorks, 1987. https://scholarworks.lib.csusb.edu/etd-project/394.

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21

Ferreira, Luale Leão 1985. „Associação entre comportamentos em saúde bucal e variáveis biopsicossociais em escolares de Piracicaba-SP = Association between oral health behavior and biopsychosocial variables in students from Piracicaba-SP“. [s.n.], 2015. http://repositorio.unicamp.br/jspui/handle/REPOSIP/289936.

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Orientadores: Rosana de Fátima Possobon, Gláucia Maria Bovi Ambrosano
Tese (doutorado) - Universidade Estadual de Campinas, Faculdade de Odontologia de Piracicaba
Made available in DSpace on 2018-08-27T03:24:32Z (GMT). No. of bitstreams: 1 Ferreira_LualeLeao_D.pdf: 1787266 bytes, checksum: 2462e51df97412a947920a0fe6605173 (MD5) Previous issue date: 2015
Resumo: Considerando o crescente interesse da odontologia em conceber a saúde bucal para além do paradigma biomédico, visando atender aos preceitos do modelo biopsicossocial e de prevenção e promoção da saúde, o presente trabalho teve como objetivo geral avaliar comportamentos em saúde bucal e variáveis biopsicossociais que permeiam a saúde bucal em escolares. Para tanto, foram desenvolvidas três análises baseadas em levantamento epidemiológico observacional com delineamento transversal, que apresentou os seguintes objetivos específicos: 1. Avaliar as variáveis de desfecho frequência de consultas odontológicas e prevalência de cárie, investigando sua associação com variáveis psicossociais e nível socioeconômico; 2. Investigar a ansiedade frente ao tratamento odontológico nos escolares, e testar associações entre a ansiedade, condições clínicas odontológicas, variáveis psicossociais e socioeconômicas; 3. Avaliar a existência de associações entre odontalgia e fatores socioeconômicas, condições de saúde bucal e variáveis psicossociais. Para o estudo 1 e 2, a amostra foi composta por de 532 escolares de 15 anos de idade, provenientes de escolas públicas estaduais de Piracicaba, São Paulo. Para o estudo 3, a amostra contou com 592 escolares. Foram coletados dados clínicos relativo a presença de cárie dentária, avaliada pelo índice CPOD segundo recomendações da OMS, e sangramento gengival. Informações relativas à ansiedade frente ao tratamento odontológico foram coletadas por questionário validado para população brasileira. Os escolares também responderam a questões referentes ao acesso do adolescente a consultas odontológicas, aos comportamentos de higiene bucal, ao motivo de última consulta odontológica, à ansiedade frente ao tratamento odontológico, à coesão e à adaptabilidade familiar e à alimentação do adolescente em ambiente escolar. Os pais ou responsáveis pelos adolescentes responderam às questões sobre o nível socioeconômico. A análise dos dados foi realizada por meio de estatística descritiva, teste qui-quadrado, Odds Ratio e regressão de Poisson. Em relação ao estudo 1, controlando variáveis confundidoras, observou-se que a baixa higiene bucal diária, renda familiar menor que três salários, mais que quatro pessoas residentes na mesma habitação e alta ansiedade odontológica foram associadas à baixa frequência de consultas odontológicas. A presença de dente cariado foi associada à baixa frequência de consultas odontológicas e a presença de dentes obturados foi associado à alta frequência de consultas e ao gênero feminino. A experiência de cárie associou-se à baixa higiene bucal diária, à alta frequência de consultas odontológicas e pai com até 8 anos de escolaridade. Para o estudo 2, verificou-se que a baixa frequência de consultas odontológicas e a baixa frequência de higiene bucal foram estatisticamente associados à ansiedade frente ao tratamento odontológico dos adolescentes. No estudo 3, a odontalgia foi associada à baixa renda familiar, ao maior número de pessoas residentes no mesmo domicílio, a baixa frequência de escovação diária, à baixa frequência de consultas odontológicas, ao maior tempo da última consulta odontológica, à ansiedade frente ao tratamento odontológico, ao consumo de alimentos cariogênicos em ambiente escolar, à experiência de cárie e à presença de dente cariado. Conclui-se que a frequência de consultas odontológicas e cárie dentária associaram a variáveis socioeconômicas e psicossociais (Capítulo 1). Além disso, a ansiedade frente ao tratamento odontológico foi associada a frequência de consulta e comportamento de higiene bucal (Capítulo 2). Já a odontalgia associou-se a fatores socioeconômico, a variáveis psicossociais e a condições clínicas bucais (Capítulo 3), demonstrando a importância da avaliação de variáveis comportamentais e psicossociais em aspectos relacionados à saúde bucal em escolares. A associação estabelecida entre estas variáveis indica a importância de uma abordagem biopsicossocial de atenção em saúde, com atuação centrada no adolescente e em seu âmbito familiar
Abstract: Considering the interest to con in designing oral health beyond the biomedical paradigm, meeting biopsychosocial model¿s precepts and prevention and health promotion, this study aimed to assess oral health behavior and biopsychosocial variables that permeate oral health in adolescents. Thus, three analyzes were developed based on observational epidemiological survey with cross-sectional design, which presented the following specific objectives. 1. To assess the frequency of dental visits and oral health, investigating its association with psychosocial variables, and socioeconomic status; 2. To investigate dental anxiety, and test associations between oral health, psychosocial and socioeconomic factors; 3. To assess the association between toothache, socioeconomic factors, oral health status and psychosocial variables. For the study 1 and 2, the sample involved 532 15-year-old adolescents from public schools in Piracicaba, São Paulo. For the study 3, the sample consisted of 592 students. We collected clinical data on dental caries, assessed by DMFT index according to WHO recommendations. Information concerning dental anxiety was collected by a validated questionnaire. The students also answered questions regarding adolescent access to dental visits, oral hygiene, reason for last dental visit, dental anxiety, family cohesion and adaptability and adolescents¿ food intake. Parents answered the socioeconomic status questionnaire. Data analysis were performed using descriptive statistics, chi-square test, odds ratio and Poisson regression. Regarding the study 1, controlling variables, low oral hygiene, low family income, more than four persons living in the same house and high dental anxiety were associated with low frequency of dental visits. Decayed teeth were associated with a low frequency of dental visits. Filled teeth was associated with a high frequency of dental visits and the female. Caries experience was associated with low oral hygiene, high frequency of dental visits and father with more than 8 years of schooling. For the second study, it was found that low frequency of dental visits and low oral hygiene was statistically associated with dental anxiety. In study 3, toothache was associated with low family income, more than four persons living in the same house, low oral hygiene, low frequency of dental visits, high dental anxiety, consumption of cariogenic foods, caries experience and decayed teeth. We conclude that the frequency of dental visits and oral health associated the socioeconomic and psychosocial variables (Chapter 1). In addition, dental anxiety was associated with frequency of dental visits and oral hygiene behavior (Chapter 2). Toothache was associated with socioeconomic factors, psychosocial variables and oral health status (Chapter 3), demonstrating the importance of behavioral and psychosocial variables in aspects that relates to oral health in school. The association established between these variables indicates the importance of a biopsychosocial approach, with activities centered on the adolescent and their family environment
Doutorado
Saude Coletiva
Doutora em Odontologia

