Dissertations / Theses on the topic 'Hygiene'

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1

Zérillo, Sylvie. "Analyse structurale d'une representation sociale : l'hygiene." Montpellier 3, 1998. http://www.theses.fr/1998MON30040.

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La problematique de cette these aborde d'une part, les rapports existant entre une representation et ses differentes particularisations ; et d'autre part, l'organisation et le fonctionnement interne de son systeme central. L'etude se positionne dans un double cadre constituant la premiere partie : - le cadre theorique des representations sociales centre sur une approche structurale ; - le cadre historique de la notion d'hygiene retracant brievement sa genese a travers un ensemble de conditions evolutives. La seconde partie expose les etudes experimentales. Dans un premier temps, partant d'hypotheses intuitives, il s'agit d'explorer l'organisation et la structure du champ representationnel. A ce titre, le modele associatif des schemes cognitifs de base (scb), la technique de mise en cause (mec) et une procedure empirique basee sur l'analyse de differents profils de reponse, elargis sur plusieurs populations, montrent l'appartenance de certains elements au systeme central de la representation. Dans un second temps, l'analyse de similitude etayee par une technique permettant de croiser la frequence et le rang moyen de reponses associatives montrent qu'il s'agit d'une representation unique de l'hygiene dont l'organisation de la peripherie seulement, est modulee par les differentes specifications de l'objet. Enfin, les resultats d'une derniere etude portant sur le fonctionnement du systeme central de la representation attestent d'une hierarchie de ses elements en termes de statut prioritaire et adjoint partant de ces donnees, la troisieme partie conclut sur l'examen de deux points : celui de l'autonomie d'une representation et celui de l'articulation pouvant exister entre representations sociales et ideologies.
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2

Forsberg, Roland, and Isak Thaning. "Följsamheten till basala hygienrutiner samt rengöringsrutiner inom ambulanssjukvården." Thesis, Sophiahemmet Högskola, 2012. http://urn.kb.se/resolve?urn=urn:nbn:se:shh:diva-1154.

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3

Thomas, Dawn. "Galen's Hygiene in context." Thesis, Royal Holloway, University of London, 2010. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.538774.

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4

Munir, Muhammad Tanveer. "Wood and hospital hygiene : Investigating the hygienic safety and antimicrobial properties of wood materials." Thesis, Ecole centrale de Nantes, 2021. http://www.theses.fr/2021ECDN0008.

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Le matériau bois est un composant bien connu des thèmes de construction basés sur la nature en raison de son aspect naturel, de sa nature écologique et de ses effets biophiles chez l'homme. L'utilisation de ce matériau dans des endroits sensibles sur le plan de l'hygiène est toutefois remise en question en raison de sa nature organique et poreuse. Des études antérieures ont montré que le bois possède des propriétés antimicrobiennes contre de nombreux microorganismes importants du point de vue de l'hygiène. Les travaux sont encore nécessaires pour démontrer cette action antimicrobienne et sa relation avec le bois et les variables microbiologiques. Cette recherche visait à rassembler et à générer des informations pour guider les acteurs de l'hygiène hospitalière en ce qui concerne la sécurité hygiénique du matériau bois. Les méthodes ont été développées pour étudier l'action antimicrobienne du bois et identifier les variables qui influencent ce comportement. La première méthode développée dans ce contexte a été une méthode de diffusion directe sur gélose (appelée antiboisgram) qui a donné de bons résultats en ce qui concerne le - - dépistage de plusieurs espèces de bois pour leur action antibactérienne et antifongique. Elle a également permis d'identifier le rôle du bois et des variables microbiennes dans la détermination des propriétés antimicrobiennes du matériau en bois. En outre, une méthode de récupération bactérienne basée sur l'élution a été étudiée, qui a montré que la plupart des bactéries nosocomiales courantes survivent moins bien sur le bois que sur les surfaces lisses. Parallèlement, un outil innovant a été mis au point, impliquant l'utilisation de sondes fluorescentes pour étudier la distribution des bactéries sur et à l'intérieur des matériaux en bois à l'aide de la microscopie laser spectrale confocale. Ces expériences ont permis d'obtenir des informations fructueuses qui pourraient améliorer la compréhension du rôle du bois dans la sécurité hygiénique des bâtiments de soins de santé. En outre, les futures recherches et les directives d'application ont été fournies concernant la prévalence des pathogènes dans les bâtiments de soins de santé en bois et la perception des occupants des hôpitaux vis-à-vis de l'environnement intérieur en bois
The wood material provides a nature-based theme to construction because of its natural appearance, ecofriendly nature and biophilic effects on humans. However, its organic and porous nature is questioned when using it in hygienically important places such as hospitals. Studies have shown that wood has antimicrobial properties against some pathogens; work is still needed, however, to demonstrate this antimicrobial action and its relation to wood and microbiological variables. This research gathers and generates information to guide stakeholders of hospital hygiene on the hygienic safety of wood materials. First, a simple and direct method was developed to study the antibacterial and antifungal activity of solid wood, which also identified the role of wood and microbial variables on antimicrobial behavior. Further, an elution based bacterial recovery method was investigated which showed that the most common nosocomial bacteria did not survive as well on wood as compared to smooth surfaces such as aluminum, steel and polycarbonate. Meanwhile, an innovative tool was developed, involving the use of fluorescent probes to study the bacterial distribution on and inside wood using confocal spectral laser microscopy. These experiments produced the information that will help the decision makers regarding the choice of wood material in the healthcare buildings. It not only enhances our understanding of hygienic safety of wood in healthcare buildings but also provides the basis for future research on the prevalence of pathogens in the wooden healthcare institutes and the perception of the occupants those buildings
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5

Sailo, Mary A. "Are dental hygiene faculty meeting suggested educational ADEA guidelines for dental hygiene faculty members? /." Full-text of dissertation on the Internet (732.42 KB), 2010. http://www.lib.jmu.edu/general/etd/2010/masters/sailoma/sailoma_masters_04-16-2010_01.pdf.

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6

Tukei, Michael E. "Hygiene in red meat slaughter." Thesis, University of Nottingham, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.250528.

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7

Calvert, Sandra. "Children's social representation of hygiene." Thesis, University of Dundee, 1987. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.338940.

