Thesis (M.Cur.)--North-West University, Potchefstroom Campus, 2008.

Sharps injuries can transmit fatal blood-borne infections to injured health care workers. These blood-borne infections have serious consequences, including long-term illness, disability and death. The operating room is a fast-paced, hazardous working environment, where personnel are constantly exposed to sharps injuries. The psychological aspects of these injuries have received little attention. The emotional impact of a sharps injury can be severe and long lasting, even when a serious infection is not transmitted. Furthermore, according to literature, the mean rates of underreporting sharps injuries vary between twenty two and seventy five percent. The research objectives of this qualitative, explorative and descriptive study were to explore and describe the experiences of operating room personnel in the southern district of the North-West province in South Africa after sharps injuries, to explore and describe the reasons why they do not always report these incidents, to explore and describe what could be done to increase reporting of sharps incidents in operating rooms by personnel and to propose guidelines to support operating room personnel after a sharps injury. In order to achieve these objectives, the researcher gathered data by conducting semi-structured interviews with operating room personnel who had experienced sharps injuries in hospitals of the southern districts of the North-West in South Africa. Ethical considerations were adhered to by the researcher. Permission to conduct research was negotiated by the researcher with management of the hospitals in the target area. Voluntary, informed consent in writing was obtained from all participants before interviews were conducted. Data saturation was reached after 17 interviews were conducted with participants. Data were analysed with the help of an experienced co-coder. The researcher and co-coder reached consensus during a meeting organised for the purpose. Then the data were related to relevant literature. Seven categories emerged from the data analysis: Mechanisms of sharps injuries in the operating room, practical measures taken after a sharps injury, reasons for not reporting all sharps injuries, emotions experienced after a sharps injury, impact of sharps injuries on relationships, the support received by participants after a sharps injury and their coping mechanisms after a sharps injury. Several conclusions were drawn by the researcher from the data. Although all hospitals in this study had a reporting system in place, operating room personnel participating in this study did not report all their sharps injuries. They received no or insufficient support from hospital management after a sharps injury. No or insufficient communication existed between hospital management and participants in this study after these incidents. From these findings the researcher proposed guidelines for support to operating room personnel after sharps injuries and to increase the reporting of these incidents. The researcher also compiled recommendations for nursing practice, nursing education and nursing research in the operating room. / Thesis (M.Cur.)--North-West University, Potchefstroom Campus, 2008.

Sharps injuries can transmit fatal blood-borne infections to injured health care workers. These blood-borne infections have serious consequences, including long-term illness, disability and death. The operating room is a fast-paced, hazardous working environment, where personnel are constantly exposed to sharps injuries. The psychological aspects of these injuries have received little attention. The emotional impact of a sharps injury can be severe and long lasting, even when a serious infection is not transmitted. Furthermore, according to literature, the mean rates of underreporting sharps injuries vary between twenty two and seventy five percent. The research objectives of this qualitative, explorative and descriptive study were to explore and describe the experiences of operating room personnel in the southern district of the North-West province in South Africa after sharps injuries, to explore and describe the reasons why they do not always report these incidents, to explore and describe what could be done to increase reporting of sharps incidents in operating rooms by personnel and to propose guidelines to support operating room personnel after a sharps injury. In order to achieve these objectives, the researcher gathered data by conducting semi-structured interviews with operating room personnel who had experienced sharps injuries in hospitals of the southern districts of the North-West in South Africa. Ethical considerations were adhered to by the researcher. Permission to conduct research was negotiated by the researcher with management of the hospitals in the target area. Voluntary, informed consent in writing was obtained from all participants before interviews were conducted. Data saturation was reached after 17 interviews were conducted with participants. Data were analysed with the help of an experienced co-coder. The researcher and co-coder reached consensus during a meeting organised for the purpose. Then the data were related to relevant literature. Seven categories emerged from the data analysis: Mechanisms of sharps injuries in the operating room, practical measures taken after a sharps injury, reasons for not reporting all sharps injuries, emotions experienced after a sharps injury, impact of sharps injuries on relationships, the support received by participants after a sharps injury and their coping mechanisms after a sharps injury. Several conclusions were drawn by the researcher from the data. Although all hospitals in this study had a reporting system in place, operating room personnel participating in this study did not report all their sharps injuries. They received no or insufficient support from hospital management after a sharps injury. No or insufficient communication existed between hospital management and participants in this study after these incidents. From these findings the researcher proposed guidelines for support to operating room personnel after sharps injuries and to increase the reporting of these incidents. The researcher also compiled recommendations for nursing practice, nursing education and nursing research in the operating room. / Thesis (M.Cur.)--North-West University, Potchefstroom Campus, 2008.