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Lau, Wai-ha Abby, und 劉慧霞. „Structural equation modeling of the child perceptions questionnaire measuring oral health-related quality of life of children in HongKong“. Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2008. http://hub.hku.hk/bib/B40988089.

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Eckley, Brett. „A microbiological and clinical assessment of orthodontic patients with poor oral hygiene“. Morgantown, W. Va. : [West Virginia University Libraries], 2004. https://etd.wvu.edu/etd/controller.jsp?moduleName=documentdata&jsp%5FetdId=79.

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Thesis (M.S.)--West Virginia University, 2004.
Title from document title page. Document formatted into pages; contains ix, 108 p. : ill. (some col.). Vita. Includes abstract. Includes bibliographical references (p. 63-67).

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Sharuga, Constance R., Debra Dotson und Tabitha Price. „Treating Burning Mouth Syndrome“. Digital Commons @ East Tennessee State University, 2009. https://dc.etsu.edu/etsu-works/2529.

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Yip, Shuaih-yee Bethia. „Oral care practice in cancer nursing /“. View the Table of Contents & Abstract, 2006. http://sunzi.lib.hku.hk/hkuto/record/B36397040.

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Magner, MaryBeth. „The Effects of Managed Care on the Quality of Dental Hygiene Care“. TopSCHOLAR®, 1998. http://digitalcommons.wku.edu/theses/344.

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Managed care has become a prominent mechanism for insuring dental care. Empirical research suggests that managed dental plans provide lower quality care to patients. However, few studies have specifically addressed the effects of managed care on the quality of dental hygiene care. Thus, in this study the researcher examines whether dental hygienists deliver a lower level of treatment to managed care patients than to those who are not subject to managed care. Questionnaire data were gathered from 193 members of the American Dental Hygienists' Association residing in the Chicago area. The primary independent variable, managed care, was measured with an item that asked the respondents to indicate the percentage of patients they treat that are insured by a managed dental plan. The questionnaire also contained items that measured the frequency in which the respondents perform 23 tasks that are indicators of quality of dental hygiene care. Principal components factor analysis of these 23 items yielded the study's two dependent variables: periodontal procedures and appointment time. Regression analysis of the data revealed a significant negative relationship between managed care and appointment time. This relationship may be attributable to an economic incentive on the part of dentist-employers who control the amount of time scheduled for dental hygienists' patients. Dentist-employers may reduce the time available for managed care patients in order to allow longer appointments for more profitable fee-for-service patients. The study results did not support the notion that managed care affects the extent to which dental hygienists perform periodontal procedures. These mixed results suggest that future research should examine the relationships between managed care and other aspects of quality of dental hygiene care not addressed in the current study.