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8

Leiken, Susan M. "Does Dental Hygiene Student Engagement While Enrolled in the Dental Hygiene Program Influence Academic Achievement?" University of Toledo / OhioLINK, 2015. http://rave.ohiolink.edu/etdc/view?acc_num=toledo1437744763.

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9

Berger, Brittany A., and L. Lee Glenn. "Multidisciplinary Hand Hygiene Factors in Hospitals." Digital Commons @ East Tennessee State University, 2012. https://dc.etsu.edu/etsu-works/7482.

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Excerpt: A study by Tromp et al1 concluded that “Our multifaceted hand hygiene improvement program resulted in a sustained improvement of hand hygiene knowledge and compliance in nurses as well as physicians.” However, the support for the conclusions is weak because of a number of drawbacks. These drawbacks would inhibit the application of those conclusions in health care. The first drawback is the absence of a control group and, secondly, the contradictions in the data, as explained below.
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10

Berger, Brittany. "Hand Hygiene Perceptions of Student Nurses." Digital Commons @ East Tennessee State University, 2013. https://dc.etsu.edu/honors/176.

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Compliance with hand hygiene is widely recognized as the most important factor in preventing transmission of infection to patients in healthcare settings (Haas and Larson, 2007). Hand hygiene dramatically decreases the potential pathogens on hands and is considered the first measure for decreasing the risk of transmitting organisms to patients, healthcare professionals, and family members. Noncompliance with hand hygiene practices has been shown to increase healthcare-associated infections, costing hospitals $35.7-$45 billion each year (Centers for Disease Control and Prevention [CDC], 2012). Education about hand hygiene starts in school and should transfer into the real world of nursing. The purpose of this research is to determine how student nurses in a baccalaureate nursing program in northeastern Tennessee perceive hand hygiene and the importance of conducting the act of hand washing. Students who do not perceive it as important, or do not have the correct information, are unlikely to use principles of good hand hygiene in their practice. Few studies were found assessing nursing school students’ perception of the importance of hand hygiene.
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11

Gautam, Omprasad. "Food hygiene intervention to improve food hygiene behaviours and reduce food contamination in Nepal : an exploratory trial." Thesis, London School of Hygiene and Tropical Medicine (University of London), 2015. http://researchonline.lshtm.ac.uk/2531624/.

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Objectives: This thesis describes a study that designed, implemented and assessed the effect of a food hygiene intervention on mothers’ food hygiene practices as primary outcomes, and the impact of the interventions on the level of microbiological contamination in food as a secondary outcome. An additional objective was to explore whether food hygiene interventions can be integrated into nutrition, health and water, sanitation and hygiene (WASH) strategies and programmes in Nepal. Methods: The theoretical and practical approach of Behaviour Centred Designed was employed. In step-A: Assess, a systematic literature review was conducted to identify sectoral knowledge and programmatic gaps on food hygiene and sectoral policy documents analysis was done as part of gray literature review to ascertain whether food hygiene interventions can be integrated into Nepal’s health, WASH and nutrition programming. In step-B: Build, formative research was carried out to identify and prioritise key food hygiene behaviours, and inform the intervention design. In step-C: Create, a scalable food hygiene intervention package was designed and tested using a novel approach to behaviour change employing emotional drivers and changing behaviour settings. In Step-D, the intervention was Delivered by female food hygiene motivators in four intervention clusters over a period of three months while four clusters acted as a control group in a rural area of Nepal. In Step E: Evaluate, a Cluster Randomized, Before-After study with Control (BAC) was employed. Behavioural outcomes were measured before and after the intervention in 239 households with a child aged 6-59 months in four intervention and four control clusters. The microbiological contamination in commonly-used child foods was measured in a sub-sample of 80 households. Results: Systematic review identified the need for research into improving food hygiene behaviour to reduce contamination in food and improve health outcomes in low-income settings. Nepal’s policy environment can enable the integration of food hygiene promotion within ongoing WASH, nutrition and health programmes. Five key food hygiene risk behaviours were prioritized, and likely determinants of behaviour change were identified through formative research. The motivational and creative food hygiene intervention package was designed and delivered in community settings. The intervention was effective in significantly improving multiple food hygiene behaviours. The 5 targeted food hygiene 4 behaviours were rare at baseline. Forty five days after the 3 months intervention, key behaviours were more common in the intervention group than in the control group (43% [SD14] vs. 2% [SD 2], p=0.02). The difference of differences was an increase in mean proportion of 42% (p=0.02). The intervention appeared to be equally effective in improving all five behaviours and in all intervention clusters. Commonly-used child foods from the intervention and control clusters were heavily contaminated with total coliforms and E. coli during child feeding at baseline and the behavioural intervention was effective in significantly reducing the contamination in the intervention group during follow-up. After adjusting for baseline, the intervention reduces the mean coliform count by -2.00 log10 cfu/gm (p=0.020) and E. coli by -1.00 log10 cfu/gm (p=0.083). Contamination in water was low as compared to food at baseline and did not improve after the intervention. Conclusion: This systematic approach employing emotional drivers and change in behavioural settings substantially altered multiple food hygiene behaviours and reduced microbial contamination in commonly-used child food in Nepal. Ingestion of microbes by children can only be eliminated if the food hygiene intervention deals with all key behaviours. This study responds to an important evidence gap. Current evidence, to which this study has contributed , is sufficient to merit prioritisation of food hygiene by those concerned with designing more effective WASH, health and nutrition programmes. The work suggests that interventions on food hygiene should have a higher priority than those on water treatment, which is not currently the case in development projects. The BCD approach provided a theory of change and a useful process framework for the design, delivery and evaluation of the intervention. Additional research is needed to test the impact of such interventions on both behaviour and health outcomes. Further tests would help to determine if the intervention can be replicated in diverse settings and at large scale and so add value to existing programmatic responses to poor WASH and undernutrition. The implementation of a tested food hygiene package through a scalable pilot was identified as a next step towards demonstrating the delivery of hygiene interventions through existing service delivery mechanisms in Nepal.
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12

Heinemann, Céline [Verfasser]. "Hygiene management in farm animal housing : Assessment of hygiene indicators and critical points in sanitation / Nina Céline Heinemann." Bonn : Universitäts- und Landesbibliothek Bonn, 2020. http://d-nb.info/1240761236/34.

