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1

Proctor, T. D. "Personal protective equipment (PPE)." Safety Science 16, no. 3-4 (July 1993): 167. http://dx.doi.org/10.1016/0925-7535(93)90041-b.

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Bhamra, Navdeep, Keshav Gupta, Jonathan Lee, Shams Al-Hity, Karan Jolly, and Adnan Darr. "Personal protective equipment: knowledge of the guidance." British Journal of Nursing 30, no. 1 (January 14, 2021): 16–22. http://dx.doi.org/10.12968/bjon.2021.30.1.16.

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Background: On 11 March 2020, the World Health Organization (WHO) declared a global pandemic in the wake of the coronavirus disease 2019 (COVID-19) outbreak. The unpredictable nature of transmission of COVID-19 requires a meticulous understanding of guidance on personal protective equipment (PPE) as published by WHO and Public Health England (PHE). Aim: To assess perceived confidence and knowledge of PHE guidance relating to PPE by nursing staff. Methods: A nationwide survey was disseminated between May and June 2020 through social media platforms as well as internal mail via regulatory bodies and individual hospital trusts. Results: Data were collated from 339 nurses. Perceived confidence as measured on a Likert scale was a mode score of 3/5, with the average score for knowledge-based questions being 5/10. Of the respondents, 47% cited insufficient training on PPE guidance, and 84% advocated further training. Conclusions: Unifying published PPE guidance and ensuring consistency in training can improve awareness, confidence, and knowledge among nursing staff.
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Baloh, Jure, Heather Schacht Reisinger, Kimberly Dukes, Jaqueline Pereira da Silva, Hugh P. Salehi, Melissa Ward, Emily E. Chasco, Priyadarshini R. Pennathur, and Loreen Herwaldt. "Healthcare Workers’ Strategies for Doffing Personal Protective Equipment." Clinical Infectious Diseases 69, Supplement_3 (September 13, 2019): S192—S198. http://dx.doi.org/10.1093/cid/ciz613.

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Abstract Background Personal protective equipment (PPE) helps protect healthcare workers (HCWs) from pathogens and prevents cross-contamination. PPE effectiveness is often undermined by inappropriate doffing methods. Our knowledge of how HCWs approach doffing PPE in practice is limited. In this qualitative study, we examine HCWs’ perspectives about doffing PPE. Methods Thirty participants at a Midwestern academic hospital were recruited and assigned to 1 of 3 doffing simulation scenarios: 3 mask designs (n = 10), 2 gown designs (n = 10), or 2 glove designs (n = 10). Participants were instructed to doff PPE as they would in routine practice. Their performances were video-recorded and reviewed with participants. Semistructured interviews about their doffing approaches were conducted and audio-recorded, then transcribed and thematically analyzed. Results Three overarching themes were identified in interviews: doffing strategies, cognitive processes, and barriers and facilitators. Doffing strategies included doffing safely (minimizing self-contamination) and doffing expediently (eg, ripping PPE off). Cognitive processes during doffing largely pertained to tracking contaminated PPE surfaces, examining PPE design cues (eg, straps), or improvising based on prior experience from training or similar PPE designs. Doffing barriers and facilitators typically related to PPE design, such as PPE fit (or lack of it) and fastener type. Some participants also described personal barriers (eg, glasses, long hair); however, some PPE designs helped mitigate these barriers. Conclusions Efforts to improve HCWs’ doffing performance need to address HCWs’ preferences for both safety and expediency when using PPE, which has implications for PPE design, training approaches, and hospital policies and procedures.
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Permatasari, Gusti, Gunung Setiadi, and Arifin Arifin. "Hubungan Pengetahuan, Sikap dan Kenyamanan Pekerja dengan Pemakaian Alat Pelindung Diri (APD) di Bengkel Las Listrik Kecamatan Amuntai Tengah Kabupaten HSU Tahun 2016." JURNAL KESEHATAN LINGKUNGAN: Jurnal dan Aplikasi Teknik Kesehatan Lingkungan 14, no. 1 (January 2, 2017): 383. http://dx.doi.org/10.31964/jkl.v14i1.36.

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Abstract: Relations Of Knowledge, Attitude And Comfort Of Personal Protective Equipment (PPE) In Las Electrical Workshop Subdistrict Central Amuntai Regency Hulu Sungai Utara 2016. Means work safety and health is one of the aspect protection of the labour to achieve optimal productivity. The means of the implementation of the safety and health of work, use of personal protection equipment (PPE) is a last choice in protecting the safety and health for workers of hazards potential. The results of a preliminary survey shows 60% on 10 workers of the las electrical workshop knowing the benefits and usefulness of the APD. The comfort factor of 80% felt less comfortable. The purpose of the study is to know the relations of knowledge, attitude and comfort with the use of personal protective equipment (PPE) in las electrical workshop Subdistrict Amuntai Central Regency Hulu Sungai Utara. The benefits of this research are as information materials and evaluation to find out the factors that affect its relationship with workers wearing of personal protection equipment (PPE). The research method used analytic survey with cross sectional design. Population of research to 40 people.Data analysis used X2 (Chi-Square). The results showed : (1) knowledge (p=0,000), (2) attitude (p=0,025), comfort (p = 0.002). The results showed that there is a relationship of knowledge, attitude and comfort with the use of personal protective equipment (PPE) in las electrical workshop Subdistrict Central Amuntai Regency Hulu Sungai Utara. An increase in oversight activities of las electrical workshops of workers so that workers work safely as wearing the of personal protective equipment (PPE) when working. Keywords: PPE; knowledge; attitude; comfort
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Kwon, Young G., Chol H. Kim, Hong K. Kim, and Seong N. Byun. "Ergonomic redesign of personal protective equipment for Korean policemen." Occupational Ergonomics 3, no. 3 (September 11, 2003): 185–95. http://dx.doi.org/10.3233/oer-2003-3305.

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Personal protective equipment (PPE) for Korean policemen that included protective clothing, a helmet, and a shield were evaluated and redesigned based on ergonomic principles. Major functional improvements were made by reduction of equipment weight, reduction of heat stress through improvement of equipment ventilation, and improvement of usability and safety. Redesigned prototype models were made for the protective equipments. The redesigned three components of PPE are helped to enhance work performance and job safety of police officers for anti-riot operation. Currently a helmet company is trying to export newly designed helmet to other countries.
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Moraes, Victor, Willames De Albuquerque Soares, Bianca M. Vasconcelos, Tomi Zlatar, and Béda Barkokébas Junior. "Automated Control on Wearing Personal Protective Equipment." Revista de Engenharia e Pesquisa Aplicada 5, no. 3 (May 21, 2020): 94–101. http://dx.doi.org/10.25286/repa.v5i3.1184.

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The cost of world-wide accidents represent ≈4% of global Gross Domestic Product each year, which could be minimized or prevented by using adequate Personal Protective Equipment (PPE). Although wearing adequate PPE are mandatory in a number of occupations where workers are exposed to risks, experience show-us that supervision is necessary to ensuring it. The traditional supervision was proved not to be effective enough, making it necessary to turn on technological solutions. The objective of this work was to investigate if RFID technology is a feasible solution for monitoring the usage of PPE on construction sites, giving suggestions which tags to use and characteristics of RFID portals for field applications. The results of laboratory tests show that four antennas with correct disposition on the RFID portal are enough to ensure readability of the worker when passing through it. While six passive tags were tested, two of them were found to be ideal for this purpose: the Web Lite Wet Inlay with a rubber wrap due to its protective characteristics, and the SmartTrac Dog Bone due to its size. In conclusion, the RFID technology was found to be a feasible solution for automatically control the wearing of PPE on construction sites. There is a need for further research on construction sites.
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Silva, Jaqueline Pereira da, Priyadarshini Pennathur, Hugh Salehi, Emily Chasco, Jure Baloh, Kimberly Dukes, Melissa Ward, Heather Reisinger, and Loreen Herwaldt Abbott. "Self-Contamination While Doffing Personal Protective Equipment." Infection Control & Hospital Epidemiology 41, S1 (October 2020): s385—s386. http://dx.doi.org/10.1017/ice.2020.1020.