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Njenje, Charles Chukwuemeka. „Improving Hand Hygiene in an Intensive Care Unit“. ScholarWorks, 2018. https://scholarworks.waldenu.edu/dissertations/5914.

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Health-care-associated infections (HCAIs) affect hundreds of millions of people worldwide, causing morbidity and mortality among hospitalized patients. About 2 million patients suffer from HCAIs in the United States, and it is estimated that 99,000 of them die each year. Studies have indicated that transmission of health-care-associated microorganisms occurs through contaminated hands of health care workers. Hand hygiene (HH) is the single most effective way to prevent health-care-associated infections, yet health care workers' hand hygiene compliance remains low. One factor responsible for poor compliance with hand hygiene guide-lines are lack of knowledge of good hand hygiene and lack of hand hygiene techniques. This project evaluated the effect of educational program on hand hygiene for intensive care unit (ICU) healthcare workers. The Health Belief Model was applied as the framework in this project. Key components of the model are perceived susceptibility, perceived severity, perceived benefit, and perceived barriers. A convenience sample of 25 ICU healthcare workers participated in the educational program. Pre- and post- education surveys and tests were assessed using descriptive statistics. Results were consistent with existing findings indicating that education is needed to improve HH compliance and that effective HH reduces infections. The findings from this project may contribute to positive social change by promoting increased HH knowledge and infection prevention while decreasing complications of treatments, costs, morbidity, and mortality, thereby promoting a healthy and safe community.

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Jarrar, Ahmed Ali. „Comparison of an essential oil mouth rinse and chlorhexidine on 4-day interproximal plaque regrowth“. Thesis, University of the Western Cape, 2006. http://etd.uwc.ac.za/index.php?module=etd&action=viewtitle&id=gen8Srv25Nme4_1346_1210745930.

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Dental plaque is the most important etiological factor of periodontal diseases. Mechanical plaque control is the most effective way in preventing periodontal diseases. Chemical plaque control methods (such as mouthrinses) have been recommended to be used because of some drawbacks in the mechanical methods in some areas of the dentition (such as interproximal areas). But are these mouthrinses really effective in those areas? The aim of this study was to compare the effectiveness of Essential Oils mouthrinse (Listerine) on plaque formation in interproximal areas with Chlorhexidine and Sterile water.

29

Griffiths, John H. „Verbal regulation of behaviour in children : establishing effective dental care“. Thesis, Bangor University, 1993. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.357889.

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30

Jose, Babu. „Dental caries and oral hygiene practices of children and caregivers in Kerala, India“. Click to view the E-thesis via HKUTO, 2001. http://sunzi.lib.hku.hk/hkuto/record/B31954224.

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31

Lungui, Ilona. „Hand Hygiene and Compliance Rates in an Acute Care Setting“. ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6454.

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Hospital-acquired infections (HAIs) are a significant problem faced by healthcare organizations globally. The Centers for Disease Control reported that in 2014, 722,000 patients acquired an HAI, and of those, 75,000 died as a result. This project focused on reeducating healthcare staff on hand hygiene practices to prevent HAIs. Preintervention hand hygiene compliance rates were compared to postintervention hand hygiene compliance rates on 2 units in an acute care setting to evaluate if reeducation of healthcare staff on hand hygiene protocols and practices would increase hand hygiene compliance rates. The evidence-based practice model used for this project was Nightingale's environmental theory. The research question for the study examined the effectiveness of hand hygiene reeducation on hand hygiene compliance rates. Participants included 97 nurses and ancillary staff. Hand hygiene compliance rates were compared 1 month before and 1 month after healthcare staff reeducation. Results showed an 18% increase in compliance rates following reeducation. These results might effect positive social change by reinforcing that reeducation has an impact on compliance rates for hand hygiene among nursing and ancillary staff in acute care settings.

32

Lisauckis, Lisa Elena. „Herbal supplement education in dental hygiene curricula“. Morgantown, W. Va. : [West Virginia University Libraries], 2002. http://etd.wvu.edu/templates/showETD.cfm?recnum=2326.

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Thesis (M.S.)--West Virginia University, 2002.
Title from document title page. Document formatted into pages; contains viii, 63 p. : ill. (some col.). Vita. Includes abstract. Includes bibliographical references (p. 48-50).

