This document defines key terms related to asepsis and infection control such as sepsis, asepsis, antisepsis, disinfectants, and sterilization. It describes various methods of sterilization including physical sterilization using dry heat, moist heat and autoclaving. Chemical sterilization using agents like alcohols, aldehydes, chlorhexidine, and iodine is also discussed. Gas sterilization using ethylene oxide and irradiation sterilization techniques are summarized. Principles of surgical asepsis including maintaining a sterile field and proper preparation of surgical personnel and patients are highlighted in brief.
Suture Materials and Suturing Techniques - Presented by Dr. Prasanjit Das and group as a part of Dhaka Dental College, OMS Department weekly presentation program.
Suture Materials and Suturing Techniques - Presented by Dr. Prasanjit Das and group as a part of Dhaka Dental College, OMS Department weekly presentation program.
The sterilization of surgical instruments is a process that removes all microorganisms from medical instruments before a surgery can take place. Proper sterilization ensures that all equipment has been thoroughly cleaned, sanitized and sterilized, and minimizes the risk of preventable surgical site infections. This process should be completed by a certified central sterilization technician.
Fumigation is a process of gaseous sterilisation which is used for killing of micro-organisms and prevention of microbial growth in air, surface of wall or floor.
by - dr. sheetal kapse, 2nd year p.g. student, dept. of oral & maxillofacial surgery, RCDSR, Bhilai, C.G. please contact for any question...email id - sheetal.kpse@yahoo.com
This PPT is oriented mainly towards sutures / needles & knots. Their types, uses and techniques of using it. Mainly for MBBS students as well as other medically oriented people.
The sterilization of surgical instruments is a process that removes all microorganisms from medical instruments before a surgery can take place. Proper sterilization ensures that all equipment has been thoroughly cleaned, sanitized and sterilized, and minimizes the risk of preventable surgical site infections. This process should be completed by a certified central sterilization technician.
Fumigation is a process of gaseous sterilisation which is used for killing of micro-organisms and prevention of microbial growth in air, surface of wall or floor.
by - dr. sheetal kapse, 2nd year p.g. student, dept. of oral & maxillofacial surgery, RCDSR, Bhilai, C.G. please contact for any question...email id - sheetal.kpse@yahoo.com
This PPT is oriented mainly towards sutures / needles & knots. Their types, uses and techniques of using it. Mainly for MBBS students as well as other medically oriented people.
An overview of what is happening in the deterioration of the aquatic environment and the consequent adverse impacts on aquatic organisms and how to get rid of petroleum pollutants
Our work is carried out to the highest of standards by professionals with extensive expertise and knowledge of dentistry, led by Dr. Rajat Sachdeva.
http://www.sachdevadentalcare.com/
Control of microrganisms - Food Microbiology - Food Processing MUTHUGANESAN N
1. Sterilization - the destruction of all microorganisms, including endospores, on an object or in a material.
2. Disinfection - the destruction of pathogens, but not endospores, on an object or in a material. The number of pathogens is reduced or growth is inhibited to a level that does not produce disease.
3. Antisepsis - chemical disinfection of the skin, mucosal membranes, or other living tissues.
4. Germicide ("cide" = kill) - a chemical agent that rapidly kills microorganisms.
Specific germicides include:
(I) Sporicide - kills spores
(II) Bactericide - kills bacteria
(III) Viricide - kills viruses
(IV) Fungicide - kills fungi
this power point is useful to understand the theorical concept of a sterilization & disinfection ,autoclave for nursing students......hope it will be useful for you.
he culture media are classified in many different ways: Based on the physical state Liquid media Solid media Semisolid media Based on the presence or absence of oxygen Anaerobic media Aerobic media Based on nutritional factors Simple media Synthetic media Complex
These simplified slides by Dr. Sidra Arshad present an overview of the non-respiratory functions of the respiratory tract.
Learning objectives:
1. Enlist the non-respiratory functions of the respiratory tract
2. Briefly explain how these functions are carried out
3. Discuss the significance of dead space
4. Differentiate between minute ventilation and alveolar ventilation
5. Describe the cough and sneeze reflexes
Study Resources:
1. Chapter 39, Guyton and Hall Textbook of Medical Physiology, 14th edition
2. Chapter 34, Ganong’s Review of Medical Physiology, 26th edition
3. Chapter 17, Human Physiology by Lauralee Sherwood, 9th edition
4. Non-respiratory functions of the lungs https://academic.oup.com/bjaed/article/13/3/98/278874
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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.