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Background: Personal protective equipment (PPE) effectiveness can be undermined by inappropriate doffing methods. Objective: We used human factors engineering methods to evaluate self-contamination during PPE doffing. Methods: In this study, 30 participants at a Midwestern academic hospital (A) donned and doffed 3 mask styles (n = 10), 2 gown styles (n = 10), and 2 glove styles (n = 10; the Doffy glove has a tab to facilitate doffing). Also, 30 additional participants at hospital A (residents or fellows, nurses, special isolation trained staff [SITS]) and 10 SITS at academic hospital B doffed a surgical mask, a breakaway neck gown, and exam gloves (PPE ensemble) twice: once while distracted with conversation and once when not distracted. We randomized the order in which participants used different PPE styles or they did the doffing scenario. We collected demographic data. We applied Glo Germ Mist (1.5 dilution in water) with a mucosal atomizer to participants’ PPE before they doffed. We video-recorded participants as they doffed, and we photographed their scrubs and exposed skin before and after each donning and doffing episode. We reviewed videos for doffing errors and photographs for fluorescent spots. We counted fluorescent spots and noted their locations. Results: Overall, 45 (64.3%) participants were women, 31 (44.3%) were nurses, 24 (34.3%) were physicians. Among the participants, 25 (35.7%) had >15 years of experience and 61 (87.1%) had some training in doffing. Participants frequently contaminated their skin or clothing while doffing (Table 1). For all scenarios, hands followed by the torso were contaminated most frequently. Analysis of the videos found that touching the gown front with bare hands was the most common doffing error. Fewer participants self-contaminated when using the Doffy glove without training than when using the standard exam glove. Although most participants in the glove trial indicated that they did not need to watch the Doffy glove training video again, most had difficulty doffing the Doffy glove with the beak method. Many participants stopped doffing to answer questions when they doffed the PPE ensemble during the interruption scenario. Conclusions: Self-contamination was very common with all PPE styles and during all scenarios. Distraction did not increase the risk of contamination. However, participants often stopped doffing to answer questions, which they rarely do in practice. Watching a video was inadequate training for the beak glove-doffing method. The Doffy glove, which decreased contamination compared with the standard glove in the untrained scenario, may have advantages over standard exam gloves and should be evaluated further.Funding: NoneDisclosures: None
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Yeung, RSD, JTS Chan, LLY Lee, and YL Chan. "The use of Personal Protective Equipment in Hazmat Incidents." Hong Kong Journal of Emergency Medicine 9, no. 3 (July 2002): 171–76. http://dx.doi.org/10.1177/102490790200900312.

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Medical personnel are at risk when handling victims of Hazmat incidents. Special clothing and respiratory equipment are required to protect them from absorbing these toxic materials through inhalation or through dermal contact. Personal Protective Equipment (PPE) refer to both clothing and equipment used to shield or isolate individuals from chemical, physical and biological hazards that may be encountered at a hazardous materials incident.1,2 No single type of PPE can protect all hazards and incorrect use can cause harm to the wearer. In general, the greater the protection, the greater the associated risks.2 Therefore, the level of PPE selected should be the one that can provide adequate level of protection.
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Drews, Frank A., Diane Mulvey, Kristina Stratford, Matthew H. Samore, and Jeanmarie Mayer. "Evaluation of a Redesigned Personal Protective Equipment Gown." Clinical Infectious Diseases 69, Supplement_3 (September 13, 2019): S199—S205. http://dx.doi.org/10.1093/cid/ciz520.

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Abstract Background In healthcare, the goal of personal protective equipment (PPE) is to protect healthcare personnel (HCP) and patients from body fluids and infectious organisms via contact, droplet, or airborne transmission. The critical importance of using PPE properly is highlighted by 2 potentially fatal viral infections, severe acute respiratory syndrome–associated coronavirus and Ebola virus, where HCP became infected while caring for patients due to errors in the use of PPE. However, PPE in dealing with less dangerous, but highly infectious organisms is important as well. This work proposes a framework to test and evaluate PPE with a focus on gown design. Methods An observational study identified issues with potential for contamination related to gown use. After redesigning the existing gown, a high-fidelity patient simulator study with 40 HCP as participants evaluated the gown redesign using 2 commonly performed tasks. Variables of interest were nonadherence to procedural standards, use problems with the gown during task performance, and usability and cognitive task load ratings of the standard and redesigned gowns. Results While no differences were found in terms of nonadherence and use problems between the current and the redesigned gown, differences in usability and task load ratings suggested that the redesigned gown is perceived more favorably by HCP. Conclusions This work proposes a framework to guide the evaluation of PPE. The results suggest that the current design of the PPE gown can be improved in usability and user satisfaction. Although our data did not find an increase in adherence to protocol when using the redesigned gown, it is likely that higher usability and lower task load could result in higher adherence over longer periods of use.
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de Almeida, Ronaldo André Castelo dos S., Marcelo Motta Veiga, Francisco José de Castro Moura Duarte, Luiz Antônio Meirelles, and Lilian Bechara Elabras Veiga. "Thermal comfort and personal protective equipment (PPE)." Work 41 (2012): 4979–82. http://dx.doi.org/10.3233/wor-2012-0042-4979.

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Moran, John B. "Personal Protective Equipment: Results of PPE Questionnaire." Applied Industrial Hygiene 4, no. 10 (October 1989): F—28—F—29. http://dx.doi.org/10.1080/08828032.1989.10388582.

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Wollitz, Amanda Danielle, Christine Hong, and Fernando Blanco. "Compounding sterile products during a personal protective equipment shortage." American Journal of Health-System Pharmacy 78, no. 14 (March 19, 2021): 1330–35. http://dx.doi.org/10.1093/ajhp/zxab112.

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Abstract Purpose To describe our pharmacy department’s plan for conservation of personal protective equipment (PPE) during the coronavirus disease 2019 (COVID-19) pandemic to ensure continued availability of sterile compounded products. Summary PPE shortages impacted hospitals throughout the nation in the early months of the COVID-19 pandemic response. The PPE requirement for sterile compounding and need to maintain supplies within the pharmacy cleanroom are often overlooked. A sustained supply of PPE is critical to ensure an uninterrupted supply of compounded medications to our patient population. Multiple conservation strategies, including staffing changes, communication, adjustments to training, and even reuse of select PPE, can assist with conservation. Conclusion PPE in pharmacy cleanrooms is critical for the continued provision of sterile compounds with appropriate beyond-use dates and effective patient care. Pharmacy departments must employ multiple conservation strategies to ensure PPE is available for continued compounding of sterile products, and early planning and implementation of conservation strategies are key.
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Reddy, Sujan C., Amy L. Valderrama, and David T. Kuhar. "Improving the Use of Personal Protective Equipment: Applying Lessons Learned." Clinical Infectious Diseases 69, Supplement_3 (September 13, 2019): S165—S170. http://dx.doi.org/10.1093/cid/ciz619.

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Abstract Unrecognized transmission of pathogens in healthcare settings can lead to colonization and infection of both patients and healthcare personnel. The use of personal protective equipment (PPE) is an important strategy to protect healthcare personnel from contamination and to prevent the spread of pathogens to subsequent patients. However, optimal PPE use is difficult, and healthcare personnel may alter delivery of care because of the PPE. Here, we summarize recent research from the Prevention Epicenters Program on healthcare personnel contamination and improvement of the routine use of PPE as well as Ebola-specific PPE. Future efforts to optimize the use of PPE should include increasing adherence to protocols for PPE use, improving PPE design, and further research into the risks, benefits, and best practices of PPE use.
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Brandner, Johanna M., Peter Boor, Lukas Borcherding, Carolin Edler, Sven Gerber, Axel Heinemann, Julia Hilsenbeck, et al. "Contamination of personal protective equipment during COVID-19 autopsies." Virchows Archiv 480, no. 3 (January 6, 2022): 519–28. http://dx.doi.org/10.1007/s00428-021-03263-7.

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AbstractConfronted with an emerging infectious disease at the beginning of the COVID-19 pandemic, the medical community faced concerns regarding the safety of autopsies on those who died of the disease. This attitude has changed, and autopsies are now recognized as indispensable tools for understanding COVID-19, but the true risk of infection to autopsy staff is nevertheless still debated. To clarify the rate of SARS-CoV-2 contamination in personal protective equipment (PPE), swabs were taken at nine points in the PPE of one physician and one assistant after each of 11 full autopsies performed at four centers. Swabs were also obtained from three minimally invasive autopsies (MIAs) conducted at a fifth center. Lung/bronchus swabs of the deceased served as positive controls, and SARS-CoV-2 RNA was detected by real-time RT-PCR. In 9 of 11 full autopsies, PPE samples tested RNA positive through PCR, accounting for 41 of the 198 PPE samples taken (21%). The main contaminated items of the PPE were gloves (64% positive), aprons (50% positive), and the tops of shoes (36% positive) while the fronts of safety goggles, for example, were positive in only 4.5% of the samples, and all the face masks were negative. In MIAs, viral RNA was observed in one sample from a glove but not in other swabs. Infectious virus isolation in cell culture was performed on RNA-positive swabs from the full autopsies. Of all the RNA-positive PPE samples, 21% of the glove samples, taken in 3 of 11 full autopsies, tested positive for infectious virus. In conclusion, PPE was contaminated with viral RNA in 82% of autopsies. In 27% of autopsies, PPE was found to be contaminated even with infectious virus, representing a potential risk of infection to autopsy staff. Adequate PPE and hygiene measures, including appropriate waste deposition, are therefore essential to ensure a safe work environment.
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Mathew, Shibi, and Mathew Philip. "Personal Protective Equipment during Endoscopy." Journal of Digestive Endoscopy 11, no. 01 (March 2020): 45–52. http://dx.doi.org/10.1055/s-0040-1712344.

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AbstractThe novel coronavirus disease 2019 (COVID-19) which originated in China has been declared a pandemic by the World Health Organization (WHO). This virus gets transmitted through air droplets and direct contact. Health care workers doing aerosol-generating procedures are at a higher risk of acquiring the infection. Many procedures done by the gastrointestinal endoscopists are classified as aerosol-generating procedures, which in turn underline the need for proper safety precautions during these procedures. Apart from general safety measures advised by various organizations, proper use of personal protective equipment (PPE) is a pivotal factor in safeguarding health care personnel during endoscopy. This article provides a short overview of the different PPEs available and their proper use in endoscopy.
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Fesenko, O., V. Lysyuk, and Z. Sakharova. "PERSONAL PROTECTIVE EQUIPMENT FOR EMPLOYEES GRAIN PROCESSING ENTERPRISES." Grain Products and Mixed Fodder’s 19, no. 4 (February 3, 2020): 4–10. http://dx.doi.org/10.15673/gpmf.v19i4.1581.