Thesis (M.S.)--Rochester Institute of Technology, 2007. / Typescript. Includes bibliographical references (leaves 75-84).

Thesis (Ed. D.)--West Virginia University, 1999. / Title from document title page. Document formatted into pages; contains ix, 94 p. : ill. (some col.) Includes abstract. Includes bibliographical references (p. 67-73).

Thesis (M.Tech.: Chiropractic)- Dept. of Chiropractic, Durban Institute of Technology, 2006. 88 leaves. / Myofascial pain syndrome is the second most common reason patients seek the help of health care workers. It costs billions of dollars each year in lost revenue due to loss of productivity and other costs. The treatment of myofascial pain syndrome has been extensively researched and it appears that dry needling and medicinal injections of trigger points are some of the most effective modalities. However, an unwanted side effect common to both these therapies is post-needling soreness. Despite being mentioned in passing by many authors, very little detail is available regarding post-needling soreness. It is unclear whether post-needling soreness arises from the trigger point itself, or whether the tissue damage caused by the needle insertion is responsible. Therefore, this study was aimed at investigating whether dry needling muscle tissue in asymptomatic subjects (i.e. subjects not suffering from myofascial pain syndrome) resulted in post-needling soreness. Two different dry needling techniques were also compared with a placebo group in order to determine which technique resulted in the least post-needling soreness. This study was designed as a prospective, randomised, placebo controlled experimental investigation. Sixty subjects were randomly allocated into three equal groups. Group one received the single needle insertion technique and the second group received the fanning dry needling technique. The last group formed the control group and the subjects were treated using the Park Sham Device (placebo needles). All the subjects were between the ages of 18 and 50 and were required to be asymptomatic in the low back region.

A dissertation submitted in partial compliance with the requirements for the Masters Degree in Technology: Chiropractic, Durban Institute of Technology, 2006. / Myofascial pain syndrome is the second most common reason patients seek the help of health care workers. It costs billions of dollars each year in lost revenue due to loss of productivity and other costs. The treatment of myofascial pain syndrome has been extensively researched and it appears that dry needling and medicinal injections of trigger points are some of the most effective modalities. However, an unwanted side effect common to both these therapies is post-needling soreness. Despite being mentioned in passing by many authors, very little detail is available regarding post-needling soreness. It is unclear whether post-needling soreness arises from the trigger point itself, or whether the tissue damage caused by the needle insertion is responsible. Therefore, this study was aimed at investigating whether dry needling muscle tissue in asymptomatic subjects (i.e. subjects not suffering from myofascial pain syndrome) resulted in post-needling soreness. Two different dry needling techniques were also compared with a placebo group in order to determine which technique resulted in the least post-needling soreness. This study was designed as a prospective, randomised, placebo controlled experimental investigation. Sixty subjects were randomly allocated into three equal groups. Group one received the single needle insertion technique and the second group received the fanning dry needling technique. The last group formed the control group and the subjects were treated using the Park Sham Device (placebo needles). All the subjects were between the ages of 18 and 50 and were required to be asymptomatic in the low back region. / M

Thesis advisor: Rosanna F. DeMarco / The purpose of this study was to understand the lived experience and meanings of percutaneous injury (PI) and its aftermath among US registered nurses. An interpretive phenomenological approach was utilized to carry out the study which included nine percutaneous injury experiences. Van Manen's existential framework was used as a reflective guide. Findings from this study emerged as three essential themes which were common to all participants: being shocked: the potential of a serious or life-threatening infection; needing to know it's going to be okay; and sensing vulnerability. The first theme, <italic>being shocked</italic>, was identified as the primary mode of living with the sudden occurrence of PI. In the moment of injury, participants' language reflected shock and an immediate consciousness of the potential threat of a serious or life-threatening infection. Nurses' responses were visceral and emotional. All acted on their need to reduce foreign blood contamination and the urgency they felt for immediate care. <italic>Needing to know it's going to be okay</italic> represented the initial meaning of living in the aftermath of PI as nurses assessed their risk and sought post exposure intervention and caring responses from others. <italic>Sensing vulnerability</italic> was identified as the secondary mode of living in the aftermath of PI as participants reflected on the fragile nature of health into the future, distinguished between supportive vs. non-supportive relationships in their overall PI experience, and identified the need to be vigilant in the future with respect to their health, life and PI prevention. Together, these three essential themes and their dimensions represent the essence and meanings of percutaneous injury and its aftermath for at least one group of US registered nurses. Findings in this study support the conclusion that the lived experience of PIs and its aftermath imposed a significant psychological burden on nurses. These findings offer a better understanding of the essence and meanings of PI and its aftermath and contribute knowledge to inform nursing education, nursing practice, health policy and future research. / Thesis (PhD) — Boston College, 2010. / Submitted to: Boston College. Connell School of Nursing. / Discipline: Nursing.

