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1
Emerson, Geoffrey G. « Silicone Oil Droplets are More Common in Fluid From BD Insulin Syringes as Compared to Other Syringes ». Journal of VitreoRetinal Diseases 1, no 6 (11 octobre 2017) : 401–6. http://dx.doi.org/10.1177/2474126417735963.
Texte intégralRésumé :
Purpose: During 2016 and 2017, numerous retina specialists reported silicone oil droplets after intravitreal injection, primarily associated with insulin syringes with a fixed needle. By contrast, adverse events were relatively rare for tuberculin syringes. We hypothesized that fixed-needle syringe injections have more silicone droplets due to the lack of dead space at the syringe–needle junction. Methods: Fluid from Becton Dickenson (BD) insulin syringes, BD tuberculin syringes, Henke Sass Wolf (HSW) insulin syringes, and HSW silicone-free syringes was examined microscopically for silicone oil droplets. Fluid was sampled at the beginning, middle, and end of injection; and droplets were photographed and quantified. Results: Silicone oil droplets were identified in 30% of the BD insulin syringes, measuring 0.9 ± 0.2 mm3; no oil droplets were found in BD tuberculin syringes or HSW silicone-free syringes (analysis of variance, P < .05). All 6 samples with silicone oil droplets were from the end of injection (full depression of the plunger), while samples from the beginning and middle of injections did not have droplets. Challenging syringes with extra silicone oil resulted in increased droplets for fixed-needle syringes (but not for syringes with detachable needles). Conclusion: Significant silicone oil droplets were present in BD insulin syringes and were expressed at the end of injection (with plunger depressed maximally), supporting the hypothesis that insulin syringe injections have more droplets due to the lack of dead space where the plunger meets the hub of the needle. However, there are additional factors such as the amount or type of silicone lubricant in a syringe.
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Cepeda, Javier A., Jose Luis Burgos, James G. Kahn, Rosario Padilla, Pedro Emilio Meza Martinez, Luis Alberto Segovia, Tommi Gaines et al. « Evaluating the impact of global fund withdrawal on needle and syringe provision, cost and use among people who inject drugs in Tijuana, Mexico : a costing analysis ». BMJ Open 9, no 1 (janvier 2019) : e026298. http://dx.doi.org/10.1136/bmjopen-2018-026298.
Texte intégralRésumé :
ObjectiveFrom 2011 to 2013, the Global Fund (GF) supported needle and syringe programmes in Mexico to prevent transmission of HIV among people who inject drugs. It remains unclear how GF withdrawal affected the costs, quality and coverage of needle and syringe programme provision.DesignCosting study and longitudinal cohort study.SettingTijuana, Mexico.ParticipantsPersonnel from a local needle and syringe programme (n=6) and people who inject drugs (n=734) participating in a longitudinal study.Primary outcome measuresProvision of needle and syringe programme services and cost (per contact and per syringe distributed, in 2017 $USD) during GF support (2012) and after withdrawal (2015/16). An additional outcome included needle and syringe programme utilisation from a concurrent cohort of people who inject drugs during and after GF withdrawal.ResultsDuring the GF period, the needle and syringe programme distributed 55 920 syringes to 932 contacts (60 syringes/contact) across 14 geographical locations. After GF withdrew, the needle and syringe programme distributed 10 700 syringes to 2140 contacts (five syringes/contact) across three geographical locations. During the GF period, the cost per harm reduction contact was approximately 10-fold higher compared with after GF ($44.72 vs $3.81); however, the cost per syringe distributed was nearly equal ($0.75 vs $0.76) due to differences in syringes per contact and reductions in ancillary kit components. The mean log odds of accessing a needle and syringe programme in the post-GF period was significantly lower than during the GF period (p=0.02).ConclusionsWithdrawal of GF support for needle and syringe programme provision in Mexico was associated with a substantial drop in provision of sterile syringes, geographical coverage and recent clean syringe utilisation among people who inject drugs. Better planning is required to ensure harm reduction programme sustainability is at scale after donor withdrawal.
3
Suriawati, Junie, Reni Anggraini, Siti Rahayu Rachmawati et Yulis Adriana. « Sterility Test of Syringes As A Pharmaceutical Preparation That Obtained From Pasar Pramuka ». SANITAS : Jurnal Teknologi dan Seni Kesehatan 12, no 2 (23 décembre 2021) : 186–98. http://dx.doi.org/10.36525/sanitas.2021.17.
Texte intégralRésumé :
Syringes are one of the pharmaceutical preparations that are in high demand. In healthcare institutions, syringes are used to aid in patient care and examination. Pharmaceutical preparations, such as various syringes, are widely available in the Pasar Pramuka. Syringes must be free from microbes and used syringes should not be reused. Microbiological sterility tests can be performed on a syringe to determine whether it is sterile or not. The purpose of the study is to test the sterility of syringes obtained from the Pasar Pramuka. A random sample of a syringe is being used in the study as an experimental method. The syringes were isolated and incubated for 14 days in Fluid Thioglycollate Medium (FTM) and Trypticase Soy Broth (TSB) at 30-35 oC and 20-25 oC, respectively, with frequent observations. If FTM and TSB media were turbid, then isolated into selective media based on their microbe as controls, namely Clostridium sporogenes ATCC 19404, Pseudomonas aeruginosa ATCC 9027, Staphylococcus aureus ATCC 6538, Escherichia coli ATCC 25922, Escherichia coli ATCC 8739, Bacillus subtilis ATCC 6633, Salmonella typhi. The results showed that the B syringe was turbid on FTM media and did not contain pathogenic microbes after being identified on selective media, as in controls. The A and C syringes on TSB media were turbid, and after identification on selective media, Candida albicans and Aspergillus brasiliensis were found. In conclusion, the A, B, and C syringes are not steril.
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Cleland, Charles M., Sherry Deren, Crystal M. Fuller, Shannon Blaney, James M. McMahon, Stephanie Tortu, Don C. Des Jarlais et David Vlahov. « Syringe Disposal Among Injection Drug Users in Harlem and the Bronx During the New York State Expanded Syringe Access Demonstration Program ». Health Education & ; Behavior 34, no 2 (4 août 2006) : 390–403. http://dx.doi.org/10.1177/1090198106288560.
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Effective January 1, 2001, New York State enacted the Expanded Syringe Access Demonstration Program (ESAP), allowing syringes to be sold in pharmacies without a prescription or dispensed through doctors, hospitals, and clinics to adults. A concern in the assessment of ESAP is its effects on syringe disposal practices. Syringe use data regarding the last injection episode were combined from three projects ( N = 1,030) recruiting injection drug users. Disposal of syringes by methods known to be safe decreased significantly over time after the implementation of ESAP. Syringes obtained either from syringe exchange programs or ESAP sources were more likely to be disposed of safely than syringes obtained from other sources. Efforts to enlist pharmacists and others involved in ESAP implementation to encourage safe disposal are needed. More detailed information on disposal practices is needed to capture the continuum from least to most safe practices and variation within individuals.
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Rudolph, James L., Daniel Tilahun, Patrick R. Treanor, Val E. Pochay, Meetali A. Mahendrakar, Praveen Sagar et Viken L. Babikian. « Use of a large bore syringe creates significantly fewer high intensity transient signals (HITS) into a cardiopulmonary bypass system than a small bore syringe ». Perfusion 21, no 1 (janvier 2006) : 67–71. http://dx.doi.org/10.1191/0267659106pf843oa.
Texte intégralRésumé :
Introduction: High intensity transient signals (HITS) have been reported to occur following perfusionist intervention during cardiac surgery. This study investigates the relationship of the syringe bore, injection rate, and HITS created. Methods: Syringes (10 mL) with a male luer-lock connection (Large Bore) and Abboject ‘jet syringes’ with a 20 GA needle and male luer-lock connector (Small Bore) were filled with 10 mL of 0.9 N saline. A perfusionist was randomly assigned a set of four similar syringes followed by the other syringe bore. Each of the four syringes was injected into an in vitro saline-primed cardiopulmonary bypass (CPB) system over 5, 10, 15, or 20 sec. Sixteen randomizations of small and large bore syringes were completed at the four injection times (128 injections). HITS in the CPB arterial line were detected with transcranial Doppler (TCD) probes, were recorded for the 2 min following the injection, and were counted independently off-line by two reviewers. Results: The use of a large bore syringe compared to a small bore syringe created significantly fewer HITS (29±6 versus 145±17 [mean±SEM], p <0.001) introduced into the CPB arterial line. Injection over a longer time produced significantly fewer HITS than shorter injection times ( p <0.001). Conclusion: Significantly fewer HITS are introduced into the CPB system by using standard syringes and slower injection time.
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Whiteley, Mark S., et Salil B. Patel. « Modified Tessari Tourbillon technique for making foam sclerotherapy with silicone-free syringes ». Phlebology : The Journal of Venous Disease 30, no 9 (6 octobre 2014) : 614–17. http://dx.doi.org/10.1177/0268355514554476.