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The article deals with pressing issues of providing employees of grain processing enterprises with personal protective equipment (PPE). The presence of hazardous and harmful production factors in such enterprises requires the employer to use these remedies as one of the methods of protection of workers in conditions where safety of work cannot be ensured by the design of equipment, the organization of the production process and the means of collective protection. The authors of the article analysed the existing legal documents, according to which the employer is obliged to organize the acquisition, issuance and maintenance of individual funds in working order, which would protect the worker from the effects of industrial hazards, as well as pollution and adverse weather conditions. The modern classification of industrial PPEs (depending on destination), which should be used in grain processing industries, is given. The grounds, rules for providing and designing personal protective equipment are considered. The choice of the specific type of PPE for the grain processing industry should be made taking into account the safety requirements for the process or type of work. The obligations of the employer to provide workers with personal protective equipment, including the procedure and rules for issuing, inspecting, replacing PPIs, with reference to applicable regulatory documents, are disclosed in detail. A list of duties of an employee to use personal protective equipment is also provided. As a practical example, the distribution of PPE by main occupations of employees of grain processing enterprises in accordance with the "Minimum safety and health requirements for the use of personal protective equipment in the workplace by employees" is presented.
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Pangihutan, Siregar Reymond Sahala. "Factors Related to Behavior of Using Personal Protective Equipment on Filling Lithos Workers." Indonesian Journal of Occupational Safety and Health 8, no. 3 (December 27, 2019): 302. http://dx.doi.org/10.20473/ijosh.v8i3.2019.302-309.

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Introduction: Every workplace has risks and risks to the safety and health of workers. Personal Protective Equipment (PPE) as the last control or last effort to control risk in workplace. Using personal protective equipment is influenced by a person's behavior which consists of three factors namely predisposing factors, enabling factors and driving factors. The purpose of this study was to analyze factors related to the behavior of using PPE on workers in the filling lithos process PT. Pertamina Lubricants Production Unit Gresik. Metods: This study was an observational analytic study, using a cross sectional research design. The research sample was 41 people, taken randomly using simple random sampling. Data collection includes age, education, years of service, knowledge, motivational attitudes of PPE availability, supervision and regulations regarding PPE. The data analysis used in this study is Spearman's correlation. Results: Showed that there was a relationship between age factors (p = 0.004) and the behavior of PPE use while other factors were knowledge (p = 0.338), motivation (p = 0.137), availability of PPE, regulations on PPE (p = 0.624) with no association behavior of using PPE. Most samples behave disobediently using PPE. Conclusion:Age has a relationship with my personal use of personal protective equipment and most of the workers behave disobedient using personal protective equipment. Keywords: behavior, filling lithos workers, personal protective equipment
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Pangihutan, Siregar Reymond Sahala. "Factors Related to Behavior of Using Personal Protective Equipment on Filling Lithos Workers." Indonesian Journal of Occupational Safety and Health 8, no. 3 (December 27, 2019): 302. http://dx.doi.org/10.20473/ijosh.v8i3.2019.305-313.

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Introduction: Every workplace has risks and risks to the safety and health of workers. Personal Protective Equipment (PPE) as the last control or last effort to control risk in workplace. Using personal protective equipment is influenced by a person's behavior which consists of three factors namely predisposing factors, enabling factors and driving factors. The purpose of this study was to analyze factors related to the behavior of using PPE on workers in the filling lithos process PT. Pertamina Lubricants Production Unit Gresik. Metods: This study was an observational analytic study, using a cross sectional research design. The research sample was 41 people, taken randomly using simple random sampling. Data collection includes age, education, years of service, knowledge, motivational attitudes of PPE availability, supervision and regulations regarding PPE. The data analysis used in this study is Spearman's correlation. Results: Showed that there was a relationship between age factors (p = 0.004) and the behavior of PPE use while other factors were knowledge (p = 0.338), motivation (p = 0.137), availability of PPE, regulations on PPE (p = 0.624) with no association behavior of using PPE. Most samples behave disobediently using PPE. Conclusion:Age has a relationship with my personal use of personal protective equipment and most of the workers behave disobedient using personal protective equipment. Keywords: behavior, filling lithos workers, personal protective equipment
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Salway, Richard J., Trenika Williams, Camilo Londono, Patricia Roblin, Kristi Koenig, and Bonnie Arquilla. "Comparing Training Techniques in Personal Protective Equipment Use." Prehospital and Disaster Medicine 35, no. 4 (May 11, 2020): 364–71. http://dx.doi.org/10.1017/s1049023x20000564.

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AbstractIntroduction:Physicians’ management of hazardous material (HAZMAT) incidents requires personal protective equipment (PPE) utilization to ensure the safety of victims, facilities, and providers; therefore, providing effective and accessible training in its use is crucial. While an emphasis has been placed on the importance of PPE, there is debate about the most effective training methods. Circumstances may not allow for a traditional in-person demonstration; an accessible video training may provide a useful alternative.Hypothesis:Video training of Emergency Medicine (EM) residents in the donning and doffing of Level C PPE is more effective than in-person training.Null Hypothesis:Video training of EM residents in the donning and doffing of Level C PPE is equally effective compared with in-person training.Methods:A randomized, controlled pilot trial was performed with 20 EM residents as part of their annual Emergency Preparedness training. Residents were divided into four groups, with Group 1 and Group 2 viewing a demonstration video developed by the Emergency Preparedness Team (EPT) and Group 3 and Group 4 receiving the standard in-person demonstration training by an EPT member. The groups then separately performed a donning and doffing simulation while blinded evaluators assessed critical tasks utilizing a prepared evaluation tool. At the drill’s conclusion, all participants also completed a self-evaluation survey about their subjective interpretations of their respective trainings.Results:Both video and in-person training modalities showed significant overall improvement in participants’ confidence in doffing and donning PPE equipment (P <.05). However, no statistically significant difference was found in the number of failed critical tasks in donning or doffing between the training modalities (P >.05). Based on these results, the null hypothesis cannot be rejected. However, these results were limited by the small sample size and the study was not sufficiently powered to show a difference between training modalities.Conclusion:In this pilot study, video and in-person training were equally effective in training for donning and doffing Level C PPE, with similar error rates in both modalities. Further research into this subject with an appropriately powered study is warranted to determine whether this equivalence persists using a larger sample size.
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Reid, Sarah M., Ken J. Farion, Kathryn N. Suh, Tobey Audcent, Nicholas J. Barrowman, and Amy C. Plint. "Use of personal protective equipment in Canadian pediatric emergency departments." CJEM 13, no. 02 (March 2011): 71–78. http://dx.doi.org/10.2310/10.2310/8000.2011.110253.

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ABSTRACT Objective: Numerous barriers to maintaining infection control practices through the use of personal protective equipment (PPE) exist in the emergency department (ED). This study examined the knowledge, self-reported behaviours, and barriers to compliance with infection control practices and the use of PPE in Canadian pediatric EDs. Methods: A self-administered survey instrument consisting of 21 questions was developed and piloted for this study. The survey was mailed to all individuals listed in the Pediatric Emergency Research Canada database of physicians practicing pediatric emergency medicine in Canada. Results: A total of 186 physicians were surveyed, and 123 (66%) participated. Twenty-two percent of participants reported that they had never received PPE training and 32% had not been trained in the previous 2 years. Fifty-three percent reported being very or somewhat comfortable with their knowledge of transmission-based isolation practices. Participants were correct on a mean of 4.9 of 11 knowledge-based questions (SD 1.7). For scenarios assessing self-reported use of PPE, participants selected answers that reflected PPE use in accordance with national infection control standards in a mean of 1.0 of 6 scenarios (SD 1.0). Participants reported that they would be more likely to use PPE if patients were clearly identified prior to physician assessment, equipment was accessible, and PPE use was made a priority in their ED. Conclusions: Knowledge and self-reported adherence to recommended infection control practices among Canadian pediatric emergency physicians is suboptimal. Early identification of patients requiring PPE, convenient access to PPE, and improved education regarding isolation and PPE practices may improve adherence.
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Mukherjee, Subhabrata, Vasileios Bonatsos, and Asif Raza. "The Urologist, Personal Protective Equipment (PPE) and COVID-19." Journal of Endoluminal Endourology 3, no. 4 (September 30, 2020): e1-e14. http://dx.doi.org/10.22374/jeleu.v3i4.104.

