This document provides guidelines for infection control practices in dental care settings. It outlines three main routes of microbial transmission in dentistry: direct contact, indirect contact via contaminated instruments, and aerosolization of microorganisms. It emphasizes treating every patient and instrument as potentially infectious and outlines standard precautions like hand hygiene, personal protective equipment, safe injection practices, and management of exposures. The document also details procedures for cleaning, disinfection and sterilization of dental instruments and equipment; water quality management; and specific practices for dentistry areas like radiology and dental laboratories.
Infection Control Guidelines for Dental Clinics [compatibility mode]drnahla
Infection Control Guidelines for Dental Clinics
Infection Prevention in Dental Clinics
Dr. Nahla Abdel Kader.MD, PhD. Infection Control Consultant, MOH Infection Control Surveyor, CBAHI Infection Control Director,KKH.
Sterilization /certified fixed orthodontic courses by Indian dental academy Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Infection Control Guidelines for Dental Clinics [compatibility mode]drnahla
Infection Control Guidelines for Dental Clinics
Infection Prevention in Dental Clinics
Dr. Nahla Abdel Kader.MD, PhD. Infection Control Consultant, MOH Infection Control Surveyor, CBAHI Infection Control Director,KKH.
Sterilization /certified fixed orthodontic courses by Indian dental academy Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Sterilization and disinfection of orthodontic instruments /certified fixed or...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Sterilization and disinfection in dental clinics /certified fixed orthodontic...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Sterilisation & disinfection /certified fixed orthodontic courses by Indian d...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Infection control in orthodontic office /certified fixed orthodontic courses...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
00919248678078
This presentation aims to give a quick guide on new technologies in environmental cleaning. The decision of choosing a specific type depends on each healthcare setting and its need.
Safety precautions in the clinic and laboratory.pptxMustafa Al-Ali
Safety precautions in the clinic and laboratory.
Mustafa al-ali, 48
Safety precautions in the clinic and laboratory
Safety precautions in the dental clinic and laboratory are crucial to protect both patients and dental healthcare professionals. Here are some key safety measures to consider:
Personal Protective Equipment (PPE)
Hand Hygiene
Sterilization and Disinfection
Waste Management
Radiation Safety
Emergency Preparedness
Chemical Safety
Ergonomics
Personal Protective Equipment (PPE)
Personal protective equipment (PPE) should be selected based on risk assessment and tasks to be performed.
These items are designed to provide a protective barrier during dental procedures and through the sterilization process. PPE must also be considered for patients as they enter the facility and provided to administrative staff who may be screening them upon arrival.
Personal Protective Equipment (PPE)
Gown
Dental Hygiene Care Professionals (DHCP) should wear protective clothing (eg, gowns, jackets) to prevent contamination of scrubs and to protect the skin from exposure to blood and bodily fluids.
Sleeves should be long enough to protect the forearms.
Protective clothing should be changed after use or when it becomes visibly soiled by blood or other bodily fluids.
DHCP should remove protective clothing before leaving the work area.
Personal Protective Equipment (PPE)
Eyewear/Face Shields
Protective Eyewear
DHCP should wear protective eyewear with solid side shields or a face shield during procedures likely to generate splashes or sprays of blood or bodily fluids or the spatter of debris. Reusable protective eyewear should be cleaned with soap and water, and when visibly soiled, disinfected between patients.
Personal eyeglasses are not considered PPE.
Protective eyewear should be provided to patients.
Face Shields
Face shields provide full-face coverage.
Must be worn with a face mask.
Personal Protective Equipment (PPE)
Gloves
DHCP should wear gloves to prevent contamination of their hands when touching mucous membranes, blood, saliva, or other potentially infectious materials and to reduce the likelihood that microorganisms on their hands will be transmitted to patients during patient care.
Gloves should be used for one patient only and discarded appropriately after use.
Hand hygiene should be performed prior to donning gloves and immediately after glove removal.
Hand Hygiene
Hand hygiene is extremely important to prevent the spread of the SARS CoV-2 virus. It also interrupts the transmission of other viruses and bacteria, thus reducing the overall burden of disease, Dental healthcare facilities should ensure that hand hygiene supplies are readily available in every patient care location.
Pre-washing considerations
Remove jewelry, ring, watches, or bracelets
Remove artificial nails if present.
Cover skin cuts, abrasions, breaks or cracks with waterproof adhesive dressings.
Use running water; avoid dipping or washing hands in a basin of standing water
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Sterilization and disinfection of orthodontic instruments /certified fixed or...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Sterilization and disinfection in dental clinics /certified fixed orthodontic...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
Sterilisation & disinfection /certified fixed orthodontic courses by Indian d...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
0091-9248678078
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
Infection control in orthodontic office /certified fixed orthodontic courses...Indian dental academy
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and offering a wide range of dental certified courses in different formats.
Indian dental academy provides dental crown & Bridge,rotary endodontics,fixed orthodontics,
Dental implants courses.for details pls visit www.indiandentalacademy.com ,or call
00919248678078
This presentation aims to give a quick guide on new technologies in environmental cleaning. The decision of choosing a specific type depends on each healthcare setting and its need.
Safety precautions in the clinic and laboratory.pptxMustafa Al-Ali
Safety precautions in the clinic and laboratory.
Mustafa al-ali, 48
Safety precautions in the clinic and laboratory
Safety precautions in the dental clinic and laboratory are crucial to protect both patients and dental healthcare professionals. Here are some key safety measures to consider:
Personal Protective Equipment (PPE)
Hand Hygiene
Sterilization and Disinfection
Waste Management
Radiation Safety
Emergency Preparedness
Chemical Safety
Ergonomics
Personal Protective Equipment (PPE)
Personal protective equipment (PPE) should be selected based on risk assessment and tasks to be performed.
