Infection control practices in dental clinics

This study was carried out to assess infection control practices among dentists and dental nurses in dental clinics and identify factors that influence infection control practices in dental clinics. The study was carried out in 15 dental clinics of the Ministry of Health and population of regional hospital in Quesena and Shebin El-Kom. A convenient sample comprised of 31 dentists, 44 dental nurses and 50 patients of both sexes in the previously mentioned setting were selected during the time of data collection. Four tools were utilized for data collection. Tool 1: Infection control practice: Structured questionnaire sheet: developed by the researchers and it includes two parts in addition to sociodemographic data. Tool 2: Infection control practice for dentists and nurses: Observational checklist: It was developed to assess infection control practices of dentist and dental nurses. It include 4 parts. Tool 3: Infection control practice for dentists and nurses: Bacteriological assessment sheet that developed by the researchers to collect data about bacterial count and types present in dentists, dental nurses and dental patients hands and noses and different instruments used in the patient treatment it include 3 parts. Tool 4: Factors influence infection control practices for dentists and nurses. It included 3 parts. Showed that there were significantly higher percentage of nurses gave incorrect answers regarding standard precautions, types of protective barriers, differences between cleaning, disinfection and sterilization and method of sterilization than dentists. But there was significantly higher percentage of nurses gale collect answers regarding method of cleaning instrument than dentists. Also it was revealed that, 100% of dentists followed infection control practices regarding short clean fingers nails, wearing new gloves, changing gloves between patients, disposing contaminated gloves before handling none clinical items and using disposable instruments, while the most infection control practices among nurses were having short clean finger nails followed by using disposable instrument and disposing contaminated gloves before handling non clinical items. Staph areus was significantly higher in the hands and nose of patients than dentists and dental nurses. Moreover, Staph epidermis was significantly higher in the hands of patients than dentists and nurses. There was significantly poor practice scoring among females than males, diploma than faculty and who work in an area of bad ventilation. Most of dentists and dental nurses followed the precautions of infection control in some aspects as short clean fingers and wearing new gloves, changing gloves between patients and disposing contaminated gloves before handling non clinical items. But, other aspects such as hepatitis B immunization and post immunization test remain problems. Wearing masks and protective eyewear were very poor. The practice of recapping needles requires particular attention. Staph areus was significantly higher among hands and nose of patient than dentists and dental nurses

Effect of a chest physical therapy nursing program on the occurrence of pulmonary complications among immobilized orthopaedic patients

This study was carried out to evaluate the effect of a chest physical therapy nursing program on the occurrence of pulmonary complications among immobilized orthopedic patients. The study was conducted in orthopedic department at Menoufiya University Hospital. The sample comprised 60 adult patients who were randomly assigned into two groups: study and control groups. An intervention program was developed based on reviewing the relevant literature. The study group was exposed to the designed chest physical therapy nursing program, while the control group received routine hospital care. Two tools were used for data collection. 1 Respiratory assessment sheet. 2 Dyspnea analogue Borg Scale. The results revealed that, the practice of breathing and coughing exercises of the study group improved significantly during second and third assessment as compared to the practice of the control group. In relation to dyspnea after first assessment the majority 83.3%, 93.3% of study and control groups had severe dyspnea, while in the second assessment 73.3% of the study group had no dyspnea, compared to 13.3% of the control group. In the third assessment the majority 93.3% of study group had no dyspnea compared to 26.7 of the control group. There is an obvious reduction in occurrence of chest infection among study group after second and third assessment compared to control group. Enrichment of patients with knowledge and skills about Chest physical therapy in addition to practicing breathing and coughing exercises seem to have a positive impact on prevention / reduction of pulmonary complications among immobilized orthopedic patients

study to determine the knowledge of school students regarding schistosomiasis at three levels of education

One hundred and fifty students of the school villages were interviewed in order to determine their level of Knowledge in relation to schistosomiasis. The study reveals that the mean knowledge score was very poor at the primary level [17.13], mediocre at the preparatory level [48.28] and at the secondary level [59.14]. The study also reveals that the perceived educational needs of the students are related to the areas of schistosomiasis prevention and treatment. The study emphasizes the importance of health education as a measure of combating schistosomiasis in Egypt