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Background and ObjectiveTo review the literature from a urologist’s perspective regarding the use of Personal Protective Equipment (PPE), associated challenges, and other potential measures that can be taken to reduce the risk of nosocomial COVID-19 transmission. Material and MethodsA literature review using PubMed, Cochrane Review, and Google Scholar database search was performed using the keyword terms “COVID-19”, “Coronavirus”, “Personal Protective Equipment” (PPE), “healthcare workers” (HCW), “protection”, “masks”, and “urology”. Non-English articles were excluded. We present a summary of key guidance provided by regulatory bodies as well as some of the key articles published to date relating to PPE. DiscussionSARS-CoV-2 virus is found mainly in the respiratory system but is also in blood, feces, semen, and urine. Both standard infection control precautions (SICPs) and transmission-based precautions (TBPs) are nec-essary to reduce nosocomial transmission of COVID-19 infection. PPE includes gowns, gloves, masks or respirators, goggles, and face shields; however, wearing PPE is only part of many precautionary measures that are necessary to prevent viral transmission. When used appropriately PPE not only protects HCWs from patients but also protects patients from HCWs who may be asymptomatic carriers of COVID-19 infection. Attention should also be paid to fit testing and fit checking, donning and doffing, and ever-evolving guide-lines on PPE. Wearing PPE for a long time is also technically challenging and may adversely affect surgical outcomes. Shortages of PPE in the supply chain during the peak of the pandemic as well as concerns about substandard PPE should be considered for a possible second wave of COVID-19. Other key measures to minimize nosocomial SARS-CoV-2 virus transmission are a symptom and temperature screening of patients and staff; controlling the flow of patients, staff, and relatives in hospitals; self-isolation by patients before elective surgery; a robust testing protocol for both patients and staff; patient and staff cohorting; physical distancing; good hand hygiene; respiratory etiquette including face coverings for patients, staff and visitors; proper disposal of waste and enhanced cleaning; thorough cleaning and sterilization of surgical equipment performed post-operatively; choosing suitable anesthetic methods to minimize aerosolization of the virus; and if possible ensuring a negative-pressure theatre environment while dealing with COVID-19 positive patients. As scientific and regulatory bodies continue to issue updated guidance as more data is collected and a better knowledge base is developed regarding COVID-19 employers and staff need to keep up to date with guidance also. ConclusionCOVID-19 will be around for the foreseeable future and infection rates may fluctuate as restrictions are eased. HCWs including urologists should take appropriate PPE measures not only in theatres, clinics, and endoscopy suits but also when performing simple tasks such as urine dipsticks, catheter, nephrostomy management, digital rectal examination (DRE), prostate biopsies, etc. as SARS-CoV-2 can be detected in feces, urine, and semen. Both employers and HCWs should adhere strictly to current guidelines and work together to minimize nosocomial transmission of COVID-19 infection.
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Mohd Nawi, Nur Syazwani, Huey Yin Ting, and Ezrin Hani Sukadarin. "RISK AMONG CLEANERS: THE USAGE OF PERSONAL PROTECTIVE EQUIPMENT (PPE)." Journal of Information System and Technology Management 5, no. 17 (June 10, 2020): 01–11. http://dx.doi.org/10.35631/jistm.517001.

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Personal Protective Equipment (PPE) is involved in many industries including cleaning nowadays. The influence factors and usage levels of PPE are very different based on groups. The data in this research is to collect and analysis through the qualitative method. A total of 34 cleaners was observed and interviewed. In this study, the influence factors of PPE usage included the scope of job tasks and works environment, organization culture, rule and enforcement, PPE accessibility/ availability, personal feeling and perspective, knowledge and awareness on safety and hazard factors, and personal behavior. The result also showed that the PPE usage condition is good at a moderate level which fits the cleaning tasks and works environment. The risk of cleaners is low. However, UCLEANSB takes safety action to maintain and enhance the PPE usage among cleaners. For further study, the study can implement to other diverse cleaning group samples with different job task categories.
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Guseva Canu, Irina, Ségolène Faust, Pierre Canioni, Philippe Collomb, Eric Samson, and Dominique Laurier. "Attitude Towards Personal Protective Equipment in the French Nuclear Fuel Industry." Archives of Industrial Hygiene and Toxicology 64, no. 2 (June 1, 2013): 285–93. http://dx.doi.org/10.2478/10004-1254-64-2013-2289.

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This descriptive cross-sectional study examines the compliance of workers from the European Gaseous Diffusion Uranium Enrichment Consortium (EURODIF) with personal protection equipment (PPE) in view of the various hazards in the nuclear fuel industry. The PPE inventory was drawn up by an industrial hygienist in charge of the PPE at EURODIF. Two hundred and twenty seven (10 %) randomly selected, active and retired, EURODIF workers filled in a questionnaire on their attitudes towards PPE. Exposure data from the EURODIF job exposure matrix were used to examine whether PPE usage varies according to exposure level. The study suggests a PPE usage profile that varies depending on the hazards present and PPE available. Anti-uranium PPE and gloves were among the best rated, while anti-spray goggles were the least used. We found that, for most hazards known to cause cancer or irreversible health damage, PPE usage varied according to exposure (homogeneity test, p<0.05; trend test, p<0.05). The continuous use of PPE among workers should be encouraged through improvements to the PPE management system. A precise model of individual exposure can only be designed if the use and efficiency of PPE are taken into consideration.
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Tarasov, L. A., A. A. Sukhova, and E. A. Shtukina. "Technical characteristics of modern skin personal protective equipment against adverse impacts of various hazards." Medicо-Biological and Socio-Psychological Problems of Safety in Emergency Situations, no. 3 (November 11, 2020): 76–86. http://dx.doi.org/10.25016/2541-7487-2020-0-3-76-86.

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Relevance. Human industrial and economic activities and the related problem of emergency situations over the past decades require the new generation of skin personal protective equipment (PPE) with improved protective and ergonomic characteristics.Intention – To present technical and ergonomic characteristics of protective materials and modern skin PPE developed at the Kazan Chemical Research University.Methodology. Technical and ergonomic characteristics of universal protective insulating material LTL-1-2 and chemical protective fabrics FCM-P and TL-3 developed by employees the Kazan Chemical Research University are presented.Results and Discussion. According to the principle of protective action and the type of materials they are made of, there are filtering or insulating types of skin PPE. Insulating PPE is made of airtight materials (rubberized fabrics, polymer films) with extremely slow penetration of toxic and aggressive substances (both gaseous and liquid phases). Filtering PPE helps against chemical hazards (vapors, gases, fine aerosols and various types of dust). Air and vapor permeable materials are used for manufacturing special clothes against physical hazards (open flames, high-energy electromagnetic radiation, heat flows, etc.). Filtering PPE is normally used for routine operations in industries where exposure to harmful and dangerous factors is possible, or for accidents in areas that exclude exposure to the liquid phase. A fundamentally new combination type of skin PPE has protective properties of both categories.Conclusion. Modern protective materials and PPE made of these materials provide high protection, from a technical and ergonomics point of view, against various hazards for personnel of chemically hazardous industrial facilities.
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Syahrizal, Syahrizal, and Putri Ulfa Natasya. "Hubungan penggunaan alat pelindung diri (APD) dengan kesehatan mata pada pekerja pengelasan. Studi kasus di PT. X, Aceh Besar." Jurnal SAGO Gizi dan Kesehatan 3, no. 1 (January 10, 2022): 109. http://dx.doi.org/10.30867/gikes.v3i1.770.

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Background: Welding workshop is one of the workplaces that have the risk and danger of accidents and the emergence of occupational diseases. The use of personal protective equipment is very important for workers to avoid work accidents. The obligation to wear and follow orders to always use Personal Protective Equipment (PPE) has been set in almost all companies (PT), but there are still workers who have not used personal protective equipment in the welding process.Objective: This study aims to determine the relationship between the use of personal protective equipment (PPE) with eye health in welding workers at company X, Aceh Besar District.Method: This type of research is descriptive-analytic to determine the relationship between the use of eye personal protective equipment (PPE) with eye health in welding workers at company X, Aceh Besar district in 2020. The samples in this study were 15 welding workers. Data collection techniques used are checklists and questionnaires, using interview and observation techniques. Data processing includes the stages of editing, coding, tabulating and entry. Analysis using Chi-Square statistical test at a significance level of 95%.Results: The results of the study have shown that 40% of respondents use personal protective equipment. The healthy eye response was 44.43%. There is a relationship between the use of personal protective equipment (PPE) with eye health in welding workers at company X, Aceh Besar District (p= 0.014).Conclusion: The use of personal protective equipment has a very significant relationship to the safety and eye health of welding workers.
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Herawati, Peppy, and Reza Khulaifi. "Hubungan Pelaksanaan Penggunaan APD terhadap Kecelakaan Kerja di JOB Pertamina Talisman Jambi Merang." Jurnal Daur Lingkungan 2, no. 2 (August 10, 2019): 59. http://dx.doi.org/10.33087/daurling.v2i2.28.