These items are designed to provide a protective barrier during dental procedures and through the sterilization process. PPE must also be considered for patients as they enter the facility and provided to administrative staff who may be screening them upon arrival.
Personal Protective Equipment (PPE)
Gown
Dental Hygiene Care Professionals (DHCP) should wear protective clothing (eg, gowns, jackets) to prevent contamination of scrubs and to protect the skin from exposure to blood and bodily fluids.
Sleeves should be long enough to protect the forearms.
Protective clothing should be changed after use or when it becomes visibly soiled by blood or other bodily fluids.
DHCP should remove protective clothing before leaving the work area.
Personal Protective Equipment (PPE)
Eyewear/Face Shields
Protective Eyewear
DHCP should wear protective eyewear with solid side shields or a face shield during procedures likely to generate splashes or sprays of blood or bodily fluids or the spatter of debris. Reusable protective eyewear should be cleaned with soap and water, and when visibly soiled, disinfected between patients.
Personal eyeglasses are not considered PPE.
Protective eyewear should be provided to patients.
Face Shields
Face shields provide full-face coverage.
Must be worn with a face mask.
Personal Protective Equipment (PPE)
Gloves
DHCP should wear gloves to prevent contamination of their hands when touching mucous membranes, blood, saliva, or other potentially infectious materials and to reduce the likelihood that microorganisms on their hands will be transmitted to patients during patient care.
Gloves should be used for one patient only and discarded appropriately after use.
Hand hygiene should be performed prior to donning gloves and immediately after glove removal.
Hand Hygiene
Hand hygiene is extremely important to prevent the spread of the SARS CoV-2 virus. It also interrupts the transmission of other viruses and bacteria, thus reducing the overall burden of disease, Dental healthcare facilities should ensure that hand hygiene supplies are readily available in every patient care location.
Pre-washing considerations
Remove jewelry, ring, watches, or bracelets
Remove artificial nails if present.
Cover skin cuts, abrasions, breaks or cracks with waterproof adhesive dressings.
Use running water; avoid dipping or washing hands in a basin of standing water
Infection Control Guidelines for Endoscopy Unit [compatibility mode]drnahla
Infection Control Guidelines for Endoscopy Unit
Infection Prevention in Endoscopy Unit
Dr. Nahla Abdel Kader.MD, PhD. Infection Control Consultant, MOH Infection Control Surveyor, CBAHI Infection Control Director,KKH.
The Indian Dental Academy is the Leader in continuing dental education , training dentists in all aspects of dentistry and
offering a wide range of dental certified courses in different formats.for more details please visit
www.indiandentalacademy.com
We can can minimize the risks of disease transmission to our self and to the patients in the dental office through carefully following the infection control and safety guidelines,
Dr. Hesham Dameer
6 what can you do in your clinic to prevent contamination and cross infectionaakaricls
WHY YOU NEED TO DO THIS COURSE?
You are doctors and are well aware about current scenario. You are even taking adequate care. Then why you should do this course?
1. Friends this course aims to provide general guidance and information on how to prevent the spread of COVID-19 in the workplace, to enable staff to return to work safely while keeping the risk of contamination as low as possible.
2. It also provides ideas on how to protect mental well-being during the pandemic.
3. All General Practitioners, Consultants owning their own workplace and Freelancing Consultants can get information on how to take care while restarting medical practice,
4. Happy Doctor Foundation always helps doctors. And you will agree with us that a doctor is at MORE RISK AND IS MORE VULNERABLE TO GET INFECTION! So the more you learn, more you become wise. Isn’t it?
5. Do you know that your family’s health depends on HOW WELL YOU PROTECT YOURSELF?
6. You have nothing to lose by undergoing these course modules, so why not give it a try?
Employee's' health clinic orientation [compatibility mode]drnahla
Employee's' health clinic orientation
Infection Control Guidelines for Staff Health Clinic
Dr. Nahla Abdel Kader.MD, PhD. Infection Control Consultant, MOH Infection Control Surveyor, CBAHI Infection Control Director,KKH.
Barrier technique personal protective equipment [compatibility mode]drnahla
Infection Control Guidelines for appropriate use of personal protective equipment Barrier technique personal protective equipment
Dr. Nahla Abdel Kader.MD, PhD. Infection Control Consultant, MOH Infection Control Surveyor, CBAHI Infection Control Director,KKH.
Infection prevention & control general orientation [compatibility mode]drnahla
Infection prevention & control general orientation
Dr. Nahla Abdel Kader, MD, PhD.
Infection Control Consultant, MOH
Infection Control CBAHI Surveyor
Infection Prevention Control Director
KKH.
Infection Control Guidelines for Sharp Injuries Prevention
Dr. NAHLA ABDEL KADERوMD, PhD.
INFECTION CONTROL CONSULTANT, MOH
INFECTION CONTROL CBAHI SURVEYOR
Infection Control Director, KKH.
Sharp injuries and needle stick post exposure prophylaxis [compatibility mode]drnahla
Infection Control Guidelines for Sharp injuries and needle stick post exposure prophylaxis
Dr. NAHLA ABDEL KADERوMD, PhD.
INFECTION CONTROL CONSULTANT, MOH
INFECTION CONTROL CBAHI SURVEYOR
Infection Control Director, KKH.
Role of infection control in patient safety [compatibility mode]drnahla
Infection Control and Patient Safety
Dr. NAHLA ABDEL KADERوMD, PhD.
INFECTION CONTROL CONSULTANT, MOH
INFECTION CONTROL CBAHI SURVEYOR
Infection Control Director, KKH.
Prevention of Surgical Site Infection- SSI [compatibility mode]drnahla
Infection Control Guidelines for Prevention of Surgical Site Infection- SSI
Dr. NAHLA ABDEL KADERوMD, PhD.