Texte intégralRésumé :
The longevity of foam made using sodium tetradecyl sulphate and gas (air or a CO2:O2 mixture) is increased significantly if silicone-free syringes are used over the normal syringes containing silicone oil lubrication. However, the plungers in silicone-free syringes start sticking after several passages when making foam for sclerotherapy, preventing the smooth injection of the resulting foam. We describe a three syringe technique which allows foam to be made using the Tessari Tourbillon ‘three-way stopcock’ principle between two syringes, but with the foam ending up in a third syringe which has not undergone multiple passages of the plunger. This allows a smoother injection of the resultant foam, which is particularly useful when injecting small diameter veins under ultrasound control.
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Blasetti, Francesco, Donatella Usai, Salvatore Sotgia, Ciriaco Carru, Stefania Zanetti et Antonio Pinna. « A protocol for microbiologically safe preparation, storage, and use of autologous serum eye-drops in low-income countries ». Journal of Infection in Developing Countries 9, no 01 (15 janvier 2015) : 055–59. http://dx.doi.org/10.3855/jidc.4733.
Texte intégralRésumé :
Introduction: The study aimed to investigate whether the preparation, storage, and use of autologous serum in insulin syringes is microbiologically safe. Methodology: Blood samples (10 mL) were obtained from 10 volunteers. After centrifugation, the supernatant serum was removed and distributed in 5 sterile insulin syringes for each sample; syringes were numbered 0 to 4 and labelled with the subject’s details. Syringes were immediately transported to the microbiology laboratory and stored in a refrigerator at +4°C. The “0” labelled syringes were separated from the others and 100 µl of serum from each syringe was immediately seeded on chocolate and Sabouraud agar plates, which were incubated aerobically at 37°C for 96 hours to detect any bacterial and/or fungal contamination. In the next 4 days, the same procedure was repeated for the remaining syringes: on day 1, the “1” labelled syringes were analyzed; on day 2, the “2” labelled ones, and so on. In a second experiment, blood samples were obtained from 5 different volunteers. The same procedure as above was followed, but each syringe was used for repeated cultures at 2-hour intervals, for a total of 12 cultures/day. The needle was removed and replaced for each inoculation and the syringes were stored in the refrigerator after use. Results: Under these experimental conditions, none of the cultures showed microbial growth. Conclusions: Results suggest that, under the protocol described, preparation, storage and use of undiluted autologous serum in insulin syringes is inexpensive, fast, and microbiologically safe. This is of great importance for low-income countries.
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Gladwin, J., S. Maese et B. Ballisat. « Investigating the Use of Nonloss of Resistance Syringes for Epidural Insertion : Experience on a Mannequin ». Obstetric Anesthesia Digest 43, no 3 (23 août 2023) : 129. http://dx.doi.org/10.1097/01.aoa.0000946316.44191.b0.
Texte intégralRésumé :
(Int J Obstet Anesth. 2022;52:103595) The Obstetric Anaesthetists’ Association (OAA) announced a supply disruption of the Portex Loss of Resistance (LOR) Syringe, a commonly used tool for epidural catheter insertion. Several studies have shown no difference in epidural insertion success rates when using LOR to saline or air. Other methods for epidural space identification are being considered yet limited research compares specific low-resistance syringes with standard syringes. This study aimed to compare specific LOR syringes with syringes commonly used in epidural insertion.
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Nasri Ishak, Mohd, Abd Rahim Abu Talib et Mohammad Yazdi Harmin. « Material selection and design analysis of multi-purpose disposable safety syringe ». International Journal of Engineering & ; Technology 7, no 4.13 (9 octobre 2018) : 214–20. http://dx.doi.org/10.14419/ijet.v7i4.13.21358.
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Current design of safety syringes requires two handed operation and additional processes which is not similar to the normal syringes. Due to this concern, a new design of safety syringe is introduced in order to produce a safety syringe which allows a single-handed operation and similar to the operation of a normal syringes. This paper presents the material selection process and design analysis of a newly devel-oped multi-purpose disposable safety syringe. Based on the design analysis, the force which needed to dismantle the nozzle is found to be 20 N and this value is practical for the end users. The finite element analysis had also shown that the design concept is safe and has safety feature for the user to use. In addition, copolymer is proven as the best material selection for safety syringe production.
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Smeenk, FW, JD Janssen, BJ Arends, GA Harff, JA van den Bosch, JP Schonberger et PE Postmus. « Effects of four different methods of sampling arterial blood and storage time on gas tensions and shunt calculation in the 100% oxygen test ». European Respiratory Journal 10, no 4 (1 avril 1997) : 910–13. http://dx.doi.org/10.1183/09031936.97.10040910.
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At the present time, plastic syringes are most commonly used for collecting arterial blood. The oxygen tension of the arterial blood (Pa,O2) in these syringes may fall. We studied the effect of the type of syringe, metabolism, and storage time on the arterial oxygen pressures measured and on the pulmonary shunt calculated. In 10 patients, 2-3 h after aortacoronary bypass surgery, a 100% oxygen test was performed. Four arterial blood gas samples were withdrawn from each patient in random order, two in glass syringes and two in plastic syringes. One glass and one plastic syringe were stored at room temperature (RT), and the others were stored in ice-water (IW). Each sample was analysed as soon as possible, and repeated 15, 30, 60 and 120 min after sampling. The Pa,O2 measurement in blood in the glass syringe in IW measured as soon as possible after sampling was considered the "gold standard". Pulmonary shunt calculations were performed using the results of the various blood gas analyses. Compared with the "gold standard", all of the other methods showed significant deterioration in the Pa,O2 measurement. The effect due to diffusion was 0.05 kPa x min(-1), and that due to metabolism 0.11 kPa x min(-1). The Pa,O2 in the glass syringes stored in IW remained stable with time. The pulmonary shunt was significantly overestimated when the "gold standard" blood gas results were not used (range 0.8-9.9%). Glass (not plastic) syringes should be used in the 100% oxygen test. The syringe should be cooled immediately, even when the sample is analysed as soon as possible.
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Olea, José Luis, María Gómez-Resa, María Mercedes Cervera-Peris et Juan Antonio Aragón. « Silicone oil droplets in repackaged anti–vascular endothelial growth factors for intravitreal injections : In search of the main source of contamination ». European Journal of Ophthalmology 30, no 4 (15 janvier 2019) : 774–79. http://dx.doi.org/10.1177/1120672118823133.
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Introduction: Repackaging of anti–vascular endothelial growth factors in polypropylene syringes lubricated with silicone oil for intravitreal use is associated with the presence of intravitreal silicone oil droplets. The objective of this study is to assess how the use of silicone-free syringes (for storage and/or administration) would reduce the amount of silicone oil droplets in the product to be administered. Methods: Two 16 mL vials of bevacizumab were repackaged at the compounding pharmacy to obtain four sets of product, each consisting of three 1.2 mL tubes of the drug repackaged in different ways. Set A was repackaged according to routine practice, that is, the drug was placed into 1 mL siliconized syringes and 60 µL aliquots were extracted with 0.5 mL insulin siliconized syringes until reaching 1.2 mL. In set B, a 1-mL silicone-free syringe was used, followed by a 0.5 mL siliconized syringe. In set C, only 0.5 mL siliconized syringes were used. In set D, only the 1-mL silicone-free syringe was used. Micro-Flow Imaging technology was used for quantifying silicone oil droplet–like particles below 25 µm. Results: Silicone oil droplet–like particles were absent in set D. Set C had the highest average frequency of these particles, which was much lower in sets A and B. Set B had the lowest frequency. Conclusion: 0.5 mL insulin syringes with staked-in needles used for supplying the product seem to be the main source of silicone oil contamination in repackaged anti–vascular endothelial growth factors. Silicone-free insulin syringes with staked-in needles would be strongly recommended for supplying anti–vascular endothelial growth factor intravitreal injections from compounding pharmacies.
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Din, Tajud, Soulat Jehan, Rida Ul Haya, Tariq Sardar, Muhammad Salman Khan et Ayesha Ilyas. « The Usage and Attitude Towards Aspirating Dental Syringe, A Cross Sectional Study of Dental Practitioners in Khyber Pukhtunkhwa ». Pakistan Journal of Medical and Health Sciences 16, no 11 (30 novembre 2022) : 805–7. http://dx.doi.org/10.53350/pjmhs20221611805.
Texte intégralRésumé :
Objective: The aim of the study was to determine the usage and attitude toward aspirating dental syringes among dental practitioners in Khyber Pakhtunkhwa province of Pakistan. Study design: Descriptive, cross sectional Place and Duration: Rural Health Centre Koghuzi, February 2021 to May 2022. Methodology: A cross sectional conducted on dental practitioners in Khyber Pakhtunkhwa. A purpose developed, self-administered questionnaire was used to collect data. It included both open and close ended questions. SPSS version 23 was used and data were analyzed using Chi-square test. Results: 40.7% of respondents were qualified as specialist and the 59.3% were general practitioners. Only 31.6% of the dental practitioners have dedicated aspirating syringe available to them. Overall only 6.9% of the dental practitioners practice aspiration in all injection types. Most respondents agree that use of aspirating syringes contributes to safety of local anesthesia but only few think they had complication in their practice resulting from use of non-aspirating syringes. Most respondents think the might consider using aspirating syringes in the future. Conclusion: Despite the generally positive attitude towards aspirating syringes, few dental practitioners have dedicated aspirating syringe available to them and even few actually practice aspiration during local anesthesia. Keywords: Attitude, Local anesthesia, Aspiration, Aspirating dental syringes,
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O'Mara, Keliana, Christopher Campbell et Ryan O'Mara. « Comparison of Dosing Accuracy Between the ENFit LDT and a Neonatal-Specific ISO-Compliant Enteral Syringe ». Journal of Pediatric Pharmacology and Therapeutics 28, no 3 (1 mai 2023) : 255–61. http://dx.doi.org/10.5863/1551-6776-28.3.255.