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This research is focused to approach at the relationship between the implementation of personal protective equipment (PPE) to safety programme with employee, where PPE is used as a last resort in an effort to protect workers if the effort to control the elimination of danger sources, equipment substitution, engineering and administration but the potential risk is still relatively high. This research is focused on associative descriptive with correlation approach, which uses a questionnaire of 80 employees in the JOB Pertamina Talisman Jambi Merang production department engaged in the oil and gas industry located in Bayung Lencir, South Sumatra Province. The results of this study use a bivariate analysis test looking for the relationship between the application of personal protective equipment (PPE) with workplace accidents at the job accident on the crew driling the repair part of the well maintenance at the RPS 05 rig, PT.Pertamina EP Asset 1 Field Jambi. The study found that there was a significant relationship between the variables of K3 inspection and personal protective equipment (PPE) against work accidents. with a value (r) of 0.722 which means a significant relationship between the commitment to carry out K3 inspection and personal protective equipment (PPE). (PPE).
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Herlihey, Tracey A., Stefano Gelmi, Christopher J. Flewwelling, Trevor N. T. Hall, Carleene Bañez, Plinio P. Morita, Paul Beverley, Joseph A. Cafazzo, and Susy Hota. "Personal Protective Equipment for Infectious Disease Preparedness: A Human Factors Evaluation." Infection Control & Hospital Epidemiology 37, no. 9 (June 13, 2016): 1022–28. http://dx.doi.org/10.1017/ice.2016.124.

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OBJECTIVETo identify issues during donning and doffing of personal protective equipment (PPE) for infectious diseases and to inform PPE procurement criteria and design.DESIGNA mixed methods approach was used. Usability testing assessed the appropriateness, potential for errors, and ease of use of various combinations of PPE. A qualitative constructivist approach was used to analyze participant feedback.SETTINGFour academic health sciences centers: 2 adult hospitals, 1 trauma center, and 1 pediatric hospital, in Toronto, Canada.PARTICIPANTSParticipants (n=82) were representative of the potential users of PPE within Western healthcare institutions.RESULTSNone of the tested combinations provided a complete solution for PPE. Environmental factors, such as anteroom layout, and the design of protocols and instructional material were also found to impact safety. The study identified the need to design PPE as a complete system, rather than mixing and matching components.CONCLUSIONSHealthcare institutions are encouraged to use human factors methods to identify risk and failure points with the usage of their selected PPE, and to modify on the basis of iterative evaluations with representative end users. Manufacturers of PPE should consider usability when designing the next generation of PPE.Infect Control Hosp Epidemiol2016;37:1022–1028
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Williams, MGG, GR Turner, M. Lee, BD Smith, DJ Carr, C. Malbon, and E. Nelson. "Performance of police personal protective equipment challenged with a military grenade." Police Journal: Theory, Practice and Principles 92, no. 3 (August 16, 2018): 191–202. http://dx.doi.org/10.1177/0032258x18785859.

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Police body armour in the United Kingdom (UK) is designed to provide protection from edged weapons and low-velocity pistol ammunition. Recent events have raised concern about whether UK police body armour and associated personal protective equipment (PPE) provides protection from military threats such as improvised explosive devices (IED) and grenades. In this paper PPE worn by specialised police officers was assessed for its protective performance from a specified grenade threat. The major cause of injury suffered by police officers challenged by a modern military grenade would be from the associated fragmentation which perforated coveralls, boots, helmet and soft body armour, but not hard armour plates.
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Puspa Andini Alydrus, Milla. "The Relation Between Knowledge, Attitude, and Behavior The Usage of Personal Protective Equipment With Accident at Work on Pt. X Project Apartment Bekasi Workers." Muhammadiyah International Public Health and Medicine Proceeding 1, no. 1 (November 1, 2021): 735–46. http://dx.doi.org/10.53947/miphmp.v1i1.126.

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Based on the research, which conducted by Vondra Anggi Saputro about the application of PPE (personal protective equipment) with an accident at work in 2015 in the Metal Casting Production Work Unit found that there is a significant relation between acknowledging and attitude. The purpose of this research is that knowing the relation between acknowledging, attitude, and the behavior of application PPE (personal protective equipment) with the accident at the project Apartment Bekasi worker. this research is using the observational type, quantitative descriptive research design with cross-sectional oncoming. Data collection technic did by using a questionnaire sheet from a google form. The population is PT X project apartment Bekasi workers around 150 people. Sample determination in this research is using nonprobability sampling with the purposive sampling method. The result of this research shows the knowledge variable of PPE (personal protective equipment) (P=0,051), attitude variable of PPE (personal protective equipment) (P=0,070), behavior variable of PPE (personal protective equipment) (P=0,674). The three variables represent that there is no significant relation with the accident at work. From the result of this research, there is a significant difference between previous research and this study, due to differences such as statistical tests, the methods used, and other supporting factors.
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Arif, Anum, Ahsin Manzoor Bhatti, Akhter Hussain, Mohammad Tariq, Osama Hadi, and Syed Hashim Ali Inam. "Physiological Impacts of Personal Protective Equipment on Health Care Workers." Indonesian Journal Of Occupational Safety and Health 10, no. 1 (March 17, 2021): 1. http://dx.doi.org/10.20473/ijosh.v10i1.2021.1-5.

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Introduction: Since the outbreak of the Ebola virus, its design has constantly been evolving to serve the purpose of protection without hampering the efficiency. In a study conducted in 2019, before the advent of COVID 19, it was found that performing precarious laboratory or clinical works while wearing PPE involved various restrictions compared to the same work without PPE. The objective of this study is to identify the influence of personal protective equipment on physiological parameters and the individual wellbeing of healthy workers. Methods: This Pilot Quasi-experimental study was performed on 12 volunteers fitting the inclusion criteria. Candidates were seated comfortably and their baseline resting pulse rate, respiratory rate, oxygen saturation via pulse oximeter, blood pressure, and End-tidal CO2 were recorded via a portable monitor. All candidates were asked to wear a KN95 mask along with a 3 ply mask over it and wear anti-fog goggles. All the above-mentioned parameters were recorded again after five minutes of comfortable sitting and ten minutes of brisk walk. Result: Significant difference is found between resting EtCO2 and after wearing of PPE (P = 0 .044). After a brief exercise, the further rise in EtCO2 is also significant (P = 0.002). There is no significant rise in pulse after wearing PPE (P = 0.092) but on exertion after wearing PPE, the rise in pulse is statistically significant (P = 0.002). The rest of the variables, such as the rise in respiratory rate, blood pressure, and fall in oxygen saturation rise has no statistical significance. Conclusion: Personal protective equipment has proven to rise in end-tidal carbon dioxide and tachycardia, which can lead to headache, dizziness, and respiratory discomfort. All of the factors can hamper the health care workers' performance and can adversely affect their efficiency.Keywords: covid-19, end tidal CO2, personal protective equipment, physiological
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Acharya, Uddhav Raj, and Santosh Kumar Shrestha. "Utilization of Personal Protective Equipment in Construction Industry of Nepal." Advances in Engineering and Technology: An International Journal 1, no. 1 (September 10, 2021): 17–31. http://dx.doi.org/10.3126/aet.v1i1.39656.

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Construction industry is one of the most dangerous industries worldwide. Use of personal protective equipment reduces injuries associated with it. This study has been undertaken to find out safety improvement measures and enforcement of statutory provisions available for safety practices, to analyze the current issues regarding application of PPE and to identify key factors preventing effective use of safety wears in construction industry of Nepal. The methodology adopted consists of comprehensive review of literature and questionnaire survey.100 sets of questionnaires to the professionals and 385 to the site operatives were administered. The collected data were analyzed using relative mean score and independent samples test and then ranked as per their significance. This study concluded that routine check of scaffold and ladder, in house safety training, daily consciousness of safety practice, etc. will improve workers’ safety practices. Wearing PPE can help protect from work related injuries, feeling responsible for wearing PPE all the times, asking supervisors for provision of appropriate and adequate PPE but the management has not maintained sufficient stock of appropriate safety wears are the current issues regarding application of PPE. Based on the result of Independent Samples T-test, safety wears are not comfortable to wear with, operatives’ engagement in improper conduct that could endanger their safety, ineffective communication between safety managers and workers are the major factors preventing effective use of safety wears.
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Syahrisal, Syahrisal, Paulus Pongkessu, Mahadir Sirman, and Heny Pasandang Nari. "Penerapan Personal Protective Equipment Pada Workshop Politeknik Ilmu Pelayaran Makassar." Jurnal Teknik Mesin Sinergi 17, no. 2 (October 1, 2019): 221. http://dx.doi.org/10.31963/sinergi.v17i2.2096.

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Implementation according to the rules of occupational safety and health is needed in all jobs that are useful to avoid things that are not desirable, such as work accidents. The workforce consists of educated and trained people. One of the educated people referred to is the D-IV and DP-III graduates of the Makassar Shipping Polytechnic, because one of the fillers in the world of work is the Polytechnic graduate. The learning process while in the laboratory must be a serious concern in order to get qualified prospective workers, especially understanding about the application of occupational safety and health (K3) especially the use of personal protective equipment so that there are no direct or indirect obstacles in the work, such as work accidents occur, damage to machinery, cessation of production processes, environmental damage and expenses related to work accidents. The purpose of this research is to find out the availability and analyze the application of personal protective equipment to occupational safety and health in the workshop. This research includes the type of survey research with quantitative methods. This design seeks to determine the PPE facilities available at the Workshop, symbols / cues about occupational safety and health, the conditions of the practice room and what percentage of PPE use by cadets during practice. The data collection method is done by using a questionnaire and documentation used to determine PPE facilities available in the Workshop, symbols / cues about occupational safety and health, the conditions of the practice room and what percentage of the use of PPE cadets during practice. The conclusion is that the personal protective equipment (PPE) facilities in the workshop have been provided by the workshop and can be used by cadets or pasis and safely in accordance with government regulations, and the knowledge, understanding and application of cadets towards PPE have reached an average of 95%
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Artanto, Ardi, Ratih Pratiwi, and Hilma Tri Ayu Rizda. "The Relationship between Knowledge with Doctors and Nurses’ Compliance Level to Use PPE in Hospital Surgery Room during Pandemic Era." Journal of Agromedicine and Medical Sciences 7, no. 3 (October 31, 2021): 162. http://dx.doi.org/10.19184/ams.v7i3.23875.