INFECTION CONTROL CONSULTANT, MOH
INFECTION CONTROL CBAHI SURVEYOR
Infection Control Director, KKH.
Prevention of Central Line Associated Blood Stream Infection (CLABSI )[compa...drnahla
Infection Control Guidelines for Prevention of Central Line Associated Blood Stream Infection (CLABSI )
Dr. NAHLA ABDEL KADERوMD, PhD.
INFECTION CONTROL CONSULTANT, MOH
INFECTION CONTROL CBAHI SURVEYOR
Infection Control Director, KKH.
Infection Control Guidelines for Prevention of Catheter Associated Urinary Tract Infection
Dr. NAHLA ABDEL KADERوMD, PhD.
INFECTION CONTROL CONSULTANT, MOH
INFECTION CONTROL CBAHI SURVEYOR
Infection Control Director, KKH.
Infection Control Guidelines in Tuberculosis [compatibility mode]drnahla
Infection Control Guidelines in Tuberculosis
Dr. NAHLA ABDEL KADERوMD, PhD.
INFECTION CONTROL CONSULTANT, MOH
INFECTION CONTROL CBAHI SURVEYOR
Infection Control Director, KKH.
Guidelines for Management of Outbreak in Healthcare Organizationdrnahla
Guidelines for Management of Outbreak in Healthcare Organization
Dr. NAHLA ABDEL KADERوMD, PhD.
INFECTION CONTROL CONSULTANT, MOH
INFECTION CONTROL CBAHI SURVEYOR
Infection Control Director, KKH.
Infection control guidelines for Prevention of Peripheral Venous Catheter (PV...drnahla
Infection Control Guidelines for Prevention of Peripheral Venous Catheter (PVC) Associated Infections
Dr. NAHLA ABDEL KADERوMD, PhD.
INFECTION CONTROL CONSULTANT, MOH
INFECTION CONTROL CBAHI SURVEYOR
Infection Control Director, KKH.
Infection Control Guidelines for Ophthalmology Clinic [compatibility mode]drnahla
Infection Control Guidelines for Ophthalmology Clinic
Infection Prevention in Ophthalmology Clinic
Dr. NAHLA ABDEL KADERوMD, PhD.
INFECTION CONTROL CONSULTANT, MOH
INFECTION CONTROL CBAHI SURVEYOR
Infection Control Director, KKH.
Infection Control Guidelines for Physiotherapy Services[compatibility mode]drnahla
Infection Control Guidelines for Physiotherapy Services
Infection Prevention in Physiotherapy Services
Dr. NAHLA ABDEL KADERوMD, PhD.
INFECTION CONTROL CONSULTANT, MOH
INFECTION CONTROL CBAHI SURVEYOR
Infection Control Director, KKH.
Infection Control Guidelines for Respiratory Therapy Services[compatibility m...drnahla
Infection Control Guidelines for Respiratory Therapy Services
Infection Prevention in Respiratory Therapy Services
Dr. NAHLA ABDEL KADERوMD, PhD.
INFECTION CONTROL CONSULTANT, MOH
INFECTION CONTROL CBAHI SURVEYOR
Infection Control Director, KKH.
Infection Control Guidelines for Nutrition Services [compatibility mode]drnahla
Infection Control Guidelines for Nutrition Services
Infection Prevention in Dietary Department
Dr. NAHLA ABDEL KADERوMD, PhD.
INFECTION CONTROL CONSULTANT, MOH
INFECTION CONTROL CBAHI SURVEYOR
Infection Control Director, KKH.
Infection Control Guidelines for Pharmacy [compatibility mode]drnahla
Infection Control Guidelines for Pharmacy
Infection Prevention in Pharmacy
Dr. NAHLA ABDEL KADERوMD, PhD.
INFECTION CONTROL CONSULTANT, MOH
INFECTION CONTROL CBAHI SURVEYOR
Infection Control Director, KKH.
Explore natural remedies for syphilis treatment in Singapore. Discover alternative therapies, herbal remedies, and lifestyle changes that may complement conventional treatments. Learn about holistic approaches to managing syphilis symptoms and supporting overall health.
Pulmonary Thromboembolism - etilogy, types, medical- Surgical and nursing man...VarunMahajani
Disruption of blood supply to lung alveoli due to blockage of one or more pulmonary blood vessels is called as Pulmonary thromboembolism. In this presentation we will discuss its causes, types and its management in depth.
Flu Vaccine Alert in Bangalore Karnatakaaddon Scans
As flu season approaches, health officials in Bangalore, Karnataka, are urging residents to get their flu vaccinations. The seasonal flu, while common, can lead to severe health complications, particularly for vulnerable populations such as young children, the elderly, and those with underlying health conditions.
Dr. Vidisha Kumari, a leading epidemiologist in Bangalore, emphasizes the importance of getting vaccinated. "The flu vaccine is our best defense against the influenza virus. It not only protects individuals but also helps prevent the spread of the virus in our communities," he says.
This year, the flu season is expected to coincide with a potential increase in other respiratory illnesses. The Karnataka Health Department has launched an awareness campaign highlighting the significance of flu vaccinations. They have set up multiple vaccination centers across Bangalore, making it convenient for residents to receive their shots.
To encourage widespread vaccination, the government is also collaborating with local schools, workplaces, and community centers to facilitate vaccination drives. Special attention is being given to ensuring that the vaccine is accessible to all, including marginalized communities who may have limited access to healthcare.
Residents are reminded that the flu vaccine is safe and effective. Common side effects are mild and may include soreness at the injection site, mild fever, or muscle aches. These side effects are generally short-lived and far less severe than the flu itself.