Texte intégralRésumé :
OBJECTIVE To evaluate the dosing accuracy of 2 female enteral syringe types for use in neonates. METHODS This was an in vitro study evaluating dosing accuracy of ENFit with low dose tip (LDT) and Nutrisafe2 (NS2) syringes. Acceptable dosing variance (DV) was +/− 10%. Outcomes included tests exceeding 10% DV and DV by syringe size, dispensing source, and intended dosing volume. RESULTS A total of 300 tests were performed (LDT = 150, NS2 = 150) with 3 syringe sizes (0.5, 1, 3 or 2.5 mL). Compared with NS2, LDT had significantly more tests with unacceptable DV (48% vs 4.7%, p < 0.0001) and higher absolute DV (11.9% vs 3.5%, p < 0.001). Dosing variance was inversely proportional to syringe size, where the smallest syringes were least accurate (0.5 mL LDT 16.1% vs 4.6%, p < 0.001). The largest syringes had acceptable DV (3 mL LDT 8.8% vs 2.5 mL NS2 3.3%, p < 0.001). Bulk bottle with adapters demonstrated a higher DV with LDT compared with NS2 (13.3% vs 3.9%, p < 0.001). Medication cups without adapters were associated with acceptable DV for both LDT and NS2 (9.7% vs 2.9%, p < 0.001). CONCLUSIONS The Nutrisafe2 syringe has greater dosing accuracy as compared with ENFit LDT syringe. Smaller syringes are associated with greater dosing inaccuracy, but this effect was within acceptable DV for the NS2 syringe. Bulk bottle adapters did not improve the accuracy of the LDT. More clinical evaluations are needed to determine if the ENFit can be safely used in the neonatal population.
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Harbold, Lorraine, Julie Appel et David Copelan. « Letters ». Neonatal Network 25, no 3 (mai 2006) : 187. http://dx.doi.org/10.1891/0730-0832.25.3.187.
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I read with interest, the January/February, 2006 (Vol. 25, No. 1) article, “Implementation of an Enteral Nutrition and Medication Administration System Utilizing Oral Syringes in the NICU.” The inadvertent administration of an enteral product intravenously is certainly a safety concern for all NICUs. Our institution began addressing this more than a decade ago by first converting all oral medications to a unit dose system dispensed only in oral syringes. I was surprised by the incompatibility between oral syringes and orogastric, nasogastric, or nasojejunal tubes, cited by the authors, as one of the contributing factors in preventing them from making this conversion. Over the years we have used several brands of NG/OG tubes that easily accommodate the intermittent use of oral syringes. They do not have luer-lok hubs that preclude the use of an oral syringe. The feeding tubes that we generally use for transpyloric placement (duodenal/jejunal), often have a medication port that easily accommodates an oral syringe.
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Rahmawati, Elfira Awalia, Yeni Rustina et Defi Efendi. « Toleransi Minum Enteral Bayi Prematur Menggunakan Spuit 20 Ml dan Spuit 50 Ml ». Jurnal Keperawatan Silampari 3, no 2 (11 mai 2020) : 544–55. http://dx.doi.org/10.31539/jks.v3i2.1119.
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This study aims to determine the comparison of enteral drinking by using syringes of 20 ml and 50 ml of drinking tolerance in preterm infants. The method used is a randomized controlled trial with a crossover design. The results of this study illustrate that there is a significant difference in the duration of the drinking intervention intervention group using 20 ml syringes and 50 syringes on the first and second day (p value respectively 0.036; 0.033), there is no significant difference in the intervention group giving drinking using 20 ml syringe and 50 ml syringe on the third day (p value 0.984). There were no significant differences in gastric residue on the first, second and third day in the two intervention groups. The incidence of vomiting on the first, second and third day there was no significant difference in the intervention group of drinking using a 20 ml syringe and 50 ml syringe (p value each was 1,000). Conclusion, Provision of enteral drinking by using a 20 ml syringe and 50 ml syringe have the same drinking tolerance in premature babies.
Keywords: Premature Babies, Enteral Drinking, Tolerance to Drink
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Carter, B. G., J. Tibballs, M. Hochmann, A. Osborne, A. Chiriano et G. Murray. « A Comparison of Syringes to Collect Blood for Analysis of Gases, Electrolytes and Glucose ». Anaesthesia and Intensive Care 22, no 6 (décembre 1994) : 698–702. http://dx.doi.org/10.1177/0310057x9402200610.
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We studied the interchangeability of two blood gas syringes (Johns, Hardie Health Care Products Pty Ltd and Marksman, Martell Medical Products Inc) for the collection of blood for the analysis of PCO2, PO2, pH, sodium, potassium and glucose in 71 intensive care unit patients. The interchangeability of these two syringes with a specially designed syringe (Radiometer, Radiometer A/S) for the collection of blood for the analysis of ionized calcium was also studied. Analysis of pH, sodium, potassium and glucose showed no clinically significant differences between samples collected with Johns and Marksman syringes. However, differences in PCO2 and PO2 in samples collected with these syringes may be clinically significant if the PO2 is less than 100 mmHg. There were no clinically significant differences in ionized calcium levels in blood samples collected with Johns, Marksman and Radiometer syringes. We conclude that Johns and Marksman syringes are interchangeable for the collection of blood for the analysis of PCO2, PO2, pH, sodium, potassium and glucose and they are also interchangeable with Radiometer syringes for the collection of blood for ionized calcium analysis.
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Macalino, Grace E., Rachel S. Weston, Francis A. Wolf, Stephanie L. Sanford-Colby, Michelle M. McKenzie et Josiah D. Rich. « Research Note : Acceptability and Utility of a Hand-Held Syringe Disposal Device for Active Injection Drug Users ». Journal of Drug Issues 33, no 2 (avril 2003) : 519–32. http://dx.doi.org/10.1177/002204260303300211.
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Efforts to prevent the spread of HIV and hepatitis among injection drug users (IDUs) by improving access to sterile syringes can raise questions about syringe disposal. This study sought to evaluate the acceptability and utility of the Voyager, a newly approved, hand-held syringe disposal device for active injection drug users (IDUs). We offered the Voyager to active IDUs (n = 97), and interviewed them upon receiving the device and one month later. Almost all (90%) accepted the device. At follow-up, 78% had used the Voyager and 44% reported using it all the time; 65% reported they would like to continue using the Voyager and 77% rated the device “somewhat better” or “much better” than other methods of syringe disposal. Many IDUs care about safe syringe disposal and are willing and able to use a convenient disposal device such as the Voyager. Communities concerned about needlestick injuries and re-use of contaminated syringes should explore increasing the availability of such a device for IDUs as part of an overall approach to prevent improperly discarded syringes.
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Des Jarlais, Don C., Jonathan Feelemyer, Paul LaKosky, Kathryn Szymanowski et Kamyar Arasteh. « Expansion of Syringe Service Programs in the United States, 2015–2018 ». American Journal of Public Health 110, no 4 (avril 2020) : 517–19. http://dx.doi.org/10.2105/ajph.2019.305515.
Texte intégralRésumé :
Objectives. To report on the expansion of syringe service programs (SSPs) in the United States from 2015 to 2018. Methods. We obtained data from records of the Buyers’ Club of the Dave Purchase Project/North American Syringe Exchange Network (NASEN), including the number of US SSPs and the numbers of sterile syringes purchased by programs. We conducted a subset analysis of states with high numbers of counties defined as “vulnerable” by the Centers for Disease Control and Prevention. Results. SSP participation in the Buyers’ Club increased from 141 in 2015 to 292 in 2018, with an increase in syringes purchased from 42 million to 88 million. In addition to these large increases in numbers of programs and in syringes purchased, there were also indications of instability among new programs in vulnerable states. Conclusions. There have been substantial increases in the number of programs established and the number of syringes distributed in response to the opioid epidemic. Ensuring high-quality services in these new programs will be critical to successfully addressing the current epidemic.
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Currie, M., P. Mackay, C. Morgan, W. B. Runciman, W. J. Russell, A. Sellen, R. K. Webb et J. A. Williamson. « The ‘'Wrong Drug” Problem in Anaesthesia : An Analysis of 2000 Incident Reports ». Anaesthesia and Intensive Care 21, no 5 (octobre 1993) : 596–601. http://dx.doi.org/10.1177/0310057x9302100517.