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13

Gustafsson, Kristina. "Spillmätning i konverteringen på SCA Hygiene Products." Thesis, University West, Department of Technology, 2002. http://urn.kb.se/resolve?urn=urn:nbn:se:hv:diva-820.

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14

Ottosson, Jakob. "Hygiene Aspects of Greywater and Greywater Reuse." Licentiate thesis, KTH, Land and Water Resources Engineering, 2003. http://urn.kb.se/resolve?urn=urn:nbn:se:kth:diva-1551.

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Greywater is domestic household wastewater without inputfrom the toilet, i.e. wastewater from sinks, the shower,washing machine and dishwasher in a home. Source separation ofgreywater can be a strategy to enhance recirculation of plantnutrients and/or improve water use. The risk for transmissionof disease when reusing greywater is largely dependent on thecross-contamination by faeces. High levels of faecalindicators, mainly thermotolerant coliform bacteria, have beenreported in greywater, indicating substantial faecal pollution.However, growth of indicator bacteria within the system leadsto an overestimation of thefaecal input and thus the hygienerisk. The faecal input of the greywater in Vibyåsen,Sollentuna, North of Stockholm, was estimated to be 0.04 ±0.02 g faeces person-1 day-1 from the quantification of thefaecal sterol coprostanol, compared to 65 g, 5.2 g and 0.22 gp-1 d-1 using E. coli, enterococci and cholesterolrespectively.

Prevalence of pathogens in the population and the faecalload based on coprostanol concentrations were used to form thebasis of a screening-level quantitative microbial riskassessment (QMRA) that was undertaken for rotavirus, Salmonellatyphimurium, Campylobacter jejuni, Giardia intestinalis andCryptosporidium parvum, looking at the treatment required to bebelow an acceptable level of risk (10-3) for reuse or dischargeof the greywater. The different exposure scenarios simulated–groundwater recharge, direct contact, irrigation andrecreational water–showed that a reduction of 0.7–3.7 log was needed for rotavirus, with the measured level offaecal load in Vibyåsen. The other pathogen of concern wasCampylobacter, where a 2.2 log reduction was needed forgroundwater recharge. The infectious dose of Salmonella is highand the excretion numbers of Giardia cysts and Cryptosporidiumoocysts low, resulting in no treatment requirements for theseorganisms under these circumstances. Pathogen input fromcontaminated food via the kitchen sink had a minor effect onthe microbiological quality of the greywater. Studies on virusoccurrence in greywater as well as validation of the faecalload of greywater at another site would give valuable input forfuture QMRAs.

Greywater treatment efficiency studies, especially on virusremoval, are scarce and more investigations are warranted.Active sludge may not be a suitable technique for greywater dueto the low carbon content in this flow. Chemical precipitationhas the advantage of removing phosphorus as well as virusesefficiently and it is suggested as one possible method fortreating greywater. Otherwise the most common practice forgreywater treatment in Sweden is soil infiltration. However, itis suggested that the recommendations for wastewaterinfiltration also be observed for greywater, despite the lowfaecal load, due to the simulated results on virus reductionneeded.

Key words:greywater, greywater reuse, greywatertreatment, microbial risk assessment, groundwater recharge,irrigation, recreational water, faecal contamination, indicatorbacteria, index organisms, faecal sterols, bacteriophages,enteric pathogens, rotavirus, Salmonella, Campylobacter,Giardia, Cryptosporidium, Legionella

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15

Seneca, Martha E. "Improving Anesthesia Professional Adherence to Hand Hygiene." UNF Digital Commons, 2014. http://digitalcommons.unf.edu/etd/502.

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Performance of hand hygiene is among the most effective means of preventing healthcare associated infections (HAI) among patients. Deaths resulting from HAIs are one of the top ten leading causes of death in the United States. Any improvement in the frequency of hand hygiene among healthcare professionals may have a direct impact on patient mortality and associated costs. While anesthesia professionals have been found to have low rates of hand hygiene adherence, few targeted studies seeking to improve hand hygiene adherence among this group exist. Studies conducted to improve hand hygiene among health care professionals have reported limited improvement, with overall inconclusive recommendations for improving prolonged hand hygiene adherence rates. The purpose of this project was to improve anesthesia professionals’ hand hygiene through encouragement of performance and education on the current state of research in the area of anesthesia associated HAIs. Hand hygiene rates were evaluated through measuring the amount of hand sanitizer used at eleven anesthesia workstations in the main operating room of a hospital. Measurements were taken at baseline and continued for three months after the educational program was implemented.
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16

Messina, Denise Marie. "Social Media Usage by Dental Hygiene Educators." The Ohio State University, 2019. http://rave.ohiolink.edu/etdc/view?acc_num=osu1554307853537486.

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17

Grilli, Jennifer Hubbard. "Curriculum alternatives in graduate dental hygiene education." Morgantown, W. Va. : [West Virginia University Libraries], 2001. http://etd.wvu.edu/templates/showETD.cfm?recnum=2095.

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Thesis (M.S.)--West Virginia University, 2001.
Title from document title page. Document formatted into pages; contains vii, 85 p. : ill. (some col.). Vita. Includes abstract. Includes bibliographical references (p. 59-60).
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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).
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19

Taft, Sara. "Hand Function Evaluation for Dental Hygiene Students." Digital Commons @ East Tennessee State University, 2014. https://dc.etsu.edu/etd/2326.

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Dental hygiene students may struggle in dental hygiene curriculum in regards to hand function. Currently, this is not an aspect dental hygiene programs screen for or have protocol in place to help students. The research in the study examined if hand function could improve with hand function exercises and if exercises improved instrumentation scores. During a 6-week pilot study, an occupational therapist tested the hand function of a cohort of dental hygiene students. The results were recorded and the students began a 6-week hand function exercise regimen. After 6 weeks the same evaluations were preformed and the pre- and posttest data were compared. Statistical tests showed a significant improvement in hand function. After the hand function testing was complete, the scores of the cohort on the periodontal probe and 11/12 explorer were compared to students in the previous 5 cohorts. No significant improvement was made on the instrumentation scores.
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20

Galluzzi, Valerie. "Automatic recognition of healthcare worker hand hygiene." Diss., University of Iowa, 2015. https://ir.uiowa.edu/etd/2079.