Healthcare providers are also stressing the importance of continuing COVID-19 precautions. Wearing masks, practicing good hand hygiene, and maintaining social distancing are still crucial, especially in crowded places.
Protect yourself and your loved ones by getting vaccinated. Together, we can help keep Bangalore healthy and safe this flu season. For more information on vaccination centers and schedules, residents can visit the Karnataka Health Department’s official website or follow their social media pages.
Stay informed, stay safe, and get your flu shot today!
Couples presenting to the infertility clinic- Do they really have infertility...Sujoy Dasgupta
Dr Sujoy Dasgupta presented the study on "Couples presenting to the infertility clinic- Do they really have infertility? – The unexplored stories of non-consummation" in the 13th Congress of the Asia Pacific Initiative on Reproduction (ASPIRE 2024) at Manila on 24 May, 2024.
NVBDCP.pptx Nation vector borne disease control programSapna Thakur
NVBDCP was launched in 2003-2004 . Vector-Borne Disease: Disease that results from an infection transmitted to humans and other animals by blood-feeding arthropods, such as mosquitoes, ticks, and fleas. Examples of vector-borne diseases include Dengue fever, West Nile Virus, Lyme disease, and malaria.
Title: Sense of Taste
Presenter: Dr. Faiza, Assistant Professor of Physiology
Qualifications:
MBBS (Best Graduate, AIMC Lahore)
FCPS Physiology
ICMT, CHPE, DHPE (STMU)
MPH (GC University, Faisalabad)
MBA (Virtual University of Pakistan)
Learning Objectives:
Describe the structure and function of taste buds.
Describe the relationship between the taste threshold and taste index of common substances.
Explain the chemical basis and signal transduction of taste perception for each type of primary taste sensation.
Recognize different abnormalities of taste perception and their causes.
Key Topics:
Significance of Taste Sensation:
Differentiation between pleasant and harmful food
Influence on behavior
Selection of food based on metabolic needs
Receptors of Taste:
Taste buds on the tongue
Influence of sense of smell, texture of food, and pain stimulation (e.g., by pepper)
Primary and Secondary Taste Sensations:
Primary taste sensations: Sweet, Sour, Salty, Bitter, Umami
Chemical basis and signal transduction mechanisms for each taste
Taste Threshold and Index:
Taste threshold values for Sweet (sucrose), Salty (NaCl), Sour (HCl), and Bitter (Quinine)
Taste index relationship: Inversely proportional to taste threshold
Taste Blindness:
Inability to taste certain substances, particularly thiourea compounds
Example: Phenylthiocarbamide
Structure and Function of Taste Buds:
Composition: Epithelial cells, Sustentacular/Supporting cells, Taste cells, Basal cells
Features: Taste pores, Taste hairs/microvilli, and Taste nerve fibers
Location of Taste Buds:
Found in papillae of the tongue (Fungiform, Circumvallate, Foliate)
Also present on the palate, tonsillar pillars, epiglottis, and proximal esophagus
Mechanism of Taste Stimulation:
Interaction of taste substances with receptors on microvilli
Signal transduction pathways for Umami, Sweet, Bitter, Sour, and Salty tastes
Taste Sensitivity and Adaptation:
Decrease in sensitivity with age
Rapid adaptation of taste sensation
Role of Saliva in Taste:
Dissolution of tastants to reach receptors
Washing away the stimulus
Taste Preferences and Aversions:
Mechanisms behind taste preference and aversion
Influence of receptors and neural pathways
Impact of Sensory Nerve Damage:
Degeneration of taste buds if the sensory nerve fiber is cut
Abnormalities of Taste Detection:
Conditions: Ageusia, Hypogeusia, Dysgeusia (parageusia)
Causes: Nerve damage, neurological disorders, infections, poor oral hygiene, adverse drug effects, deficiencies, aging, tobacco use, altered neurotransmitter levels
Neurotransmitters and Taste Threshold:
Effects of serotonin (5-HT) and norepinephrine (NE) on taste sensitivity
Supertasters:
25% of the population with heightened sensitivity to taste, especially bitterness
Increased number of fungiform papillae
Report Back from SGO 2024: What’s the Latest in Cervical Cancer?bkling
Are you curious about what’s new in cervical cancer research or unsure what the findings mean? Join Dr. Emily Ko, a gynecologic oncologist at Penn Medicine, to learn about the latest updates from the Society of Gynecologic Oncology (SGO) 2024 Annual Meeting on Women’s Cancer. Dr. Ko will discuss what the research presented at the conference means for you and answer your questions about the new developments.
Recomendações da OMS sobre cuidados maternos e neonatais para uma experiência pós-natal positiva.
Em consonância com os ODS – Objetivos do Desenvolvimento Sustentável e a Estratégia Global para a Saúde das Mulheres, Crianças e Adolescentes, e aplicando uma abordagem baseada nos direitos humanos, os esforços de cuidados pós-natais devem expandir-se para além da cobertura e da simples sobrevivência, de modo a incluir cuidados de qualidade.
Estas diretrizes visam melhorar a qualidade dos cuidados pós-natais essenciais e de rotina prestados às mulheres e aos recém-nascidos, com o objetivo final de melhorar a saúde e o bem-estar materno e neonatal.
Uma “experiência pós-natal positiva” é um resultado importante para todas as mulheres que dão à luz e para os seus recém-nascidos, estabelecendo as bases para a melhoria da saúde e do bem-estar a curto e longo prazo. Uma experiência pós-natal positiva é definida como aquela em que as mulheres, pessoas que gestam, os recém-nascidos, os casais, os pais, os cuidadores e as famílias recebem informação consistente, garantia e apoio de profissionais de saúde motivados; e onde um sistema de saúde flexível e com recursos reconheça as necessidades das mulheres e dos bebês e respeite o seu contexto cultural.