33

Henry, Rachel K. „A Comparison of Millennial and Non-Millennial Dental Hygiene Student and Faculty Classroom Expectations“. The Ohio State University, 2007. http://rave.ohiolink.edu/etdc/view?acc_num=osu1419262693.

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34

Cravens, Cedric A. „Tr?-Vigil, LLC, a hand hygiene company for health care organizations“. Thesis, California State University, Long Beach, 2016. http://pqdtopen.proquest.com/#viewpdf?dispub=10167528.

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Nosocomial infections are a significant medical burden to every health care setting in the United States. Also known as health-associated infections or hospital-acquired infections (HAIs), they are infections that people acquire while they are receiving treatment for another condition in a health care setting. To decrease rates of HAIs, Tr?-Vigil, LLC will provide health care facilities with point-of-care hand hygiene capability in the form of portable hand sanitizers that clip onto lab coats or scrubs, along with a monitoring system that tracks medical staff usage of the sanitizers. This business plan will demonstrate how Tr?-Vigil intends to deliver a vital health care service, while being a sustainable and profitable company.

35

Chang, Nai-Chung Nelson. „Identifying factors influencing hand hygiene compliance during the patient care sequence“. Diss., University of Iowa, 2018. https://ir.uiowa.edu/etd/6390.

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Healthcare-associated infections (HAI) are a significant issue in healthcare facilities worldwide. Hand hygiene (HH) remains the most effective method for preventing the incidence of HAI in routine patient care. Past and current interventions focused on the overall improvement of HH compliance, but studies found that the amount of time required to achieve full HH compliance with the existing guidelines may not be practical. Improving HH compliance at critical moments during patient care may be more effective than improving HH compliance at all opportunities. However, there are little to no studies on healthcare workers’ (HCWs) behavior regarding HH during the patient care process. Secondary data analysis on a prospective dataset from the STAR-ICU trial was completed to identify HCWs’ behavior patterns regarding HH during the patient care process. Multiple logistic regression for transitions with random effects using repeated measures and transition modeling was used to identify possible associations between HH compliance and patient care tasks, the order of tasks, and workload. The models adjusted for the effects of HCW type, glove use, and isolation precautions. The study identified 28,826 task sequences and 42,349 HH opportunities. HCWs were slightly less likely to do HH before critical tasks compared with other tasks (OR: 0.97, 95% CI: 0.96-0.99), but more likely to do HH after contaminating tasks compared with other tasks (OR: 1.12, 95% CI: 1.10-1.13). HCWs are also more likely to move from task sequences that have a relatively lower risk to patients to task sequences that have a relatively higher risk to patients than vice versa (65.4% versus 34.7%). HCWs are also less likely to do HH after moving from tasks that have a relatively lower risk to patients to tasks that have a relatively higher risk to patients than vice versa (OR: 0.93, 95% CI:0.92-0.95). HCWs’ HH compliance rates decreased as the workload level increased (OR: 0.93, 95% CI: 0.89-0.98). Workload did not appear to affect HH compliance before critical tasks or after contaminating tasks and did not affect the order in which HCWs perform patient care tasks. Increase in workload was associated with an increase in the odds of critical tasks occurring (OR: 1.55, 95% CI: 1.45-1.65). In conclusion, HCWs are more likely to perform HH after contaminating tasks to prevent contaminating themselves and to reduce the risk of transmission in subsequent task sequences. However, they do not perform tasks in an order that minimizes risk to the patient; instead, it appears that they perform tasks as they come up in routine care. Furthermore, HH is not being performed at critical moments during patient care. Lastly, workload did not affect the order in which HCWs perform patient care tasks, suggesting that HCWs behavior patterns contribute significantly to how they care for patients and perform HH. Interventions targeting the order in which HCWs perform patient care tasks and improving HH compliance before critical tasks may be more effective than those designed to improve HH compliance at all HH opportunities for reducing HAI rates.

36

Lau, Chun-ling, und 劉俊玲. „Factors affecting hand hygiene compliance in intensive care units: a systematic review“. Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2012. http://hub.hku.hk/bib/B48423890.

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Hospital-acquired, or nosocomial infections (HAIs) are the major source of mortality and morbidity for hospitalized patients. It is estimated that 7-10% patients developed HAIs during their hospital stays, with most patients got infected from intensive care units (ICU) [1,2]. Hand hygiene (HH) is recognized as the most easy and effective way to prevent HAIs. However, the observed hand hygiene compliance rates among healthcare workers (HCWs) have been regarded as unacceptably low, especially in ICU [3]. This literature review is to discuss the factors influencing the hand hygiene compliance among HCWs in ICU, in both the individual and institutional level, and suggest which factor was important in both levels. Recommendations in comprehensive approach on hand hygiene practices will also be included.
published_or_final_version
Public Health
Master
Master of Public Health

37

Bauchmoyer, Susan Marie. „Predicting Academic and National Board Dental Hygiene Examination Performance Based on Academic Factors“. The Ohio State University, 2002. http://rave.ohiolink.edu/etdc/view?acc_num=osu1418401625.