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Hospitals are not only as a place of treatment, but also as a health service facility that can be a source of infection for other people. Doctors, nurses and other medical personnel are often exposed to potential hazards in hospitals, thus requiring protection in the form of personal protective equipment (PPE). However, compliance with the use of PPE is not always high, which makes doctors and nurses more vulnerable to risk of occupational diseases in hospitals. In one of conducted studies, the conditions that were less compliant in using PPE for health workers were 30%. One of the things that might affect this level of compliance is knowledge about PPE. The purpose of this study was to determine the relationship between knowledge and compliance level to use personal protective equipment among doctors and nurses in operating room installation from a private hospital in 2020. Analytic observational by using cross sectional research design was used in this study. The population were all doctors and nurses at operating room installation of mentioned hospital above. Sampling was taken by total sampling method and 26 samples met the inclusion criteria. In this study, there were 23 respondents (88.5%) obeyed the use of personal protective equipment, meanwhile 3 respondents (11.5%) who did not. The 3 respondents were on loop or circular nurses. So, there was a significant relationship between the level of knowledge and compliance in the use of personal protective equipment with p-value = 0.027and OR=44. Keywords: personal protective equipment, knowledge level, compliance level
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Al Mohajer, Mayar, Megan Fischer, Melissa Rouse, Takei Pipkins, and John Byrne. "Implementing a Massive Personal Protective Equipment Education—A Multidisciplinary Team Approach." Infection Control & Hospital Epidemiology 41, S1 (October 2020): s280—s281. http://dx.doi.org/10.1017/ice.2020.851.

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Background: Personal protective equipment (PPE) is defined by the Occupational Safety and Health Administration as specialized clothing or equipment worn by an employee for protection against infectious materials. They include gloves, gowns, masks, respirators, googles and face shields. The CDC has issued guidelines on appropriateness of when, what, and how to use PPE. Despite these guidelines, compliance with PPE remains challenging. Methods: We implemented a massive hospital-wide rapid education program on PPE donning and doffing of all employees and staff. This program included an online video, return demonstration and just-in-time training. To develop the program, we recorded PPE training video, reviewed PPE validation checklist, developed new isolation precaution signage with quick response (QR) code to video, developed a nutrition tray removal video and a equipment cleaning video, developed family and visitor guidelines for isolation precautions, and created an audit tool for PPE donning and doffing practices. The program required interdisciplinary collaboration including administration, infection prevention, nursing education, central supply, environmental services, facility maintenance, and security. Results: The first phase of the program was implemented through 30 separate 4-hour PPE skills fair offered over 48 hours. In total, 500 staff members were trained in the first 48 hours; 6 additional 3-hour sessions were provided on site in the following 3 month. Additionally, training was provided in off-site clinics, physician leadership meetings, new-hire orientation for nursing staff, and monthly resident and fellow training through graduate medical education. As needed, training was provided by infection prevention, nursing education, and floor nurses. In total, 5,237 staff members were trained within 3 months after implementation. Actual audit results (50 audits per week) showed improved and sustained compliance to >94%. Conclusions: A massive hospital-wide educational program including online video, return demonstration, and just-in-time training is a feasible and very effective method to improve compliance with PPE donning and doffing. A multidisciplinary team approach, administration support, and continuous education and audits are key factors in successful implementation.Funding: NoneDisclosures: None
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Phan, Linh T., Dagmar Sweeney, Dayana Maita, Donna C. Moritz, Susan C. Bleasdale, and Rachael M. Jones. "Respiratory viruses on personal protective equipment and bodies of healthcare workers." Infection Control & Hospital Epidemiology 40, no. 12 (October 31, 2019): 1356–60. http://dx.doi.org/10.1017/ice.2019.298.

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AbstractObjective:To characterize the magnitude of virus contamination on personal protective equipment (PPE), skin, and clothing of healthcare workers (HCWs) who cared for patients having acute viral infections.Design:Prospective observational study.Setting:Acute-care academic hospital.Participants:A total of 59 HCWs agreed to have their PPE, clothing, and/or skin swabbed for virus measurement.Methods:The PPE worn by HCW participants, including glove, face mask, gown, and personal stethoscope, were swabbed with Copan swabs. After PPE doffing, bodies and clothing of HCWs were sampled with Copan swabs: hand, face, and scrubs. Preamplification and quantitative polymerase chain reaction (qPCR) methods were used to quantify viral RNA copies in the swab samples.Results:Overall, 31% of glove samples, 21% of gown samples, and 12% of face mask samples were positive for virus. Among the body and clothing sites, 21% of bare hand samples, 11% of scrub samples, and 7% of face samples were positive for virus. Virus concentrations on PPE were not statistically significantly different than concentrations on skin and clothing under PPE. Virus concentrations on the personal stethoscopes and on the gowns were positively correlated with the number of torso contacts (P < .05). Virus concentrations on face masks were positively correlated with the number of face mask contacts and patient contacts (P < .05).Conclusions:Healthcare workers are routinely contaminated with respiratory viruses after patient care, indicating the need to ensure that HCWs complete hand hygiene and use other PPE to prevent dissemination of virus to other areas of the hospital. Modifying self-contact behaviors may decrease the presence of virus on HCWs.
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Cheng, Lin, Lei Chen, Li Xiao, Jianping Zhang, Yilian Cheng, Lian Zhou, Yu Peng, and Lei Liu. "Problems and solutions of personal protective equipment doffing in COVID-19." Open Medicine 15, no. 1 (July 2, 2020): 605–12. http://dx.doi.org/10.1515/med-2020-0172.

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AbstractThe progress of the coronavirus disease 2019 (COVID-19) pandemic is still severe. While everyone has been striving very hard to combat the pandemic, some healthcare professionals have shown varying degrees of infection symptoms and even died. The Chinese Army Medical Aid Team arrived in Wuhan on January 25, 2020, and quickly entered the battle against the pandemic after a short and rigorous training. As one of the earliest medical teams to enter the pandemic area, researchers have been exploring effective infection control measures that are currently in practice. Through observation and research, it has been noticed that layers of protective equipment have a hidden danger of infection while protecting the safety of the personnel. The members of each medical team have typically focused on the standard use of personal protective equipment (PPE). However, after a long period of intensive diagnosis and treatment in clinics and due to physical exertion and tiredness, problems such as improper operation are prone to occur during the tedious PPE doffing, thereby producing a relatively high risk of infection. This study primarily analyzes PPE doffing procedures, existing problems, and measures for improvement to explore methods to improve PPE donning and doffing and reduce the risk of infection.
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Braun, Curt C., and Jason W. Foust. "Behavioral Response to the Presence of Personal Protective Equipment: Implications for Risk Compensation." Proceedings of the Human Factors and Ergonomics Society Annual Meeting 42, no. 15 (October 1998): 1058–62. http://dx.doi.org/10.1177/154193129804201501.

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The current study examined the relationship between personal protective equipment (PPE) and compensatory behavior. One hundred ten undergraduate students acted as novice soccer goalies and were randomly placed in one of three groups: with PPE, without PPE, and with/without PPE. Risk was assessed by measuring the distance between a soccer kicker and the goalie. Participants in the first two groups who received only one PPE condition placed the kicker at similar distances. Participants in group three who experienced both PPE conditions moved the kicker significantly closer when PPE was provided. Although the difference between the PPE conditions in group three was significant, only half of the participants in this group moved the kicker closer when PPE was provided. These findings are consistent with previous studies (Streff and Geller, 1988; Stetzer and Hoffman, 1996) and support the idea that PPE produces compensatory behavior in some individuals.
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Rajak, Kripa. "COVID-19 crisis prompting innovation in addressing personal protective equipment shortage." Journal of Patan Academy of Health Sciences 7, no. 1 (May 8, 2020): 69–72. http://dx.doi.org/10.3126/jpahs.v7i1.28867.

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Coronavirus disease 2019 (COVID-19) has swept across the globe overwhelming health care systems and disrupting supply chain of personal protective equipment (PPE) like gloves, surgical face masks, goggles, face shields, N95 respirators and gowns. Surging demand, panic buying, hoarding, and misuse of PPE has led to substantial jump in its demand. Despite the terrible impact of COVID-19, if there’s any silver lining to this crisis, it is the rapidity at which communities are moving toward innovation in not just medicine and remote work but also in ways to mitigate the growing PPE shortages.
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Boiko, Olga, Pauline Allen, Dorota Osipovic, Marie Sanderson, and Katherine Checkland. "NHS procurement and the origins of the personal protective equipment crisis." British Journal of Healthcare Management 26, no. 9 (September 2, 2020): 215–18. http://dx.doi.org/10.12968/bjhc.2020.0119.