Estas diretrizes consolidadas apresentam algumas recomendações novas e já bem fundamentadas sobre cuidados pós-natais de rotina para mulheres e neonatos que recebem cuidados no pós-parto em unidades de saúde ou na comunidade, independentemente dos recursos disponíveis.
É fornecido um conjunto abrangente de recomendações para cuidados durante o período puerperal, com ênfase nos cuidados essenciais que todas as mulheres e recém-nascidos devem receber, e com a devida atenção à qualidade dos cuidados; isto é, a entrega e a experiência do cuidado recebido. Estas diretrizes atualizam e ampliam as recomendações da OMS de 2014 sobre cuidados pós-natais da mãe e do recém-nascido e complementam as atuais diretrizes da OMS sobre a gestão de complicações pós-natais.
O estabelecimento da amamentação e o manejo das principais intercorrências é contemplada.
Recomendamos muito.
Vamos discutir essas recomendações no nosso curso de pós-graduação em Aleitamento no Instituto Ciclos.
Esta publicação só está disponível em inglês até o momento.
Prof. Marcus Renato de Carvalho
www.agostodourado.com
Tom Selleck Health: A Comprehensive Look at the Iconic Actor’s Wellness Journeygreendigital
Tom Selleck, an enduring figure in Hollywood. has captivated audiences for decades with his rugged charm, iconic moustache. and memorable roles in television and film. From his breakout role as Thomas Magnum in Magnum P.I. to his current portrayal of Frank Reagan in Blue Bloods. Selleck's career has spanned over 50 years. But beyond his professional achievements. fans have often been curious about Tom Selleck Health. especially as he has aged in the public eye.
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Introduction
Many have been interested in Tom Selleck health. not only because of his enduring presence on screen but also because of the challenges. and lifestyle choices he has faced and made over the years. This article delves into the various aspects of Tom Selleck health. exploring his fitness regimen, diet, mental health. and the challenges he has encountered as he ages. We'll look at how he maintains his well-being. the health issues he has faced, and his approach to ageing .
Early Life and Career
Childhood and Athletic Beginnings
Tom Selleck was born on January 29, 1945, in Detroit, Michigan, and grew up in Sherman Oaks, California. From an early age, he was involved in sports, particularly basketball. which played a significant role in his physical development. His athletic pursuits continued into college. where he attended the University of Southern California (USC) on a basketball scholarship. This early involvement in sports laid a strong foundation for his physical health and disciplined lifestyle.
Transition to Acting
Selleck's transition from an athlete to an actor came with its physical demands. His first significant role in "Magnum P.I." required him to perform various stunts and maintain a fit appearance. This role, which he played from 1980 to 1988. necessitated a rigorous fitness routine to meet the show's demands. setting the stage for his long-term commitment to health and wellness.
Fitness Regimen
Workout Routine
Tom Selleck health and fitness regimen has evolved. adapting to his changing roles and age. During his "Magnum, P.I." days. Selleck's workouts were intense and focused on building and maintaining muscle mass. His routine included weightlifting, cardiovascular exercises. and specific training for the stunts he performed on the show.
Selleck adjusted his fitness routine as he aged to suit his body's needs. Today, his workouts focus on maintaining flexibility, strength, and cardiovascular health. He incorporates low-impact exercises such as swimming, walking, and light weightlifting. This balanced approach helps him stay fit without putting undue strain on his joints and muscles.
Importance of Flexibility and Mobility
In recent years, Selleck has emphasized the importance of flexibility and mobility in his fitness regimen. Understanding the natural decline in muscle mass and joint flexibility with age. he includes stretching and yoga in his routine. These practices help prevent injuries, improve posture, and maintain mobilit
Ozempic: Preoperative Management of Patients on GLP-1 Receptor Agonists Saeid Safari
Preoperative Management of Patients on GLP-1 Receptor Agonists like Ozempic and Semiglutide
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2 Case Reports of Gastric Ultrasound
Lung Cancer: Artificial Intelligence, Synergetics, Complex System Analysis, S...Oleg Kshivets
RESULTS: Overall life span (LS) was 2252.1±1742.5 days and cumulative 5-year survival (5YS) reached 73.2%, 10 years – 64.8%, 20 years – 42.5%. 513 LCP lived more than 5 years (LS=3124.6±1525.6 days), 148 LCP – more than 10 years (LS=5054.4±1504.1 days).199 LCP died because of LC (LS=562.7±374.5 days). 5YS of LCP after bi/lobectomies was significantly superior in comparison with LCP after pneumonectomies (78.1% vs.63.7%, P=0.00001 by log-rank test). AT significantly improved 5YS (66.3% vs. 34.8%) (P=0.00000 by log-rank test) only for LCP with N1-2. Cox modeling displayed that 5YS of LCP significantly depended on: phase transition (PT) early-invasive LC in terms of synergetics, PT N0—N12, cell ratio factors (ratio between cancer cells- CC and blood cells subpopulations), G1-3, histology, glucose, AT, blood cell circuit, prothrombin index, heparin tolerance, recalcification time (P=0.000-0.038). Neural networks, genetic algorithm selection and bootstrap simulation revealed relationships between 5YS and PT early-invasive LC (rank=1), PT N0—N12 (rank=2), thrombocytes/CC (3), erythrocytes/CC (4), eosinophils/CC (5), healthy cells/CC (6), lymphocytes/CC (7), segmented neutrophils/CC (8), stick neutrophils/CC (9), monocytes/CC (10); leucocytes/CC (11). Correct prediction of 5YS was 100% by neural networks computing (area under ROC curve=1.0; error=0.0).