Texte intégralRésumé :
Amongst the first 2000 incidents reported to the Australian Incident Monitoring Study, there were 144 incidents in which the “wrong drug” was nearly or actually administered to a patient. Thirty-three percent of the incidents involved ampoules and just over 40% syringes; in over half of the latter the syringes were of the same size, and also, in over half, they were correctly labelled. In 81% of the 144 incidents the “wrong drug” was actually given. This was more common with syringes (93%) than ampoules (58%). Thus the most common error was actually giving the wrong drug from a correctly labelled syringe. The most common drug involved was a muscle relaxant in both ampoule and syringe incidents. In 74% of all reports, there was the potential for serious harm to the patient; however no deaths were reported. Factors which contributed significantly to the incidents were similar appearance, inattention and haste. “Failure of communication” was a significant factor in syringe incidents when two or more staff were involved. The only significant factor which minimised the outcome was rechecking of the syringe or drug ampoule before giving the drug. Strategies suggested to address the “wrong drug” problem include education of staff about the nature of the problem and the mechanisms involved; colour coding of selected drug classes for both ampoules and syringes; the use of standardised drug storage, layout and selection protocols; having a drawing up and labelling convention; and the use of checking protocols.
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Jois, Sowmya, Sowmya Madihalli Janardhan Iyengar, Mahesh Chandra, Rangalakshmi Srinivasan et Arunkumar Namachivayam. « Current practices in organization of anesthesia drug tray ». Asian Journal of Medical Sciences 13, no 11 (1 novembre 2022) : 45–51. http://dx.doi.org/10.3126/ajms.v13i11.46896.
Texte intégralRésumé :
Background: The risk of medication error is high in the operating room, since the anesthesiologist prepares, stores, and administers the medication. Poor labeling practices and cluttered drug trays increase the risk of syringe swap and medication error. Well-organized drug tray can reduce the incidence of erroneous drug administration and decrease the response time during intraoperative emergencies. Aims and Objectives: The aim of the study was to determine the attitude and practices of anesthesiologists in organizing drug trays. Materials and Methods: In the first part of the study, 30 drug trays with 209 syringes were observed before and after the procedure for 14 parameters. At the end of the procedure, a questionnaire was given to the anesthesiologists involved about their knowledge of labeling and organizing drug tray. Results: All the labels were handwritten with 139 (74.7%) syringes labeled circumferentially, and 47 (25.2%) syringes labeled vertically. Unlabeled syringes found were 23 (11.0%). Labels were legible in 168 (90.3%) syringes. Syringes were not found to be replaced in their designated place according to the template at the end of surgery in 7 (23.3%) trays. About 66.7% of anesthesiologists had experienced incorrect pickup of the syringe and 40.0% of anesthesiologists reported that they rely on other pointers apart from the label to identify the drug. Conclusion: This study identifies the variation of practices in labeling, organizing, and maintaining drug tray among anesthesiologists. Adherence to institutional protocol, eternal vigilance, and improvement in error reporting practice would minimize the incidence of medication error.
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Dantas, Roberto Oliveira, et Luciana Oliveira. « Influence of the syringe model on the results of the International Dysphagia Diet Standardisation initiative flow test ». Revista CEFAC 20, no 3 (mai 2018) : 382–87. http://dx.doi.org/10.1590/1982-021620182031818.
Texte intégralRésumé :
ABSTRACT Objective: to investigate whether two different syringes yield different results in the International Dysphagia Diet Standardization Initiative (IDDSI) flow test to evaluate liquid consistency. Methods: two 10-mL syringes (Bencton and Dickinson, manufactured in the United States, and Saldanha Rodrigues, manufactured in Brazil) were compared. Flow rate of water added with food thickener (maltodextrin, xanthan gum and potassium chloride) at three concentrations, and of barium sulfate at three concentrations was measured immediately after preparation and at 8 hours and 24 hours thereafter. Results: flow rate of both water and barium sulfate was higher with the Bencton and Dickinson syringe, with discrepancies between the two syringes in the classification of fluid consistency according to the IDDI framework. Conclusion: in the evaluation of the consistency of liquids by the IDDSI flow test, a Bencton and Dickinson syringe should be used, following the recommendations of the IDDSI group.
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BOTASH, ANN S. « Syringe Caps : An Aspiration Hazard ». Pediatrics 90, no 1 (1 juillet 1992) : 92–93. http://dx.doi.org/10.1542/peds.90.1.92.
Texte intégralRésumé :
The accurate administration of medications to infants and young children is often a difficult task. Patient resistance to medications as well as parental compliance factors are best met by utilizing the most convenient means to deliver medication. For infants, the oral dosing syringe is considered the best device for delivery of liquid medications.1 When used properly, syringes provide the most accurate measured doses and reduce the risk of choking and of aspirating medication.2 Oral medication syringes may be dispensed by a pharmacist or may be available directly to the consumer. These syringes are dispensed with a plastic cap or "shield" to seal the end of the container.
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Drost-Wijnne, Anne J. A., Ralph A. C. Van Wezel, Maarten J. Deenen, Joost P. C. M. Van Doornmalen Gomez Hoyos et René J. E. Grouls. « A Proof of Principle Study of the Terminal Sterilization of Prefilled Syringes Using A Water Cascade Process ». Pharmaceutical Technology in Hospital Pharmacy 3, no 4 (27 novembre 2018) : 191–98. http://dx.doi.org/10.1515/pthp-2018-0020.
Texte intégralRésumé :
Abstract Background A new development in drug compounding is the production of ready-to-administer sterilized prefilled syringes. A challenge with these syringes is the method of terminal sterilization. There is no information available whether water cascade sterilization is a suitable method. We investigated the effect of this sterilization method on cyclic olefin (co)polymer (CCP/COC) syringes. Methods For two brands ten prefilled syringes were sterilized using water cascade sterilization. The closure integrity, stopper movement, weight, diameter and physical appearance were determined before and after sterilization. As sterility test, additional syringes were filled with tryptic soy broth (TSB) and sterilized. After fourteen days microbiological growth was determined. Results Closure integrity testing showed no dye penetration inside the syringe. Together with the results for weight this showed that closure integrity is guaranteed. No significant stopper movement, deviation in diameter or visual anomalies were observed. No microbiological growth in TSB was visible. Conclusions The results of this proof of principle study show that the physical and microbiological stability of the cyclic olefin (co)polymer syringes is guaranteed during sterilization using a water cascade sterilizer. These results do not rule out the necessity for further stability experiments (e. g. interaction with drug product) to further proof the concept.
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Li, Zong Yao, Lu Zhang, Hong Zhao, Bing Kong et Nian Ling Yao. « A Method for Sheath Flow Forming, Controlling and Detecting ». Advanced Materials Research 591-593 (novembre 2012) : 1907–11. http://dx.doi.org/10.4028/www.scientific.net/amr.591-593.1907.
Texte intégralRésumé :
An elaborated mechanism for sheath flow forming includes flow cell, vacuum pool, sample pool, syringes, valves, and tubes. Firstly the sample is drawn into the sample inlet of flow cell through vacuum generated with one syringe. Then, the sample and buffer are driven to pass the flow cell to form sheath flow by other two syringes. To visualize and evaluate the sheath flow, black ink is used as sample, and optical imaging system is adopted to capture the formed sheath flow. Sheath flows with sample width of 21μm and 37μm in diameter are formed in a flow cell with micro-square hole of the size 0.2mm×0.2mm when the syringes run in different speed.
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Hadley, SA, M. Chang et K. Rogers. « Effect of syringe size on bruising following subcutaneous heparin injection ». American Journal of Critical Care 5, no 4 (1 juillet 1996) : 271–76. http://dx.doi.org/10.4037/ajcc1996.5.4.271.
Texte intégralRésumé :
BACKGROUND: Bruising and induration associated with subcutaneous heparin injection often result in sustained tenderness and severe ecchymosis at the injection site. Research-based practice guidelines for subcutaneous heparin administration are needed to reduce these adverse effects. OBJECTIVES: The purpose of this study was to investigate the effect of syringe size (1-mL vs 3-mL) on postinjection-site bruising and induration following the administration of subcutaneous heparin. METHODS: A convenience sample of 29 subjects receiving 5000 units of subcutaneous heparin at least twice a day was recruited from a large urban hospital. Subjects received their regularly scheduled subcutaneous heparin injections with a 3-mL or a 1-mL syringe in a randomized sequence using a standardized procedure. Injection sites were assessed for bruises and induration at 24, 48, and 72 hours after injection. RESULTS: The incidence of injection site bruising with 1- and 3-mL syringes was 79% and 69%, respectively. The use of a 3-mL vs 1-mL syringe resulted in significantly smaller bruises at 48 and 72 hours after injection. Induration at the injection site occurred in three patients. CONCLUSIONS: Findings suggest that 3-mL syringes are preferable to 1-mL syringes for heparin administration. The effect of other injection-related variables should be studied with the use of the 3-mL syringe, and tested on various populations.
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Nelson, Ediomo-Ubong E., et Gboyega E. Abikoye. « Syringe Sharing and the Risk of Viral Transmission Among People Who Inject Drugs in Nigeria : Structural, Relational, and Subjective Influences on Behaviors ». Journal of Drug Issues 49, no 2 (23 novembre 2018) : 387–404. http://dx.doi.org/10.1177/0022042618811654.