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COVID-19 has thrown NHS procurement into the limelight, but the shortage of personal protective equipment (PPE) has complex origins. This article explores the long-lasting struggle for centralisation in NHS procurement and its impact on the current PPE crisis.
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Brown-Johnson, Cati, Stacie Vilendrer, Mary Beth Heffernan, Shira Winter, Thanh Khong, Jennifer Reidy, and Steven M. Asch. "PPE Portraits—a Way to Humanize Personal Protective Equipment." Journal of General Internal Medicine 35, no. 7 (May 14, 2020): 2240–42. http://dx.doi.org/10.1007/s11606-020-05875-2.

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Murphy, Kevin. "Personal protective equipment training team: a community nursing initiative." British Journal of Community Nursing 26, no. 6 (June 2, 2021): 266–70. http://dx.doi.org/10.12968/bjcn.2021.26.6.266.

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COVID-19 provided significant challenges for community services and care homes. Residential and nursing care patients are considered highly vulnerable to the coronavirus due to their physical needs and environmental factors. Significant concern was raised with personal protective equipment (PPE) availability and appropriate training and support in local care homes. Members of the district nursing team and community services formed a team to deliver face to face training and support to care home workers to improve PPE adherence and reduce risks of transmission. Visits were offered to all 46 care homes in the locality and over 55 visits for teaching were performed in the first month. Challenges were faced with managing and prioritising frontline clinical duties. Feedback was overwhelmingly positive and care staff benefited from face-to-face delivery of education to support best practice.
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Schaffzin, Joshua K., Stephanie Herber, Nicole Kneflin, Matthew Frazier, Alyssa Paolella, Christine Ewers, Matthew Short, and Felicia Scaggs Huang. "824. Isolation Rounding - Enforcing Existing Isolation Policies to Conserve Personal Protective Equipment." Open Forum Infectious Diseases 7, Supplement_1 (October 1, 2020): S454. http://dx.doi.org/10.1093/ofid/ofaa439.1013.

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Abstract Background During the COVID-19 pandemic, supplies of personal protective equipment (PPE) have been limited and sold at increased cost. Prior to the pandemic, we had initiated a project to improve PPE adherence and decrease cost by removing eligible patients from transmission based precautions (TBPs). At baseline, ordering providers are responsible for TBP utilization with orders through the electronic medical record. We observed that patients were in TBP when not indicated; remained in TBP beyond the appropriate time; and a reluctance on the part of providers to discontinue the orders. We tested the effect on TBP duration and PPE utilization house-wide through frequent review of TBP by a nurse educator with communication to providers of discontinuation opportunities. Methods From November 2019 to February 2020, all TBP orders in the pediatric intensive care unit (PICU) were reviewed intermittently. In March 2020, review was expanded to all inpatients with daily reviews in all units. Changes recommended and completed were tracked for all reviewed patients. We estimated cost of PPE in the PICU over time based on the number of patients in isolation and type of TBP utilized to determine whether our intervention resulted in reduced PPE use. Results Regular rounding in the PICU increased the proportion of patients in appropriate TBP and reduced the need to communicate with providers directly (33% vs 3% requiring intervention, Figure 1). Over the same time period, less PPE was used and PPE-related costs lowered (average total PPE cost $306.18 vs $95.15 per day, Figure 2). Less of an effect was seen when analyzing house-wide data. Figure 1 - P-chart of Percent Interventions Among Patients in TBP Figure 2 - X-chart of Total PPE Cost in the ICU Conclusion Isolation rounds is an effective means to ensure proper TBP adherence and manage PPE use appropriately. Additional study is needed to confirm a return on investment, to account for variation among units, and to sustain COVID-19-influenced gains beyond the pandemic. Disclosures All Authors: No reported disclosures
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43

Hockaday, Sarah, Kate Krause, Catherine Sobieski, Jeffrey N. Li, Rachel Hurst, Benjamin Ryan, Michael Leader, et al. "Protocols for Personal Protective Equipment in a COVID-19 Medical Shelter." Disaster Medicine and Public Health Preparedness 14, no. 4 (July 14, 2020): 551–57. http://dx.doi.org/10.1017/dmp.2020.244.

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AbstractThe coronavirus disease 2019 (COVID-19) has greatly impacted health-care systems worldwide, leading to an unprecedented rise in demand for health-care resources. In anticipation of an acute strain on established medical facilities in Dallas, Texas, federal officials worked in conjunction with local medical personnel to convert a convention center into a Federal Medical Station capable of caring for patients affected by COVID-19. A 200,000 square foot event space was designated as a direct patient care area, with surrounding spaces repurposed to house ancillary services. Given the highly transmissible nature of the novel coronavirus, the donning and doffing of personal protective equipment (PPE) was of particular importance for personnel staffing the facility. Furthermore, nationwide shortages in the availability of PPE necessitated the reuse of certain protective materials. This article seeks to delineate the procedures implemented regarding PPE in the setting of a COVID-19 disaster response shelter, including workspace flow, donning and doffing procedures, PPE conservation, and exposure event protocols.
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Kusuma, Anggih Shulchan Yoga, Abdul Majid, and Surantono Surantono. "Gambaran Penggunaan Alat Perlindungan Diri Sebagai Universal Precaution Di Instalasi Rawat Inap RSUD Wates Kulonprogo." Caring : Jurnal Keperawatan 7, no. 1 (February 6, 2018): 9–16. http://dx.doi.org/10.29238/caring.v7i1.302.

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Universal precaution is important in remembered a lot of diseases which is dangerous such as HIV/AIDS and Hepatitis B virus. One of universal precaution’s branch is using personal protective equipment (PPE) which is being the object of the research. Descriptive research with a survey research study design, located in Wates Hospital, Kulonprogo. The Subjects were 57 nurses employed on Hospitalization Service of Wates Hospital who’s gotten by proportional sampling method. Data analysis was conducted by distributing the frequencies and percents which categorizing the use of Personal Protective Equipment (PPE). The result is the use of The Personal Protective Equipment (PPE) on Hospitalization Service in Wates Hospital, Kulonprogo by most of the nurse (58%) are in quite a well category. Many factors influenced it, such as stock of PPE, motivation, leadership, age, and reward. The recommendation is the head of hospitalizations should be more intensively monitoring the member (nurses) in using PPE by checklist sheet.
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Schumacher, Jan, Alexandra R. Bond, Valentine Woodham, Anna Buckingham, Francesca Garnham, and Andrea Brinker. "Survey of UK Health Care First Responders’ Knowledge of Personal Protective Equipment Requirements." Prehospital and Disaster Medicine 30, no. 3 (April 22, 2015): 254–58. http://dx.doi.org/10.1017/s1049023x15004690.

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AbstractIntroductionAn adequate level of personal protective equipment (PPE) is necessary when treating patients with highly infectious diseases or those contaminated with hazardous substances.MethodsFollowing National Institute for Health Research’s Research Centre (London, United Kingdom) approval, the authors of this study conducted a survey of specialist registrars’ knowledge of the respiratory and skin protection requirements needed during a resuscitation scenario with Advanced Life Support. Participant responses were compared to UK national recommendations and to a previous survey in 2009.ResultsA total of 98 specialist registrars (in Anesthesiology, n=51; in Emergency Medicine (EM), n=21; and in Intensive Care Medicine (ICM) n=26) completed hand-delivered surveys. The best knowledge of PPE requirements (76%) was found for severe acute respiratory syndrome (SARS), with less knowledge about PPE requirements for anthrax, plague, Ebola virus disease (EVD), and smallpox (60%). The results show limited knowledge of PPE requirements (20%-30%) for various chemical warfare agents. Personal protective equipment knowledge regarding treatment of sarin-contaminated casualties was over-rated by 80%, and for patients with EVD, it was over-rated by up to 67% of participants.ConclusionThe results of the tested cohort indicate that current knowledge regarding PPE for chemical warfare agents remains very limited.SchumacherJ, BondAR, WoodhamV, BuckinghamA, GarnhamF, BrinkerA. Survey of UK health care first responders’ knowledge of personal protective equipment requirements. Prehosp Disaster Med. 2015;30(3):15
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Kurnia, Ulanda Nita, Asparian Asparian, and Lia Nurdini. "FAKTOR-FAKTOR YANG BERHUBUNGAN DENGAN PENGGUNAAN ALAT PELINDUNG DIRI (APD) PADA PETUGAS PENYAPU JALAN DINAS LINGKUNGAN HIDUP KOTA JAMBI TAHUN 2020." Medical Dedication (medic) : Jurnal Pengabdian kepada Masyarakat FKIK UNJA 4, no. 1 (November 5, 2021): 185–97. http://dx.doi.org/10.22437/medicaldedication.v4i1.13473.