MANAGEMENT OF ATRIOVENTRICULAR CONDUCTION BLOCK.pdfJim Jacob Roy
Cardiac conduction defects can occur due to various causes.
Atrioventricular conduction blocks ( AV blocks ) are classified into 3 types.
This document describes the acute management of AV block.
Ethanol (CH3CH2OH), or beverage alcohol, is a two-carbon alcohol
that is rapidly distributed in the body and brain. Ethanol alters many
neurochemical systems and has rewarding and addictive properties. It
is the oldest recreational drug and likely contributes to more morbidity,
mortality, and public health costs than all illicit drugs combined. The
5th edition of the Diagnostic and Statistical Manual of Mental Disorders
(DSM-5) integrates alcohol abuse and alcohol dependence into a single
disorder called alcohol use disorder (AUD), with mild, moderate,
and severe subclassifications (American Psychiatric Association, 2013).
In the DSM-5, all types of substance abuse and dependence have been
combined into a single substance use disorder (SUD) on a continuum
from mild to severe. A diagnosis of AUD requires that at least two of
the 11 DSM-5 behaviors be present within a 12-month period (mild
AUD: 2–3 criteria; moderate AUD: 4–5 criteria; severe AUD: 6–11 criteria).
The four main behavioral effects of AUD are impaired control over
drinking, negative social consequences, risky use, and altered physiological
effects (tolerance, withdrawal). This chapter presents an overview
of the prevalence and harmful consequences of AUD in the U.S.,
the systemic nature of the disease, neurocircuitry and stages of AUD,
comorbidities, fetal alcohol spectrum disorders, genetic risk factors, and
pharmacotherapies for AUD.
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.
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.
The prostate is an exocrine gland of the male mammalian reproductive system
It is a walnut-sized gland that forms part of the male reproductive system and is located in front of the rectum and just below the urinary bladder
Function is to store and secrete a clear, slightly alkaline fluid that constitutes 10-30% of the volume of the seminal fluid that along with the spermatozoa, constitutes semen
A healthy human prostate measures (4cm-vertical, by 3cm-horizontal, 2cm ant-post ).
It surrounds the urethra just below the urinary bladder. It has anterior, median, posterior and two lateral lobes
It’s work is regulated by androgens which are responsible for male sex characteristics
Generalised disease of the prostate due to hormonal derangement which leads to non malignant enlargement of the gland (increase in the number of epithelial cells and stromal tissue)to cause compression of the urethra leading to symptoms (LUTS
- Video recording of this lecture in English language: https://youtu.be/lK81BzxMqdo
- Video recording of this lecture in Arabic language: https://youtu.be/Ve4P0COk9OI
- Link to download the book free: https://nephrotube.blogspot.com/p/nephrotube-nephrology-books.html
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micro teaching on communication m.sc nursing.pdfAnurag Sharma
Microteaching is a unique model of practice teaching. It is a viable instrument for the. desired change in the teaching behavior or the behavior potential which, in specified types of real. classroom situations, tends to facilitate the achievement of specified types of objectives.
Title: Sense of Smell
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 primary categories of smells and the concept of odor blindness.
Explain the structure and location of the olfactory membrane and mucosa, including the types and roles of cells involved in olfaction.
Describe the pathway and mechanisms of olfactory signal transmission from the olfactory receptors to the brain.
Illustrate the biochemical cascade triggered by odorant binding to olfactory receptors, including the role of G-proteins and second messengers in generating an action potential.
Identify different types of olfactory disorders such as anosmia, hyposmia, hyperosmia, and dysosmia, including their potential causes.
Key Topics:
Olfactory Genes:
3% of the human genome accounts for olfactory genes.
400 genes for odorant receptors.
Olfactory Membrane:
Located in the superior part of the nasal cavity.
Medially: Folds downward along the superior septum.
Laterally: Folds over the superior turbinate and upper surface of the middle turbinate.
Total surface area: 5-10 square centimeters.