Texte intégralRésumé :
In this article, we report findings of a qualitative study on structural, relational, and subjective determinants of injecting risks. Forty-one current people who inject drugs (PWIDs) were recruited through snowball sampling in Uyo, Nigeria. They were interviewed with a loosely structured interview guide. We employed inductive and thematic analysis of interview transcripts. PWIDs recognize the risk of viral transmission through sharing of syringes. As countermeasures, they inject with sterile syringes, refuse to borrow syringes, and disinfect borrowed syringes. Risk reduction efforts are undermined by withdrawal, pleasure seeking, public injecting settings, policing, social networks, and intimate relationships. These factors create a risk environment for viral transmission. Pleasure-seeking and risk reduction practices show agency and subjectivity, counterbalancing current emphasis on structural determinants of injecting risks. Findings indicate the need for policy reforms, needle and syringe provision, oral drug substitution, safe injecting environments, and peer education. Interventions should build on PWIDs’ agency and risk management practices.
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Gicquelais, Rachel E., Becky L. Genberg, Jacquie Astemborski, David D. Celentano, Gregory D. Kirk et Shruti H. Mehta. « Association of Injection Practices and Overdose With Drug Use Typologies : A Latent Class Analysis Among People Who Inject Drugs in Baltimore, 2017 ». AIDS Education and Prevention 31, no 4 (août 2019) : 344–62. http://dx.doi.org/10.1521/aeap.2019.31.4.344.
Texte intégralRésumé :
Increasing overdose mortality and new HIV outbreaks in the U.S. highlight the need to identify risk behavior profiles among people who inject drugs (PWID). We characterized latent classes of drug use among a community-based sample of 671 PWID in Baltimore during 2017 and evaluated associations of these classes with sharing syringes, obtaining syringes from pharmacies or syringe services programs (SSPs), and nonfatal overdose in the past 6 months. We identified three classes of current drug use: infrequent use (76% of participants), prescription drug use (12%), and heroin and/or cocaine injection (12%). PWID in the heroin and/or cocaine injection and prescription drug use classes had higher odds of both overdose and sharing syringes (relative to infrequent use). PWID in the prescription drug use class were 64% less likely to obtain syringes through SSPs/pharmacies relative to heroin and/or cocaine injection. Harm reduction programs need to engage people who obtain prescription drugs illicitly.
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Nelson, Ediomo-Ubong Ekpo, et Macpherson Uchenna Nnam. « “…I can use any syringe I find” : contextual determinants of HIV risk in public injecting settings in Nigeria ». Drugs and Alcohol Today 20, no 4 (2 septembre 2020) : 371–81. http://dx.doi.org/10.1108/dat-05-2020-0031.
Texte intégralRésumé :
Purpose The purpose of this study is to explore the contextual determinants of HIV risk among people who inject drugs (PWID) in public settings in Nigeria. Design/methodology/approach In-depth, individual interviews were conducted with 29 street-based PWID recruited through snowball sampling in Uyo, Nigeria. Interviews were tape-recorded, transcribed, coded and analysed hematically. Findings Homelessness and withdrawal pains encouraged consumption of drugs in public spaces (e.g. bunks, public parks). Conversely, the benefits of participation in street drug-use scenes, including reciprocity norms that guarantee free drugs during withdrawal and protection during overdose, fostered a preference for public injecting. Although participants recognized the need to inject with sterile syringes, scarcity of syringes compelled them to improvise with old syringes or share syringes, increasing risk for HIV transmission. HIV risk was exacerbated by unlawful and discriminatory policing practices, which deterred possession of syringes and encouraged risky behaviours such as rushing injection and sharing of equipment. Practical implications Contextual factors are key determinants of HIV risk for street-based PWID. Implementation of needle and syringe programmes as well as reforming legal frameworks and policing practices to support harm reduction are needed responses. Originality/value This is one of very few qualitative studies that explore risk factors for HIV transmission among PWID in West Africa. The focus on scarcity of sterile syringes and HIV risk is unique and has important policy implications.
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Mahmood, Amal. « Comparison of arterial blood gas results obtained using two types of Heparinized Syringes ». Isra Medical Journal 14, no 4 (21 juillet 2023) : 161–64. http://dx.doi.org/10.55282/imj.oa1379.
Texte intégralRésumé :
Objective: The objective of this study was to compare the arterial blood gas results obtained using syringes heparinized with liquid heparin and syringes containing lyophilized balanced heparin. Study Design: Comparative cross sectional. Place and Duration: This study was conducted in the Chemical Pathology department at Combined Military Hospital, Lahore for a period of six months from November 2022 to March 2023. Methodology: A total of 100 arterial blood samples were taken from 50 patients admitted in ICU using a regular plastic syringe flushed with 5000 IU/ mL liquid heparin and another containing lyophilized heparin. Samples were analyzed immediately after collection on Roche Cobas b121 ABG analyzer. Three of the measured parameters (pH, pCO2 and pO2) were then compared among both syringe groups. pH, pO2 and pCO2 were compared using mean difference. Results: The difference of means for pH was insignificant (p- Value >0.05). But pCO2 and pO2 showed significant difference in means with p- Values <0.05 (0.007 and 0.037, respectively). Bland Altman plots were also plotted for all three parameters. 12% of the pH values, 8% pco2 and 6% pO2 values exceeded the total allowable error. Conclusion: Arterial blood pH was comparable between the two types of syringes used. The pCO2 and pO2 differed significantly and where found to be lower in blood samples collected in the liquid heparin syringes. Keywords: Liquid Heparin, Lyophilized Heparin, Arterial Blood Gas, pH, pO2, pCO2. How to Cite This: Mahmood A, Sattar A, Shaheen S, Ahmad S, Hafeez A. Comparison of arterial blood gas results obtained using two types of Heparinized Syringes. Isra Med J. 2022; 14(4): 161-164. DOI: https://doi.org/10.55282/imj.oa1379
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Hemel, Muhammad MM, Md Masud Reza, Tanveer KI Shafiq, Md Iqbal Kabir, AKM Masud Rana et Sharful Islam Khan. « Correlates of sharing of needles and syringes among people who inject drugs in Dhaka city, Bangladesh ». Journal of Infection in Developing Countries 15, no 10 (31 octobre 2021) : 1497–506. http://dx.doi.org/10.3855/jidc.13629.
Texte intégralRésumé :
Introduction: This paper examines the correlates of needle and syringe sharing among People Who Inject Drugs in Dhaka city, Bangladesh, which is currently experiencing a steep increase in HIV prevalence despite the ongoing presence of Needle Exchange Programs.
Methodology: This was a retrospective chart review with cross-sectional design that extracted data from 783 male People Who Inject Drugs enrolled into five Opioid Substitution Treatment clinics in Dhaka city between April 2010 and January 2016. Data were retrieved from the program’s electronic database. Needle and syringe sharing constituted the borrowing or lending of needles and syringes from others within the past month preceding data collection.
Results: Buprenorphine was the preferred injection drug and 44.6% shared needles and syringes within the past month. Multivariate analysis indicated that People Who Inject Drugs who were homeless (OR = 8.1, 95% CI = 1.4-44.9, p < 0.05), living with friends (OR = 6.8, 95% CI = 2.5-18.2, p < 0.001), injecting 2-3 times/day (OR = 4.8, 95% CI = 1.2-19.7, p < 0.05), injecting more than three times/day (OR = 4.8, 95% CI = 1.1-20.0, p < 0.05), not using condom with non-commercial female sex partners (OR = 3.3, 95% CI = 1.8-6.0, p < 0.05), bought sex from female sex workers (OR = 2.9, 95% CI = 1.0-8.3, p < 0.05), and did non-suicidal self-injury (OR = 1.8, 95% CI = 1.0-3.0, p < 0.05) were more likely to share needles and syringes.
Conclusions: This study demonstrates that operating a standalone harm reduction approach that just provides sterile needles and syringes may not adequately curb needle and syringe sharing among People Who Inject Drugs.
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Cannon, Ron C., Douglas Richardson, William Replogle et Rosa. « Quantitative Evaluation of Fine-Needle Aspiration ». Otolaryngology–Head and Neck Surgery 114, no 3 (mars 1996) : 407–12. http://dx.doi.org/10.1016/s0194-59989670210-3.
Texte intégralRésumé :
A protocol was developed to obtain mature lymphocytes from freshly harvested tonsils by a combination of 5-, 10-, and 20- cm3 syringes and 21-, 23-, and 27-gauge needles. The cells were then suspended in Earle's balanced salt solution and counted with an automated cell counter. Cell counts for each study group was compared as a function of needle and syringe size. The range of harvested cells was 900 to 2800 cells per cubic millimeter, allowing adequate cellular material for diagnostic purposes. The amount of negative pressure for each syringes/needle combination was measured with a manometer. Pressures ranged from –500 to –700 cm of H2O pressure. In this particular study, fine-needle aspiration with a 20-cm3 syringe and 21-gauge needle yielded the best results.