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Hand hygiene is an important part of preventing disease transmission in the hospital. Due to this importance, electronic systems have been proposed for automatically monitoring healthcare worker adherence to hand hygiene guidelines. However, these systems can miss certain hand hygiene events and do not include quality metrics such as duration or technique. We propose that hand hygiene duration and technique can be automatically inferred using the motion of the wrist. This work presents a system utilizing wrist-based 3-dimensional accelerometers and orientation sensors, signal processing (including novel features), and machine learning to detect healthcare worker hand hygiene and report quality metrics such as duration and whether the healthcare worker used recommended rubbing technique. We validated the system using several different types of data sets with up to 116 healthcare workers and activities ranging from synthetically generated hand hygiene movements to observation of healthcare worker hand hygiene on the hospital floor. In these experiments our system detects up to 98.4% of hand hygiene events, detects hand hygiene technique with up to 92.1% accuracy, and accurately estimates hand hygiene duration.
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21

Currie, Doreen Millicent. "Implementing Guidelines to Improve Hand Hygiene Compliance." ScholarWorks, 2019. https://scholarworks.waldenu.edu/dissertations/6548.

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Hand hygiene is the term for removing microorganisms with disinfecting agents, alcohol-based rub, or soap and water. Evidence supported the low rates of hand hygiene compliance among health care workers. This project addressed this gap in practice at a large acute care facility through an educational training program. Data from the facility on hand hygiene compliance revealed a compliance rate of 63%. The problem question explored whether an educational program on hand hygiene improve compliance. The focus of the program was to provide education on the World Health Organization's My 5 Moments for Hand Hygiene and the 7-step technique for performing hand hygiene to improve overall compliance. A 2-week education program was provided for a wide cross-section of health care workers involved in direct patient contact. A total of 266 employees participated in the hand hygiene education and training. Education was delivered using a Sure Wash Kiosk, which was portable from floor to floor. Pre- and post-education hand hygiene data were evaluated to determine the effect of education on health care workers' compliance. Pre-education data revealed low compliance with hand hygiene and knowledge gap with both indications (5 Moments) for hand hygiene and hand hygiene techniques (7 steps). Post education data showed a significant improvement in compliance with the 5 Moments and techniques outlined during education. The result of this study is significant as it provides evidence supporting point of care education to improve hand hygiene compliance. The chief beneficiary will be the patient population who will receive high-quality safe care promoted by evidence-based practice.
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22

WING, Hayden, and hayden wing@optusnet com au. "Implementing best practice protocols for occupational hygiene monitoring." Edith Cowan University. Computing, Health And Science: School Of, 2005. http://adt.ecu.edu.au/adt-public/adt-ECU2006.0036.html.

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This thesis outlines the results of an occupational hygiene monitoring program implemented at Minara Resources' Murrin Murrin mine site. The research was conducted as part of a collaborative agreement between Edith Cowan University and Minara Resources, the title of which was
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23

Casadesus, Baldursson Jordi Hans. "Design concept for a Multifunctional Hygiene Cabin 2014." Thesis, Tekniska Högskolan, Högskolan i Jönköping, JTH, Maskinteknik, 2013. http://urn.kb.se/resolve?urn=urn:nbn:se:hj:diva-20675.

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The project  is related to the design of a new type of Public Toilets from the company Danfo for the year 2014.   The proper project follows asequential order to show how to create solution to the existing problems of these Service  and re-design the product itself to create a new look and new core values to the existing service , creating   a new product line for this kind of service in the market in this particular case the re-design  of a new type of Public Toilets for the year 2014.   Following the sequential order of a  design process it is proposed a new concept of Public Toilets  which will give service to users in City’s and Landscape areas. Developing a new  style and realistic concept of Publict Toilets.  Creating  sustainable buildings  which generate the 60 % of the own used energy,  using renewable energy sources from sun and wind, reusing the rainwater and with purifying water systems, for minimum water consumption, moreover a building  design to avoid vandalism and which give different services on the exterior creating information  reunion point, for the interior is looked at  the essence of  Public Toilets and why they where designed,  creating a new concept of  a multifunctional Hygiene cabin, and resolving the existing detected problems to create a  design concept that satisfied all the stakeholders involved in  the proper artifact and combined with the innovation of the design to open new markets.   A new type of Public Toilets with  new core values and which gives new services based on the conclusion and reflections of the  done research. It is proposed a Re-design of the Exterior and Interior  of the existing building and the design  of two  new artifacts  for the interior which resolves and gives service, creating new goals for the company  and a new style. Combined with the existing technology and production methods  and materials thinking in the future development and trends.
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Driscoll, Annelise. "DEMAND STUDY FOR DENTAL HYGIENE BACHELOR DEGREE PROGRAM." Doctoral diss., University of Central Florida, 2009. http://digital.library.ucf.edu/cdm/ref/collection/ETD/id/2826.

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The following is a study to determine if sufficient demand exists to start a Bachelor of Science and Master of Science degree program in dental hygiene through a joint agreement for completion degrees between Valencia Community College and the University of Central Florida. To accomplish this objective two survey instruments were administered to randomly selected licensed dentists and dental hygienists in the state of Florida. Dental hygienists represented the potential student base for the proposed programs, and dentists represented the potential and prospective employers of graduated students of the proposed programs. To determine demand and demand characteristics, one survey instrument was mailed to 1,000 dental hygienists who were randomly selected using SAS software from a population of N=12,066 dental hygienists actively licensed to practice in the state of Florida. This sample of hygienists was approximately 8.3% of the total population. Of the 1,000 samples, 134 (or 13.4%) were returned. Of the 134 surveys returned, 123 (n=123) were included in this study. Eleven surveys were not included because of a majority of missing data or because the respondent indicated he or she already possessed a Bachelor or Master degree. A Likert-scale questionnaire was sent to each group of actively licensed dentists and actively licensed dental hygienists from the state of Florida. Responses from dental hygienists were overwhelmingly positive towards the addition of the Bachelor of Science degree program with an online distance-learning component. Those in favor of the Bachelor of Science degree program also provided a favorable response towards adding a Master of Science degree program in dental hygiene. The dentists, as potential future employers, also showed strong support in their responses for the additional degree programs with an additional management track component and believed it would elevate the professional standards of the dental hygiene field.
Ph.D.
Department of Health Professions
Health and Public Affairs
Public Affairs PhD
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25

Jenner, Elizabeth Anne. "Healthcare professionals' hand hygiene : predicting and improving practice." Thesis, University of Hertfordshire, 2005. http://hdl.handle.net/2299/14270.