CONCLUSIONS: 5YS of LCP after radical procedures significantly depended on: 1) PT early-invasive cancer; 2) PT N0--N12; 3) cell ratio factors; 4) blood cell circuit; 5) biochemical factors; 6) hemostasis system; 7) AT; 8) LC characteristics; 9) LC cell dynamics; 10) surgery type: lobectomy/pneumonectomy; 11) anthropometric data. Optimal diagnosis and treatment strategies for LC are: 1) screening and early detection of LC; 2) availability of experienced thoracic surgeons because of complexity of radical procedures; 3) aggressive en block surgery and adequate lymph node dissection for completeness; 4) precise prediction; 5) adjuvant chemoimmunoradiotherapy for LCP with unfavorable prognosis.
Prix Galien International 2024 Forum ProgramLevi Shapiro
June 20, 2024, Prix Galien International and Jerusalem Ethics Forum in ROME. Detailed agenda including panels:
- ADVANCES IN CARDIOLOGY: A NEW PARADIGM IS COMING
- WOMEN’S HEALTH: FERTILITY PRESERVATION
- WHAT’S NEW IN THE TREATMENT OF INFECTIOUS,
ONCOLOGICAL AND INFLAMMATORY SKIN DISEASES?
- ARTIFICIAL INTELLIGENCE AND ETHICS
- GENE THERAPY
- BEYOND BORDERS: GLOBAL INITIATIVES FOR DEMOCRATIZING LIFE SCIENCE TECHNOLOGIES AND PROMOTING ACCESS TO HEALTHCARE
- ETHICAL CHALLENGES IN LIFE SCIENCES
- Prix Galien International Awards Ceremony
Infection Control Guidelines for Dental Clinics [compatibility mode]
1. ١
KING KHALID HOSPITAL
INFECTION PREVENTION
AND
CONTROL MANUAL
DENTAL CLINIC AND
DENTAL LABORATORY
Dr. Nahla Abdel Kader, MD, PhD.
Infection Control Consultant, MOH
Infection Control CBAHI Surveyor
Infection Prevention Control Director
KKH.
2. ٢
DEFINITION
To provide guidelines on proper infection control
practices in the Dental care setting.
COMMENTS
1. Patients and Dental Health Care Workers (DHCWs) may be exposed to a variety of
infectious, viral, and bacterial agents in dental care settings.
a. Routes of microbial transmission
i. Direct contact with a lesion, organisms, or potentially infectious secretions when
performing intra oral procedures. E.g. practicing without wearing gloves.
ii. Indirect contact via contaminated instruments or disposable items. e.g. accidental
percutaneous exposures from used needles.
iii. Aerosolization of microorganisms from patient’s blood or saliva while using
devices. e.g. air water devices, dental hand pieces
3. ٣
Next.. COMMENTS
b. DHCWs and patients as modes of transmission
during patients care:
i. Patient to DHCW: passage of potentially infectious
microbes, can occur through breaks in the skin or
through airborne exposure.
ii. DHCW to patient exposure: this transmission
represents a microbial challenge, as a result of
accidental bleeding into a patient’s mouth after an
accidental sharps exposure or through respiratory
droplets passed from DHCW to the patient.
iii. Patient to patient transmission: Can occur if
instruments improperly reprocessed or improper
hand hygiene
4. ٤
PROCEDURE
Treat every patient and instrument as potentially infectious with
a life treating
bloodborne pathogen.
1. Hepatitis B Vaccination:
All susceptible DHCWs should obtain vaccination against
hepatitis B. This vaccine is provided free of charge to at-risk
employees by National Guard Health Affairs.
2. Standard Precautions:
a. Practice standard precautions (hand hygiene, mask, gloves,
goggles, face shield, gowns, or aprons). Refer to ICM – II-03
b. Dispose sharps properly in puncture proof containers; do not
bend or recap refer to ICM – IX-02.
c. Use impervious-backed paper, aluminum foil, or plastic
covers to protect items and surfaces (e.g., light handles of x-ray
unit heads) that may become contaminated by blood or saliva
during use and that are impossible to clean and disinfect.
Between patients, remove these covers (while still gloved),
discard them, and replace (after ungloving and washing hands)
with clean materials.
5. ٥
Next.. PROCEDURE
3. Preprocedural mouth rinsing:
Use it as routine for all patients to reduce the number of
micro-organisms in the mouth before any procedure.
4. Unit dose concept:
Dispense the sufficient amount of material to accomplish a
particular procedure before patient contact.
5. Patient interview:
Always obtain and determine the current health status of
the patient; and always perform a through head, neck and
oral examination (examination may indicate a need for
medical referral for the patient (i.e. for diagnosis of active
infection).
6. Management of needlestick injuries/ blood and body fluid
exposure: Refer to ICM – VII-04 Management of Needlestick
and Body Fluid Exposure
7. Work restriction for DHCWs:
Refer to ICM – VI-04 Work Restriction for Infected Health
Care Workers.
6. ٦
Next.. PROCEDURE
8. Cleaning, Disinfection, and Sterilization:
a. General principles
All dental and medical instruments can be classified into 3
categories reflecting their infection risk and how to process
them:
i. Critical instruments penetrate soft tissue or bone and should be
sterilized after each use. Examples include forceps, scalpels,
bone chisels, scalers, and burs.
ii. Semicritical instruments do not penetrate soft tissues or bone
but contact oral tissues and mucous membranes, and they
should be sterilized; if sterilization is not feasible because heat
will damage the instrument, then the item should receive a
high-level disinfection. Examples include mirrors and amalgam
condensers.
iii. Non critical instruments come into contact only with intact
skin and may be processed with intermediate-level or low-level
disinfection, or with detergent and water, depending on the
nature of the surface and the degree and nature of the
contamination. Examples include x-ray heads
7. ٧
Next.. PROCEDURE
b. Dental instruments
i. Wear heavy-duty (reusable utility) gloves when cleaning and
reprocessing to lessen the risk of injuries.
ii. Cleaning:
▪▪ Clean the instruments thoroughly to remove debris prior to
sterilization or disinfection.