Submitted by admin tede (tede@pucgoias.edu.br) on 2017-03-09T19:04:23Z No. of bitstreams: 1 FABIANA APARECIDA DOS SANTOS CARVALHO.pdf: 3727364 bytes, checksum: 132546a07edfc28a4099b0009e96dbfd (MD5) / Made available in DSpace on 2017-03-09T19:04:23Z (GMT). No. of bitstreams: 1 FABIANA APARECIDA DOS SANTOS CARVALHO.pdf: 3727364 bytes, checksum: 132546a07edfc28a4099b0009e96dbfd (MD5) Previous issue date: 2016-08-12 / Health services residues can bring many problems to those who work on health sectors, community and environment. Management of such waste and the reuse of medical articles are controversial subjects that deserve special attention from managers. Based on this, this study aimed to identify the accomplishment of waste disposal originated from home treatment of diabetic patients using insulin, assisted by primary care. This study is exploratory and descriptive, with a quantitative approach, conduced with 83 subjects insulin users assisted in primary care, living in Aparecida de Goiânia, Goiás. In data collection, we adopted the questionnaire technique. Results have showed that 69.9% of the inquired individuals did not secreted or waste properly filled storage containers, in any step of the treatment process. 72.3% (60) were female and 27.7% (23) were male, with ages varying from 34 -87 years for males and 27-78 years for females, leading to an average of 63.1 years for men and 60.5 for women, with low income and education. 56 6% had a diagnosis of diabetes 2. There were no significant differences in disposal, when comparing variables gender, age, level of education and from where they get the material treatment. The reuse of syringes and needles were reported by 85.5% of the group and, among the participants, 80.7% said they never received guidelines for the disposal of the resulting waste treatment. This study has showed that insulin users, accompanied by primary care, do not stored or discard properly wastes generated in their homes, showing a flaw in the health education process and the absence of a protocol to direct the management of such waste. / Os resíduos de serviços de saúde (RSS) podem trazer inúmeros problemas aos trabalhadores dos setores de saúde, à comunidade e ao meio ambiente. O gerenciamento desses resíduos e o reuso de artigos hospitalares é um assunto polêmico e que merece atenção especial por parte dos gestores. Partindo desse pressuposto, este estudo objetivou identificar como é realizado o descarte dos resíduos gerados a partir do tratamento domiciliar de pacientes diabéticos, usuários de insulina, assistidos pela atenção básica. É um estudo de caráter descritivo exploratório, com abordagem quantitativa, realizado com 83 indivíduos usuários de insulina e assistidos na atenção básica do município de Aparecida de Goiânia, Goiás. Na coleta de dados, adotou-se a técnica da aplicação de questionário. Os resultados obtidos mostraram que 69,9% dos indivíduos pesquisados não segregavam ou acondicionavam o lixo adequadamente em nenhuma etapa do processo de tratamento, 72,3% (60) eram do sexo feminino e 27,7% (23) do sexo masculino, a faixa etária predominante variou de 34 a 87 anos para o sexo masculino e de 27 a 78 anos para o sexo feminino, uma média de 63,1 anos para os homens e 60,5 para as mulheres, com baixa renda e escolaridade, 56,6% tinham diagnóstico de DM tipo 2. Não houve diferença significativa nas variáveis do descarte entre os gêneros, idade, grau de instrução e local onde se recebe o material do tratamento. A reutilização de seringas e agulhas foi referida por 85,5% do grupo e, entre os participantes, 80,7% afirmaram que nunca receberam orientações para o descarte do lixo resultante do tratamento. O estudo permitiu observar que os indivíduos usuários de insulina acompanhados pela atenção básica não armazenavam e não descartavam adequadamente os resíduos gerados em seus domicílios, mostrando uma falha no processo de educação em saúde e a ausência de um protocolo para direcionar o manejo desses resíduos.