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This programme of research consists of eight studies which sought to determine how healthcare professionals' hand hygiene practice might be improved. The Theory of Planned Behaviour was used to isolate perceived cognitive and physical factors that may explain the variance in their hand hygiene behaviour. Practice was observed and healthcare professionals' understanding of the hand hygiene policy to which they were expected to adhere was assessed. Messages on hand hygiene posters were analysed. The effect of two educational interventions on students' attitudes was tested. Achieving change will be challenging for several reasons. Healthcare professionals hold false perceptions about their hand hygiene behaviour; they think it is better than it is but their practice is unrelated to their intentions and self-reports of behaviour. Adherence to the national guideline was poor and practice was neither rational nor informed by risk assessment, even when caring for patients colonised with methicillin-resistant Staphylococcus aureus. Student nurses' attitudes towards the importance of hand hygiene showed progressively downward trends between three cohorts in their first, second and third years of training. The difference was particularly pronounced between first and second years. Their attitudes also showed optimistic bias and false consensus beliefs. For all but one of the 11 clinical procedures measured, they said that they value hand hygiene practice significantly more than other nurses and doctors they work alongside. A microbiology laboratory practical and a demonstration using a fluorescent cream and an ultraviolet light hand inspection cabinet were equally effective at enhancing students' attitudes towards hand hygiene, but the improvement was quickly eroded by their first experience of clinical practice. Various factors in the clinical setting impact negatively on healthcare professionals' attitudes and practice and undermine the principles taught in the pre-clinical phase of training. These include poor role models, ambiguous hand hygiene policies and inappropriately framed messages on hand hygiene posters which lead to confusion in the minds of healthcare professionals about when hands should be washed. In order to improve healthcare professionals' hand hygiene behaviour, it is necessary to disambiguate their understanding about when hands should be washed. There needs to be more emphasis on infection prevention. An active process called the Dynamic Assessment Strategy for Hand Hygiene (DASHH) offers one way of changing poor practice. It does this by teaching healthcare professionals to consider hand hygiene before and after care as separate activities requiring separate risk assessment. Such a strategy provides them with a simple mind map to make the quick informed decisions that are required on a busy ward. The effectiveness of the strategy needs to be evaluated. Observation should form part of the assessment to ensure that there is a beneficial outcome and that good practice is becoming a habit.
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VALENTE, MARIA LUIZA CAMPOS DA SILVA. "PSYCHIACTRIC SOCIAL WORK: FROM MENTAL HYGIENE TO PSYCHOANALYSIS." PONTIFÍCIA UNIVERSIDADE CATÓLICA DO RIO DE JANEIRO, 1993. http://www.maxwell.vrac.puc-rio.br/Busca_etds.php?strSecao=resultado&nrSeq=8575@1.

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CONSELHO NACIONAL DE DESENVOLVIMENTO CIENTÍFICO E TECNOLÓGICO
Este estudo é uma pesquisa histórica, que tenta reconstruir o nascimento do serviço social psiquiátrico nos Estados Unidos, a fim de identificar os antecedentes do Freudian deluge, ocorrido nos anos vinte, quando a psiquiatria psicanalítica torna-se o principal referencial dos assistentes sociais americanos. Neste contexto, identifica o movimento de higiene mental e os postulados higienistas de Adolf Meyer, como o principal antecedente histórico da influência da psicanálise no serviço social americano.
This study is a historical research that attempts to reconstruct the birth of a psychiatric social work in the United States in order to identify the historical background of the Freudian deluge in the twenties, a time in which psychoanalytical psychiatry becomes the main approach of the hygiene movement and the mental hygiene principles established by Adolf Meyer as the landmark of the influence of psychoanalysis in American social work.
El presente estudio es una investigación histórica que reconstruye el origen del servicio social psiquiátrico en los Estados Unidos, con el objetivo de identificar los antecedentes del Freudian deluge en los años veinte, cuando la psiquiatría psicoanalítica transformase en el principal referencial de los asistentes sociales americanos. En ese contexto, el trabajo identifica el movimiento de higiene mental y los postulados higienistas de Adolf Meyer, como los principales antecedentes históricos de la influencia del psicoanálisis en el servicio social americano.
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27

Martinez, Fernando. "The coming-of-age of the hygiene hypothesis." BioMed Central, 2001. http://hdl.handle.net/10150/610240.

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The hygiene hypothesis, as originally proposed, postulated an inverse relation between the incidence of infectious diseases in early life and the subsequent development of allergies and asthma. New evidence from epidemiological, biological and genetic studies has significantly enlarged the scope of the hypothesis. It now appears probable that environmental 'danger' signals regulate the pattern of immune responses in early life. Microbial burden in general, and not any single acute infectious illness, is the main source of these signals. The latter interact with a sensitive and complex receptor system, and genetic variations in this receptor system may be an important determinant of inherited susceptibility to asthma and allergies.
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28

Wilson, Mark S. "The hygiene hypothesis : helminth infection and immune regulation." Thesis, University of Edinburgh, 2004. http://hdl.handle.net/1842/14684.