▪▪ Place the instruments into a container of water or disinfectant/
detergent as soon as possible after use to prevent drying of
organic material and make cleaning easier.
▪▪ Scrub instruments thoroughly with soap and water or a
detergent solution, or with a mechanical device such as an
ultrasonic cleaner. Covered ultrasonic cleaners are
recommended to increase efficiency of cleaning and to reduce
handling of sharp instruments.
iii. Sterilization:
▪▪ Sterilize all heat-stable critical and semicritical dental
instruments between uses by steam under pressure
(autoclaving), dry heat, or chemical vapor, following
manufacturer’s instructions for instruments and sterilizers
8. ٨
Next.. PROCEDURE
▪▪ Package critical and semicritical instruments that will not be used immediately
before sterilizing them.
▪▪ Use a biological indicator (i.e., spore tests) at least weekly to verify proper
functioning of sterilization cycles (see Appendix 1).
▪▪ Place a heat-sensitive chemical indicator (i.e., those that change color after
exposure to heat) inside and in the center of either a load of unwrapped
instruments or in each multiple instrument pack to confirm heat penetration to
all instruments during each cycle.
▪▪ Follow manufacturers’ instructions for dental instruments and sterilization
devices.
i. High-level disinfection:
▪▪ Use an U.S. Environmental Protection Agency (EPA)-registered
“sterilant/disinfectant” liquid chemical to achieve high-level disinfection of
heat-sensitive semicritical dental instruments.
▪▪ Follow product manufacturer’s instructions regarding appropriate
concentration and exposure time for the “sterilant/ disinfectant.”
▪▪ Check the chemical label for the “sterilant/disinfectant” designation. Liquid
chemical agents that are rated less potent than the “sterilant/ disinfectant”
category are not appropriate for reprocessing critical or semicritical dental
instruments
9. ٩
Next.. PROCEDURE
c. Dental unit and environmental surfaces
i. After treatment of each patient and at the completion of daily work
activities, clean countertops and dental unit surfaces that may have
become contaminated with patient material. Use paper towels, an
appropriate cleaning agent, and water for cleaning.
ii. Cleaning environmental surface contaminated with patient
material, with a chemical germicide registered with the U.S. EPA as
a “hospital disinfectant” and labeled “tuberculocidal.” Examples of
such intermediate-level disinfectants include phenolics, iodophors,
and chlorine-containing compounds such as diluted household
bleach (sodium hypochlorite).
iii. Prepare a fresh solution of 1:100 dilution sodium hypochlorite as
an inexpensive intermediate-level disinfectant, add ¼ cup of
household bleach to 1 gallon of tap water. This solution is active for
only 24 hours and must be prepared fresh each day. Caution should
be exercised because chlorine solutions can corrode metals such as
aluminum.
iv. Clean floors, walls, and other surfaces with EPA-registered
“hospital disinfectants” that are not labeled for “tuberculocidal”
activity. An example of such a low-level disinfectant is a quaternary
ammonium compound
10. ١٠
Next.. PROCEDURE
9. Use and Care of Handpieces, Anti-retraction valves, and other
Intraoral Dental Devices attached to Air and Water Lines of Dental
Units:
a. Heat-sterilize all high-speed dental handpieces, low-speed
handpiece components used intraorally and reusable prophylaxis
angles. Acceptable methods of sterilization include steam under
pressure (autoclaving), dry heat, or heat/chemical vapor. It is NOT
acceptable to reprocess high-speed dental handpieces, low-speed
handpiece components used intraorally, and reusable prophylaxis
angles by wiping or soaking these instruments in liquid chemical
germicides.
b. Follow manufacturer’s instructions for cleaning, lubrication, and
sterilization of handpieces and reusable prophylaxis angles to
ensure effective sterilization and longevity of the instruments.
c. Install anti-retraction valves (one-way flow check valves) in dental
unit water lines to prevent fluid aspiration and to reduce the risk of
transfer of potentially infective material. Ensure routine
maintenance of antiretraction valves.
d. Run high-speed handpieces to discharge water and air for a
minimum of 20-30 seconds after use on each patient. If possible,
use an enclosed container or high-velocity evacuation during
discharge procedures to minimize spread of spray, spatter, and
aerosols
11. ١١
Next.. PROCEDURE
e. At the beginning of each clinic day, remove handpieces and allow
water lines to run and discharge water for several minutes to
reduce and overnight microbial accumulation.
f. Use sterile water or saline as a coolant/irrigator when surgical
procedures involve cutting bone or tissues.
g. After treatment of each patient, clean and sterilize reusable
intraoral instruments attached to, but removable from, the dental
unit air or water lines (e.g., ultrasonic scaler tips and component
parts and air/water syringe tips) in the same manner as
handpieces. Follow manufacturers’ instructions for reprocessing.
h. Some dental instruments have components that are heat-sensitive
or are permanently attached to dental unit water lines. Other
instruments (e.g., handles or dental unit attachments of saliva
ejectors, high-speed airevacuators, and air/water syringes) which
do not enter the patient’s mouth can become contaminated with
oral fluids during treatment procedures. Cover these instruments
with impervious barriers that are changed after each use, or, if
possible, clean and then disinfect with an EPA-registered “hospital
disinfectant” that is labeled “tuberculocidal”.
i. Flush all water lines to all instruments thoroughly after the
treatment of each patient, and at the beginning of each clinic day
12. ١٢
Next.. PROCEDURE
10. Water Quality:
a. The Dental Unit Water System (DUWS) are contaminated
by organisms that colonize the system and water lines and
soon after form biofilms inside the lumens of the water lines.