Olfactory Mucosa:
Olfactory Cells: Bipolar nerve cells derived from the CNS (100 million), with 4-25 olfactory cilia per cell.
Sustentacular Cells: Produce mucus and maintain ionic and molecular environment.
Basal Cells: Replace worn-out olfactory cells with an average lifespan of 1-2 months.
Bowman’s Gland: Secretes mucus.
Stimulation of Olfactory Cells:
Odorant dissolves in mucus and attaches to receptors on olfactory cilia.
Involves a cascade effect through G-proteins and second messengers, leading to depolarization and action potential generation in the olfactory nerve.
Quality of a Good Odorant:
Small (3-20 Carbon atoms), volatile, water-soluble, and lipid-soluble.
Facilitated by odorant-binding proteins in mucus.
Membrane Potential and Action Potential:
Resting membrane potential: -55mV.
Action potential frequency in the olfactory nerve increases with odorant strength.
Adaptation Towards the Sense of Smell:
Rapid adaptation within the first second, with further slow adaptation.
Psychological adaptation greater than receptor adaptation, involving feedback inhibition from the central nervous system.
Primary Sensations of Smell:
Camphoraceous, Musky, Floral, Pepperminty, Ethereal, Pungent, Putrid.
Odor Detection Threshold:
Examples: Hydrogen sulfide (0.0005 ppm), Methyl-mercaptan (0.002 ppm).
Some toxic substances are odorless at lethal concentrations.
Characteristics of Smell:
Odor blindness for single substances due to lack of appropriate receptor protein.
Behavioral and emotional influences of smell.
Transmission of Olfactory Signals:
From olfactory cells to glomeruli in the olfactory bulb, involving lateral inhibition.
Primitive, less old, and new olfactory systems with different path
2. Common Definitions
Sepsis: Presence of pathogenic microorganisms,
or their toxic products in the tissues of a patient.
Asepsis: The absence of pathogenic micro-
organisms in living tissues.
Aseptic technique: The clean practice used to
remove or destroy pathogens and to prevent their
spread from one animal/people or place to
another animal/people or place.
Antisepsis: Prevention of sepsis by the destruction
or inhibition of microorganisms using an agent
that may be safely applied to living tissues.
3. Common Definitions
Antiseptic: A chemical agent that either kills pathogenic
micro-organisms, or inhibits their growth on animate
(living) tissue. Example: Chlorhexidine
Disinfectant: A germicidal chemical substance that kills
micro-organisms on inanimate objects. Example:
glutaraldehyde.
Disinfection: Removal of micro-organisms, but not
necessarily their spores and viruses found on non-living
objects.
Sterilization: complete elimination of microbial
viability, including vegetative forms of bacteria and
spores by physical or chemical means.
4. Transmission of microorganisms
• Microorganisms are transmitted by
Transmission of
microorganisms
Hospital Staffs Environment
Contaminated
Instruments
5. Sources of Contamination
Sources of Contamination
Surgical personnel
Non-sterile barriers:
Surgical clothing
Scrub tops
Surgical head cover
Face masks
Sterile barriers:
Gloves
Surgical skin scrub
7. Principles of surgery asepsis
Followings are the principles of surgical
asepsis:
1. Use only sterile items within a sterile field.
2. Scrubbed personnel are gowned and gloved.
3. Sterile personnel operate within a sterile filed
(sterile personnel touch only sterile items or
areas, unsterile personnel touch only
unsterile items or areas.
8. Principles of surgery asepsis
4. Sterile drapes are used to crate a sterile field.
5. All items used in a sterile field must be sterile.
6. All items introduced onto a sterile field should be
opened , dispensed and transferred by methods
that maintain sterility and integrity.
7. A sterile field should be maintained and
monitored constantly.
8. Surgical staff should be trained to recognize when
they have broken technique and should know how
to remedy the situation.