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Murray, Robert D., Benny Kerzner, William C. MacLean, H. Juhling McClung et Merry Gilbert. « Efficient Storage System for Breath Hydrogen ». Journal of Pediatric Gastroenterology and Nutrition 4, no 5 (octobre 1985) : 711–13. http://dx.doi.org/10.1002/j.1536-4801.1985.tb08943.x.
Texte intégralRésumé :
Summary:Recommended materials for breath hydrogen collection (plastic syringes with twist lock closure) are only adequate for relatively brief periods because of gradual hydrogen loss and considerable variability between duplicate samples. To document the most favorable storage conditions for breath hydrogen, we compared hydrogen retention in plastic syringes using a conventional twist‐in‐lock closure versus a simple, inexpensive syringe closure, a Critocap. Hydrogen retention was studied at 25, 5, and – 20°C in two different syringe brands over 72 h of storage. An analysis of variance confirms the superiority of Critocaps over twist‐in‐lock closures (p < 0.001). Reliability was maximal when samples were placed in environments <5°C. When storage time was extended to 7 days, mean hydrogen retention was 86 ± 6% (± SD).
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Kiselev, M. G., V. L. Gabets, S. G. Monich et V. A. Petrov. « METHODOLOGY AND HARDWARE FOR DETERMINING THE FORCE REQUIRED TO MOVE THE PLUNGER ROD OF A DISPOSABLE SYRINGE ». Doklady BGUIR 18, no 2 (31 mars 2020) : 80–88. http://dx.doi.org/10.35596/1729-7648-2020-18-2-80-88.
Texte intégralRésumé :
The purpose of the article is to describe the methodology and hardware for determining the force required for the movement of the plunger rod of a single-use syringe. The measurement method is used to obtain new experimental data. We first-ever obtained the oscillograms of force variation required to move the plunger rod of test syringes and found that, compared to a two-component, three-component syringe is characterized by significantly smaller values of the effort required for the plunger rod to move. So, when it moves without using water, the F value at the beginning of the suction stage is 1.5 times less than that of a two-component syringe and 2.4 times less at the extrusion stage. The use of water increases the force required to move the rod-piston of the test syringes. Thus, for a two-component syringe the force at the suction stage without using water was 4.5 N and 5.5 N – at the extrusion stage, and with the use of water, the values of these forces, respectively, increased to 6.5 and 6 N. For a three-component syringe without water, the plunger rod displacement force at the suction stage was 2.9 N and at the extrusion stage – 2.3 N, and with water the values of these forces increased to 3.7 and 2.9 N, respectively. The device developed makes it possible to conduct comprehensive studies of the effect of the type of syringe, its capacity, the speed of movement of the plunger rod, the duration of the stop between liquid suction and extrusion stages and other parameters on the amount of forces required to move the plunger rod of the syringe. This will allow you to justify the conditions and the normalized value of the force (or forces) required for the movement of the plunger rod when testing syringes by this indicator.
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Lim, Christopher, Yangchung Lee et Lawrence Kulinsky. « Fabrication of a Malaria-Ab ELISA Bioassay Platform with Utilization of Syringe-Based and 3D Printed Assay Automation ». Micromachines 9, no 10 (2 octobre 2018) : 502. http://dx.doi.org/10.3390/mi9100502.
Texte intégralRésumé :
We report on the fabrication of a syringe-based platform for automation of a colorimetric malaria-Ab assay. We assembled this platform from inexpensive disposable plastic syringes, plastic tubing, easily-obtainable servomotors, and an Arduino microcontroller chip, which allowed for system automation. The automated system can also be fabricated using stereolithography (SLA) to print elastomeric reservoirs (used instead of syringes), while platform framework, including rack and gears, can be printed with fused deposition modeling (FDM). We report on the optimization of FDM and SLA print parameters, as well as post-production processes. A malaria-Ab colorimetric test was successfully run on the automated platform, with most of the assay reagents dispensed from syringes. Wash solution was dispensed from an SLA-printed elastomeric reservoir to demonstrate the feasibility of both syringe and elastomeric reservoir-based approaches. We tested the platform using a commercially available malaria-Ab colorimetric assay originally designed for spectroscopic plate readers. Unaided visual inspection of the assay solution color change was sufficient for qualitative detection of positive and negative samples. A smart phone application can also be used for quantitative measurement of the assay color change.
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Hasibuan, Azura Rahmadani, William Ramdhan et Chitra Latiffani. « Penerapan Metode Single Moving Average (SMA) Persediaan Jarum Suntik Pada Puskesmas Air Joman ». J-Com (Journal of Computer) 2, no 2 (27 juillet 2022) : 121–28. http://dx.doi.org/10.33330/j-com.v2i2.1739.
Texte intégralRésumé :
Abstract: The Air Joman Health Center is a community health center that provides services in the form of medical services to the Air Joman community and its surroundings. Based on the observations made by the author, the use of syringes at the Air Joman Health Center fluctuates every month consisting of 1 ml syringes, 2.5 ml syringes, 3 ml syringes, 5 ml syringes and 10 ml syringes. After use, the syringe should not be reused and must be discarded. However, sometimes there are obstacles in serving patients, this is due to the limitations of syringes. The number of needles data can only be estimated from the number of available medical devices (stock), because the need for each month is different. This resulted in not all the needs of medical devices were met and there was often additional stock. To overcome problems regarding the processing of medical device stock data, assistance with forecasting is needed, which is the process of estimating future demand. The forecasting system is designed using the PHP programming language and MySQL database. Forecasting the supply of syringes at the Air Joman Health Center speeds up the cashier's work process to make reports because the forecasting system automatically produces forecasting results when the calculate button is clicked and prints the report. Keywords: Single Moving Average Method; Syringe Supplies; Joman Water Health Center. Abstrak: Puskesmas Air Joman merupakan pusat kesehatan masyarakat yang memberikan pelayanan dalam bentuk jasa pengobatan kepada masyarakat Air Joman dan sekitarnya. Berdasarkan observasi yang dilakukan penulis, adapun penggunaan jarum suntik di Puskesmas Air Joman setiap bulan berfluktuasi yang terdiri atas jarum suntik 1 ml, jarum suntik 2,5 ml, jarum suntik 3 ml, jarum suntik 5 ml dan jarum suntik 10 ml. Setelah pemakaian, jarum suntik tidak boleh dipakai kembali dan harus dibuang. Namun, terkadang terjadi kendala dalam melayani pasien, hal ini disebabkan karena keterbatasan jarum suntik. Banyaknya data jarum suntik hanya bisa diperkirakan dari banyak atau sedikitnya alat kesehatan yang ada (stok), dikarenakan kebutuhan setiap bulan berbeda-beda. Hal ini mengakibatkan tidak semua kebutuhan alat kesehatan terpenuhi dan sering terjadi stok tambahan. Untuk mengatasi permasalahan mengenai pengolahan data stok alat kesehatan, maka dibutuhkan bantuan dengan peramalan (forecasting) yang merupakan proses pengestimasian permintaan di masa mendatang. Sistem peramalan tersebut dirancang menggunakan bahasa pemrograman PHP dan database MySQL. Peramalan persediaan jarum suntik pada Puskesmas Air Joman mempercepat proses kerja Kasir untuk melakukan pembuatan laporan karena sistem peramalan secara otomatis menghasilkan hasil peramalan ketika diklik tombol hitung dan cetak laporan. Kata Kunci: Metode Single Moving Average; Persediaan Jarum Suntik; Puskesmas Air Joman.
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Melo, Gustavo Barreto, Geoffrey Guy Emerson, Celso Souza Dias Jr, Fábio Barreto Morais, Acacio de Souza Lima Filho, Shoko Ota, Michel Eid Farah, Eduardo Büchele Rodrigues, Maurício Maia et Rubens Belfort Jr. « Release of silicone oil and the off-label use of syringes in ophthalmology ». British Journal of Ophthalmology 104, no 2 (25 mars 2019) : 291–96. http://dx.doi.org/10.1136/bjophthalmol-2019-313823.
Texte intégralRésumé :
Background/aimsTo assess silicone oil (SO) release by different brands of syringes used for intravitreal injection under different handling conditions.MethodsEight syringes were analysed: from the USA, Terumo 0.5 mL, Becton-Dickinson (BD) Tuberculin 1 mL, BD Luer-lok 1 mL, BD Ultra-Fine 0.3 mL and Exel Insulin 0.3 mL; from Germany, Braun Omnifix-F 1 mL and Braun Injekt-F 1 mL and from Spain, BD Plastipak 1 mL. The impact of air, priming the plunger, agitation by flicking and fluid temperature on SO release were assessed by light microscopy. Fourier transform infrared spectroscopy (FTIR) was performed to identify the molecular compound in each syringe.ResultsFive hundred and sixty syringes were analysed. Terumo 0.5 mL and BD Ultra-Fine 0.3 mL released more SO than all others. BD Luer-lok 1 mL, BD Plastipak and Braun Omnifix-F 1 mL released little SO; BD Tuberculin 1 mL, Exel 0.3 mL and Braun Injekt-F 1 mL released the least SO. Priming the syringe and different temperatures did not significantly affect SO release. Agitation by flicking caused a significantly higher proportion of samples to have SO droplets and an increased number of oil droplets. Air had an additive effect on the release of oil in the agitation groups. FTIR identified polysiloxane in all syringes but Injekt-F.ConclusionSyringes commonly used for intravitreal injections frequently release SO droplets, especially when agitated by flicking. To avoid unnecessary ocular risks, syringes should not be agitated before intravitreal injection. It is desirable that syringes be manufactured specifically for ophthalmic use.