Although the water coming into the system from an external
source is of potable quality (<500 cfu/mL of bacteria and <1
coliforms), water coming out of the units may be
contaminated to 1 million cfu/mL.
b. This contamination occurs because dental unit water line
factors (e.g., system design, flow rates, materials) promote
bacterial growth and development of Biofilm.
i. Successful engineering and manufacturing of these and
other options for improving the ability to deliver treatment
water with 200 cfu/mL or less of unfiltered output from
water lines and continue to provide DHCWs with multiple
choices for exerting better control over the quality of source
water used in patient care. These choices are as follows:
13. ١٣
Next.. PROCEDURE
ii. An alternate water supply that bypasses community water
systems and DUWS by providing sterile or distilled water
directly into water line attachments (i.e., separate
reservoir) combined with chemical treatment.
iii. Filtration involving in-line filters to remove bacteria
immediately before dental unit water enters instrument
attachment.
iv. Chemical disinfection involving periodic flushing of lines
with a disinfectant followed by appropriate rinsing of lines
with water or a continuous-release chemical disinfection
system.
v. Thermal inactivation of facility water at a centralized
source.
vi. Reverse osmosis or ozonation using units designed for
either single-chair or entire practice water lines.
vii. Ultraviolet irradiation of water before entrance into
individual unit water lines
14. ١٤
Next.. PROCEDURE
11. Single-Use Disposable Instruments:
Use single-use disposable instruments (e.g., prophylaxis angles;
prophylaxis cups and brushes; tips for high-speed air evacuators,
saliva ejectors, and air/ water syringes) for one patient only and
discard after use.
12. Handling of Biopsy Specimens:
a. Place each biopsy specimen in a sturdy container with a secure
lid to prevent leaking during transport.
b. Avoid contaminating the outside of the specimen container. If
the outside is visibly contaminated, clean and disinfect it, or
place it in an impervious bag.
13. Disposal of Infectious Waste Materials:
a. Pour blood, suctioned fluids, or other liquid waste into a drain
connected to a sanitary sewer system.
b. Place solid waste contaminated with blood or other body fluids
in sealed, sturdy impervious bags that are leak-proof refer to
ICM – IX-02 Infectious Waste Management.
15. ١٥
Next.. PROCEDURE
14. Practices for the Dental Laboratory:
a. Separate the receiving area from the production area. Clean
and disinfect countertops and work surfaces daily.
b. Clean and disinfect laboratory materials and other items
that have been used in the mouth (e.g., impressions, bite
registrations, fixed and removable prostheses, orthodontic
appliances) before manipulating them in the laboratory.
After manipulation, clean and disinfect these items again
before placing them in the patient’s mouth (see Table 1).
c. Use a chemical germicide registered with the EPA as
“hospital disinfectant” and “tuberculocidal” (i.e., an
intermediate-level disinfectant) to disinfect laboratory
materials.
d. Disinfect all incoming cases as they are received. Sterilize or
disinfect containers after each use. Discard packing
materials to avoid cross contamination
16. ١٦
Next.. PROCEDURE
e. Production area:
i. Wear a clean uniform or laboratory coat, a face mask,
protective eyewear, and disposable gloves.
ii. Clean debris from work surfaces and equipment, and disinfect
daily.
iii. Separate instruments, attachments, and materials to be used
with new prostheses/appliances from those to be used with
prostheses/ appliances that have already been inserted in the
mouth.
iv. Wash and autoclave ragwheels after each case.
v. Disinfect brushes and other equipment at least daily.
vi. Dispense a small amount of pumice in small disposable
containers for individual use on each case and discard the
excess. A 1:20 dilution of sodium hypochlorite can be used as a
mixing medium for pumice. Add 3 parts green soap to the
disinfectant solution to keep the pumice suspended.
f. Disinfect each outgoing case before it is returned to the dental
clinic.
17. ١٧
Next.. PROCEDURE
15. Dental Radiology Asepsis:
a. Multiple opportunities for cross-contamination of equipment and
environmental surfaces exist when taking and developing dental
radiographs.
i. Gloves should be worn when taking radiographs and handling
contaminated film packets. Other PPE (e.g., mask, protective
eyewear, protective clothing) is required when spatter or splashing
of blood or other potentially infectious materials is anticipated.
ii. Even where there is no generation of splash or spatter, it is suggested
to wear a mask when taking radiographs. Because of the close
proximity to the oral cavity during the procedure, respiratory
infections can be transmitted to DHCWs.
iii. After exposure of dental radiographs, care must be taken when
handling the contaminated films.
b. If protective covers are used over films during exposure, the
following steps are performed:
i. While wearing gloves, remove and discard the covers without
contaminating the film.
ii. Remove gloves and perform hand hygiene.
iii. Process the films
18. ١٨
Next.. PROCEDURE
c. If protective covers are not used over films during exposure, the
following steps are performed:
i. While wearing gloves, place the contaminated films into a
container.
ii. Remove gloves and perform hand hygiene.
iii. Don a fresh pair of gloves and transport the container to the
darkroom.
iv. Carefully open the film packet and drop the films on a clean
surface.
v. Discard the contaminated film packet wrappers.
vi. Remove gloves and perform hand hygiene.
vii. Process the films. Surface cleaning and disinfection procedures
for radiography equipment are the same as in the dental operatory.
d. Using impermeable disposable surface barriers is encouraged,
especially on surfaces that are difficult to clean and disinfect (e.g.,
x-ray control panels), and can be considered a timesaving
procedure.
e. Lead aprons and thyroid shields should be cleaned and disinfected
if they become contaminated