9. Levels of sterility and disinfection
• On the basis of magnitude of the risk of
infection, the use of surgical instruments and
equipments can be classified into three
categories:
Level of Sterility and Disinfection
1. Critical: Surgical
Pack Instruments 2. Semicritical:
Endotracheal tube
3. Noncritical: Face
masks and
Rebreathing Bags
10. Preparation for Surgery
• It involves:
Surgeon’s
preparation:
1. Surgical head cover
2. Mask
3. Surgical shoes
4. Hand scrubbing
5. Hand drying
6. Gowning
7. Gloving
Patient preparation:
1. Hair removal
2. skin preparation
3. Patient draping
16. Steps in Surgical Gloving
1 2 3
654
Figures: 1- 6 showing steps in surgical gloving
17. Sterilization and Disinfection
Destruction of all the microorganisms (bacteria,
viruses, spores) from objects (instruments, drapes,
catheters, needles, blades) that come in contact
with tissue or enter into the vascular space.
Disinfection: Process of destroying
microorganisms except viruses and spores found
in inanimate objects.
Methods of sterilization:
1. Physical sterilization 2. Chemical sterilization
3. Gas sterilization 4. Irradiation
18. Physical Sterilization
most commonly used sterilization method.
used dry or moist heat.
1.1 Dry Heat:
Mechanism of Action: Denaturation or
destruction of cellular proteins.
a. Flaming:
Used to sterilized the instruments like
blade, needles passing over the flame of gas
burner till red hot, destroys bacteria.
19. Physical Sterilization
b. Hot air oven:
- Most common and effective method
of sterilization of metal instruments and
glassware.
- A temperature of 120⁰C for 8 hours,
140⁰C for 2.5 hours, 160⁰C for 1 hour and
180⁰C for 20-30 minutes is usually sufficient.
20. Physical Sterilization
1.2 Moist heat:
Mechanism of action: Denaturation of major cell
constituents.
a. Boiling:
Most effective method of sterilization.
2% sodium carbonate added to boiling water to
make alkalinity , that helps in destruction of
microbial spore.
Uses temperature of 100⁰C for at least 15 minutes
to sterilize syringes and needles.
21. Physical Sterilization.
b. Autoclaving:
Moist heat in the form of
saturated steam under
pressure.
A temperature of 121⁰C
under 15 pounds pressure
for 15 minutes.
Sharp instruments like
scissors, needles and other
routine instruments of a
surgical pack, excluding
sharp blade. Fig.: Autoclave
22. Physical Sterilization
• Flashing : when unwrapped instruments is
autoclaved for shorter period of time. Done
for critical instruments. A temperature of
131⁰C under 30 pounds pressure per square
inch for 4-7 minutes.
• In field condition, large pressure cooker is
used to sterilized surgical instruments and
packs under maintained pressure for 45
minutes.
23. Chemical or cold sterilization
Refers to immersion of instruments in tray
containing disinfectant solutions such as
Phenol, Alcohol (ethyl or isopropyle alcohol),
Glutaraldehyde, Betapropiolactone, aldehydes
(formalin), Chlorhexidine that destroys the
pathogenic microorganisms on inanimate
objects.
Destroy all bacteria except tubercle bacillus.
24. Chemical or cold sterilization
Used for sharp edged instruments like scalpel
blades and hypodermic needles.
Spores and Viruses may not be destroyed so not
used for critical instruments.
1. Alcohols:
Mechanism of action: by Protein denaturation,
metabolic interruption and cell lysis.
Isopropyl alcohol (50-70%) and ethyl alcohol
(70%) used for spot cleaning and injection site
preparation.
25. Chemical or cold sterilization
It is corrosive to stainless steel and volatile.
At lower concentration, acts as bacteriostatic
rather than bactericidal.
2. Aldehyde:
Mechanism of action: By protein and nucleic
acid alkylation.
26. Chemical or cold sterilization
a. Formaldehyde:
It is in the form of formalin, 37-40%
solution of formaldehyde and water.
Capable of killing all bacteria, viruses and
spores.
Extremely pungent smell, irritating to skin
and mucous membranes and has limited
application as a cold sterilization agent.
27. Chemical or cold sterilization
40% Formalin is used
in fumigator at
minimum relative
humidity of 70%,
temperature 30-40°C to
sterilize operation
theatre.
180 ml of 40%
formalin is used for
1000 cu ft. size of
room.
28. Chemical or cold sterilization
Uses:
Disinfection of organic wastes, hospital floors, walls.