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The original hygiene hypothesis has been revised, suggesting that deficient regulatory mechanisms are responsible for the rising trends in inflammatory disorders. Helminths establish long-lived chronic infections in their definitive host, with avoidance and manipulation of host effector response. Throughout helminth infections, immunoregulatory networks are generated, limiting immunopathology and permitting survival of parasites. I propose that helminth induced regulatory networks extend to regulate damaging allergic and autoimmune inflammatory responses. This thesis aimed to experimentally dissect the relationship between helminth infections and allergic diseases. We show here that cellular populations generated during a helminth infection can control both Th1-mediated autoimmune, and Th2-associated allergic inflammation. CD4+CD25+ T cells or CD19+ B-cells from mesenteric lymph nodes (MLN) of mice chronically infected with Heligmosomoides polygyrus were transferred to allergen sensitive or myelin oliogodenodrocyte glycoprotein (MOG) (p35-55) immunised recipients. Allergen-sensitive mice receiving cells from infected donors had significantly reduced airway eosinophilia, broncho-alveolar lavage (BAL) fluid IL-5 and eotaxin secretions upon airway challenge in a model of allergic airway inflammation. Similarly, MOG(p35-55) immunised mice receiving CD19+ B-cells from infected mice, had a significantly delayed onset and reduced severity of disease with fewer CD4+IFN-γ+ cells in the central nervous system (CNS) during experimental allergic encephalomyelitis (EAE), a murine model of multiple sclerosis (MS). I propose a testable regulatory model encompassing multidimensional infectious tolerance with an array of regulatory cells. Taken together, these data highlight the immunoregulatory potential of chronic helminth infections, explaining the inverse relationship between helminth infections and dysregulated inflammatory events.
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29

Collins, David M. "Predictors of Empathy Among Dental Hygiene Undergraduate Students." The Ohio State University, 2021. http://rave.ohiolink.edu/etdc/view?acc_num=osu1619124591231362.

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30

Woodhouse, Jan. "Personal grooming (beyond hygiene) : a grounded theory study." Thesis, University of Chester, 2015. http://hdl.handle.net/10034/620356.

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Background: We are very individualistic in how we present ourselves to the world. Whilst we are healthy and self-caring we have control over the way we undertake self-groom. Once we need care the situation may change. In the setting of health and social care the emphasis has been on hygiene; aspects of personal grooming [PG] may be overlooked. Few studies exist in the health and social care literature that explore this crucial daily activity of living. Aim: This study aims to address the imbalance on what is known of PG. It seeks to thoroughly explore the concept of PG, identifying the normative activities involved, and the age-related behaviours that occur across the lifespan. Methods: Utilising a grounded theory [GT] methodology, an eclectic data collection approach was taken. Consequently a pilot group, four focus groups (child-focused; males 18-45; females 18-45; over-46), and a visual methodology formed the first phase of the study. The second phase consisted of a formal concept analysis, drawing on literature and data from the focus groups. The final phase of the study involved one-to-one semi-structured interviews with retired persons. A total of 26 participants took part in the study and both genders were represented. Analysis was undertaken using the range of coding consistent with a GT approach and the notion of constant comparison. Findings: New knowledge on PG emerged; an academic definition of PG; PG was found to have ‘four elements’: hygiene, appearance management behaviours, body modification and enhancement. There was a ‘spectrum’ of grooming recognised, which ranged from the wild, un-groomed state to that of being over-groomed. The term ‘allo-grooming’, which means grooming of another, was used to explore the part families play in social learning about PG. A timeline of PG behaviours was created to illustrate how PG changes over the lifespan. Additionally, information on grooming activities, other than those of hygiene, was recorded. Implications: PG is complex and the ‘one-size-fits-all’ approach of concentrating on hygiene may not meet the needs of service users. Some body areas, for example, are not included in the published documents that help to guide care services. There appears to a gap in educational programmes of health and social care workers, in respect to PG. Recommendations for practice, policy, education and further research are proposed.
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31

Горобченко, Неля Георгіївна, Неля Георгиевна Горобченко, Nelia Heorhiivna Horobchenko, and N. Lysenko. "Principles of hygiene and infection control in children." Thesis, Вид-во СумДУ, 2007. http://essuir.sumdu.edu.ua/handle/123456789/17656.

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32

Said, Dina. "Effect of Hand Hygiene Procedures on Skin Biomarkers." University of Cincinnati / OhioLINK, 2006. http://rave.ohiolink.edu/etdc/view?acc_num=ucin1146608923.

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33

Baer, Hannah Lee. "Public Perceptions of the Profession of Dental Hygiene." The Ohio State University, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=osu1461195176.

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34

Darr, Robert Edward. "Barriers To Men Entering Undergraduate Dental Hygiene Programs." The Ohio State University, 2016. http://rave.ohiolink.edu/etdc/view?acc_num=osu1471863587.

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35

Richardson, Leonda V. "The Experience of Underrepresented Minority Dental Hygiene Faculty." The Ohio State University, 2018. http://rave.ohiolink.edu/etdc/view?acc_num=osu1543329324959347.

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36

Youssef, Sarah Jane. "Implant Maintenance Curriculum Among U.S. Dental Hygiene Programs." The Ohio State University, 2020. http://rave.ohiolink.edu/etdc/view?acc_num=osu1586814568072554.

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37

Ubah, Veronica. "Re-educating Healthcare Providers on Hand Hygiene Practice." Thesis, Walden University, 2017. http://pqdtopen.proquest.com/#viewpdf?dispub=10279506.

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The Centers for Disease Control (CDC) and the World Health Organization (WHO) estimate that there are approximately 1.4 million cases of hospital acquired infections (HAIs) at any given time worldwide. Recent reports indicate that 722,000 patients acquire HAIs, with 75,000 or more succumbing to the infections and dying. This quality improvement project focused on the value of re-educating practicing nurses on hand hygiene practices as an approach to reduce the incidence of HAIs. Pre-intervention rates of HAIs were compared with post-intervention rates of HAIs across 2 units (Unit A and Unit B) in an acute care setting to determine if re-educating nurses about hand hygiene was a plausible strategy in reducing HAIs in the acute care setting. The pre-intervention mean rate of Unit A was 0.146% and the post-mean rate was 0.00%. A Wilcoxon signed-rank test showed that the educational intervention did not elicit a statistically significant change in infection rates (z = -1.63, p > 0.05). Similarly, the pre-intervention mean rate of Unit B was 0.12% and the post-mean rate was 0.00%. A Wilcoxon signed-rank test showed that the educational intervention did not elicit a statistically significant change in infection rates (z = 1.732, p > 0.05). Despite the lack of statistical significance, there was a reduction in the mean rate to 0.00% following the educational intervention. The results of this quality improvement project suggest a value in re-educating nurses on the importance of hand hygiene as a strategy to reduce and prevent HAIs in health care organizations in order to promote positive patient outcomes.