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38

Brewer, Nicola. „Foot and mouth disease and compassionate care : a new ethic for control policy“. Thesis, University of Wales Trinity Saint David, 2007. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.683278.

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39

Du, Bruyn René Cecilia. „Being declared competent : perspectives of oral hygiene students on clinical performance assessment“. Pretoria : [s.n.], 2008. http://upetd.up.ac.za/thesis/available/etd-11132008-114046.

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40

Dean, Lesa. „Dental Care in Long-Term Care Facilities of Warren County, Kentucky“. TopSCHOLAR®, 1986. https://digitalcommons.wku.edu/theses/2252.

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Many physical changes occur as one ages, including changes associated with the oral cavity. A review of the literature suggests that the provision of dental care to institutionalized elderly patients presents problems due to a variety of factors. The purpose of this study is to assess the level or dental care provided to residents of long-term care facilities located in Warren County, Kentucky. In addition, secondary objectives Include the ascertainment of who provides dental care to residents and the amount or in-service dental training made available to staff members of the facility. Each administrator of the long term care facilities located in Warren County participated in an *interview conducted by the author. During the interview, information was obtained for a 21 item questionnaire concerning the facility, the number and age range or the residents, and types of dental services provided within the facility. Results obtained from the questionnaire indicated that 77 percent or the residents in long-tern care facilities in Warren County are 70 years of age or older. No significant differences were noted in the types or dental services provided to residents. However, the dental services provided ranged from those that were obtained in a private dental office via transportation or the resident to outside dental facilities to routine oral hygiene measures carried out by staff members employed by the facility. The findings revealed significant differences in the dental status of the MRDD residents when compared to the nursing home residents. Other findings indicated that none of the long-term care facilities had dental operatories or dental radiographic equipment on the premises. Additional research would be required in order to address uncertainties discovered in the study. A followup to the questionnaire Interview with the consulting dentists may be included to determine to what capacity and to what extent they are utilized by the facilities. Other recommendations include the utilization of entrance dental examinations to determine if services offered do meet the needs of the residents and periodic dental examinations to aid in detection and thus reduce the prevalence of dental diseases in this population.

41

Travis, Shirley S. „Self-care dependency among elders in long-term care settings“. Diss., Virginia Polytechnic Institute and State University, 1985. http://hdl.handle.net/10919/49945.

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General acceptance of a pattern of activities of daily living (ADL) dependency has led to the use of an additive method of determining self-care dependency and need for long-term care. This traditional method of determining ADL levels is convenient, and it is practical to the extent that individuals in a long-term care population do fit a scaled pattern of dependency. This research was based on 3611 cases from the Preadmission Screening Program of the Virginia Medical Assistance Program. Tabular and staged logistic regression analyses examined: 1) characteristics of this group of long-term care elders, 2) the extent of ADL divergence in various recommended care settings, 3) the relationship between rehabilitation status and ADL divergence, 4) other factors influencing divergence from the ADL dependency hierarchy. The results of this study demonstrated that a large proportion of those screened did not match the original Index of ADL. Therefore, the justification for counting ADL dependency, based on an underlying hierarchy of ADL, was not upheld. Further research was indicated for improving eligibility and placement criteria that would reflect a fluid rather than a static system of long-term care. For example, rehabilitative trajectory could serve as an indicator of projected changes in assistance for self-care.
Ph. D.
incomplete_metadata

42

Rooshenas, Leila. „Managing common infections in Day Care settings : Day Care providers' sickness exclusion beliefs, advice, and their consequences for parents“. Thesis, Cardiff University, 2012. http://orca.cf.ac.uk/38020/.