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ABSTRACT Improving the health and safety of works is hazards control by using personal protective equipment (PPE) with thw work occupational standard health and safety program. There are several personal factors associated with workers using personal protective equipment (PPE) at work, including knowledge, attitudes, age, education level and years of service. The reseach objective was determinan serval factor reated to using personal protective equipment (PPE) of road sweepers in Jambi City. This type of research was a quantitative study by using a Cross Sectional approach. The results of this reseach a relations between most of responden have of female gender 92,0%, with material status of a married worker 96,0% and the work area street sweeping officers in Telanai 26,7%, work area in Kota Baru 17,3% and Thehok 13,3%. Fakctor related to of personal protective equipment (PPE) are knowledge (PR=1,600, 95% CI=1,223 – 2,093), attitude (PR=1,444, 95% CI=1,172-1,781), years of service (PR=1,071 95% CI=0,758-1,513 ) Factors no related to use of personal protective equipment (PPE) age (PR=1,194, CI=0,740–1,927), education level (PR=1,219, 95% CI 0,928-1,603). There were a relations between knowledge, attitude and years of service of personal protective equipment (PPE). There is no relationship between age and education level with the use personal protective equipment. Keywords: Knowledge, Attitude, PPE, Officer Street Sweeper ABSTRAK Salah satu upaya meningkatkan kesehatan dan keselamatan tenaga kerja yaitu dengan pengendalian bahaya-bahaya yang mungkin terjadi saat berada di lingkungan kerja dengan menggunakan alat pelindung diri sesuai dengan standar yang telah ditentukan dalam program keselamatan dan kesehatan kerja (K3). Banyak faktor yang mempengaruhi penggunaan alat pelindung diri (APD) meliputi penge- tahuan, sikap, umur, tingkat pendidikan dan masa kerja. Tujuan penelitian ini adalah untuk mengetahui beberapa faktor yang berhubungan dengan penggunaan alat pelindung diri (APD) pada petugas penyapu jalan Dinas Lingkunga Hidup Kota Jambi. Penelitian ini menggunakan desaincase control. Populasi adalah seluruh petugas penyapu jalan Kota Jambi. Faktor yang berhubungan dengan penggunaan APD pada petugas peyapu jalan yaitu pengetahuan pengetahuan (PR = 1,600, 95% CI = 1,223 – 2,093), sikap (PR = 1,444, 95% CI = 1,172-1,781) dan masa kerja (PR = 1,071 95% CI = 0,758-1,513) dan masa kerja (PR = 1,071 95% CI = 0,758-1,513) dan faktor yang tidak berhubungan yaitu umur (PR = 1,194 CI = 0,740 – 1,927), tingkat pendidikan (PR = 1,219 95% CI 0,928-1,603). Maka dapat disimpulkan ada hubungan antarapengetahuan, sikap dan masa kerja terhadap penggunaan alat pelindung diri (APD). Kata Kunci: Pengetahuan, sikap, APD, penyapu jalan
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47

Das, Shila Rani, Nasreen Begum, Chinmay Biswas, Md Nazmul Hoq, and Jahangir Hossain. "awareness about personal protective equipments and health problems among poultry workers." Northern International Medical College Journal 5, no. 2 (April 29, 2015): 336–38. http://dx.doi.org/10.3329/nimcj.v5i2.23130.

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Background: Taking protective equipment is important for poultry workers as they are at risk of poultry hazard. Use of personal protective equipment (PPE) is essential for preventing & controlling diseases experienced by poultry processing workers.Aims and Objectives: To assess the awareness about personal protective equipments and health problems among poultry workers.Method and materials: Descriptive cross-sectional study was conducted under the guidance of the Department of Community Medicine, National Institute of Preventive and Social Medicine (NIPSOM), Dhaka, from March to June 2006 on 100 poultry workers who were selected purposively from six poultry farms from the area of Gazipur districts. Informed consent was obtained and structured questionnaire was used to collect data through face to face interview. Data was edited, processed and analyzed both manually and used of SPSS version 10.Result: Mean age was 27.49% with SD ± 9.84 years, highest age range 59% was 20-30 years. Regarding level of education & economic status revealed that 43% were illiterate and 72% earned 2000-3000 taka monthly. 20% had highest work experience of 6-8 years. 82% of the respondents thought that personal protection is necessary during working in poultry. 79% of the respondents knew the name of PPE. But only 42% use PPE and 58% of the respondents did not use it. Among the user 16% use PPE regularly and 26% use PPE irregularly. Result showed significant association between education and knowledge of diseases of transmission (p<0.004). Observing health hazard 34.71% had respiratory problem 27.27% skin problem 23.14% eye problem. Significant association found between itching (skin problem) and use of PPE (p<0.004).Conclusion : Literate person had more knowledge about disease transmissions. The respondents who used PPE suffered less from health problems. For the safety of poultry workers advocacy arrangements of training program and formulation of guideline and regulations are important points to be considered.Northern International Medical College Journal Vol.5(2) 2014: 336-338
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48

Yenni, Melda. "FAKTOR-FAKTOR YANG MEMPENGARUHI PERILAKU PENGGUNAAN ALAT PELINDUNG DIRI (APD) PADA PEKERJA PERKEBUNAN SAWIT PT. KEDATON MULIA PRIMAS JAMBI TAHUN 2017." Care : Jurnal Ilmiah Ilmu Kesehatan 8, no. 1 (March 6, 2020): 84. http://dx.doi.org/10.33366/jc.v8i1.1181.

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The increasing of growth of any oil palm crop is not accompanied by safe behavior in the use of PPE in oil palm plantations. This is evident from most workers who do not work safely by not using PPE when they accomplished their activities. This study aims to determine of the use of Personal Protective Equipment (PPE) to workers in oil palm plantations. This is a quantitative research with cross sectional.The study population was all plantation workers totaling 77 workers and the sampling technique using total sampling method from the total total population of 77 workers. The results showed that the behavior of using PPE was in the bad category at 61.0%. Knowledge (p = 0.031), attitude (p = 0.001) and training (0.018) are variables that have a relationship with the use of PPE. Conclusions show that most workers know about the use of PPE but workers do not believe that one way to reduce the risk of workplace accidents is by using personal protective equipment and most of them have said that they have attended training in the use of personal protective equipment.
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49

Mena Lora, Alfredo, Mirza Ali, Sherrie Spencer, Eden Takhsh, Candice Krill, and Susan Bleasdale. "Cost of Personal Protective Equipment During the First Wave of COVID-19." Antimicrobial Stewardship & Healthcare Epidemiology 1, S1 (July 2021): s49. http://dx.doi.org/10.1017/ash.2021.94.

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Background: As the world prepared for and responded to the COVID-19 pandemic in early 2020, a rapid increase in demand for personal protective equipment (PPE) led to severe shortages worldwide. Acquisition of PPE in the general market was an integral part of pandemic response, along with the safeguarding of hospital supplies. We seek to quantify the difference in cost per unit (CPU) of PPE during the first wave of COVID-19 compared to prepandemic prices. Methods: We performed a retrospective review of market prices for PPE during the first surge of the pandemic in Chicago. Cost of PPE was tabulated and compared with prepandemic prices. The maximum cost per unit (CPU) of PPE was tabulated for each week, and the average cost throughout the pandemic was calculated. Disposable gowns, washable gowns, N95 respirators, face masks, and gloves were included in our analysis. Results: PPE prices were significantly higher during the pandemic compared to prepandemic prices (Figure 1). Disposable gown CPU peaked at $12 during the first week of March, 13.7 times higher than prepandemic prices, and the average gown CPU was 7.5 times higher than prepandemic prices. N95 respirators had a peak CPU of $12, and average CPU was 8 times higher than prepandemic prices. Face-mask CPU peaked at $0.55, 11 times higher, and averaged 9 times higher the regular price. Gloves averaged 2.5 times higher than the prepandemic CPU. Conclusions: Market prices for PPE were significantly elevated during the first weeks of the pandemic and remained high throughout the first wave of COVID-19. Multiple factors likely contributed to high prices, including demand shock, disrupted supply chains, and a rush to acquisition by healthcare systems and the general population alike. The impact of COVID-19 on prices highlights the importance of supply chains and national stockpiles for pandemic preparedness.Funding: NoDisclosures: None
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Izudi, Jonathan, Viola Ninsiima, and John Bosco Alege. "Use of Personal Protective Equipment among Building Construction Workers in Kampala, Uganda." Journal of Environmental and Public Health 2017 (2017): 1–5. http://dx.doi.org/10.1155/2017/7930589.

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Background. 270 million workplace accidents occur annually. In Uganda, Kampala district has the highest workplace injury and fatality rates. However, information on personal protective equipment (PPE)—hand gloves, hardhats, overalls, safety boots, earplugs, safety harness with lanyard, and face shields—utilization among building construction workers remains scarce. We assessed PPE utilization and determinants among building construction workers in Kampala, Uganda. Methods. This cross-sectional study involved 385 respondents. Data collected by structured questionnaire was double-entered in EpiData and analyzed in STATA at 5% significance level. Independent determinants of PPE use were established by a stepwise backward logistic regression analysis. Results. 305 (79.2%) respondents were males, 290 (75.3%) were 18–30 years, 285 (74.0%) completed secondary education, and 197 (51.2%) were temporary employees. 60 (15.6%) respondents used PPE. Female sex (adjusted odds ratio (AOR) = 6.64; 95% CI: 1.55–28.46; P=0.011), temporary (AOR = 0.05; 95% CI: 0.01–0.27; P<0.001) and casual (AOR = 0.01; 95% CI: 0.001–0.071; P<0.001) employment, and previous knowledge of safety measures (AOR = 100.72; 95% CI: 26.00–390.16; P<0.001) were associated with PPE use. Conclusion. PPE use was low in Kampala, Uganda. Building construction companies should implement measures of the Uganda Occupational Health and Safety Act.
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