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38

Storgårds, Erna. "Process hygiene control in beer production and dispensing /." Espoo [Finland] : Technical Research Centre of Finland, 2000. http://www.vtt.fi/inf/pdf/publications/2000/P410.pdf.

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39

Ubah, Veronica Ihuoma. "Re-educating Healthcare Providers on Hand Hygiene Practice." ScholarWorks, 2017. https://scholarworks.waldenu.edu/dissertations/3641.

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The Centers for Disease Control (CDC) and the World Health Organization (WHO) estimate that there are approximately 1.4 million cases of hospital acquired infections (HAIs) at any given time worldwide. Recent reports indicate that 722,000 patients acquire HAIs, with 75,000 or more succumbing to the infections and dying. This quality improvement project focused on the value of re-educating practicing nurses on hand hygiene practices as an approach to reduce the incidence of HAIs. Pre-intervention rates of HAIs were compared with post-intervention rates of HAIs across 2 units (Unit A and Unit B) in an acute care setting to determine if re-educating nurses about hand hygiene was a plausible strategy in reducing HAIs in the acute care setting. The pre-intervention mean rate of Unit A was 0.146% and the post-mean rate was 0.00%. A Wilcoxon signed-rank test showed that the educational intervention did not elicit a statistically significant change in infection rates (z = -1.63, p > 0.05). Similarly, the pre-intervention mean rate of Unit B was 0.12% and the post-mean rate was 0.00%. A Wilcoxon signed-rank test showed that the educational intervention did not elicit a statistically significant change in infection rates (z = 1.732, p > 0.05). Despite the lack of statistical significance, there was a reduction in the mean rate to 0.00% following the educational intervention. The results of this quality improvement project suggest a value in re-educating nurses on the importance of hand hygiene as a strategy to reduce and prevent HAIs in health care organizations in order to promote positive patient outcomes.
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40

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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41

Wing, Hayden. "Implementing best practice protocols for occupational hygiene monitoring." Thesis, Edith Cowan University, Research Online, Perth, Western Australia, 2005. https://ro.ecu.edu.au/theses/111.

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This thesis outlines the results of an occupational hygiene monitoring program implemented at Minara Resources' Murrin Murrin mine site. The research was conducted as part of a collaborative agreement between Edith Cowan University and Minara Resources, the title of which was "Establishing best practice protocols in the management of occupational and environmental health in a high risk mining and ore processing environment". To form the basis of this research it was hypothesised that chemical hazards had not been adequately identified, that existing occupational hygiene monitoring programs did not adequately quantify employee exposures to these hazards, and that the implementation of a comprehensive hazard identification and monitoring program would greatly improve the capacity to quantify the health risks posed to employees.
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42

Isaksson, Sabina, and Maria Nordström. "Följsamhet till basala hygienrutiner på två mottagningar inom Akademiska sjukhuset i Uppsala : en jämförande kvantitativ observationsstudie." Thesis, Uppsala University, Department of Public Health and Caring Sciences, 2010. http://urn.kb.se/resolve?urn=urn:nbn:se:uu:diva-125582.

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Syfte. Vårdrelaterade infektioner är ett stort problem inom hälso- och sjukvård. Dessa infektioner drabbar patienten och dess anhöriga samt bidrar till stora kostnader för samhället. Studier har visat att god följsamhet till de basala hygienrutinerna är ett effektivt sätt att minska förekomsten av vårdrelaterade infektioner. Syftet med denna studie var att studera två mottagningars följsamhet till basala hygienrutiner, varav den ena deltar i kvalitetsprojektet VRISS – Vårdrelaterade Infektioner Ska Stoppas. Syftet var även att jämföra mottagningen som deltar i VRISS-projektet med den som inte deltagit, för att undersöka om det förekommer någon skillnad mellan dem.

Metod. Sjukvårdspersonal i tjänst på en mottagning som deltar, samt på en mottagning som inte deltar i VRISS-projektet observerades gällande följsamhet till basala hygienrutiner. Observationstillfällena gjordes under en veckas tid på varje mottagning.

Resultat. Den mottagning som deltar i VRISS-projektet hade högre följsamhet gällande spritning av händer samt helt korrekt utförande i alla tre stegen. Ingen signifikant skillnad mellan mottagningarna avseende följsamhet till någon annan studievariabel förekom.

Slutsats. Den mottagning som deltar i VRISS-projektet visar på en bättre följsamhet av bland annat spritning av händer än den mottagning som inte deltagit. För att uppnå följsamhet till 100 procent krävs utbildningsprogram som kontinuerligt uppmanar och påminner personalen om riktlinjerna för de basala hygienrutinerna och deras effekt mot vårdrelaterade infektioner.


Aim. Hospital-related infections are a major problem in healthcare. These infections occur among patients and their relatives, contributing to high costs for society. Studies have shown that good adherence to basic hygiene routines are an effective way to reduce the incidence of the infections. The purpose of this study was to examine adherence to basic hygiene routines among healthcare staff, and compare a healthcare reception which was included in the VRISS-project (healthcare-related infections shall be stopped) with a reception that did not participate, in order to investigate whether there is any difference in the adherence to basic hygiene routines between them.

Method. Healthcare staff at service within a healthcare reception that participated, and a reception that did not participate in the VRISS-project was observed. Data observations were accounted during a week within each reception.

Results. The healthcare reception involved in the VRISS-project had a higher compliance current shelling of hands and accomplish to the routines properly in all three steps. No difference between the receptions in adherence to any other of the variable that were studied was shown.

Conclusion. The healthcare reception that participates in the VRISS-project shows a higher adherence to the basic hygiene routines including shelling of hands. Although, for a higher compliance, training is required to continually remind the healthcare staff about the guidelines for basic hygiene routines and its impact on hospital-related infections.

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43

Müller, Kerstin-Elisabeth, Annemarie Englisch, Annegret Tautenhahn, Elisabeth Gäbler, Andreas Forkmann, Uwe Rösler, Anika Friese, Nils Kühl, and Evelin Ullrich. "Bewertung von Hygiene, Tierwohl und Tiergesundheit: Erarbeitung und praktische Erprobung eines Systems zur Bewertung von Hygiene, Tierwohl und Tiergesundheit in Rinderbeständen." Sächsisches Landesamt für Umwelt, Landwirtschaft und Geologie, 2015. https://slub.qucosa.de/id/qucosa%3A7588.