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Wu, Chang-Tzuoh. « Explore a fuzzy based design evaluation for safety syringe innovative design ». Engineering Computations 33, no 6 (1 août 2016) : 1705–13. http://dx.doi.org/10.1108/ec-08-2015-0238.
Texte intégralRésumé :
Purpose – Abuse and reuse of syringes will let nursing professionals suffer serious risk of cross-infection of diseases. The purpose of this paper is to propose a flexible and extensible innovative design approach of single-use safety syringe. Besides, the evaluation procedure for syringe has also been developed. Design/methodology/approach – By using the innovative design processes, based on the Su-Field model and extension method, this study presents designing of a new single-use safety syringe incorporating features and discarding problems. Findings – The solution of design problem indicated that the substance “fingers grip cap” should be replaced. The advantages and disadvantages of proposed new designs of safety syringe as well as the perceived differences on the use of the safety syringes can be found out by using Focus Group Interview method. Research limitations/implications – This research focussed on the function innovation without considering the psychology effect, such as shape aesthetics and users’ emotion. Practical implications – The single-use safety syringe design and corresponding examples are adopted to explain the design processes and confirm the feasibility of the proposed approach. Originality/value – This paper proposes a flexible and extensible innovative design approach of single-use safety syringe which is seldom studied. Importance and emergency of safety syringe design cannot be overemphasized.
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Palombi, Laura, Amanda N. Hawthorne, Scott Lunos, Kelsey Melgaard, Ashley Dahly et Heather Blue. « Community Pharmacist Utilization of Legislation That Allows Impact on the Opioid Crisis in the State of Minnesota : A Mixed-Methods Approach ». Journal of Pharmacy Practice 33, no 6 (14 avril 2019) : 799–808. http://dx.doi.org/10.1177/0897190019841747.
Texte intégralRésumé :
Background: As opioid overdose deaths climb, legislation supporting pharmacists in developing their role to address the crisis has expanded. Although Minnesota pharmacists are encouraged to utilize opiate antagonist, syringe access and authorized collector legislation, the use patterns of these tools are unknown. Methods: A mixed-methods approach was used to survey 8405 Minnesota-licensed pharmacists on their practices related to the opioid crisis. An analysis of community pharmacist utilization of opioid-related legislation was conducted. Results: The majority (88.64%) of respondents indicated that they had not dispensed naloxone in the past month using a protocol; 59.69% reported that they had not dispensed naloxone by any method in the past month. Over sixty percent (60.61%) of respondents agreed they are comfortable with dispensing syringes and would dispense noninsulin syringes in their pharmacy under the statewide Syringe Access Initiative; 25.86% reported that they are not comfortable dispensing syringes. The majority (78.64%) of respondents reported that they do not participate in collecting unwanted pharmaceuticals. Conclusion: While pharmacists have the potential to play a key role in efforts focused on addressing the opioid crisis through harm reduction strategies, this role and the use of supporting legislation is currently underutilized in the state of Minnesota.
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Golan, Shani, John Pena, Jeffrey Moore, Sangeetha Tandalam et Gary Lelli. « The Association between Needle Size and Waste Product and Its Effect on Cost-Effectiveness of Botulinum Toxin Injections ? » Facial Plastic Surgery 36, no 04 (20 juillet 2020) : 484–86. http://dx.doi.org/10.1055/s-0040-1713793.
Texte intégralRésumé :
AbstractClostridium botulinum toxin (BT) must be administered intramuscularly with a syringe, but dead space in the syringe–needle complex may cause product waste and result in cost implications for the patient and provider. Syringe dead space is the volume of residual fluid that remains within the syringe after the plunger is fully depressed during medication injection. We calculated the average volume of remaining product in a syringe–needle complex and cost loss implication of this volume of BT. This is a single-center, analytical study using saline and four different sized needles for analytics of waste product and cost-effectiveness. Syringes of 1 mL with attached 18, 21, 30, and 32-gauge (G) needles, respectively, were compared. The syringe–needle complex was weighed before drawing 0.05 mL of saline. The fluid was then discarded with the appropriate syringe and then weighed again. This procedure was repeated for the four needle types and the average difference in weight of the syringe–needle complex before and after saline waste was measured. The volume was converted to units of BT used in clinical practice and the cost of waste product evaluated. The mean difference in needle–syringe complex weight before and after intervention was 0.068, 0.056, 0.04, and 0.026 g for the 18, 21, 30, and 32G needles, respectively. We found a statistically significant difference comparing the 18G with the 30 and 32G (0.02 and 0.0007, respectively) and comparing the 21G with the 30 and 32G (0.0042 and 0.00002, respectively). When we extrapolated the data to BT units (4U/0.1 mL), we found that theoretically 2.72, 2.24, 1.6, and 1.04 units of BT are left in the syringe–needle complex for the 18, 21, 30, and 32G syringes, respectively. At a cost of $6.01/U of onabotulinum toxin A, we then calculated a provider loss of a gross average (mean) revenue of $96 and 62.4 per 10 syringes used with 30 and 32G needles. Needle size used for drawing up and administering BT has an effect on the amount of waste product and subsequently on cost-effectiveness.
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Shedd, Mikali, Anna Bozhkova, Bethany A. Kalich et G. Lucy Wilkening. « Evaluation of Bexar County community pharmacist attitudes toward harm reduction ». Mental Health Clinician 9, no 6 (1 novembre 2019) : 383–91. http://dx.doi.org/10.9740/mhc.2019.11.383.
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Abstract Introduction Harm reduction is a term for strategies that minimize the negative outcomes of drug use. Given the progressing opioid epidemic, identifying barriers to harm reduction dispensing in community pharmacies is essential. Methods This online, survey-based study assessed community pharmacist attitudes toward harm reduction and perceived dispense rates of both naloxone and needles/syringes to patients without verifiable injectable prescriptions. The online survey was distributed to members of the Bexar County Pharmacist Association and university alumni. The survey collected demographics, perceived dispense rates of naloxone, needles and syringes, availability of pharmacy protocols for dispensing these products, and Likert-scaled attitudinal questions. Responses were collected for 6 weeks. Results Thirty-two survey responses were analyzed. Participants were generally white (n = 14) or Hispanic/Latino (n = 14), had a median age of 37 years (interquartile range, 32-49 years), and had a median graduation year of 2011 (interquartile range, 1988-2016). Most pharmacists agreed or strongly agreed they should be involved in harm reduction (n = 26) and that pharmacies are an appropriate place to access these resources (n = 26). However, most reported never or rarely dispensing both naloxone (n = 19) and needles and syringes (n = 22). Naloxone or needle and syringe protocol use was reported by 66% (n = 21) and 47% (n = 15) of pharmacists, respectively. Pharmacy protocols significantly enhanced the likelihood of naloxone dispensing (P = .007) but not needle and syringe dispensing (P = .24). Conclusion Community pharmacists exhibited positive attitudes toward harm reduction but reported low rates of dispensing both naloxone and needles and syringes. Pharmacy protocols could be enhanced to better support community pharmacists in this area.
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Pysyk, Christopher L. « Differentiating muscle relaxant syringes to reduce syringe swap error ». Canadian Journal of Anesthesia/Journal canadien d'anesthésie 65, no 7 (21 février 2018) : 850–51. http://dx.doi.org/10.1007/s12630-018-1090-6.
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Cornelius, A., B. Frey, T. A. Neff, A. C. Gerber et M. Weiss. « Warming of infusion syringes caused by electronic syringe pumps ». Acta Anaesthesiologica Scandinavica 47, no 5 (15 avril 2003) : 549–53. http://dx.doi.org/10.1034/j.1399-6576.2003.00094.x.
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Palmer, Tony. « 1997 Awards for Innovation and Excellence in Primary Health Care - Health Promotion : Syringe Disposal Hotline ». Australian Journal of Primary Health 3, no 3 (1997) : 94. http://dx.doi.org/10.1071/py97028.
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Brief Description of the Program: Although needle and syringe exchange programs (NSEP) remain integral to Australia's internationally recognised response to the pandemic, the public have very real concerns about the health risks posed by syringes that are improperly disposed. The Syringe Disposal Hotline provides a seven days per week advice, referral, collection and disposal service for local residents concerned about inappropriately discarded sharps.
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Parreira, Pedro, Liliana B. Sousa, Inês A. Marques, Paulo Santos-Costa, Sara Cortez, Filipa Carneiro, Arménio Cruz et Anabela Salgueiro-Oliveira. « Study Protocol for Two-Steps Parallel Randomized Controlled Trial : Pre-Clinical Usability Tests for a New Double-Chamber Syringe ». International Journal of Environmental Research and Public Health 17, no 22 (12 novembre 2020) : 8376. http://dx.doi.org/10.3390/ijerph17228376.