Submitted by Nara Lays Domingues Viana Oliveira (naradv) on 2015-07-07T14:25:17Z No. of bitstreams: 1 RogerEstevesEngCivil.pdf: 770425 bytes, checksum: 273aef63894042cc061c93f871d530c8 (MD5) / Made available in DSpace on 2015-07-07T14:25:17Z (GMT). No. of bitstreams: 1 RogerEstevesEngCivil.pdf: 770425 bytes, checksum: 273aef63894042cc061c93f871d530c8 (MD5) Previous issue date: 2010 / Comitesinos - Comitê de Gerenciamento da Bacia Hidrográfica do Rio dos Sinos / FNMA - Fundo Nacional do Meio Ambiente / Pró-Sinos - Consórcio Público de Saneamento Básico da Bacia Hidrográfica do Rio dos Sinos / SEMA - Secretaria Estadual do Meio Ambiente (RS) / UNISINOS - Universidade do Vale do Rio dos Sinos / MMA - Ministério do Meio Ambiente / Nos últimos tempos, o crescimento acelerado da urbanização e o desenvolvimento econômico e tecnológico, contribuíram para as alterações das características ambientais, originando-se um aumento excessivo de poluentes. Entre os diversos tipos de resíduos produzido pelo Homem estão os resíduos de serviços de saúde que embora representem uma pequena parcela dos resíduos gerados nas cidades, ocupam uma posição de extrema importância pela capacidade que possuem de infectar pessoas e poluir o meio ambiente, uma vez que são constituídos por materiais com potencial presença de agentes biológicos, químicos e radioativos. Na Bacia Hidrográfica do Rio dos Sinos, hoje composta por 32 municípios, estima-se uma população de um milhão, trezentos e ciquenta mil habitantes, sendo que desses quase 95% vivem em áreas classificadas como urbanas. Essa dissertação faz parte do projeto de elaboração do Plano da Bacia Hidrográfica do Rio dos Sinos (Plano Sinos) o qual definirá o conjunto de ações a médio e longo prazo que resultarão na qualidade e quantidade de água na região necessária para os usos e atividades pretendidas pela população para os próximos 20 anos. Nesta pesquisa focou-se a problemática do gerenciamento dos resíduos de serviços de saúde e especificamente os resíduos Classe E ou Pérfuro-Cortantes. Foram analisadas as formas atuais de gestão implementadas na Bacia Hidrográfica do Rio dos Sinos a partir da aplicação de questionários nos estabelecimentos dos setores de saúde geradores de RSS. A avaliação dos resultados indicou que 48,6% das respostas correspondem a etapas de gerenciamento adequado ou que atendem corretamente à legislação específica brasileira. Comparando-se as esferas administrativas verificou-se uma melhor gestão para os estabelecimentos de saúde privados em relação aos públicos. Para os municípios de alto impacto (maiores áreas municipais e população) os estabelecimentos de saúde do tipo “laboratórios, bancos de sangue e farmácias” foram os que apresentaram os piores resultados em termos de gestão de RSS. Para os demais municípios os “consultórios/clínicas de odontologia, clínicas veterinárias, drogarias e unidades móveis” foram os que indicaram o menor conhecimento acerca das exigências legais especificas relativas ao tema estudado. / Lately, the increased urbanization rate in addition to both economic and technological development have contributed to changes in environmental characteristics, causing an excessive increase in pollutants. Although healthcare waste represents a small portion of urban generated wastes among the various types that are generated by humankind, it is significantly important because of its likelihood to infect workers and contaminate the environment given the potential presence of biological, chemical and radioactive agents. In the Sinos River Basin’s thirty-two municipalities, a population of one million three hundred and fifty thousand inhabitants is estimated, being that nearly 95% live in areas classified as urban. This dissertation is part of the Sinos River Basin Plan elaboration project (Sinos Plan), which will define the set of middle and long run actions that will result in water quality and quantity needed for both the uses and activities intended for by the population in the next 20 years. This research focused on the difficulties associated to healthcare waste management, specifically Class E wastes, also known as sharps. Questionnaires were administered to healthcare waste generating areas in institutions located in the Sinos River Basin in order to analyze their currently implemented waste management methodologies. Result analysis indicated that 48,6% of the answers correspond to adequate waste management steps or to compliance with specific Brazilian laws and regulations. When comparing managerial operations, it was noted that private healthcare organizations have better waste management than their public counterparts. In high impact municipalities (larger municipal areas and population), health organizations such as “laboratories, blood banks and drugstores” were the ones that notably presented the worst results in terms of healthcare waste management. For the remaining municipalities, “doctors’ offices/dentist clinics, veterinary clinics, drugstores and mobile units” were the ones that presented the most precarious knowledge regarding specific legal requirements relevant to the studied topic.