Long term care: case studies.
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Although no full-scale survey of the prevalence of bilharziasis in Swaziland has been carried out, examinations of schoolchildren have revealed S. mansoni infection rates of up to 49% in some areas, and S. haematobium infection rates ranging from 3% to 75%. The highest prevalence occurs in areas where there are thickly populated African reserves, or irrigation schemes. The spread of infection is encouraged by the use of rivers, dams and canals for bathing and washing purposes. Preventive measures are recommended, including the provision of more suitable bathing, washing and latrine facilities for the population, the control of waste waters, and the use of molluscicides.
Hygiene problems that arise in connection to sanitation procedures in civil aviation are described; the relevant international regulation and recommendation are explained. The particular problems that arise in connection to prophylaxis to infections, food hygiene, sanitation, refuse disposal and the maintenance lavoratory facilities are emphasized. Relevant rules and recommendations are quoted.
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Julio A. Roca was to walk along dusty ways during his military life, as well as to discover the most beautiful European gardens, during his political career. That is the reason why he didn't become worried or afraid when having to attend some places that lacked of elemental facilities. The present story belongs to oral tradition of the author's family.
OBJECTIVE: To survey sanitation facilities in schools in Bloomsbury health district. DESIGN: Postal questionnaire. SETTING: Inner London health district. PARTICIPANTS: School nurses. RESULTS: 16 of 17 school nurses responded (37 of 41 schools). Fifteen schools did not have the minimum number of toilets and hand basins established in the Education (School Premises) Regulations 1981. In two schools toilets were kept locked for most of the day. In 10 schools toilet paper was not always available, and three of five secondary schools did not have disposal units for sanitary towels in the girls' toilet areas. In 18 of the schools the toilets were not kept adequately clean. CONCLUSIONS: These conditions raise serious questions about environmental health, with the potential for the spread of infectious diseases, and undermine attempts to teach children basic hygiene. Health professionals have an important role in assessing health and safety standards in schools and ensuring that necessary improvements are made.
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We studied the adequacy of handwashing facilities on elderly-care wards in seven UK hospitals. We found 10.9% of sinks were inaccessible, 12% of sinks did not have any cleansing agent, 93.2% of ward sinks and 79% of treatment room sinks had no antiseptic agent. We conclude that in our survey, handwashing facilities were inadequate and have suggested a standard checklist for hospital sinks.
The relationship of soil-transmitted nematode infections to the availability of latrines was studied among 1,614 children 3-12 years of age living on plantations in Sri Lanka. The majority (89.7%) of the children had at least one type of soil-transmitted nematode. There was a significantly lower mean count of hookworm eggs for children coming from plantations with good sanitary facilities. For Ascaris and Trichuris, a similar association was observed between the mean egg count and the availability of latrines for children from the low-country plantations, where people live in more scattered settlements, but not in the up-country area, where worker settlements are larger and more crowded. Congested living conditions in themselves consequently seem to be a major determinant for ascariasis and trichuriasis, and the provision of latrines and safe water does not substantially change that situation. However, improvements of sanitary facilities will probably have a more immediate effect on the prevalence of hookworm infection.
Fifty-one consecutive patients admitted to a coronary care unit were monitored for ECG changes while having a total of 63 bowel movements (BM's). Twenty-three patients had proven myocardial infarction while 28 had no acute cardiac disease. ECG changes in patients using either commode or bedpan facilities were compared during defecation. Patients using the commode were found to have a greater increase in heart rate and other nonspecific ECG abnormalities compared to those using the bedpan.
Adapting facilities to accomodate obese patients calls for thoughtful design that allows for comfort flexibility and safety--and, above all, is respectful to the individual.
Between October 1982 and September 1983, an outbreak of cholera occurred in Transkei. A total of 678 patients with clinical illness were reported in a review of positive laboratory results. Subsequent to each report, the health department personnel began a rigorous contact-tracing process during which data on the environment were collected. A total of 1,157 standardised forms listing 6,615 persons were returned to the Epidemiological Unit. Of these respondents, 87.2% reported having 'no sanitary facilities available' and 96.4% 'no refuse disposal site'. Rivers, wells, springs, streams, dams and stagnant pools were recorded as the main sources of water supply in the study area. Whether this situation will remain unchanged or improve can be determined only by continued surveillance.
The current study was conducted to assess client quality at Ain Shams University Hospitals Out-Patient clinics. The clients included were 484 subjects selected systematically and represented different clinics. Included clients were subjected to an interviewing questionnaire after completing contact with the service. The study showed that, 7% faced difficulties in getting tickets, 46.7% waited for long time. Also, 86.8% stated that the seats were adequate in number, 82.0% were satisfied with ventilation, 68.2% reported that W.C. and lavatories were clean and convenient, and that examination couches were satisfactory by 57.6%. The doctors were patient and listened to clients' complaint in 99%, and 98.6% of clients stated that doctors were kind and friendly. Physical safety was considered in 96.7% of cases and confidentiality in 68.4%. It was found that 98.2% of clients trust doctors. Investigations were required for 23.6% of clients, and 45.8% reported that the prescribed drugs were not available in the Out-Patient pharmacy. The overall satisfaction of the clients was 95.9%. It was recommended to shorten the contact time, improve physical environment and promote lab. facilities and drug supplies.