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A new double-chamber syringe (DUO Syringe) was developed for intravenous drug administration and catheter flushing. This study presents a protocol for pre-clinical usability tests to validate the golden prototype of this new device, performed in a high-fidelity simulation lab by nurses. A two-steps parallel randomized controlled trial with two arms was designed (with standard syringes currently used in clinical practice and with the DUO Syringe). After randomization, eligible and consented participants will be requested to perform, individually, intravenous drug administration and flushing, following the arm that has been allocated. The procedure will be video-recorded for posterior analyses. After the completion of the tasks, nurses will be asked to answer a demographic survey, as well as an interview about their qualitative assessment of the device. A final focus group with all participants will also be conducted. Primary outcomes will concern the DUO Syringe’s effectiveness, efficiency, and safety, while secondary outcomes will focus on nurses’ satisfaction and intention of use. The pre-clinical protocol was defined according to the legal requirements and ISO norms and was reviewed and approved by the Ethics Committee of the Health Sciences Research Unit: Nursing of the Nursing School of Coimbra.
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Kapoor, Anjali, et Geeta Aggarwal. « Pre-filled syringes in developed and developing region : An insight into Regulatory considerations ». International Journal of Drug Regulatory Affairs 7, no 2 (16 juin 2019) : 42–50. http://dx.doi.org/10.22270/ijdra.v7i2.317.
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A Pre-filled syringe is a disposable syringe that is supplied already loaded with the substance to be injected. It is a unit dose of parenteral medication to which a needle has been fixed by a producer. They are small which make them easy to carry and are dependable for delivering a precise dose of medication. These reasons are leading to growth of parenteral medication in pharmaceutical market. The intent of this review article is to provide information on regulatory guidelines involved in submission approach for marketing authorization of pre-filled syringe in developed region (USA, EU) and developing region (India). It also further explains about complexities associated with Pre-filled syringes in terms of regulations, submission approaches and quality development considerations in developing region. There is a need to develop an effective regulatory framework to make regulations of Pre-filled syringes more comprehensive for regulatory bodies. A harmonized forum to be made through which single application can be made and single review process can be followed to avoid deviations in regulatory pathways.
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Prueksaanantakal, Naphatthorn, Anan Manomaipiboon, Patchara Phankavong, Warissara Jirawathin, Nontawat Benjakul, Jakravoot Maneerit, Uraporn Phumisantiphong et Thananda Trakarnvanich. « Effectiveness of the Air-Filled Technique to Reduce the Dead Space in Syringes and Needles during ChAdox1-n CoV Vaccine Administration ». Vaccines 11, no 4 (27 mars 2023) : 741. http://dx.doi.org/10.3390/vaccines11040741.
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In the current study, we calculated the vaccine volume and amount of dead space in a syringe and needle during ChAdox1-n CoV vaccine administration using the air-filled technique. The aim is to reduce the dead space in syringes and needles in order to administer up to 12 doses per vial. The hypothetical situation uses a vial with a similar size as the ChAdox1-n CoV vial. We used distilled water (6.5 mL) to fill the same volume as five vials of ChAdox1-n CoV. When 0.48 mL of distilled water is drawn according to the number on the side of the barrel, an additional 0.10 mL of air can be used in the dead space of the distilled water in the syringe and needle for 60 doses, which can be divided into an average of 0.5 mL per dose. ChAdox1-n CoV was administered using a 1-mL syringe and 25G needle into 12 doses using this air-filled technique. The volume of the recipient vaccine will increase by 20% and save on the budget for low dead space syringes (LDS).
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Ho, Minh Q., Elizabeth Dinges, Karen Slazinski, Jacqueline Byrd et Mohammed Ahmed. « 1197. Development and Implementation of Innovative Syringe Service Programs for Veterans in Rural and Urban Settings ». Open Forum Infectious Diseases 8, Supplement_1 (1 novembre 2021) : S689—S690. http://dx.doi.org/10.1093/ofid/ofab466.1389.
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Abstract Background Syringe Services Programs (SSPs) is one aspect of a comprehensive Harm Reduction approach necessary to reduce the transmission of blood borne infections including Hepatitis B, Hepatitis C, and HIV. Substance Abuse and Mental Health Services Administration (SAMHSA) estimates that in 2019 that 595,000 veterans engage in opioid misuse with at least 57,000 veterans engaging in heroin. Stigmas to SSP are pervasive in the community and within the government system. Federal law prohibited the use of federal funds to purchase sterile needles or syringes for the purposes of illegal use of drugs by injection. It was officially clarified in May 24, 2021 that the prohibition to purchase syringes does not apply to Veterans Health Administration (VHA). While awaiting approximately 2 years to secure this clarification, syringes were obtained through a community donation. We aim to describe our process including difficulties encountered and data collected for SSP at two locations. Difficulties included developing an anonymous process to track quality, motivating providers to refer, educating highest risk veterans, providing face to face engagement during COVID-19 pandemic and ability to mail Harm Reduction kits containing sterile syringes. Illiana VA Program Information Sheet Orlando VA Program Information Sheet Methods Of the 140 facilities within VHA, there are currently only two SSPs established, Illiana VA and Orlando VA. A retrospective analysis of Harm Reduction benefits was performed among veterans who engaged with the two SSPs between 2018 to 2021. Orlando VA SSP Intake Process Map Process that veteran undergo when they engage with Orlando VA SSP Contents of Standard SSP Kit Distributed to Veterans at Orlando VA Results Approximately 3000 syringes were dispensed. Of the 17 veterans, 65% received syringes, 82% received naloxone, 100% engagement in mental health and 94% engagement in substance use disorder clinics. In total, 65% were screened for HIV, 82% for HCV and 29% for sexually transmitted infections. Conclusion These numbers, while modest, are notable, especially given the financial and organizational barriers that were in place. Furthermore, the COVID-19 pandemic impacted full implementation and outreach. With the recent, official clarification on syringe purchase and support for SSPs, the number of SSPs in the VA will grow, along with opportunity for more robust data collection. The experience of both facilities is a model for programs currently in development and moves us closer to ending the HIV epidemic by 2030. Disclosures All Authors: No reported disclosures
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Myers, Kenneth. « A history of injection treatments – I the syringe ». Phlebology : The Journal of Venous Disease 34, no 5 (18 octobre 2018) : 294–302. http://dx.doi.org/10.1177/0268355518790409.
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Introduction The syringe has become an indispensable instrument for many aspects of interventional medicine and everyday practice. Methods To trace the evolution of the syringe from ancient times to the present, using the internet for past documentation and the literature. Conclusion The syringe has long been used for aspiration, irrigation and infusion. This developed into injections for early transfusion, anaesthesia and surgical procedures including venous sclerotherapy. Syringes have been adapted for use to inject specific drugs.
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Shaw, Susan, et Merrill Singer. « Communities in Conflict : The Struggle for AIDS Prevention ». Practicing Anthropology 25, no 3 (1 juillet 2003) : 32–36. http://dx.doi.org/10.17730/praa.25.3.qm9l73130260435k.
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While syringe exchange has been internationally promoted as an effective means of reducing HIV risk among injection drug users, it remains one of the most controversial HIV prevention measures available [McCoy et al. 1997, Singer 1994, Broadhead et al. 1999]. Syringe exchange is the provision of sterile syringes and risk reduction services in exchange for used syringes turned in by injection drug users. The Hispanic Health Council (HHC) became involved in work on syringe exchange during the early 1990s, and played a role as an advocacy organization in getting Connecticut state approval for the Hartford Syringe Exchange Program, in organizing the Hartford Syringe Exchange, and in evaluating the program (Singer 2001). This paper uses the debate over syringe exchange in Springfield, Massachusetts, as a case study of the dynamics of community opposition to syringe exchange programs and the role anthropologists have played in shaping and contributing to that debate. If one of our goals as researchers is the direct translation of research into policy recommendations and initiatives, then it is incumbent on us to participate in those forums in which policy is being debated and to contribute our data and insights to public understandings of the costs and benefits of HIV prevention programs such as syringe exchange. We further argue that anthropologists are especially well-equipped to understand community opposition through our long-term immersion in communities using ethnographic methods and culturally informed analysis.
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Hu, Yuwei. « Comprehensive Risk Analysis and Mitigation Strategies for Syringe-Based Medical Products ». Highlights in Business, Economics and Management 20 (30 novembre 2023) : 454–59. http://dx.doi.org/10.54097/hbem.v20i.12672.
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Syringe products are used in the healthcare field in many places and with high frequency. As a result, there is a proliferation of clinical adverse events in which patients and healthcare professionals can be harmed. Only by understanding these adverse events can we better address the problem. In this article, the manifestations and clinical risks of adverse events of syringes used in the clinic were sorted out by reviewing the relevant literature, and the generating conditions leading to the occurrence of adverse events of syringe-based products were identified from the perspectives of inherent risks and clinical use risks. The investigation and study found that by replacing materials, regular inspection and recall by manufacturers, emphasizing the use norms of healthcare workers, and strict supervision by relevant departments, the recurrence of clinical adverse events of syringes can be reduced, possible risks can be prevented, and a safer environment for patients and healthcare workers can be provided.