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Background and Aims: Judicial antibiotic prescribing and appropriate use of healthcare resources are public health priorities. Preschool-aged children that attend day care frequently consult general practitioners (GPs) and receive antibiotics, despite experiencing mainly self-limiting and/or viral infections. North-American surveys indicate that day care providers unnecessarily exclude children with infections, and make exceptions to exclusion on the basis of antibiotic treatment. Commentators suggest that this may lead to unnecessary consultations and inappropriate antibiotic requests. This study’s main aim was to explore whether UK-based day care providers’ management of infections encourages parents to unnecessarily consult GPs, and inappropriately seek antibiotics. A secondary aim was to describe the content and nature of written day care sickness exclusion policies. Questionnaire Methods and Results: Questionnaires were distributed to 329 day care providers in three socio-demographically contrasting areas of South-East Wales, to gather descriptive data regarding sickness exclusion policies. 216 (66%) responses were received. Policies were mostly self-written, diverse in content and detail, and often non-evidence-based. Qualitative Methods and Results: Day care providers’ management of infections, and the influence this had on parents’ consulting and antibiotic-seeking behaviours, were explored through semi-structured interviews with 24 purposefully selected day care providers, and 28 opportunistically-selected parents that used their services. Interviews underwent inductive thematic analysis. All day care providers encouraged parents to consult GPs for self-limiting infections, and often inappropriately advised antibiotic treatment through written policies and verbal communication. Some parents felt that day care attendance increased their tendency to consult for symptoms they would usually manage themselves. The purpose of consultation was often to expedite return to day care, rather than alleviate concern. Parents understood that antibiotics were unlikely to be beneficial, but still sought and received treatment in order to appease day care providers’ requirements. Conclusion: Day care providers’ inappropriate advice to parents, together with non-evidence-based exclusion policies, contribute to unnecessary GP consultations and inappropriate antibiotic-seeking behaviour.

43

Cousineau, Lisa Marie. „Pharmaceutical and personal care product concentrations in the upper Susquehanna River“. Diss., Online access via UMI:, 2008.

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44

Price, Tabitha. „How to Care for Patients with Diabetes“. Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/etsu-works/2533.

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Excerpt: More than 25.8 million people in the United States have diabetes. This metabolic disorder is associated with many health complications that result from microvascular and macrovascular diseases.

45

Ramírez, Montoya María Fernanda, Simón Farley Fareld Chacaliaza, Pariasca Jose Herrera, Barrantes Alessandra Ventosilla und Yabar Stephany Gisella Gonzales. „Spartan Men Care“. Bachelor's thesis, Universidad Peruana de Ciencias Aplicadas (UPC), 2020. http://hdl.handle.net/10757/652796.

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Hoy en día, no solo las mujeres se preocupan por el cuidado de la piel sino también los hombres. Sumado a esta nueva tendencia, se puede observar el ascenso de la preferencia en productos de origen natural que contribuyen al aporte de beneficios a la piel y a la reducción del daño ocasionado por los químicos. En este sentido, se ha encontrado un mercado potencial, los hombres específicamente del estilo de vida sofisticado, una parte de la población, definida por Arellano Marketing, como preocupados por el status, la moda y la imagen. Partiendo de la imagen, es sabido que en la actualidad el mercado de productos estéticos para hombres se encuentra en crecimiento desde hace algunos años habiendo generado hasta S/1,000 millones en el año 2018. Es por ello que “Spartan Man Care” busca abordar el negocio de los productos naturales especializados en hombres que se preocupan por su aspecto físico. Además, es importante resaltar que hoy en día a pesar del mercado potencial existente en los hombres, no existe una variedad de productos dirigidos a ellos, por lo que hay una oportunidad de negocio latente para trabajar. Actualmente, el total de hombres considerados sofisticados en Lima dentro del rango de 25 a 39 años es de 121, 392. De este total el 14% compra productos de higiene con regularidad, representado por 16,995 habitantes y S/3, 976,830 en soles. Finalmente, se determinó que la ganancia del proyecto, calculada a través del VAN, será de S/126, 316 de retorno sobre la inversión.
Today, not only women care about skin care but also men. In addition to this new trend, you can see the rise in preference in products of natural origin that contribute to providing benefits to the skin and reducing the damage caused by chemicals. In this sense, a potential market has been found, men specifically for the sophisticated lifestyle, a part of the population, defined by Arellano Marketing, as concerned about status, fashion and image. Based on the image, it is known that currently the market for men's cosmetic products has been growing for some years, having generated up to S / 1,000 million in 2018. That is why "Spartan Man Care" seeks to address the business of natural products specialized in men who care about their physical appearance. Furthermore, it is important to note that today despite the potential market for men, there is no variety of products for them, so there is a latent business opportunity to work. Currently, the total of men considered sophisticated in Lima within the range of 25 to 39 years is 121, 392. Of this total, 14% purchase hygiene products regularly, represented by 16,995 inhabitants and S / 3,976,830 in soles. Finally, it was determined that the project's profit, calculated through the NPV, will be S / 126, 316 of return on investment.
Trabajo de investigación

46

嚴蕙怡 und Wai-yi Yim. „Evidence-based eye care protocol for ICU patients with altered level of consciousness“. Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2009. http://hub.hku.hk/bib/B43251778.

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47

何穎恩 und Wing-yan Vivian Ho. „An evidence-based guideline on emollient therapy for skin care in premature infants“. Thesis, The University of Hong Kong (Pokfulam, Hong Kong), 2013. http://hdl.handle.net/10722/193052.