Disinfection of membranes in dialysis equipment etc.
b. Glutaraldehyde:
2% solution of glutaraldehyde is used for
disinfection of lenses, dental equipments, delicate
instruments or anesthetic accessories.
It is also irritating to skin and mucous membrane
and odor, so well rinsed before use.
29. Chemical or cold sterilization
3. Chlorhexidine:
An antiseptic agent available in detergent,
tincture and aqueous formulations.
0.75-1% solution used for scrubbing.
Widely used for preparation of surgical patients
and for surgical hand scrubs due to nonirritating
property to skin.
Effective against gram negative and gram
positive organisms, repeated use increases its
effectiveness.
30. Chemical or cold sterilization
4. Quaternary ammonium compounds: It is
also used in fumigation/fogging of
operation theatre for 45 minutes.
Example: Microgen D-125 (a commercial
product).
It is bactericidal, virucidal and fungicidal
disinfectant.
15 ml of concentrate Microgen D-
125mixed in 1 litre of water for
disinfection every 1000 cu. Ft room in
high risk areas like operation theatre,
ICU, Pathology laboratory etc.
31. Chemical or cold sterilization
5. Iodine compounds
Mechanism of action: released free iodine
from carrier molecules and acts as disinfectant.
1. Povidine Iodine (Betadine):
Bactericidal, virucidal, fungicidal but poor
sporicidal activity.
Used for cleaning of wounds, scrubbing of
hands.
2. Iodophors (7.5%): Used as scrub solution for
cleaning dark colored floors and countertops.
32. Chemical or cold sterilization
6. Chlorine compounds
Mechanism of action: by chlorination and
oxidation of essential molecules.
1. Hypochlorite:
2.5% sodium hypochlorite solution is used.
Used for cleaning floor and countertops.
Inactivated by organic debris and corrosive to
metal.
33. Chemical or cold sterilization
7. Phenol and its derivative:
a. Phenol:
2% solution used for disinfection.
Acts by disrupting the cell membranes and
precipitate cellular proteins.
Bactericidal but do not affect viruses and
spores.
Commonly used as cold sterilint in combination
with detergents or soaps to increase the spectrum
of their activity.
34. Chemical or cold sterilization
b. Crysol: 0.5 – 1% of Crysol used as
intestinal antiseptic.
c. Lysol: used for disinfection of non-living
objects. Examples: Disinfection of floor,
Bathrooms, Washbasins, organic wastes
such as faeces and urine etc.
d. Chloroxylenol (dettol): 2% solution of
dettol used for antiseptic for intact skin.
35. Gas sterilization
1. Ethylene oxide gas:
Effective against all types of
microorganisms.
Kill microorganisms by
altering their normal cellular
metabolism and replication
through alkylation of protein,
ribonucleic acids and
deoxyribonucleic acid.
Moisture and heat sensitive
equipments can be sterilized .
36. Gas sterilization
• The effectiveness of ethylene oxide gas as a
sterilizing agent depends on:
a. Gas concentration: 450 – 1500 mg/L.
b. Temperature: usually 21- 60⁰C.
c. Exposure time: 48 minutes to several hours.
d. Humidity: 40%, necessary for lethal action of
ethylene oxide.
38. Irradiation
Radiation used for sterilization is of two types: Ionising and
Non-ionising radiation.
Ionising Radiation: Uses shorter wavelengh, high intensity and
high penetrating radiation to destroy microorganisms. For
example: Gamma rays, X-rays.
Gamma rays have shorter wavelength with deeper penetration .
Used to sterilize pre-packed items:
Surgical blades, Swabs, Catheters, Syringes
Gowns
Drapes
Table covers etc.
Non-ionising radiation: Uses longer wavelengh having lower
energy and penetration. For example: UV rays
UV rays (300-400nm wavelength) produced by mercury vapor
lamp used to sterilize table surfaces, room.
39. References
1. Small Animal Surgery, 4th Edition by Theresa
Welch Fossum.
2. Text Book of Small Animal Surgery, 3rd Edition
by Douglas Slatter.
3. Ruminant Surgery by RPS Tyagi and Jit Singh.
4. Fundamentals of General Veterinary Surgery by
Md. Moin Ansari.
5. Veterinary Surgery Small Animal by Karen M.
Tobias and Spencer A. Johnston.