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Der Bericht informiert über ein Bewertungssystem für Hygiene und Tierwohl. Mit diesem System war es möglich, in milchrinderhaltenden Betrieben die Tierhygiene, das Tierwohl und die Tiergesundheit zu analysieren und zu bewerten, Schwachstellen bzw. Mängel zu identifizieren und diesbezügliche Managementempfehlungen zu geben, die entsprechend den betrieblichen Möglichkeiten umgesetzt wurden. Durch den Vergleich der Ergebnisse der Hygiene- und Tierwohlanalyse mit ausgewählten Tiergesundheits- und Leistungsparametern wurde dargestellt, wie sich eine hygienische und tiergerechte Haltung der Milchkühe auf deren Gesundheit und Leistungsfähigkeit auswirkt. Die Veröffentlichung richtet sich an Landwirte und Tierärzte.
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44

Steinhöfel, Ilka, Franziska Göhring, Ulf Müller, and Ramona Klee. "Hygiene und Fütterungsmaßnahmen für gesunde Tränkkälber: Erprobung von Hygiene- und Fütterungsmaßnahmen für Tränkkälber in den ersten Lebenstagen zur Vermeidung von Durchfallerkrankungen." Sächsisches Landesamt für Umwelt, Landwirtschaft und Geologie (LfULG), 2020. https://slub.qucosa.de/id/qucosa%3A73640.

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In den Jahren 2017 und 2018 wurde in 60 sächsischen Betrieben die Gesundheit der Kälber in den ersten vier Lebenswochen untersucht. Schwerpunkt der Untersuchung waren Durchfallerkrankungen, deren Erreger sowie die Haltungs- und Fütterungsbedingungen in den Betrieben. Die konsequente Umsetzung betriebsindividueller Maßnahmen zur Vermeidung früher Infektionen und eine frühzeitige und hochwertige Kolostralmilchgabe konnte im zweiten Teil der Untersuchung in einem Betrieb den Anteil hochgradiger Infektionen mit Bakterien und Viren deutlich reduzieren und Infektionen mit Cryptosporidium parvum vollständig vermeiden. Die Studie richtet sich an Landwirte, Berater und Vertreter der Wissenschaft. Redaktionsschluss: 21.04.2020
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45

Carnier-Banny, Alain. "Retour à l'hygiène et actualité de l'eau de Javel." Montpellier 1, 1990. http://www.theses.fr/1990MON11094.

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46

Kellner, Katharina. "Pesthauch über Regensburg Seuchenbekämpfung und Hygiene im 18. Jahrhundert." Regensburg Pustet, 2003. http://deposit.ddb.de/cgi-bin/dokserv?id=2706500&prov=M&dok_var=1&dok_ext=htm.

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47

Sörqvist, Sven. "Food hygiene aspects of vat scalding of pig carcasses /." Uppsala : Sveriges lantbruksuniv, 1990. http://epsilon.slu.se/avh/1990/91-576-4034-3.gif.

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48

Ford, Michael James. "Modern mass spectrometric techniques applied to occupational hygiene analysis." Thesis, University of East Anglia, 2002. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.268553.

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49

Moore, Christopher Patrick. "The effect of oral hygiene products on dentine wear." Thesis, University of Bristol, 2006. http://ethos.bl.uk/OrderDetails.do?uin=uk.bl.ethos.443270.

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50

Dawson, Carolyn. "Future systems of measurement for hand hygiene in healthcare." Thesis, University of Warwick, 2014. http://wrap.warwick.ac.uk/63285/.

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Hand hygiene is considered a key infection prevention strategy against the challenge of healthcare associated infections, as it prevents cross-transmission of microorganisms which may cause harm. Despite this, compliance amongst healthcare professionals is often poor. Considerable attention has been placed on developing interventions to increase hand hygiene, however known problems with measurement make determining improvement from established baselines difficult. This thesis addresses measurement through three research themes: The importance of meaningful data (Study 1), the potential for technology (Study 2), and the influence of human behaviour (Study 3). These are considered in relation to guidelines developed by the World Health Organisation (WHO) (My 5 Moments for Hand Hygiene). The thesis output provides recommendations for the healthcare setting, technology industry and research community by forming a new conceptual and integrated way of considering the measurement of hand hygiene compliance. A mixed methods approach was applied using a single case study methodology comprising three studies (two qualitative, one quantitative), based at a UK acute National Health Service Trust. Healthcare professionals involved in the current hand hygiene measurement process participated in all three studies (N=47). Methods included structured literature reviews, participant observation, one-to-one and group interviews, nonparticipant observation and analysis of existing case study site data. In Study 1 healthcare professionals identified a lack of clarity regarding feedback, and a lack of synergy between hand hygiene training and measurement. Combined with data accuracy flaws, their view was that the current hand hygiene measurement process produced meaningless data. Study 2 investigated healthcare professional views regarding the potential of technology to measure hand hygiene. It found that whilst current innovations are unable to detect all the WHO 5 Moments, healthcare professionals are interested in their potential to aid measurement and compliance. However they raised concerns about Fit for Purpose, anonymity and resistance, and over-reliance on technology and habituation. Interestingly participants suggested that hand hygiene across all WHO 5 Moments is not equal, expecting higher levels of adherence to Moments 2 and 3 than Moments 1, 4 and 5. Study 3 explored this, investigating the theory of Inherent and Elective hand hygiene behaviour. Inherent can be linked to Moments 2 and 3, through activities likely to stimulate an automatic “disgust” reaction within humans. Hand hygiene was significantly lower when healthcare professionals performed Elective rather than Inherent activities. The research developed Inherent and Elective theory further by proposing it as a lens with which to view the WHO 5 Moments and develop strategies for improved compliance. Understanding that hand hygiene is less likely at Elective activities, linked to Moments 1, 4 and 5 suggests these as key areas of focus for technology development. Acknowledging that hand hygiene may be more instinctive at Moment 2 and 3 may be useful when planning education, leading to reduced healthcare professional apathy towards hand hygiene. Involvement of healthcare professionals in exploring measurement processes and developing technologies for hand hygiene is proposed as key to ensure data produced by future methods of measurement is meaningful, vital to ensure desired behaviour change.
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