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Skin is the major protective barrier in a human body. In premature infants, the immature skin barrier reduces the protection against germs. Emollient therapy is an effective prophylactic measure to improve premature infants’ skin condition so as to protect the premature infants against infection. A systematic review of studies shows that emollient therapy is a simple, safe and cost effective intervention for premature infants to improve skin condition. Evidence shows that emollient therapy can also decrease transdermal water loss, conserve heat and energy, stabilize fluid and electrolytes and prevent nosocomial sepsis. The potential of implementing the proposed evidence-based guideline is explored. It will be carried out in a clinical setting. The transferability of the findings, feasibility and cost-benefit ratio of the emollient therapy will be discussed. In order to ensure the evidence-based guideline will be carried out smoothly, a communication plan is necessary to be made in consultation with the stakeholders. A pilot study will also be conducted before the innovation is implemented to ensure frontline staff members to be familiar with the emollient therapy. At the end, the effectiveness of the emollient therapy will be evaluated in terms of skin score. Patients’ outcome and healthcare provider’s outcome will also be evaluated.
published_or_final_version
Nursing Studies
Master
Master of Nursing

48

Knowlton, Samantha Dawn. „Measuring bioaerosol concentrations generated from toilet flushes during hospital-based patient care“. Thesis, University of Iowa, 2017. https://ir.uiowa.edu/etd/5539.

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Infectious diseases account for over 15 million deaths worldwide. Those who are at greatest risk of contracting an infectious disease are immunocompromised. These individuals may be admitted to a healthcare-based setting where they may become infected. In the United States, 1.7 million immunocompromised individuals contract a healthcare-associated infection which lengthens stay, increases medical costs, and puts lives at stake. The transmission routes for these infections occur from direct contact with healthcare staff and contaminated surfaces. Indirect contact methods, such as bioaerosols suggest, but are not a well-examined route of infection. One possible bioaerosol generator includes the flushing of loose stools in toilets from infected patients. To date, no study has investigated the particle or bioaerosol changes in the air resulting from toilet flushing loose fecal wastes in a healthcare setting. The purpose of this study was to investigate changes in the air before and after a toilet flush to support hypotheses that toilets can produce an aerosol containing viable microorganisms, potentially spreading infectious disease. Particle and bioaerosol concentrations were measured in hospital bathrooms across 3 sampling conditions; no waste no flush, no waste with flush, and fecal waste with flush. Particle concentrations were measured with a particle counter 3 minutes before a flushing event and throughout the bioaerosol collection period. Bioaerosol concentrations were measured with BioStage impactors fixed on a sampling cart at distances of 0.15, 0.5, and 1 m that was placed in front of a toilet. For each sampling trial, 3 time measurements were recorded after a flushing event (i.e., 5, 10, 15 minutes). Particle concentrations measured before and after the flush were found to be significantly different in 0.3 (p-values= 0.002, 0.002, 0.015), 0.5 (p-values= 0.002, 0.002, 0.018), 1 (p-values= 0.003, 0.003, 0.027), and 3 µm (p-values= 0.016, 0.032) size bins of the no waste with flush and 0.3 (p-values= 0.009, 0.007, 0.007), 0.5 (p-values= 0.018, 0.006, 0.004), 1 µm (p-values= 0.023, 0.013,) size bins of the fecal waste with flush conditions. Bioaerosol concentrations measured in the no waste no flush and fecal waste with flush were found to be significantly different (p-value= 0.005). However, the bioaerosol concentrations measured were not significantly different across time (p-value= 0.977) or distance (p-value= 0.911). From the study, we concluded that toilets in this unit produce particles when flushed. The particles aerosolized include microorganisms remaining from previous use or from loose fecal wastes. Differences in bioaerosol concentrations across conditions also suggest that toilets flushed containing wastes may be a likely source of bioaerosols that could allow transmission of infectious microorganisms. No observed differences across time and distance of bioaerosol concentrations suggests that generated aerosols quickly diffuse in the air. Since this study is the first to quantify particles and bioaerosols produced from flushing a hospital toilet, future studies are needed for comparison and for intervention development.

49

Shiao, Judith Shu-Chu School of Health Services Management UNSW. „Needlestick injury in health care workers in Taiwan“. Awarded by:University of New South Wales. School of Health Services Management, 2000. http://handle.unsw.edu.au/1959.4/17829.

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Objectives: Risk associated with needlestick injuries (NSI) in health care workers (HCWs) in Taiwan has not been characterized. We conducted this investigation to study 1) the prevalence and yearly incidence of NSI in HCWs in Taiwan, and the risk factors associated with NSIs; 2) reporting behavior when a NSI was sustained; and 3) seroprevalence of blood-borne pathogens among inpatients. Combination of the above information allowed for risk estimation for contracting hepatitis B virus (HBV), hepatitis C virus (HCV) and human immunodeficiency virus (HIV) in HCWs. Methodology: A cross-sectional questionnaire survey for life-time experience and frequency of NSI was conducted in a random sample from four strata of accredited hospitals according to the number of employees, from July 1996 to June 1997 in Taiwan. All full time employees, including physicians, nurses, technicians, and supporting personnel were recruited. Seroprevalence was examined for HBV, HCV and HIV among inpatients six years in age or older in one teaching hospital during July 1997 to June 1998. Results: A total of 10,469 health care workers were recruited from 16 out of 132 accredited hospitals and 82.6% (8,645) completed the survey, including nurses (61.0%), physicians (16.1%), medical technicians (14.9%), supporting personnel (7.9%). The prevalence of NSI were 93.1%, 86.6%, 78.3%, 61.0% in nurses, physicians, technicians, and supporting personnel respectively. The reported incidence of needlestick and other sharps injuries was 1.30 and 1.21 times per person in the past 12 months. Of the most recent episodes of NSIs, ordinary syringe needles accounted for 80.3% (95% CI, 79.4% - 81.2%) of hollow-bore needles associated incidents, and 74.1% (95% CI, 72.8% - 75.4%) of them were contaminated. The most frequently reported circumstance was the "Breakdown of Universal Precautions", recapping-related behaviors (81.6%, 95% CI 80.3% - 82.9%) of HCWs. More than a quarter (27.8%, 2,399) of HCWs were unprotected (either not vaccinated or having an unknown serological status) against HBV. Seroconversion in stuck HCWs was reported 1.8% for HBV (135), 0.2% (18) for HCV, 0.2% (15) for both HBV and HCV, 0.1% (5) for syphilis and less than 0.1% (2) for HIV. ^M A total of 81.8% of NSIs were unreported. Similarly, high incidence of NSI and low reporting rate were also found in student nurses. Seroprevalence of HBV, HCV, and HIV among inpatients were found higher than the reported rate in source patients of this survey. Seroprevalence of HBsAg was 16.7% in hospitalized patients, 1.7% positive for HBeAg, 12.7% for Anti-HCV, and 0.8% for Anti-HIV. Different seroprevalence rates of HBsAb (+), HBsAg (+), Anti-HCV (+), Anti-HIV (+) in different seasons were also found significant (p<0.001). The risk of seroconversion to HBV was thus estimated to be 0.003 ~ 0.008 time per person-year, HCV 0.003 ~ 0.007 per person-year, and HIV 0.4 ~ 1.2 /100, 000 person-year. Considering the number of HCWs in Taiwan, a total of 330 ~ 917 HCWs will seroconvert to HBV (+) in a year, 330 ~ 880 HCWs seroconvert to HCV (+), and less than one to two HCWs seroconvert to HIV (+). Conclusions: Needlestick and sharps injuries were highly prevalent among Taiwanese HCW and across job categories. Risk of seroconversion is real and significant. Preventive measures are warranted for reduction of contracting blood-borne pathogens in HCWs in Taiwan.

50

Tucker, Helen Jean. „Integrated care : the presence, nature and development of integrated care in community health services in England and Ireland“. Thesis, University of Warwick, 2012. http://wrap.warwick.ac.uk/56879/.

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Background: Integrated care is a policy imperative in health and social care services globally, and yet there are reported difficulties in defining, developing and sustaining this way of working. Research Question: This research explores staff views and experiences of the presence, nature and development of integrated care in two programmes of community services. Method: A case study approach was adopted using secondary analysis of qualitative data from staff questionnaires using themed content analysis and pattern matching, with findings triangulated with documentary sources. The study considers the presence and nature of integrated care using the conceptual framework “to what extent integrated care is for everyone (inclusive) and not just for some (exclusive)” as interpreted from the literature. The development of integrated care was explored using systems theory for the management of change in a complex environment. Findings: A meta-analysis of the two case studies demonstrated that integration was present in all 66 services within the two programmes. The nature of integrated care varied and was demonstrated as multiple types (in community hospitals) and processes (in community services). The most frequently reported type was multidisciplinary working. The processes most teams chose to develop were information sharing systems. The development of integration within the case studies was affected by a number of factors, such as commitment and staffing. Conclusion: This study provides new evidence of the presence, nature and development of integration within a wide range of established services spanning all ages. From this and other measures, the extent to which integrated care is presented as “exclusive” can be questioned. These findings have informed the development of a framework of five principles, reflecting whether integrated care is: for everyone, extensive, enduring, can be enabled and essential. The implications and application of this research for policy, service development and training are discussed, and proposals for further research include testing the applicability of this framework and widening this study.

Dissertationen zum Thema „Mouth Care and hygiene“

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